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Home › NC › Creedmoor › White Rabbit Preschool Academy OF Learning
1577 Munns Road, Creedmoor NC 27522 · License #39000085 · Center · Child Care Center
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10A NCAC 09 .0509 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 6/24/2026 Number Present: 57 Completed Date: 6/24/2026 Age: From 0 To 7 Total Minutes: 373 Time In: 09:02 AM Time Out: 03:15 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 visit was to monitor your program for compliance with applicable childcare requirements for an unannounced annual compliance visit with a rated license. Ms. R. Durham, the administrator, assisted me with the visit. Your program currently operates with a Four-Star issued March 20th, 2020. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) as of 6/24/26. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed on 6-24-26 and White Rabbit Daycare Inc, was listed as current- active. A full 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 and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, outdoor play, free play in activity areas, lunch, transitions, personal care routines and nap time. The caregivers were interacting and meeting the developmental needs for each of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, EPR Plan, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. All staff files were observed in full during the visit. A Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance. A sampling of Children’s files (ten percent of enrollment) was reviewed today. Fire inspection remains current (7/11/25). Sanitation inspection: (6/2/26). Outdoor inspection: 5/21/26. Emergency drill log: Shelter and lock down drills 4/20/26. Fire drill :5/19/26. A checklist was used to note the requirements I monitored today. Six violations were cited during today’s visit; three were corrected during the visit the provider asked questions about topics to ensure the facility stays in compliance. Violation Number Comment Rule 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. Developmentally appropriate materials were not accessible to children outdoors. 10A NCAC 09 .0509(4) 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. One child had a diaper cream that expired in May 2026 and was not discarded after it expired. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two staff members did not successfully complete certification in First Aid appropriate to the age of the children in care. The two staff members completed the BLS course within 90 days of hire however it only covered CPR and not first aid. .1102(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 child's record that was monitored did not have the immunization record on file. GS 110-91(1);.0302(d)(2); .0304(g) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of loose surfacing was not based on the critical height of the equipment and under the fall zones. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One child had a topical ointment cream with no authorization form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before 7-8-26, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware that any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Gilette Parker, Child Care Consultant Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall 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. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. (e) Handwashing procedures shall include the following steps: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails, and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying the hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (l) Protective surfacing shall 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: The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; Equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand. For stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; 10A NCAC 09 .0509 LEARNING ENVIRONMENT The learning environment consists of the indoor and outdoor area which encourages child initiated and teacher supported activities as follows: (1) each center shall have developmentally appropriate equipment and materials accessible on a daily basis; (2) the materials and equipment indoors and outdoors shall be sufficient to provide a variety of play experiences that promote the children's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development; (4) developmentally appropriate equipment and materials shall be provided for a variety of outdoor activities that allow for active play and large muscle development. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), Rule .0304(g) of this Chapter, and as follows: Children’s records children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care shall be on file within 30 days of enrollment. Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. First Aid and CPR training information Distance learning shall not be permitted for First Aid training. Acceptable training courses include: Medic First Aid CPR • PediatricPlus CPR, AED, and First Aid for Children, Infants and Adults- meets First Aid and CPR • CarePlus CPR and AED- meets CPR only/Child and Infant skills evaluation required American Safety & Health Institute (ASHI) • ASHI Pediatric CPR, AED, and First Aid (Peds)- meets First Aid and CPR • ASHI CPR & AED- meets CPR only/Child and Infant skills evaluation required EMS Safety Services • CPR, AED & First Aid for Childcare Providers - meets CPR and First Aid • CPR, AED & First Aid for Caregivers - meets CPR and First Aid • Emergency Response for Childcare Providers- meets CPR and First Aid • BLS for Healthcare Providers - meets CPR • CORE: CPR, AED, and Basic First Aid - meets CPR and First Aid Health and Safety Institute (HSI) • Adult First Aid, CPR, AED- meets CPR and First Aid • Basic Life Support (BLS)- meets CPR • Pediatric First Aid, CPR, AED- meets CPR and First Aid Program Reminders Ms. Angela needs to take BSAC by September 1st, 2026. Staff who took BLS need to take first aid. Rated License information Prior to today’s visit, your program operated with a 4 Star License and based on the monitored information verified and education the facility will receive a 4-star license. A new license will be mailed directly to you and must be posted upon receipt. At that time, I will return the old license as it remains the property of the State of North Carolina. At the completion of the visit, this visit summary was emailed to you. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle.” These training courses are free, and participants will receive training certificates when completed. Childcare programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Child Care Services https://www.childcareservices.org/programs/ccrr/professional-development/ Southwestern Child Development https://www.swcdcinc.org/ Penn State https://extension.psu.edu/programs/betterkidcare NCRLAP Trainings https://ncrlap.org/Resources/Training/Register/ Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
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 .0605 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 6/24/2026 Number Present: 57 Completed Date: 6/24/2026 Age: From 0 To 7 Total Minutes: 373 Time In: 09:02 AM Time Out: 03:15 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 visit was to monitor your program for compliance with applicable childcare requirements for an unannounced annual compliance visit with a rated license. Ms. R. Durham, the administrator, assisted me with the visit. Your program currently operates with a Four-Star issued March 20th, 2020. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) as of 6/24/26. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed on 6-24-26 and White Rabbit Daycare Inc, was listed as current- active. A full 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 and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, outdoor play, free play in activity areas, lunch, transitions, personal care routines and nap time. The caregivers were interacting and meeting the developmental needs for each of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, EPR Plan, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. All staff files were observed in full during the visit. A Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance. A sampling of Children’s files (ten percent of enrollment) was reviewed today. Fire inspection remains current (7/11/25). Sanitation inspection: (6/2/26). Outdoor inspection: 5/21/26. Emergency drill log: Shelter and lock down drills 4/20/26. Fire drill :5/19/26. A checklist was used to note the requirements I monitored today. Six violations were cited during today’s visit; three were corrected during the visit the provider asked questions about topics to ensure the facility stays in compliance. Violation Number Comment Rule 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. Developmentally appropriate materials were not accessible to children outdoors. 10A NCAC 09 .0509(4) 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. One child had a diaper cream that expired in May 2026 and was not discarded after it expired. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two staff members did not successfully complete certification in First Aid appropriate to the age of the children in care. The two staff members completed the BLS course within 90 days of hire however it only covered CPR and not first aid. .1102(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 child's record that was monitored did not have the immunization record on file. GS 110-91(1);.0302(d)(2); .0304(g) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of loose surfacing was not based on the critical height of the equipment and under the fall zones. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One child had a topical ointment cream with no authorization form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before 7-8-26, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware that any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Gilette Parker, Child Care Consultant Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall 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. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. (e) Handwashing procedures shall include the following steps: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails, and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying the hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (l) Protective surfacing shall 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: The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; Equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand. For stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; 10A NCAC 09 .0509 LEARNING ENVIRONMENT The learning environment consists of the indoor and outdoor area which encourages child initiated and teacher supported activities as follows: (1) each center shall have developmentally appropriate equipment and materials accessible on a daily basis; (2) the materials and equipment indoors and outdoors shall be sufficient to provide a variety of play experiences that promote the children's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development; (4) developmentally appropriate equipment and materials shall be provided for a variety of outdoor activities that allow for active play and large muscle development. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), Rule .0304(g) of this Chapter, and as follows: Children’s records children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care shall be on file within 30 days of enrollment. Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. First Aid and CPR training information Distance learning shall not be permitted for First Aid training. Acceptable training courses include: Medic First Aid CPR • PediatricPlus CPR, AED, and First Aid for Children, Infants and Adults- meets First Aid and CPR • CarePlus CPR and AED- meets CPR only/Child and Infant skills evaluation required American Safety & Health Institute (ASHI) • ASHI Pediatric CPR, AED, and First Aid (Peds)- meets First Aid and CPR • ASHI CPR & AED- meets CPR only/Child and Infant skills evaluation required EMS Safety Services • CPR, AED & First Aid for Childcare Providers - meets CPR and First Aid • CPR, AED & First Aid for Caregivers - meets CPR and First Aid • Emergency Response for Childcare Providers- meets CPR and First Aid • BLS for Healthcare Providers - meets CPR • CORE: CPR, AED, and Basic First Aid - meets CPR and First Aid Health and Safety Institute (HSI) • Adult First Aid, CPR, AED- meets CPR and First Aid • Basic Life Support (BLS)- meets CPR • Pediatric First Aid, CPR, AED- meets CPR and First Aid Program Reminders Ms. Angela needs to take BSAC by September 1st, 2026. Staff who took BLS need to take first aid. Rated License information Prior to today’s visit, your program operated with a 4 Star License and based on the monitored information verified and education the facility will receive a 4-star license. A new license will be mailed directly to you and must be posted upon receipt. At that time, I will return the old license as it remains the property of the State of North Carolina. At the completion of the visit, this visit summary was emailed to you. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle.” These training courses are free, and participants will receive training certificates when completed. Childcare programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Child Care Services https://www.childcareservices.org/programs/ccrr/professional-development/ Southwestern Child Development https://www.swcdcinc.org/ Penn State https://extension.psu.edu/programs/betterkidcare NCRLAP Trainings https://ncrlap.org/Resources/Training/Register/ Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0803 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 6/24/2026 Number Present: 57 Completed Date: 6/24/2026 Age: From 0 To 7 Total Minutes: 373 Time In: 09:02 AM Time Out: 03:15 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 visit was to monitor your program for compliance with applicable childcare requirements for an unannounced annual compliance visit with a rated license. Ms. R. Durham, the administrator, assisted me with the visit. Your program currently operates with a Four-Star issued March 20th, 2020. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) as of 6/24/26. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed on 6-24-26 and White Rabbit Daycare Inc, was listed as current- active. A full 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 and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, outdoor play, free play in activity areas, lunch, transitions, personal care routines and nap time. The caregivers were interacting and meeting the developmental needs for each of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, EPR Plan, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. All staff files were observed in full during the visit. A Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance. A sampling of Children’s files (ten percent of enrollment) was reviewed today. Fire inspection remains current (7/11/25). Sanitation inspection: (6/2/26). Outdoor inspection: 5/21/26. Emergency drill log: Shelter and lock down drills 4/20/26. Fire drill :5/19/26. A checklist was used to note the requirements I monitored today. Six violations were cited during today’s visit; three were corrected during the visit the provider asked questions about topics to ensure the facility stays in compliance. Violation Number Comment Rule 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. Developmentally appropriate materials were not accessible to children outdoors. 10A NCAC 09 .0509(4) 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. One child had a diaper cream that expired in May 2026 and was not discarded after it expired. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two staff members did not successfully complete certification in First Aid appropriate to the age of the children in care. The two staff members completed the BLS course within 90 days of hire however it only covered CPR and not first aid. .1102(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 child's record that was monitored did not have the immunization record on file. GS 110-91(1);.0302(d)(2); .0304(g) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of loose surfacing was not based on the critical height of the equipment and under the fall zones. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One child had a topical ointment cream with no authorization form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before 7-8-26, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware that any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Gilette Parker, Child Care Consultant Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall 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. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. (e) Handwashing procedures shall include the following steps: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails, and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying the hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (l) Protective surfacing shall 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: The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; Equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand. For stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; 10A NCAC 09 .0509 LEARNING ENVIRONMENT The learning environment consists of the indoor and outdoor area which encourages child initiated and teacher supported activities as follows: (1) each center shall have developmentally appropriate equipment and materials accessible on a daily basis; (2) the materials and equipment indoors and outdoors shall be sufficient to provide a variety of play experiences that promote the children's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development; (4) developmentally appropriate equipment and materials shall be provided for a variety of outdoor activities that allow for active play and large muscle development. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), Rule .0304(g) of this Chapter, and as follows: Children’s records children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care shall be on file within 30 days of enrollment. Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. First Aid and CPR training information Distance learning shall not be permitted for First Aid training. Acceptable training courses include: Medic First Aid CPR • PediatricPlus CPR, AED, and First Aid for Children, Infants and Adults- meets First Aid and CPR • CarePlus CPR and AED- meets CPR only/Child and Infant skills evaluation required American Safety & Health Institute (ASHI) • ASHI Pediatric CPR, AED, and First Aid (Peds)- meets First Aid and CPR • ASHI CPR & AED- meets CPR only/Child and Infant skills evaluation required EMS Safety Services • CPR, AED & First Aid for Childcare Providers - meets CPR and First Aid • CPR, AED & First Aid for Caregivers - meets CPR and First Aid • Emergency Response for Childcare Providers- meets CPR and First Aid • BLS for Healthcare Providers - meets CPR • CORE: CPR, AED, and Basic First Aid - meets CPR and First Aid Health and Safety Institute (HSI) • Adult First Aid, CPR, AED- meets CPR and First Aid • Basic Life Support (BLS)- meets CPR • Pediatric First Aid, CPR, AED- meets CPR and First Aid Program Reminders Ms. Angela needs to take BSAC by September 1st, 2026. Staff who took BLS need to take first aid. Rated License information Prior to today’s visit, your program operated with a 4 Star License and based on the monitored information verified and education the facility will receive a 4-star license. A new license will be mailed directly to you and must be posted upon receipt. At that time, I will return the old license as it remains the property of the State of North Carolina. At the completion of the visit, this visit summary was emailed to you. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle.” These training courses are free, and participants will receive training certificates when completed. Childcare programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Child Care Services https://www.childcareservices.org/programs/ccrr/professional-development/ Southwestern Child Development https://www.swcdcinc.org/ Penn State https://extension.psu.edu/programs/betterkidcare NCRLAP Trainings https://ncrlap.org/Resources/Training/Register/ Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .2318 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 6/24/2026 Number Present: 57 Completed Date: 6/24/2026 Age: From 0 To 7 Total Minutes: 373 Time In: 09:02 AM Time Out: 03:15 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 visit was to monitor your program for compliance with applicable childcare requirements for an unannounced annual compliance visit with a rated license. Ms. R. Durham, the administrator, assisted me with the visit. Your program currently operates with a Four-Star issued March 20th, 2020. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) as of 6/24/26. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed on 6-24-26 and White Rabbit Daycare Inc, was listed as current- active. A full 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 and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, outdoor play, free play in activity areas, lunch, transitions, personal care routines and nap time. The caregivers were interacting and meeting the developmental needs for each of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, EPR Plan, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. All staff files were observed in full during the visit. A Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance. A sampling of Children’s files (ten percent of enrollment) was reviewed today. Fire inspection remains current (7/11/25). Sanitation inspection: (6/2/26). Outdoor inspection: 5/21/26. Emergency drill log: Shelter and lock down drills 4/20/26. Fire drill :5/19/26. A checklist was used to note the requirements I monitored today. Six violations were cited during today’s visit; three were corrected during the visit the provider asked questions about topics to ensure the facility stays in compliance. Violation Number Comment Rule 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. Developmentally appropriate materials were not accessible to children outdoors. 10A NCAC 09 .0509(4) 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. One child had a diaper cream that expired in May 2026 and was not discarded after it expired. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two staff members did not successfully complete certification in First Aid appropriate to the age of the children in care. The two staff members completed the BLS course within 90 days of hire however it only covered CPR and not first aid. .1102(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 child's record that was monitored did not have the immunization record on file. GS 110-91(1);.0302(d)(2); .0304(g) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of loose surfacing was not based on the critical height of the equipment and under the fall zones. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One child had a topical ointment cream with no authorization form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before 7-8-26, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware that any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Gilette Parker, Child Care Consultant Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall 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. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. (e) Handwashing procedures shall include the following steps: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails, and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying the hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (l) Protective surfacing shall 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: The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; Equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand. For stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; 10A NCAC 09 .0509 LEARNING ENVIRONMENT The learning environment consists of the indoor and outdoor area which encourages child initiated and teacher supported activities as follows: (1) each center shall have developmentally appropriate equipment and materials accessible on a daily basis; (2) the materials and equipment indoors and outdoors shall be sufficient to provide a variety of play experiences that promote the children's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development; (4) developmentally appropriate equipment and materials shall be provided for a variety of outdoor activities that allow for active play and large muscle development. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), Rule .0304(g) of this Chapter, and as follows: Children’s records children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care shall be on file within 30 days of enrollment. Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. First Aid and CPR training information Distance learning shall not be permitted for First Aid training. Acceptable training courses include: Medic First Aid CPR • PediatricPlus CPR, AED, and First Aid for Children, Infants and Adults- meets First Aid and CPR • CarePlus CPR and AED- meets CPR only/Child and Infant skills evaluation required American Safety & Health Institute (ASHI) • ASHI Pediatric CPR, AED, and First Aid (Peds)- meets First Aid and CPR • ASHI CPR & AED- meets CPR only/Child and Infant skills evaluation required EMS Safety Services • CPR, AED & First Aid for Childcare Providers - meets CPR and First Aid • CPR, AED & First Aid for Caregivers - meets CPR and First Aid • Emergency Response for Childcare Providers- meets CPR and First Aid • BLS for Healthcare Providers - meets CPR • CORE: CPR, AED, and Basic First Aid - meets CPR and First Aid Health and Safety Institute (HSI) • Adult First Aid, CPR, AED- meets CPR and First Aid • Basic Life Support (BLS)- meets CPR • Pediatric First Aid, CPR, AED- meets CPR and First Aid Program Reminders Ms. Angela needs to take BSAC by September 1st, 2026. Staff who took BLS need to take first aid. Rated License information Prior to today’s visit, your program operated with a 4 Star License and based on the monitored information verified and education the facility will receive a 4-star license. A new license will be mailed directly to you and must be posted upon receipt. At that time, I will return the old license as it remains the property of the State of North Carolina. At the completion of the visit, this visit summary was emailed to you. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle.” These training courses are free, and participants will receive training certificates when completed. Childcare programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Child Care Services https://www.childcareservices.org/programs/ccrr/professional-development/ Southwestern Child Development https://www.swcdcinc.org/ Penn State https://extension.psu.edu/programs/betterkidcare NCRLAP Trainings https://ncrlap.org/Resources/Training/Register/ Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-91 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 6/24/2026 Number Present: 57 Completed Date: 6/24/2026 Age: From 0 To 7 Total Minutes: 373 Time In: 09:02 AM Time Out: 03:15 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 visit was to monitor your program for compliance with applicable childcare requirements for an unannounced annual compliance visit with a rated license. Ms. R. Durham, the administrator, assisted me with the visit. Your program currently operates with a Four-Star issued March 20th, 2020. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) as of 6/24/26. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed on 6-24-26 and White Rabbit Daycare Inc, was listed as current- active. A full 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 and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, outdoor play, free play in activity areas, lunch, transitions, personal care routines and nap time. The caregivers were interacting and meeting the developmental needs for each of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, EPR Plan, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. All staff files were observed in full during the visit. A Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance. A sampling of Children’s files (ten percent of enrollment) was reviewed today. Fire inspection remains current (7/11/25). Sanitation inspection: (6/2/26). Outdoor inspection: 5/21/26. Emergency drill log: Shelter and lock down drills 4/20/26. Fire drill :5/19/26. A checklist was used to note the requirements I monitored today. Six violations were cited during today’s visit; three were corrected during the visit the provider asked questions about topics to ensure the facility stays in compliance. Violation Number Comment Rule 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. Developmentally appropriate materials were not accessible to children outdoors. 10A NCAC 09 .0509(4) 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. One child had a diaper cream that expired in May 2026 and was not discarded after it expired. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two staff members did not successfully complete certification in First Aid appropriate to the age of the children in care. The two staff members completed the BLS course within 90 days of hire however it only covered CPR and not first aid. .1102(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 child's record that was monitored did not have the immunization record on file. GS 110-91(1);.0302(d)(2); .0304(g) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of loose surfacing was not based on the critical height of the equipment and under the fall zones. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One child had a topical ointment cream with no authorization form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before 7-8-26, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware that any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Gilette Parker, Child Care Consultant Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall 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. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. (e) Handwashing procedures shall include the following steps: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails, and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying the hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (l) Protective surfacing shall 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: The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; Equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand. For stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; 10A NCAC 09 .0509 LEARNING ENVIRONMENT The learning environment consists of the indoor and outdoor area which encourages child initiated and teacher supported activities as follows: (1) each center shall have developmentally appropriate equipment and materials accessible on a daily basis; (2) the materials and equipment indoors and outdoors shall be sufficient to provide a variety of play experiences that promote the children's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development; (4) developmentally appropriate equipment and materials shall be provided for a variety of outdoor activities that allow for active play and large muscle development. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), Rule .0304(g) of this Chapter, and as follows: Children’s records children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care shall be on file within 30 days of enrollment. Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. First Aid and CPR training information Distance learning shall not be permitted for First Aid training. Acceptable training courses include: Medic First Aid CPR • PediatricPlus CPR, AED, and First Aid for Children, Infants and Adults- meets First Aid and CPR • CarePlus CPR and AED- meets CPR only/Child and Infant skills evaluation required American Safety & Health Institute (ASHI) • ASHI Pediatric CPR, AED, and First Aid (Peds)- meets First Aid and CPR • ASHI CPR & AED- meets CPR only/Child and Infant skills evaluation required EMS Safety Services • CPR, AED & First Aid for Childcare Providers - meets CPR and First Aid • CPR, AED & First Aid for Caregivers - meets CPR and First Aid • Emergency Response for Childcare Providers- meets CPR and First Aid • BLS for Healthcare Providers - meets CPR • CORE: CPR, AED, and Basic First Aid - meets CPR and First Aid Health and Safety Institute (HSI) • Adult First Aid, CPR, AED- meets CPR and First Aid • Basic Life Support (BLS)- meets CPR • Pediatric First Aid, CPR, AED- meets CPR and First Aid Program Reminders Ms. Angela needs to take BSAC by September 1st, 2026. Staff who took BLS need to take first aid. Rated License information Prior to today’s visit, your program operated with a 4 Star License and based on the monitored information verified and education the facility will receive a 4-star license. A new license will be mailed directly to you and must be posted upon receipt. At that time, I will return the old license as it remains the property of the State of North Carolina. At the completion of the visit, this visit summary was emailed to you. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle.” These training courses are free, and participants will receive training certificates when completed. Childcare programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Child Care Services https://www.childcareservices.org/programs/ccrr/professional-development/ Southwestern Child Development https://www.swcdcinc.org/ Penn State https://extension.psu.edu/programs/betterkidcare NCRLAP Trainings https://ncrlap.org/Resources/Training/Register/ Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
GS 110-91 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 6/24/2026 Number Present: 57 Completed Date: 6/24/2026 Age: From 0 To 7 Total Minutes: 373 Time In: 09:02 AM Time Out: 03:15 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 visit was to monitor your program for compliance with applicable childcare requirements for an unannounced annual compliance visit with a rated license. Ms. R. Durham, the administrator, assisted me with the visit. Your program currently operates with a Four-Star issued March 20th, 2020. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) as of 6/24/26. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed on 6-24-26 and White Rabbit Daycare Inc, was listed as current- active. A full 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 and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, outdoor play, free play in activity areas, lunch, transitions, personal care routines and nap time. The caregivers were interacting and meeting the developmental needs for each of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, EPR Plan, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. All staff files were observed in full during the visit. A Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance. A sampling of Children’s files (ten percent of enrollment) was reviewed today. Fire inspection remains current (7/11/25). Sanitation inspection: (6/2/26). Outdoor inspection: 5/21/26. Emergency drill log: Shelter and lock down drills 4/20/26. Fire drill :5/19/26. A checklist was used to note the requirements I monitored today. Six violations were cited during today’s visit; three were corrected during the visit the provider asked questions about topics to ensure the facility stays in compliance. Violation Number Comment Rule 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. Developmentally appropriate materials were not accessible to children outdoors. 10A NCAC 09 .0509(4) 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. One child had a diaper cream that expired in May 2026 and was not discarded after it expired. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two staff members did not successfully complete certification in First Aid appropriate to the age of the children in care. The two staff members completed the BLS course within 90 days of hire however it only covered CPR and not first aid. .1102(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 child's record that was monitored did not have the immunization record on file. GS 110-91(1);.0302(d)(2); .0304(g) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of loose surfacing was not based on the critical height of the equipment and under the fall zones. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One child had a topical ointment cream with no authorization form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before 7-8-26, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware that any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Gilette Parker, Child Care Consultant Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall 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. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. (e) Handwashing procedures shall include the following steps: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails, and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying the hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (l) Protective surfacing shall 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: The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; Equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand. For stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; 10A NCAC 09 .0509 LEARNING ENVIRONMENT The learning environment consists of the indoor and outdoor area which encourages child initiated and teacher supported activities as follows: (1) each center shall have developmentally appropriate equipment and materials accessible on a daily basis; (2) the materials and equipment indoors and outdoors shall be sufficient to provide a variety of play experiences that promote the children's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development; (4) developmentally appropriate equipment and materials shall be provided for a variety of outdoor activities that allow for active play and large muscle development. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), Rule .0304(g) of this Chapter, and as follows: Children’s records children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care shall be on file within 30 days of enrollment. Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. First Aid and CPR training information Distance learning shall not be permitted for First Aid training. Acceptable training courses include: Medic First Aid CPR • PediatricPlus CPR, AED, and First Aid for Children, Infants and Adults- meets First Aid and CPR • CarePlus CPR and AED- meets CPR only/Child and Infant skills evaluation required American Safety & Health Institute (ASHI) • ASHI Pediatric CPR, AED, and First Aid (Peds)- meets First Aid and CPR • ASHI CPR & AED- meets CPR only/Child and Infant skills evaluation required EMS Safety Services • CPR, AED & First Aid for Childcare Providers - meets CPR and First Aid • CPR, AED & First Aid for Caregivers - meets CPR and First Aid • Emergency Response for Childcare Providers- meets CPR and First Aid • BLS for Healthcare Providers - meets CPR • CORE: CPR, AED, and Basic First Aid - meets CPR and First Aid Health and Safety Institute (HSI) • Adult First Aid, CPR, AED- meets CPR and First Aid • Basic Life Support (BLS)- meets CPR • Pediatric First Aid, CPR, AED- meets CPR and First Aid Program Reminders Ms. Angela needs to take BSAC by September 1st, 2026. Staff who took BLS need to take first aid. Rated License information Prior to today’s visit, your program operated with a 4 Star License and based on the monitored information verified and education the facility will receive a 4-star license. A new license will be mailed directly to you and must be posted upon receipt. At that time, I will return the old license as it remains the property of the State of North Carolina. At the completion of the visit, this visit summary was emailed to you. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle.” These training courses are free, and participants will receive training certificates when completed. Childcare programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Child Care Services https://www.childcareservices.org/programs/ccrr/professional-development/ Southwestern Child Development https://www.swcdcinc.org/ Penn State https://extension.psu.edu/programs/betterkidcare NCRLAP Trainings https://ncrlap.org/Resources/Training/Register/ Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
NC GS 110-90 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 6/24/2026 Number Present: 57 Completed Date: 6/24/2026 Age: From 0 To 7 Total Minutes: 373 Time In: 09:02 AM Time Out: 03:15 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 visit was to monitor your program for compliance with applicable childcare requirements for an unannounced annual compliance visit with a rated license. Ms. R. Durham, the administrator, assisted me with the visit. Your program currently operates with a Four-Star issued March 20th, 2020. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) as of 6/24/26. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed on 6-24-26 and White Rabbit Daycare Inc, was listed as current- active. A full 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 and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, outdoor play, free play in activity areas, lunch, transitions, personal care routines and nap time. The caregivers were interacting and meeting the developmental needs for each of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, EPR Plan, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. All staff files were observed in full during the visit. A Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance. A sampling of Children’s files (ten percent of enrollment) was reviewed today. Fire inspection remains current (7/11/25). Sanitation inspection: (6/2/26). Outdoor inspection: 5/21/26. Emergency drill log: Shelter and lock down drills 4/20/26. Fire drill :5/19/26. A checklist was used to note the requirements I monitored today. Six violations were cited during today’s visit; three were corrected during the visit the provider asked questions about topics to ensure the facility stays in compliance. Violation Number Comment Rule 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. Developmentally appropriate materials were not accessible to children outdoors. 10A NCAC 09 .0509(4) 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. One child had a diaper cream that expired in May 2026 and was not discarded after it expired. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two staff members did not successfully complete certification in First Aid appropriate to the age of the children in care. The two staff members completed the BLS course within 90 days of hire however it only covered CPR and not first aid. .1102(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 child's record that was monitored did not have the immunization record on file. GS 110-91(1);.0302(d)(2); .0304(g) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of loose surfacing was not based on the critical height of the equipment and under the fall zones. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One child had a topical ointment cream with no authorization form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before 7-8-26, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware that any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Gilette Parker, Child Care Consultant Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall 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. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. (e) Handwashing procedures shall include the following steps: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails, and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying the hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (l) Protective surfacing shall 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: The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; Equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand. For stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; 10A NCAC 09 .0509 LEARNING ENVIRONMENT The learning environment consists of the indoor and outdoor area which encourages child initiated and teacher supported activities as follows: (1) each center shall have developmentally appropriate equipment and materials accessible on a daily basis; (2) the materials and equipment indoors and outdoors shall be sufficient to provide a variety of play experiences that promote the children's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development; (4) developmentally appropriate equipment and materials shall be provided for a variety of outdoor activities that allow for active play and large muscle development. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), Rule .0304(g) of this Chapter, and as follows: Children’s records children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care shall be on file within 30 days of enrollment. Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. First Aid and CPR training information Distance learning shall not be permitted for First Aid training. Acceptable training courses include: Medic First Aid CPR • PediatricPlus CPR, AED, and First Aid for Children, Infants and Adults- meets First Aid and CPR • CarePlus CPR and AED- meets CPR only/Child and Infant skills evaluation required American Safety & Health Institute (ASHI) • ASHI Pediatric CPR, AED, and First Aid (Peds)- meets First Aid and CPR • ASHI CPR & AED- meets CPR only/Child and Infant skills evaluation required EMS Safety Services • CPR, AED & First Aid for Childcare Providers - meets CPR and First Aid • CPR, AED & First Aid for Caregivers - meets CPR and First Aid • Emergency Response for Childcare Providers- meets CPR and First Aid • BLS for Healthcare Providers - meets CPR • CORE: CPR, AED, and Basic First Aid - meets CPR and First Aid Health and Safety Institute (HSI) • Adult First Aid, CPR, AED- meets CPR and First Aid • Basic Life Support (BLS)- meets CPR • Pediatric First Aid, CPR, AED- meets CPR and First Aid Program Reminders Ms. Angela needs to take BSAC by September 1st, 2026. Staff who took BLS need to take first aid. Rated License information Prior to today’s visit, your program operated with a 4 Star License and based on the monitored information verified and education the facility will receive a 4-star license. A new license will be mailed directly to you and must be posted upon receipt. At that time, I will return the old license as it remains the property of the State of North Carolina. At the completion of the visit, this visit summary was emailed to you. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle.” These training courses are free, and participants will receive training certificates when completed. Childcare programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Child Care Services https://www.childcareservices.org/programs/ccrr/professional-development/ Southwestern Child Development https://www.swcdcinc.org/ Penn State https://extension.psu.edu/programs/betterkidcare NCRLAP Trainings https://ncrlap.org/Resources/Training/Register/ Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0605 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 1/13/2026 Number Present: 44 Completed Date: 1/13/2026 Age: From 0 To 5 Total Minutes: 200 Time In: 09:15 AM Time Out: 12:35 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, R. Durham, (Administrator) assisted me with the visit. Your program currently operates with a 4-star license effective March 30th , 2020. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety four percent as of (1/13/26). The NC Secretary of State website was reviewed on (1/13/26) and (WHITE RABBIT DAY CARE INC.) was listed as current- active. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in, free play in activity areas, transitions and personal care routines. Infants were engaged in napping and diapering routines. Sleep checks were completed, recorded, and maintained as required. The caregivers were interacting and meeting the developmental needs for each of the children. Files for new staff were reviewed. Fire and sanitation inspections have not occurred since the last visit and remain current. Two violations were observed today. Two violations were corrected during the visit Violation Number Comment Rule 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Mats were not placed 18 inches apart or separated by partitions in the toddler and pre-k rooms. 15A NCAC 18A .2821(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of surfacing under the fall zones were not based on the critical height of the equipment. .0605(k)(1-4) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance The provider and I discussed opt out forms, outdoor surfacing regarding fall zones, nutrition guidelines, staff requirements, off premises forms, outdoor materials, staff child ratios, capacity in each room and space calculations. SECTION .0900 - NUTRITION STANDARDS 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (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. When a private water supply is used, it must be tested by and meet the requirements of the Commission for Public Health as set forth in 15A NCAC 18A .2800. (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or lowfat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; Protective surfacing shall 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 shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall 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 shall extend beyond the external limits of the equipment for six feet; 15A NCAC 18A .2821 BEDS, COTS, MATS, AND LINENS (e) When in use, cribs, cots, mats and play pens shall be placed at least 18 inches apart or separated by partitions that prevent physical contact between children. Ensure that all education information is current in the W.O.R.K.S. database. Education evaluations can take some time to process so beginning the process early will help to ensure we have the accurate information needed when it is time to complete the rated license assessment. The new QRIS options regarding the three Pathways are online. Please go to our website DCDEE to become knowledgeable about the changes that came into effect July 1, 2025. Agency Information For the latest information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://www.preventchildabusenc.org/online-trainings/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0901 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 1/13/2026 Number Present: 44 Completed Date: 1/13/2026 Age: From 0 To 5 Total Minutes: 200 Time In: 09:15 AM Time Out: 12:35 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, R. Durham, (Administrator) assisted me with the visit. Your program currently operates with a 4-star license effective March 30th , 2020. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety four percent as of (1/13/26). The NC Secretary of State website was reviewed on (1/13/26) and (WHITE RABBIT DAY CARE INC.) was listed as current- active. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in, free play in activity areas, transitions and personal care routines. Infants were engaged in napping and diapering routines. Sleep checks were completed, recorded, and maintained as required. The caregivers were interacting and meeting the developmental needs for each of the children. Files for new staff were reviewed. Fire and sanitation inspections have not occurred since the last visit and remain current. Two violations were observed today. Two violations were corrected during the visit Violation Number Comment Rule 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Mats were not placed 18 inches apart or separated by partitions in the toddler and pre-k rooms. 15A NCAC 18A .2821(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of surfacing under the fall zones were not based on the critical height of the equipment. .0605(k)(1-4) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance The provider and I discussed opt out forms, outdoor surfacing regarding fall zones, nutrition guidelines, staff requirements, off premises forms, outdoor materials, staff child ratios, capacity in each room and space calculations. SECTION .0900 - NUTRITION STANDARDS 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (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. When a private water supply is used, it must be tested by and meet the requirements of the Commission for Public Health as set forth in 15A NCAC 18A .2800. (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or lowfat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; Protective surfacing shall 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 shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall 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 shall extend beyond the external limits of the equipment for six feet; 15A NCAC 18A .2821 BEDS, COTS, MATS, AND LINENS (e) When in use, cribs, cots, mats and play pens shall be placed at least 18 inches apart or separated by partitions that prevent physical contact between children. Ensure that all education information is current in the W.O.R.K.S. database. Education evaluations can take some time to process so beginning the process early will help to ensure we have the accurate information needed when it is time to complete the rated license assessment. The new QRIS options regarding the three Pathways are online. Please go to our website DCDEE to become knowledgeable about the changes that came into effect July 1, 2025. Agency Information For the latest information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://www.preventchildabusenc.org/online-trainings/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-91 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 1/13/2026 Number Present: 44 Completed Date: 1/13/2026 Age: From 0 To 5 Total Minutes: 200 Time In: 09:15 AM Time Out: 12:35 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, R. Durham, (Administrator) assisted me with the visit. Your program currently operates with a 4-star license effective March 30th , 2020. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety four percent as of (1/13/26). The NC Secretary of State website was reviewed on (1/13/26) and (WHITE RABBIT DAY CARE INC.) was listed as current- active. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in, free play in activity areas, transitions and personal care routines. Infants were engaged in napping and diapering routines. Sleep checks were completed, recorded, and maintained as required. The caregivers were interacting and meeting the developmental needs for each of the children. Files for new staff were reviewed. Fire and sanitation inspections have not occurred since the last visit and remain current. Two violations were observed today. Two violations were corrected during the visit Violation Number Comment Rule 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Mats were not placed 18 inches apart or separated by partitions in the toddler and pre-k rooms. 15A NCAC 18A .2821(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of surfacing under the fall zones were not based on the critical height of the equipment. .0605(k)(1-4) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance The provider and I discussed opt out forms, outdoor surfacing regarding fall zones, nutrition guidelines, staff requirements, off premises forms, outdoor materials, staff child ratios, capacity in each room and space calculations. SECTION .0900 - NUTRITION STANDARDS 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (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. When a private water supply is used, it must be tested by and meet the requirements of the Commission for Public Health as set forth in 15A NCAC 18A .2800. (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or lowfat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; Protective surfacing shall 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 shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall 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 shall extend beyond the external limits of the equipment for six feet; 15A NCAC 18A .2821 BEDS, COTS, MATS, AND LINENS (e) When in use, cribs, cots, mats and play pens shall be placed at least 18 inches apart or separated by partitions that prevent physical contact between children. Ensure that all education information is current in the W.O.R.K.S. database. Education evaluations can take some time to process so beginning the process early will help to ensure we have the accurate information needed when it is time to complete the rated license assessment. The new QRIS options regarding the three Pathways are online. Please go to our website DCDEE to become knowledgeable about the changes that came into effect July 1, 2025. Agency Information For the latest information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://www.preventchildabusenc.org/online-trainings/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
NC GS 110-90 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 1/13/2026 Number Present: 44 Completed Date: 1/13/2026 Age: From 0 To 5 Total Minutes: 200 Time In: 09:15 AM Time Out: 12:35 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, R. Durham, (Administrator) assisted me with the visit. Your program currently operates with a 4-star license effective March 30th , 2020. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety four percent as of (1/13/26). The NC Secretary of State website was reviewed on (1/13/26) and (WHITE RABBIT DAY CARE INC.) was listed as current- active. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in, free play in activity areas, transitions and personal care routines. Infants were engaged in napping and diapering routines. Sleep checks were completed, recorded, and maintained as required. The caregivers were interacting and meeting the developmental needs for each of the children. Files for new staff were reviewed. Fire and sanitation inspections have not occurred since the last visit and remain current. Two violations were observed today. Two violations were corrected during the visit Violation Number Comment Rule 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Mats were not placed 18 inches apart or separated by partitions in the toddler and pre-k rooms. 15A NCAC 18A .2821(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of surfacing under the fall zones were not based on the critical height of the equipment. .0605(k)(1-4) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance The provider and I discussed opt out forms, outdoor surfacing regarding fall zones, nutrition guidelines, staff requirements, off premises forms, outdoor materials, staff child ratios, capacity in each room and space calculations. SECTION .0900 - NUTRITION STANDARDS 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (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. When a private water supply is used, it must be tested by and meet the requirements of the Commission for Public Health as set forth in 15A NCAC 18A .2800. (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or lowfat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; Protective surfacing shall 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 shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall 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 shall extend beyond the external limits of the equipment for six feet; 15A NCAC 18A .2821 BEDS, COTS, MATS, AND LINENS (e) When in use, cribs, cots, mats and play pens shall be placed at least 18 inches apart or separated by partitions that prevent physical contact between children. Ensure that all education information is current in the W.O.R.K.S. database. Education evaluations can take some time to process so beginning the process early will help to ensure we have the accurate information needed when it is time to complete the rated license assessment. The new QRIS options regarding the three Pathways are online. Please go to our website DCDEE to become knowledgeable about the changes that came into effect July 1, 2025. Agency Information For the latest information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://www.preventchildabusenc.org/online-trainings/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-90 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 12/17/2024 Number Present: 43 Completed Date: 12/17/2024 Age: From 0 To 4 Total Minutes: 155 Time In: 09:10 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the provisional license issued by the DCDEE to this facility on September 13th, 2024, which is effective until March 13th, 2025, and to record observations and progress with CAP of AA. Upon our arrival, I was greeted by Ms. Wilma and Ms. Rhonda the Director, who arrived shortly after assisted me with today’s visit. The program’s compliance history was at eighty three percent (83%) as of 12/17/24. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed on 12/17/24 and WHITE RABBIT DAY CARE INC was listed as current- active. During today's visit, I monitored progress towards completion of the stipulations outlined in the Corrective Action Plan for Administrative Action issued on September 13th, 2024. The current Notice of Administrative Action, cover letter, and Corrective Action Plan were posted. The current provisional is for September 13th, 2024-March 13th2025. Limited monitoring of the childcare requirements occurred during today’s visit. I completed a walkthrough of the facility where I monitored the provisional license, staff/child ratio, group size, use of space, licensed space capacity, license /permit restrictions, activity plans, feeding schedules, sleep charts, attendance records, staff files, and adequate supervision of children. The children were observed during free play, routine care, and outside time. Follow-up visits will continue every 4 to 6 weeks throughout the effective dates. Three violations were cited during today’s visit. Two violations were corrected during the visit. Technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member did not complete the first aid training with in 90 days of hire, the director stated is was due to not being able to find a training with in that 90 days. The training was to be completed by 10/3/24 and it was completed on 10/16/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member did not complete the CPR training with in 90 days of hire, the director stated is was due to not being able to find a training with in the the 90 day period. The training was to be completed by 10/3/24 and it was completed on 10/16/24. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member's W. Al-Hasson qualification letter expired on 12-11-24. The staff member submitted all paper work on 12-5-24, however in the ABCMS system as of 12-17-24 there hasn't been a determination met and is stating EXPIRED. G.S. 110-90.2(b) & (d) & .2703(e) The violation(s) documented must be corrected immediately. On or before 12-30-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware that any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Gilette Parker, Child Care Consultant Gilette.parker@dhhs.nc.gov The compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance and Consultation All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. REVIEW OF THE CORRECTIVE ACTION PLAN: Stipulation 1: The facility was not in complete compliance with the items in this stipulation during today’s visit. Three violations were documented during today’s visit, however two were corrected. Stipulation 2: The facility has completed this item as of 12/5/24. I talked to the Owner Gina White-Bryd regarding this stipulation on 12/5/24 a plan has been put in place. This stipulation has been met. stipulation 3: The facility has completed this item as of 12/5/24. I spoke with the Owner. The director is still diving her duties between each facility; however a plan has been put in place to take the load off of the director and to ensure the director can focus on administrative duties. This stipulation has been met. Stipulation4: The Director and Owner completed this item on April 15th, 2024. This stipulation has been met. Stipulation5: The training was completed on March 5th, 2024. This stipulation has been met. Stipulation 6: This stipulation was completed on October 7th, 2024. Marcia submitted the sign-in sheet for this training. This stipulation has been met. Stipulation 7: The facility director emailed me documentation during today’s visits. I reviewed the policies and procedures, and they were approved on 10/17/24 orally and in writing. Have each staff member sign the revised policy document. All staff members have signed the revised policy document on 11-18-24. This stipulation has been met. Stipulation 8: The facility director emailed me the documentation pertaining to the written procedures for this stipulation. I approved it orally and in writing. All staff members have signed the revised policy document on 11-18-24. This stipulation has been met. Stipulation 9: This stipulation must be completed within two weeks of completing and approval of stipulations 7 and 8. Due to the director working in a classroom the meeting was held within 4 weeks instead of two weeks of completing stipulation 7 and 8. The staff meeting was held on 12-18-24. This stipulation has been met. Stipulation 10: This stipulation is still on-going and must be completed with two weeks of completion and approval of stipulation 7 and 8. I did review the document the director will be using to conduct the monthly observations for this stipulation. The director has started monthly staff evaluations on 11-22-24. These evaluations will occur monthly until the provisional ends on March 13th, 2025. During today’s visit I reviewed the November observations, the director and I discussed some things that can be added to the observations. This stipulation is on-going. Stipulation 11: The facility director emailed me the documentation pertaining to the written plan for achieving compliance with initial and modified staff criminal background checks. This stipulation has been met. You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you meet all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
NC GS 110-90 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 12/17/2024 Number Present: 43 Completed Date: 12/17/2024 Age: From 0 To 4 Total Minutes: 155 Time In: 09:10 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the provisional license issued by the DCDEE to this facility on September 13th, 2024, which is effective until March 13th, 2025, and to record observations and progress with CAP of AA. Upon our arrival, I was greeted by Ms. Wilma and Ms. Rhonda the Director, who arrived shortly after assisted me with today’s visit. The program’s compliance history was at eighty three percent (83%) as of 12/17/24. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed on 12/17/24 and WHITE RABBIT DAY CARE INC was listed as current- active. During today's visit, I monitored progress towards completion of the stipulations outlined in the Corrective Action Plan for Administrative Action issued on September 13th, 2024. The current Notice of Administrative Action, cover letter, and Corrective Action Plan were posted. The current provisional is for September 13th, 2024-March 13th2025. Limited monitoring of the childcare requirements occurred during today’s visit. I completed a walkthrough of the facility where I monitored the provisional license, staff/child ratio, group size, use of space, licensed space capacity, license /permit restrictions, activity plans, feeding schedules, sleep charts, attendance records, staff files, and adequate supervision of children. The children were observed during free play, routine care, and outside time. Follow-up visits will continue every 4 to 6 weeks throughout the effective dates. Three violations were cited during today’s visit. Two violations were corrected during the visit. Technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member did not complete the first aid training with in 90 days of hire, the director stated is was due to not being able to find a training with in that 90 days. The training was to be completed by 10/3/24 and it was completed on 10/16/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member did not complete the CPR training with in 90 days of hire, the director stated is was due to not being able to find a training with in the the 90 day period. The training was to be completed by 10/3/24 and it was completed on 10/16/24. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member's W. Al-Hasson qualification letter expired on 12-11-24. The staff member submitted all paper work on 12-5-24, however in the ABCMS system as of 12-17-24 there hasn't been a determination met and is stating EXPIRED. G.S. 110-90.2(b) & (d) & .2703(e) The violation(s) documented must be corrected immediately. On or before 12-30-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware that any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Gilette Parker, Child Care Consultant Gilette.parker@dhhs.nc.gov The compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance and Consultation All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. REVIEW OF THE CORRECTIVE ACTION PLAN: Stipulation 1: The facility was not in complete compliance with the items in this stipulation during today’s visit. Three violations were documented during today’s visit, however two were corrected. Stipulation 2: The facility has completed this item as of 12/5/24. I talked to the Owner Gina White-Bryd regarding this stipulation on 12/5/24 a plan has been put in place. This stipulation has been met. stipulation 3: The facility has completed this item as of 12/5/24. I spoke with the Owner. The director is still diving her duties between each facility; however a plan has been put in place to take the load off of the director and to ensure the director can focus on administrative duties. This stipulation has been met. Stipulation4: The Director and Owner completed this item on April 15th, 2024. This stipulation has been met. Stipulation5: The training was completed on March 5th, 2024. This stipulation has been met. Stipulation 6: This stipulation was completed on October 7th, 2024. Marcia submitted the sign-in sheet for this training. This stipulation has been met. Stipulation 7: The facility director emailed me documentation during today’s visits. I reviewed the policies and procedures, and they were approved on 10/17/24 orally and in writing. Have each staff member sign the revised policy document. All staff members have signed the revised policy document on 11-18-24. This stipulation has been met. Stipulation 8: The facility director emailed me the documentation pertaining to the written procedures for this stipulation. I approved it orally and in writing. All staff members have signed the revised policy document on 11-18-24. This stipulation has been met. Stipulation 9: This stipulation must be completed within two weeks of completing and approval of stipulations 7 and 8. Due to the director working in a classroom the meeting was held within 4 weeks instead of two weeks of completing stipulation 7 and 8. The staff meeting was held on 12-18-24. This stipulation has been met. Stipulation 10: This stipulation is still on-going and must be completed with two weeks of completion and approval of stipulation 7 and 8. I did review the document the director will be using to conduct the monthly observations for this stipulation. The director has started monthly staff evaluations on 11-22-24. These evaluations will occur monthly until the provisional ends on March 13th, 2025. During today’s visit I reviewed the November observations, the director and I discussed some things that can be added to the observations. This stipulation is on-going. Stipulation 11: The facility director emailed me the documentation pertaining to the written plan for achieving compliance with initial and modified staff criminal background checks. This stipulation has been met. You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you meet all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0604 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 10/17/2024 Number Present: 36 Completed Date: 10/17/2024 Age: From 0 To 4 Total Minutes: 235 Time In: 09:15 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the provisional license issued by the DCDEE to this facility on September 13th, 2024, which is effective until March 13th, 2025, and to record observations and progress with CAP of AA. Upon our arrival, I was greeted by Ms. Rhonda the Director, who assisted me with today’s visit. The program’s compliance history was at eighty three percent (83%) as of 10/17/24. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed on 10/17/24 and WHITE RABBIT DAY CARE INC was listed as current- active. During today's visit, I monitored progress towards completion of the stipulations outlined in the Corrective Action Plan for Administrative Action issued on September 13th, 2024. The current Notice of Administrative Action, cover letter, and Corrective Action Plan were not posted. The current action must be posted in a location visible to parents and visitors near the entrance of the child care facility during the effective time period, six (6) months of the Provisional License as required by Child Care Rule 10A NCAC 09 .2201(i), regardless of whether the Notice of Administrative Action is appealed. The current provisional is for September 13th, 2024-March 13th2025.During today’s visit the Director posted the provisional over top of the license in the front entrance to the facility. Limited monitoring of the childcare requirements occurred during today’s visit. I completed a walkthrough of the facility where I monitored the provisional license, staff/child ratio, group size, use of space, licensed space capacity, license/permit restrictions, activity plans, feeding schedules, sleep charts, attendance records, outdoor equipment, new staff records and adequate supervision of children. The children were observed during free play, routine care, and outside time. Follow-up visits will continue every 4 to 6 weeks throughout the effective dates. Five violations were cited during today's visit. The violations were corrected during today's visit. Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. The written feeding plan for two children were not signed or dated by the staff when received by the center. .0902(a) 721 All equipment and furnishings were not in good repair. During today's visit a piece of the playground structure broke. The staff and management have made the equipment inaccessible to the children until it can be fixed. G.S. 110-91(6); .0601(b) 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 the early preschool classroom, two electrical outlets not in use did not have a safety outlet covers in them. 10A NCAC 09 .0604(c) 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 staff member working in the infant room and who was hired on 9/13/24 and started working in the infant room on 9/26/24, ITS SIDS expired on 9/28/24. The staff member has been documenting on the safe sleep charts since 9/30/24.The staff member is scheduled to retake the training on 10/24/24. .1102(f) 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19) Upon arrival the current provisional administrative action, cover letter and corrective action plan was not posted. 10A NCAC 09 .2201(i)(1-4) REVIEW OF THE CORRECTIVE ACTION PLAN: Stipulation 1: The facility wasn’t in complete compliance with the items in this stipulation during today’s visit. Violations were documented during today’s visit and corrected during the visit. Stipulation 2: The facility hasn’t completed this item as of 9/18/24. During today’s visit the director stated that Owner Gina-White Byrd is handling this stipulation. I have not talked to Owner regarding this stipulation as of 9/18/24 or as of 10/17/24. This stipulation is on-going/pending. stipulation 3: The facility hasn’t completed this item as of 9/18/24. The director is still diving her duties between each facility. This stipulation is on-going. Stipulation4: The Director and Owner completed this item on April 15th, 2024. This stipulation has been met. Stipulation5: The training was completed on March 5th, 2024. This stipulation has been met. Stipulation 6: This stipulation was completed on October 7th, 2024. Marcia submitted the sign-in sheet for this training. Stipulation 7: The facility director emailed me documentation during today’s visits. I reviewed the policies and procedures, and they were approved on 10/17/24 orally and in writing. Have each staff member sign the revised policy document. Stipulation 8: The facility director emailed me the documentation pertaining to the written procedures for this stipulation . I approved it orally and in writing. Have each staff member sign the revised policy document. Stipulation 9: This stipulation is pending and must be completed with two weeks of completing and approval of stipulation 7 and 8. You have until October 31st, 2024. Stipulation 10: This stipulation is pending and must be completed with two weeks of completing and approval of stipulation 7 and 8. I did review the document the director will be using to conduct the monthly observations for this stipulation. The director will start these observations after the staff meeting. Stipulation 11: This stipulation is pending and waiting on supporting documentation and revisions. You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you meet all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. Technical Assistance 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. The director of a center or a large or small family child care home should provide and maintain documentation or participate in the state’s training/professional development registry of training/professional development received by, or provided for, staff. For centers, the date of the training, the number of hours, the names of staff participants, the name(s) and qualification(s) of the trainer(s), and the content of the training (both orientation and continuing education) should be recorded in each staff person’s file or in a separate training file. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .1801 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 10/17/2024 Number Present: 36 Completed Date: 10/17/2024 Age: From 0 To 4 Total Minutes: 235 Time In: 09:15 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the provisional license issued by the DCDEE to this facility on September 13th, 2024, which is effective until March 13th, 2025, and to record observations and progress with CAP of AA. Upon our arrival, I was greeted by Ms. Rhonda the Director, who assisted me with today’s visit. The program’s compliance history was at eighty three percent (83%) as of 10/17/24. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed on 10/17/24 and WHITE RABBIT DAY CARE INC was listed as current- active. During today's visit, I monitored progress towards completion of the stipulations outlined in the Corrective Action Plan for Administrative Action issued on September 13th, 2024. The current Notice of Administrative Action, cover letter, and Corrective Action Plan were not posted. The current action must be posted in a location visible to parents and visitors near the entrance of the child care facility during the effective time period, six (6) months of the Provisional License as required by Child Care Rule 10A NCAC 09 .2201(i), regardless of whether the Notice of Administrative Action is appealed. The current provisional is for September 13th, 2024-March 13th2025.During today’s visit the Director posted the provisional over top of the license in the front entrance to the facility. Limited monitoring of the childcare requirements occurred during today’s visit. I completed a walkthrough of the facility where I monitored the provisional license, staff/child ratio, group size, use of space, licensed space capacity, license/permit restrictions, activity plans, feeding schedules, sleep charts, attendance records, outdoor equipment, new staff records and adequate supervision of children. The children were observed during free play, routine care, and outside time. Follow-up visits will continue every 4 to 6 weeks throughout the effective dates. Five violations were cited during today's visit. The violations were corrected during today's visit. Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. The written feeding plan for two children were not signed or dated by the staff when received by the center. .0902(a) 721 All equipment and furnishings were not in good repair. During today's visit a piece of the playground structure broke. The staff and management have made the equipment inaccessible to the children until it can be fixed. G.S. 110-91(6); .0601(b) 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 the early preschool classroom, two electrical outlets not in use did not have a safety outlet covers in them. 10A NCAC 09 .0604(c) 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 staff member working in the infant room and who was hired on 9/13/24 and started working in the infant room on 9/26/24, ITS SIDS expired on 9/28/24. The staff member has been documenting on the safe sleep charts since 9/30/24.The staff member is scheduled to retake the training on 10/24/24. .1102(f) 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19) Upon arrival the current provisional administrative action, cover letter and corrective action plan was not posted. 10A NCAC 09 .2201(i)(1-4) REVIEW OF THE CORRECTIVE ACTION PLAN: Stipulation 1: The facility wasn’t in complete compliance with the items in this stipulation during today’s visit. Violations were documented during today’s visit and corrected during the visit. Stipulation 2: The facility hasn’t completed this item as of 9/18/24. During today’s visit the director stated that Owner Gina-White Byrd is handling this stipulation. I have not talked to Owner regarding this stipulation as of 9/18/24 or as of 10/17/24. This stipulation is on-going/pending. stipulation 3: The facility hasn’t completed this item as of 9/18/24. The director is still diving her duties between each facility. This stipulation is on-going. Stipulation4: The Director and Owner completed this item on April 15th, 2024. This stipulation has been met. Stipulation5: The training was completed on March 5th, 2024. This stipulation has been met. Stipulation 6: This stipulation was completed on October 7th, 2024. Marcia submitted the sign-in sheet for this training. Stipulation 7: The facility director emailed me documentation during today’s visits. I reviewed the policies and procedures, and they were approved on 10/17/24 orally and in writing. Have each staff member sign the revised policy document. Stipulation 8: The facility director emailed me the documentation pertaining to the written procedures for this stipulation . I approved it orally and in writing. Have each staff member sign the revised policy document. Stipulation 9: This stipulation is pending and must be completed with two weeks of completing and approval of stipulation 7 and 8. You have until October 31st, 2024. Stipulation 10: This stipulation is pending and must be completed with two weeks of completing and approval of stipulation 7 and 8. I did review the document the director will be using to conduct the monthly observations for this stipulation. The director will start these observations after the staff meeting. Stipulation 11: This stipulation is pending and waiting on supporting documentation and revisions. You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you meet all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. Technical Assistance 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. The director of a center or a large or small family child care home should provide and maintain documentation or participate in the state’s training/professional development registry of training/professional development received by, or provided for, staff. For centers, the date of the training, the number of hours, the names of staff participants, the name(s) and qualification(s) of the trainer(s), and the content of the training (both orientation and continuing education) should be recorded in each staff person’s file or in a separate training file. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .2201 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 10/17/2024 Number Present: 36 Completed Date: 10/17/2024 Age: From 0 To 4 Total Minutes: 235 Time In: 09:15 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the provisional license issued by the DCDEE to this facility on September 13th, 2024, which is effective until March 13th, 2025, and to record observations and progress with CAP of AA. Upon our arrival, I was greeted by Ms. Rhonda the Director, who assisted me with today’s visit. The program’s compliance history was at eighty three percent (83%) as of 10/17/24. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed on 10/17/24 and WHITE RABBIT DAY CARE INC was listed as current- active. During today's visit, I monitored progress towards completion of the stipulations outlined in the Corrective Action Plan for Administrative Action issued on September 13th, 2024. The current Notice of Administrative Action, cover letter, and Corrective Action Plan were not posted. The current action must be posted in a location visible to parents and visitors near the entrance of the child care facility during the effective time period, six (6) months of the Provisional License as required by Child Care Rule 10A NCAC 09 .2201(i), regardless of whether the Notice of Administrative Action is appealed. The current provisional is for September 13th, 2024-March 13th2025.During today’s visit the Director posted the provisional over top of the license in the front entrance to the facility. Limited monitoring of the childcare requirements occurred during today’s visit. I completed a walkthrough of the facility where I monitored the provisional license, staff/child ratio, group size, use of space, licensed space capacity, license/permit restrictions, activity plans, feeding schedules, sleep charts, attendance records, outdoor equipment, new staff records and adequate supervision of children. The children were observed during free play, routine care, and outside time. Follow-up visits will continue every 4 to 6 weeks throughout the effective dates. Five violations were cited during today's visit. The violations were corrected during today's visit. Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. The written feeding plan for two children were not signed or dated by the staff when received by the center. .0902(a) 721 All equipment and furnishings were not in good repair. During today's visit a piece of the playground structure broke. The staff and management have made the equipment inaccessible to the children until it can be fixed. G.S. 110-91(6); .0601(b) 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 the early preschool classroom, two electrical outlets not in use did not have a safety outlet covers in them. 10A NCAC 09 .0604(c) 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 staff member working in the infant room and who was hired on 9/13/24 and started working in the infant room on 9/26/24, ITS SIDS expired on 9/28/24. The staff member has been documenting on the safe sleep charts since 9/30/24.The staff member is scheduled to retake the training on 10/24/24. .1102(f) 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19) Upon arrival the current provisional administrative action, cover letter and corrective action plan was not posted. 10A NCAC 09 .2201(i)(1-4) REVIEW OF THE CORRECTIVE ACTION PLAN: Stipulation 1: The facility wasn’t in complete compliance with the items in this stipulation during today’s visit. Violations were documented during today’s visit and corrected during the visit. Stipulation 2: The facility hasn’t completed this item as of 9/18/24. During today’s visit the director stated that Owner Gina-White Byrd is handling this stipulation. I have not talked to Owner regarding this stipulation as of 9/18/24 or as of 10/17/24. This stipulation is on-going/pending. stipulation 3: The facility hasn’t completed this item as of 9/18/24. The director is still diving her duties between each facility. This stipulation is on-going. Stipulation4: The Director and Owner completed this item on April 15th, 2024. This stipulation has been met. Stipulation5: The training was completed on March 5th, 2024. This stipulation has been met. Stipulation 6: This stipulation was completed on October 7th, 2024. Marcia submitted the sign-in sheet for this training. Stipulation 7: The facility director emailed me documentation during today’s visits. I reviewed the policies and procedures, and they were approved on 10/17/24 orally and in writing. Have each staff member sign the revised policy document. Stipulation 8: The facility director emailed me the documentation pertaining to the written procedures for this stipulation . I approved it orally and in writing. Have each staff member sign the revised policy document. Stipulation 9: This stipulation is pending and must be completed with two weeks of completing and approval of stipulation 7 and 8. You have until October 31st, 2024. Stipulation 10: This stipulation is pending and must be completed with two weeks of completing and approval of stipulation 7 and 8. I did review the document the director will be using to conduct the monthly observations for this stipulation. The director will start these observations after the staff meeting. Stipulation 11: This stipulation is pending and waiting on supporting documentation and revisions. You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you meet all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. Technical Assistance 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. The director of a center or a large or small family child care home should provide and maintain documentation or participate in the state’s training/professional development registry of training/professional development received by, or provided for, staff. For centers, the date of the training, the number of hours, the names of staff participants, the name(s) and qualification(s) of the trainer(s), and the content of the training (both orientation and continuing education) should be recorded in each staff person’s file or in a separate training file. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-91 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 10/17/2024 Number Present: 36 Completed Date: 10/17/2024 Age: From 0 To 4 Total Minutes: 235 Time In: 09:15 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the provisional license issued by the DCDEE to this facility on September 13th, 2024, which is effective until March 13th, 2025, and to record observations and progress with CAP of AA. Upon our arrival, I was greeted by Ms. Rhonda the Director, who assisted me with today’s visit. The program’s compliance history was at eighty three percent (83%) as of 10/17/24. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed on 10/17/24 and WHITE RABBIT DAY CARE INC was listed as current- active. During today's visit, I monitored progress towards completion of the stipulations outlined in the Corrective Action Plan for Administrative Action issued on September 13th, 2024. The current Notice of Administrative Action, cover letter, and Corrective Action Plan were not posted. The current action must be posted in a location visible to parents and visitors near the entrance of the child care facility during the effective time period, six (6) months of the Provisional License as required by Child Care Rule 10A NCAC 09 .2201(i), regardless of whether the Notice of Administrative Action is appealed. The current provisional is for September 13th, 2024-March 13th2025.During today’s visit the Director posted the provisional over top of the license in the front entrance to the facility. Limited monitoring of the childcare requirements occurred during today’s visit. I completed a walkthrough of the facility where I monitored the provisional license, staff/child ratio, group size, use of space, licensed space capacity, license/permit restrictions, activity plans, feeding schedules, sleep charts, attendance records, outdoor equipment, new staff records and adequate supervision of children. The children were observed during free play, routine care, and outside time. Follow-up visits will continue every 4 to 6 weeks throughout the effective dates. Five violations were cited during today's visit. The violations were corrected during today's visit. Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. The written feeding plan for two children were not signed or dated by the staff when received by the center. .0902(a) 721 All equipment and furnishings were not in good repair. During today's visit a piece of the playground structure broke. The staff and management have made the equipment inaccessible to the children until it can be fixed. G.S. 110-91(6); .0601(b) 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 the early preschool classroom, two electrical outlets not in use did not have a safety outlet covers in them. 10A NCAC 09 .0604(c) 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 staff member working in the infant room and who was hired on 9/13/24 and started working in the infant room on 9/26/24, ITS SIDS expired on 9/28/24. The staff member has been documenting on the safe sleep charts since 9/30/24.The staff member is scheduled to retake the training on 10/24/24. .1102(f) 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19) Upon arrival the current provisional administrative action, cover letter and corrective action plan was not posted. 10A NCAC 09 .2201(i)(1-4) REVIEW OF THE CORRECTIVE ACTION PLAN: Stipulation 1: The facility wasn’t in complete compliance with the items in this stipulation during today’s visit. Violations were documented during today’s visit and corrected during the visit. Stipulation 2: The facility hasn’t completed this item as of 9/18/24. During today’s visit the director stated that Owner Gina-White Byrd is handling this stipulation. I have not talked to Owner regarding this stipulation as of 9/18/24 or as of 10/17/24. This stipulation is on-going/pending. stipulation 3: The facility hasn’t completed this item as of 9/18/24. The director is still diving her duties between each facility. This stipulation is on-going. Stipulation4: The Director and Owner completed this item on April 15th, 2024. This stipulation has been met. Stipulation5: The training was completed on March 5th, 2024. This stipulation has been met. Stipulation 6: This stipulation was completed on October 7th, 2024. Marcia submitted the sign-in sheet for this training. Stipulation 7: The facility director emailed me documentation during today’s visits. I reviewed the policies and procedures, and they were approved on 10/17/24 orally and in writing. Have each staff member sign the revised policy document. Stipulation 8: The facility director emailed me the documentation pertaining to the written procedures for this stipulation . I approved it orally and in writing. Have each staff member sign the revised policy document. Stipulation 9: This stipulation is pending and must be completed with two weeks of completing and approval of stipulation 7 and 8. You have until October 31st, 2024. Stipulation 10: This stipulation is pending and must be completed with two weeks of completing and approval of stipulation 7 and 8. I did review the document the director will be using to conduct the monthly observations for this stipulation. The director will start these observations after the staff meeting. Stipulation 11: This stipulation is pending and waiting on supporting documentation and revisions. You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you meet all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. Technical Assistance 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. The director of a center or a large or small family child care home should provide and maintain documentation or participate in the state’s training/professional development registry of training/professional development received by, or provided for, staff. For centers, the date of the training, the number of hours, the names of staff participants, the name(s) and qualification(s) of the trainer(s), and the content of the training (both orientation and continuing education) should be recorded in each staff person’s file or in a separate training file. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
NC GS 110-90 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 10/17/2024 Number Present: 36 Completed Date: 10/17/2024 Age: From 0 To 4 Total Minutes: 235 Time In: 09:15 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the provisional license issued by the DCDEE to this facility on September 13th, 2024, which is effective until March 13th, 2025, and to record observations and progress with CAP of AA. Upon our arrival, I was greeted by Ms. Rhonda the Director, who assisted me with today’s visit. The program’s compliance history was at eighty three percent (83%) as of 10/17/24. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed on 10/17/24 and WHITE RABBIT DAY CARE INC was listed as current- active. During today's visit, I monitored progress towards completion of the stipulations outlined in the Corrective Action Plan for Administrative Action issued on September 13th, 2024. The current Notice of Administrative Action, cover letter, and Corrective Action Plan were not posted. The current action must be posted in a location visible to parents and visitors near the entrance of the child care facility during the effective time period, six (6) months of the Provisional License as required by Child Care Rule 10A NCAC 09 .2201(i), regardless of whether the Notice of Administrative Action is appealed. The current provisional is for September 13th, 2024-March 13th2025.During today’s visit the Director posted the provisional over top of the license in the front entrance to the facility. Limited monitoring of the childcare requirements occurred during today’s visit. I completed a walkthrough of the facility where I monitored the provisional license, staff/child ratio, group size, use of space, licensed space capacity, license/permit restrictions, activity plans, feeding schedules, sleep charts, attendance records, outdoor equipment, new staff records and adequate supervision of children. The children were observed during free play, routine care, and outside time. Follow-up visits will continue every 4 to 6 weeks throughout the effective dates. Five violations were cited during today's visit. The violations were corrected during today's visit. Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. The written feeding plan for two children were not signed or dated by the staff when received by the center. .0902(a) 721 All equipment and furnishings were not in good repair. During today's visit a piece of the playground structure broke. The staff and management have made the equipment inaccessible to the children until it can be fixed. G.S. 110-91(6); .0601(b) 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 the early preschool classroom, two electrical outlets not in use did not have a safety outlet covers in them. 10A NCAC 09 .0604(c) 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 staff member working in the infant room and who was hired on 9/13/24 and started working in the infant room on 9/26/24, ITS SIDS expired on 9/28/24. The staff member has been documenting on the safe sleep charts since 9/30/24.The staff member is scheduled to retake the training on 10/24/24. .1102(f) 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19) Upon arrival the current provisional administrative action, cover letter and corrective action plan was not posted. 10A NCAC 09 .2201(i)(1-4) REVIEW OF THE CORRECTIVE ACTION PLAN: Stipulation 1: The facility wasn’t in complete compliance with the items in this stipulation during today’s visit. Violations were documented during today’s visit and corrected during the visit. Stipulation 2: The facility hasn’t completed this item as of 9/18/24. During today’s visit the director stated that Owner Gina-White Byrd is handling this stipulation. I have not talked to Owner regarding this stipulation as of 9/18/24 or as of 10/17/24. This stipulation is on-going/pending. stipulation 3: The facility hasn’t completed this item as of 9/18/24. The director is still diving her duties between each facility. This stipulation is on-going. Stipulation4: The Director and Owner completed this item on April 15th, 2024. This stipulation has been met. Stipulation5: The training was completed on March 5th, 2024. This stipulation has been met. Stipulation 6: This stipulation was completed on October 7th, 2024. Marcia submitted the sign-in sheet for this training. Stipulation 7: The facility director emailed me documentation during today’s visits. I reviewed the policies and procedures, and they were approved on 10/17/24 orally and in writing. Have each staff member sign the revised policy document. Stipulation 8: The facility director emailed me the documentation pertaining to the written procedures for this stipulation . I approved it orally and in writing. Have each staff member sign the revised policy document. Stipulation 9: This stipulation is pending and must be completed with two weeks of completing and approval of stipulation 7 and 8. You have until October 31st, 2024. Stipulation 10: This stipulation is pending and must be completed with two weeks of completing and approval of stipulation 7 and 8. I did review the document the director will be using to conduct the monthly observations for this stipulation. The director will start these observations after the staff meeting. Stipulation 11: This stipulation is pending and waiting on supporting documentation and revisions. You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you meet all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. Technical Assistance 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. The director of a center or a large or small family child care home should provide and maintain documentation or participate in the state’s training/professional development registry of training/professional development received by, or provided for, staff. For centers, the date of the training, the number of hours, the names of staff participants, the name(s) and qualification(s) of the trainer(s), and the content of the training (both orientation and continuing education) should be recorded in each staff person’s file or in a separate training file. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0304 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 7/18/2024 Number Present: 41 Completed Date: 7/18/2024 Age: From 0 To 5 Total Minutes: 130 Time In: 09:20 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Mrs. R. Durham (Director) assisted me with the visit. Your program currently operates with a Four-star license, issued 3-20-20. The last annual compliance visit was conducted on 7/26/23/ The NC Secretary of State website was reviewed on 7-18-24 and White Rabbit Daycare Inc, was listed as current- active. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. A full 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 and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, art, outdoor play, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. Five new staff files were reviewed. Existing staff files were not reviewed during the visit. A Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance. A sampling of Children’s files (ten percent of enrollment) was reviewed today. The sanitation inspection remains current (8/18/23). The fire inspection was past due (6/28/23) and was conducted during today’s visit 7/18/24. Playground inspection :7/15/24. Emergency drill log: Shelter and lock down drills 7/1/24. Fire drill: 7/2/24. A checklist was used to note the requirements I monitored today. Five violations were cited during today’s visit; the provider did ask questions to ensure the facility stays in compliance. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Operator had not obtained a fire inspection within 12 months of the previous inspection which was conducted on 6/28/23. 10A NCAC 09 .0304(a) 404 All staff did not wash their hands thoroughly after diapering each child. I observed a staff member in classroom room 3 who did not wash their hands after changing 2 children's diaper. 15A NCAC 18A .2803(a) 405 A child's hands were not washed after each diaper change. I observed 2 children in classroom 3 who did not wash their hands or have their hands washed after diaper changing. 15A NCAC 18A .2803(c)(2) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use in classroom 3. 15A NCAC 18A .2819(c) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. None of the children's file reviewed during today's visit had written notification that parents were notified of the tobacco restriction. .0604(j) The violation(s) documented must be corrected immediately. On or before 8-1-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Gilette Parker, Child Care Consultant Gilette.parker@dhhs.nc.gov The emailed compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Falsification: If child care operators state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information, and an Administrative Action may be issued. If you cannot meet the requirements by the date, you must contact me with a proposed timeline of the corrections in a timely manner. In some cases, this timeline may be extended. Consultation and Technical Assistance Staff qualifications and training requirements are essential for adults who interact with and teach children. These requirements protect children by ensuring safe and healthy environments where developmental needs of children are met. Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1) a copy of the credential certificate; (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3) a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4) documentation of enrollment in credential coursework. (d) If the individual does not yet meet the staff qualifications required by G.S. 110-91(8) when assuming lead teacher or administrative duties, the individual shall submit to the Division documentation of completion of the coursework or credential to be considered for equivalency within six months of assuming the duties. Age shall be verified with any official document that provides a date of birth, such as a driver's license or birth certificate. The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. Environments should ensure safety, promote health, provide comfort and be convenient for children and caregivers. Children are naturally curious and creative, which in turn, leads them to learn and explore. Children are also unpredictable and spontaneous. There are positive steps caregivers can take to limit misbehavior and guide children towards more acceptable behaviors or positive choices. Positive relationships are essential for the development of children's social competence. In order for a caregiver to respond appropriately to a child's behavior the caregiver must know what behaviors are appropriate for the child's development. Secure relationships with caregivers provide the foundation for healthy social and emotional development. As children learn to respond appropriately to a variety of situations and people, their need to use challenging behaviors decreases. Providing positive guidance through nurturing and responsive relationships and supportive environments to promote children's self-control, teach responsibility and help children make thoughtful choices. The more effective caregivers are at encouraging appropriate behavior, the less time and effort caregivers have to spend correcting children's behavior. Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. Diapering surfaces shall be disinfected using an approved disinfectant. Approved disinfectants and detergent solution shall be kept in separate and labeled bottles at each diaper changing station. Approved disinfectants that are chlorine disinfecting solutions shall be stored in hand pump spray bottles. No cloths or sponges shall be used on diapering surfaces. Review hand washing procedures with staff and remind parents to wash children’s hands upon entry. Program reminders Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) Review staff and training sheet for dates that staff need to have additional training done. You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-91 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 7/18/2024 Number Present: 41 Completed Date: 7/18/2024 Age: From 0 To 5 Total Minutes: 130 Time In: 09:20 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Mrs. R. Durham (Director) assisted me with the visit. Your program currently operates with a Four-star license, issued 3-20-20. The last annual compliance visit was conducted on 7/26/23/ The NC Secretary of State website was reviewed on 7-18-24 and White Rabbit Daycare Inc, was listed as current- active. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. A full 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 and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, art, outdoor play, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. Five new staff files were reviewed. Existing staff files were not reviewed during the visit. A Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance. A sampling of Children’s files (ten percent of enrollment) was reviewed today. The sanitation inspection remains current (8/18/23). The fire inspection was past due (6/28/23) and was conducted during today’s visit 7/18/24. Playground inspection :7/15/24. Emergency drill log: Shelter and lock down drills 7/1/24. Fire drill: 7/2/24. A checklist was used to note the requirements I monitored today. Five violations were cited during today’s visit; the provider did ask questions to ensure the facility stays in compliance. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Operator had not obtained a fire inspection within 12 months of the previous inspection which was conducted on 6/28/23. 10A NCAC 09 .0304(a) 404 All staff did not wash their hands thoroughly after diapering each child. I observed a staff member in classroom room 3 who did not wash their hands after changing 2 children's diaper. 15A NCAC 18A .2803(a) 405 A child's hands were not washed after each diaper change. I observed 2 children in classroom 3 who did not wash their hands or have their hands washed after diaper changing. 15A NCAC 18A .2803(c)(2) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use in classroom 3. 15A NCAC 18A .2819(c) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. None of the children's file reviewed during today's visit had written notification that parents were notified of the tobacco restriction. .0604(j) The violation(s) documented must be corrected immediately. On or before 8-1-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Gilette Parker, Child Care Consultant Gilette.parker@dhhs.nc.gov The emailed compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Falsification: If child care operators state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information, and an Administrative Action may be issued. If you cannot meet the requirements by the date, you must contact me with a proposed timeline of the corrections in a timely manner. In some cases, this timeline may be extended. Consultation and Technical Assistance Staff qualifications and training requirements are essential for adults who interact with and teach children. These requirements protect children by ensuring safe and healthy environments where developmental needs of children are met. Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1) a copy of the credential certificate; (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3) a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4) documentation of enrollment in credential coursework. (d) If the individual does not yet meet the staff qualifications required by G.S. 110-91(8) when assuming lead teacher or administrative duties, the individual shall submit to the Division documentation of completion of the coursework or credential to be considered for equivalency within six months of assuming the duties. Age shall be verified with any official document that provides a date of birth, such as a driver's license or birth certificate. The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. Environments should ensure safety, promote health, provide comfort and be convenient for children and caregivers. Children are naturally curious and creative, which in turn, leads them to learn and explore. Children are also unpredictable and spontaneous. There are positive steps caregivers can take to limit misbehavior and guide children towards more acceptable behaviors or positive choices. Positive relationships are essential for the development of children's social competence. In order for a caregiver to respond appropriately to a child's behavior the caregiver must know what behaviors are appropriate for the child's development. Secure relationships with caregivers provide the foundation for healthy social and emotional development. As children learn to respond appropriately to a variety of situations and people, their need to use challenging behaviors decreases. Providing positive guidance through nurturing and responsive relationships and supportive environments to promote children's self-control, teach responsibility and help children make thoughtful choices. The more effective caregivers are at encouraging appropriate behavior, the less time and effort caregivers have to spend correcting children's behavior. Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. Diapering surfaces shall be disinfected using an approved disinfectant. Approved disinfectants and detergent solution shall be kept in separate and labeled bottles at each diaper changing station. Approved disinfectants that are chlorine disinfecting solutions shall be stored in hand pump spray bottles. No cloths or sponges shall be used on diapering surfaces. Review hand washing procedures with staff and remind parents to wash children’s hands upon entry. Program reminders Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) Review staff and training sheet for dates that staff need to have additional training done. You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
NC GS 110-90 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 7/18/2024 Number Present: 41 Completed Date: 7/18/2024 Age: From 0 To 5 Total Minutes: 130 Time In: 09:20 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Mrs. R. Durham (Director) assisted me with the visit. Your program currently operates with a Four-star license, issued 3-20-20. The last annual compliance visit was conducted on 7/26/23/ The NC Secretary of State website was reviewed on 7-18-24 and White Rabbit Daycare Inc, was listed as current- active. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. A full 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 and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, art, outdoor play, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. Five new staff files were reviewed. Existing staff files were not reviewed during the visit. A Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance. A sampling of Children’s files (ten percent of enrollment) was reviewed today. The sanitation inspection remains current (8/18/23). The fire inspection was past due (6/28/23) and was conducted during today’s visit 7/18/24. Playground inspection :7/15/24. Emergency drill log: Shelter and lock down drills 7/1/24. Fire drill: 7/2/24. A checklist was used to note the requirements I monitored today. Five violations were cited during today’s visit; the provider did ask questions to ensure the facility stays in compliance. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Operator had not obtained a fire inspection within 12 months of the previous inspection which was conducted on 6/28/23. 10A NCAC 09 .0304(a) 404 All staff did not wash their hands thoroughly after diapering each child. I observed a staff member in classroom room 3 who did not wash their hands after changing 2 children's diaper. 15A NCAC 18A .2803(a) 405 A child's hands were not washed after each diaper change. I observed 2 children in classroom 3 who did not wash their hands or have their hands washed after diaper changing. 15A NCAC 18A .2803(c)(2) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use in classroom 3. 15A NCAC 18A .2819(c) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. None of the children's file reviewed during today's visit had written notification that parents were notified of the tobacco restriction. .0604(j) The violation(s) documented must be corrected immediately. On or before 8-1-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Gilette Parker, Child Care Consultant Gilette.parker@dhhs.nc.gov The emailed compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Falsification: If child care operators state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information, and an Administrative Action may be issued. If you cannot meet the requirements by the date, you must contact me with a proposed timeline of the corrections in a timely manner. In some cases, this timeline may be extended. Consultation and Technical Assistance Staff qualifications and training requirements are essential for adults who interact with and teach children. These requirements protect children by ensuring safe and healthy environments where developmental needs of children are met. Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1) a copy of the credential certificate; (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3) a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4) documentation of enrollment in credential coursework. (d) If the individual does not yet meet the staff qualifications required by G.S. 110-91(8) when assuming lead teacher or administrative duties, the individual shall submit to the Division documentation of completion of the coursework or credential to be considered for equivalency within six months of assuming the duties. Age shall be verified with any official document that provides a date of birth, such as a driver's license or birth certificate. The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. Environments should ensure safety, promote health, provide comfort and be convenient for children and caregivers. Children are naturally curious and creative, which in turn, leads them to learn and explore. Children are also unpredictable and spontaneous. There are positive steps caregivers can take to limit misbehavior and guide children towards more acceptable behaviors or positive choices. Positive relationships are essential for the development of children's social competence. In order for a caregiver to respond appropriately to a child's behavior the caregiver must know what behaviors are appropriate for the child's development. Secure relationships with caregivers provide the foundation for healthy social and emotional development. As children learn to respond appropriately to a variety of situations and people, their need to use challenging behaviors decreases. Providing positive guidance through nurturing and responsive relationships and supportive environments to promote children's self-control, teach responsibility and help children make thoughtful choices. The more effective caregivers are at encouraging appropriate behavior, the less time and effort caregivers have to spend correcting children's behavior. Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. Diapering surfaces shall be disinfected using an approved disinfectant. Approved disinfectants and detergent solution shall be kept in separate and labeled bottles at each diaper changing station. Approved disinfectants that are chlorine disinfecting solutions shall be stored in hand pump spray bottles. No cloths or sponges shall be used on diapering surfaces. Review hand washing procedures with staff and remind parents to wash children’s hands upon entry. Program reminders Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) Review staff and training sheet for dates that staff need to have additional training done. You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0604 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 46 Completed Date: 6/5/2024 Age: From 0 To 5 Total Minutes: 260 Time In: 09:00 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of our unannounced follow-up visit today was to verify corrections of violations observed on 4/30/24 during unannounced follow up. The facility is operating with a provisional license issued March 28th, 2024, September 28th, 2024. Upon our arrival, I rang the bell and was greeted by the Director, Ms. Rh. Durham. The program’s compliance history was at seventy eight percent (78%) as of 6/5/24. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed on 5/5/24 and WHITE RABBIT DAY CARE INC was listed as current- active. I completed an unassisted walk through of the facility where I monitored the provisional license posted, staff/child ratio, group size, use of space, licensed space capacity, license/permit restrictions, activity plans, new staff records, ITS-SIDS training, sleep charts, CPR training, discipline, nurture and care of children, criminal record check requirements, hand washing, up to date training, attendance sheets and supervision of children. During the visit today, I observed children during morning snack time, outside time, circle time and free play. In the infant room, the infants were observed sleeping, playing with toys, and having diapers changed and feeding. The violations documented during the (4/30/24) visit were monitored for compliance during this visit. Failure to maintain compliance could result in an administrative action being taken against your license. These pending violations from 4/30/24 visit was completed May 1st, 2024. I did not monitor all the proposed corrective action plan requirements (CAP) because the facility is still in the appeal process. Follow-up visits will continue every 4 to 6 weeks throughout the appeal process. One existing staff member and seven new staff member's files were observed during today's visit. Eight violations were observed, and documentation was given to maintain compliance. Four violations were corrected during today’s visit. One violation (840) was a repeat violation The provider asked questions to ensure compliance. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A few bottles did not have either the name or the date on them. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three feeding schedules did not have a date received by, teacher signature and parent signature. One feeding schedule was not completely filled out regarding a updated made to the child's schedule. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator in the infant classroom did not have a thermometer. 15A NCAC 18A .2806(j)(2) 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. Three classrooms had safety outlets that 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. A can of microband that is under aerosol pressure can was not stored in a locked room or cabinet. .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. One child's medication authorization expired 4/26/24. .0803(12) 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. One child who's first day was today 6/5/24, did not have a sleep chart and the visual checks were not documented. The child had been sleep since 9:30am. I observed this at 9:45am. .0606(g) 1793 Infants were served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. In the infant classroom one child was served juice in a bottle without a prescription or written statement o file from a health care professional or licensed dietitian/nutritionist. .0902( c ) The violation(s) documented must be corrected immediately. On or before 6-19-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Gilette Parker, Child Care Consultant Gilette.parker@dhhs.nc.gov The emailed compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Falsification: If child care operators state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information, and an Administrative Action may be issued. If you cannot meet the requirements by the date, you must contact me with a proposed timeline of the corrections in a timely manner. In some cases, this timeline may be extended. Consultation and Technical Assistance 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 10A NCAC 09 .2820 ENHANCED EDUCATION STANDARDS FOR LEAD TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1) a copy of the credential certificate; (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3) a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4) documentation of enrollment in credential coursework. (d) If the individual does not yet meet the staff qualifications required by G.S. 110-91(8) when assuming lead teacher or administrative duties, the individual shall submit to the Division documentation of completion of the coursework or credential to be considered for equivalency within six months of assuming the duties. Rated License Information Your facility is in cohort 2. Preparation Year: July 1, 2024-June 30, 2025. Reassessment Year: July 1, 2025-June 30, 2026. Once you are ready to have the assessment done, please complete the rated license assessment for child care centers application which can be found on our website. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0604 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 46 Completed Date: 6/5/2024 Age: From 0 To 5 Total Minutes: 260 Time In: 09:00 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of our unannounced follow-up visit today was to verify corrections of violations observed on 4/30/24 during unannounced follow up. The facility is operating with a provisional license issued March 28th, 2024, September 28th, 2024. Upon our arrival, I rang the bell and was greeted by the Director, Ms. Rh. Durham. The program’s compliance history was at seventy eight percent (78%) as of 6/5/24. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed on 5/5/24 and WHITE RABBIT DAY CARE INC was listed as current- active. I completed an unassisted walk through of the facility where I monitored the provisional license posted, staff/child ratio, group size, use of space, licensed space capacity, license/permit restrictions, activity plans, new staff records, ITS-SIDS training, sleep charts, CPR training, discipline, nurture and care of children, criminal record check requirements, hand washing, up to date training, attendance sheets and supervision of children. During the visit today, I observed children during morning snack time, outside time, circle time and free play. In the infant room, the infants were observed sleeping, playing with toys, and having diapers changed and feeding. The violations documented during the (4/30/24) visit were monitored for compliance during this visit. Failure to maintain compliance could result in an administrative action being taken against your license. These pending violations from 4/30/24 visit was completed May 1st, 2024. I did not monitor all the proposed corrective action plan requirements (CAP) because the facility is still in the appeal process. Follow-up visits will continue every 4 to 6 weeks throughout the appeal process. One existing staff member and seven new staff member's files were observed during today's visit. Eight violations were observed, and documentation was given to maintain compliance. Four violations were corrected during today’s visit. One violation (840) was a repeat violation The provider asked questions to ensure compliance. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A few bottles did not have either the name or the date on them. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three feeding schedules did not have a date received by, teacher signature and parent signature. One feeding schedule was not completely filled out regarding a updated made to the child's schedule. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator in the infant classroom did not have a thermometer. 15A NCAC 18A .2806(j)(2) 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. Three classrooms had safety outlets that 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. A can of microband that is under aerosol pressure can was not stored in a locked room or cabinet. .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. One child's medication authorization expired 4/26/24. .0803(12) 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. One child who's first day was today 6/5/24, did not have a sleep chart and the visual checks were not documented. The child had been sleep since 9:30am. I observed this at 9:45am. .0606(g) 1793 Infants were served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. In the infant classroom one child was served juice in a bottle without a prescription or written statement o file from a health care professional or licensed dietitian/nutritionist. .0902( c ) The violation(s) documented must be corrected immediately. On or before 6-19-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Gilette Parker, Child Care Consultant Gilette.parker@dhhs.nc.gov The emailed compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Falsification: If child care operators state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information, and an Administrative Action may be issued. If you cannot meet the requirements by the date, you must contact me with a proposed timeline of the corrections in a timely manner. In some cases, this timeline may be extended. Consultation and Technical Assistance 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 10A NCAC 09 .2820 ENHANCED EDUCATION STANDARDS FOR LEAD TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1) a copy of the credential certificate; (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3) a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4) documentation of enrollment in credential coursework. (d) If the individual does not yet meet the staff qualifications required by G.S. 110-91(8) when assuming lead teacher or administrative duties, the individual shall submit to the Division documentation of completion of the coursework or credential to be considered for equivalency within six months of assuming the duties. Rated License Information Your facility is in cohort 2. Preparation Year: July 1, 2024-June 30, 2025. Reassessment Year: July 1, 2025-June 30, 2026. Once you are ready to have the assessment done, please complete the rated license assessment for child care centers application which can be found on our website. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0703 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 46 Completed Date: 6/5/2024 Age: From 0 To 5 Total Minutes: 260 Time In: 09:00 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of our unannounced follow-up visit today was to verify corrections of violations observed on 4/30/24 during unannounced follow up. The facility is operating with a provisional license issued March 28th, 2024, September 28th, 2024. Upon our arrival, I rang the bell and was greeted by the Director, Ms. Rh. Durham. The program’s compliance history was at seventy eight percent (78%) as of 6/5/24. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed on 5/5/24 and WHITE RABBIT DAY CARE INC was listed as current- active. I completed an unassisted walk through of the facility where I monitored the provisional license posted, staff/child ratio, group size, use of space, licensed space capacity, license/permit restrictions, activity plans, new staff records, ITS-SIDS training, sleep charts, CPR training, discipline, nurture and care of children, criminal record check requirements, hand washing, up to date training, attendance sheets and supervision of children. During the visit today, I observed children during morning snack time, outside time, circle time and free play. In the infant room, the infants were observed sleeping, playing with toys, and having diapers changed and feeding. The violations documented during the (4/30/24) visit were monitored for compliance during this visit. Failure to maintain compliance could result in an administrative action being taken against your license. These pending violations from 4/30/24 visit was completed May 1st, 2024. I did not monitor all the proposed corrective action plan requirements (CAP) because the facility is still in the appeal process. Follow-up visits will continue every 4 to 6 weeks throughout the appeal process. One existing staff member and seven new staff member's files were observed during today's visit. Eight violations were observed, and documentation was given to maintain compliance. Four violations were corrected during today’s visit. One violation (840) was a repeat violation The provider asked questions to ensure compliance. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A few bottles did not have either the name or the date on them. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three feeding schedules did not have a date received by, teacher signature and parent signature. One feeding schedule was not completely filled out regarding a updated made to the child's schedule. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator in the infant classroom did not have a thermometer. 15A NCAC 18A .2806(j)(2) 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. Three classrooms had safety outlets that 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. A can of microband that is under aerosol pressure can was not stored in a locked room or cabinet. .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. One child's medication authorization expired 4/26/24. .0803(12) 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. One child who's first day was today 6/5/24, did not have a sleep chart and the visual checks were not documented. The child had been sleep since 9:30am. I observed this at 9:45am. .0606(g) 1793 Infants were served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. In the infant classroom one child was served juice in a bottle without a prescription or written statement o file from a health care professional or licensed dietitian/nutritionist. .0902( c ) The violation(s) documented must be corrected immediately. On or before 6-19-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Gilette Parker, Child Care Consultant Gilette.parker@dhhs.nc.gov The emailed compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Falsification: If child care operators state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information, and an Administrative Action may be issued. If you cannot meet the requirements by the date, you must contact me with a proposed timeline of the corrections in a timely manner. In some cases, this timeline may be extended. Consultation and Technical Assistance 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 10A NCAC 09 .2820 ENHANCED EDUCATION STANDARDS FOR LEAD TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1) a copy of the credential certificate; (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3) a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4) documentation of enrollment in credential coursework. (d) If the individual does not yet meet the staff qualifications required by G.S. 110-91(8) when assuming lead teacher or administrative duties, the individual shall submit to the Division documentation of completion of the coursework or credential to be considered for equivalency within six months of assuming the duties. Rated License Information Your facility is in cohort 2. Preparation Year: July 1, 2024-June 30, 2025. Reassessment Year: July 1, 2025-June 30, 2026. Once you are ready to have the assessment done, please complete the rated license assessment for child care centers application which can be found on our website. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0803 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 46 Completed Date: 6/5/2024 Age: From 0 To 5 Total Minutes: 260 Time In: 09:00 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of our unannounced follow-up visit today was to verify corrections of violations observed on 4/30/24 during unannounced follow up. The facility is operating with a provisional license issued March 28th, 2024, September 28th, 2024. Upon our arrival, I rang the bell and was greeted by the Director, Ms. Rh. Durham. The program’s compliance history was at seventy eight percent (78%) as of 6/5/24. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed on 5/5/24 and WHITE RABBIT DAY CARE INC was listed as current- active. I completed an unassisted walk through of the facility where I monitored the provisional license posted, staff/child ratio, group size, use of space, licensed space capacity, license/permit restrictions, activity plans, new staff records, ITS-SIDS training, sleep charts, CPR training, discipline, nurture and care of children, criminal record check requirements, hand washing, up to date training, attendance sheets and supervision of children. During the visit today, I observed children during morning snack time, outside time, circle time and free play. In the infant room, the infants were observed sleeping, playing with toys, and having diapers changed and feeding. The violations documented during the (4/30/24) visit were monitored for compliance during this visit. Failure to maintain compliance could result in an administrative action being taken against your license. These pending violations from 4/30/24 visit was completed May 1st, 2024. I did not monitor all the proposed corrective action plan requirements (CAP) because the facility is still in the appeal process. Follow-up visits will continue every 4 to 6 weeks throughout the appeal process. One existing staff member and seven new staff member's files were observed during today's visit. Eight violations were observed, and documentation was given to maintain compliance. Four violations were corrected during today’s visit. One violation (840) was a repeat violation The provider asked questions to ensure compliance. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A few bottles did not have either the name or the date on them. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three feeding schedules did not have a date received by, teacher signature and parent signature. One feeding schedule was not completely filled out regarding a updated made to the child's schedule. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator in the infant classroom did not have a thermometer. 15A NCAC 18A .2806(j)(2) 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. Three classrooms had safety outlets that 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. A can of microband that is under aerosol pressure can was not stored in a locked room or cabinet. .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. One child's medication authorization expired 4/26/24. .0803(12) 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. One child who's first day was today 6/5/24, did not have a sleep chart and the visual checks were not documented. The child had been sleep since 9:30am. I observed this at 9:45am. .0606(g) 1793 Infants were served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. In the infant classroom one child was served juice in a bottle without a prescription or written statement o file from a health care professional or licensed dietitian/nutritionist. .0902( c ) The violation(s) documented must be corrected immediately. On or before 6-19-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Gilette Parker, Child Care Consultant Gilette.parker@dhhs.nc.gov The emailed compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Falsification: If child care operators state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information, and an Administrative Action may be issued. If you cannot meet the requirements by the date, you must contact me with a proposed timeline of the corrections in a timely manner. In some cases, this timeline may be extended. Consultation and Technical Assistance 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 10A NCAC 09 .2820 ENHANCED EDUCATION STANDARDS FOR LEAD TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1) a copy of the credential certificate; (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3) a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4) documentation of enrollment in credential coursework. (d) If the individual does not yet meet the staff qualifications required by G.S. 110-91(8) when assuming lead teacher or administrative duties, the individual shall submit to the Division documentation of completion of the coursework or credential to be considered for equivalency within six months of assuming the duties. Rated License Information Your facility is in cohort 2. Preparation Year: July 1, 2024-June 30, 2025. Reassessment Year: July 1, 2025-June 30, 2026. Once you are ready to have the assessment done, please complete the rated license assessment for child care centers application which can be found on our website. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0902 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 46 Completed Date: 6/5/2024 Age: From 0 To 5 Total Minutes: 260 Time In: 09:00 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of our unannounced follow-up visit today was to verify corrections of violations observed on 4/30/24 during unannounced follow up. The facility is operating with a provisional license issued March 28th, 2024, September 28th, 2024. Upon our arrival, I rang the bell and was greeted by the Director, Ms. Rh. Durham. The program’s compliance history was at seventy eight percent (78%) as of 6/5/24. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed on 5/5/24 and WHITE RABBIT DAY CARE INC was listed as current- active. I completed an unassisted walk through of the facility where I monitored the provisional license posted, staff/child ratio, group size, use of space, licensed space capacity, license/permit restrictions, activity plans, new staff records, ITS-SIDS training, sleep charts, CPR training, discipline, nurture and care of children, criminal record check requirements, hand washing, up to date training, attendance sheets and supervision of children. During the visit today, I observed children during morning snack time, outside time, circle time and free play. In the infant room, the infants were observed sleeping, playing with toys, and having diapers changed and feeding. The violations documented during the (4/30/24) visit were monitored for compliance during this visit. Failure to maintain compliance could result in an administrative action being taken against your license. These pending violations from 4/30/24 visit was completed May 1st, 2024. I did not monitor all the proposed corrective action plan requirements (CAP) because the facility is still in the appeal process. Follow-up visits will continue every 4 to 6 weeks throughout the appeal process. One existing staff member and seven new staff member's files were observed during today's visit. Eight violations were observed, and documentation was given to maintain compliance. Four violations were corrected during today’s visit. One violation (840) was a repeat violation The provider asked questions to ensure compliance. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A few bottles did not have either the name or the date on them. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three feeding schedules did not have a date received by, teacher signature and parent signature. One feeding schedule was not completely filled out regarding a updated made to the child's schedule. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator in the infant classroom did not have a thermometer. 15A NCAC 18A .2806(j)(2) 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. Three classrooms had safety outlets that 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. A can of microband that is under aerosol pressure can was not stored in a locked room or cabinet. .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. One child's medication authorization expired 4/26/24. .0803(12) 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. One child who's first day was today 6/5/24, did not have a sleep chart and the visual checks were not documented. The child had been sleep since 9:30am. I observed this at 9:45am. .0606(g) 1793 Infants were served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. In the infant classroom one child was served juice in a bottle without a prescription or written statement o file from a health care professional or licensed dietitian/nutritionist. .0902( c ) The violation(s) documented must be corrected immediately. On or before 6-19-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Gilette Parker, Child Care Consultant Gilette.parker@dhhs.nc.gov The emailed compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Falsification: If child care operators state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information, and an Administrative Action may be issued. If you cannot meet the requirements by the date, you must contact me with a proposed timeline of the corrections in a timely manner. In some cases, this timeline may be extended. Consultation and Technical Assistance 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 10A NCAC 09 .2820 ENHANCED EDUCATION STANDARDS FOR LEAD TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1) a copy of the credential certificate; (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3) a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4) documentation of enrollment in credential coursework. (d) If the individual does not yet meet the staff qualifications required by G.S. 110-91(8) when assuming lead teacher or administrative duties, the individual shall submit to the Division documentation of completion of the coursework or credential to be considered for equivalency within six months of assuming the duties. Rated License Information Your facility is in cohort 2. Preparation Year: July 1, 2024-June 30, 2025. Reassessment Year: July 1, 2025-June 30, 2026. Once you are ready to have the assessment done, please complete the rated license assessment for child care centers application which can be found on our website. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .2820 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 46 Completed Date: 6/5/2024 Age: From 0 To 5 Total Minutes: 260 Time In: 09:00 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of our unannounced follow-up visit today was to verify corrections of violations observed on 4/30/24 during unannounced follow up. The facility is operating with a provisional license issued March 28th, 2024, September 28th, 2024. Upon our arrival, I rang the bell and was greeted by the Director, Ms. Rh. Durham. The program’s compliance history was at seventy eight percent (78%) as of 6/5/24. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed on 5/5/24 and WHITE RABBIT DAY CARE INC was listed as current- active. I completed an unassisted walk through of the facility where I monitored the provisional license posted, staff/child ratio, group size, use of space, licensed space capacity, license/permit restrictions, activity plans, new staff records, ITS-SIDS training, sleep charts, CPR training, discipline, nurture and care of children, criminal record check requirements, hand washing, up to date training, attendance sheets and supervision of children. During the visit today, I observed children during morning snack time, outside time, circle time and free play. In the infant room, the infants were observed sleeping, playing with toys, and having diapers changed and feeding. The violations documented during the (4/30/24) visit were monitored for compliance during this visit. Failure to maintain compliance could result in an administrative action being taken against your license. These pending violations from 4/30/24 visit was completed May 1st, 2024. I did not monitor all the proposed corrective action plan requirements (CAP) because the facility is still in the appeal process. Follow-up visits will continue every 4 to 6 weeks throughout the appeal process. One existing staff member and seven new staff member's files were observed during today's visit. Eight violations were observed, and documentation was given to maintain compliance. Four violations were corrected during today’s visit. One violation (840) was a repeat violation The provider asked questions to ensure compliance. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A few bottles did not have either the name or the date on them. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three feeding schedules did not have a date received by, teacher signature and parent signature. One feeding schedule was not completely filled out regarding a updated made to the child's schedule. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator in the infant classroom did not have a thermometer. 15A NCAC 18A .2806(j)(2) 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. Three classrooms had safety outlets that 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. A can of microband that is under aerosol pressure can was not stored in a locked room or cabinet. .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. One child's medication authorization expired 4/26/24. .0803(12) 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. One child who's first day was today 6/5/24, did not have a sleep chart and the visual checks were not documented. The child had been sleep since 9:30am. I observed this at 9:45am. .0606(g) 1793 Infants were served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. In the infant classroom one child was served juice in a bottle without a prescription or written statement o file from a health care professional or licensed dietitian/nutritionist. .0902( c ) The violation(s) documented must be corrected immediately. On or before 6-19-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Gilette Parker, Child Care Consultant Gilette.parker@dhhs.nc.gov The emailed compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Falsification: If child care operators state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information, and an Administrative Action may be issued. If you cannot meet the requirements by the date, you must contact me with a proposed timeline of the corrections in a timely manner. In some cases, this timeline may be extended. Consultation and Technical Assistance 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 10A NCAC 09 .2820 ENHANCED EDUCATION STANDARDS FOR LEAD TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1) a copy of the credential certificate; (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3) a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4) documentation of enrollment in credential coursework. (d) If the individual does not yet meet the staff qualifications required by G.S. 110-91(8) when assuming lead teacher or administrative duties, the individual shall submit to the Division documentation of completion of the coursework or credential to be considered for equivalency within six months of assuming the duties. Rated License Information Your facility is in cohort 2. Preparation Year: July 1, 2024-June 30, 2025. Reassessment Year: July 1, 2025-June 30, 2026. Once you are ready to have the assessment done, please complete the rated license assessment for child care centers application which can be found on our website. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-91 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 46 Completed Date: 6/5/2024 Age: From 0 To 5 Total Minutes: 260 Time In: 09:00 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of our unannounced follow-up visit today was to verify corrections of violations observed on 4/30/24 during unannounced follow up. The facility is operating with a provisional license issued March 28th, 2024, September 28th, 2024. Upon our arrival, I rang the bell and was greeted by the Director, Ms. Rh. Durham. The program’s compliance history was at seventy eight percent (78%) as of 6/5/24. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed on 5/5/24 and WHITE RABBIT DAY CARE INC was listed as current- active. I completed an unassisted walk through of the facility where I monitored the provisional license posted, staff/child ratio, group size, use of space, licensed space capacity, license/permit restrictions, activity plans, new staff records, ITS-SIDS training, sleep charts, CPR training, discipline, nurture and care of children, criminal record check requirements, hand washing, up to date training, attendance sheets and supervision of children. During the visit today, I observed children during morning snack time, outside time, circle time and free play. In the infant room, the infants were observed sleeping, playing with toys, and having diapers changed and feeding. The violations documented during the (4/30/24) visit were monitored for compliance during this visit. Failure to maintain compliance could result in an administrative action being taken against your license. These pending violations from 4/30/24 visit was completed May 1st, 2024. I did not monitor all the proposed corrective action plan requirements (CAP) because the facility is still in the appeal process. Follow-up visits will continue every 4 to 6 weeks throughout the appeal process. One existing staff member and seven new staff member's files were observed during today's visit. Eight violations were observed, and documentation was given to maintain compliance. Four violations were corrected during today’s visit. One violation (840) was a repeat violation The provider asked questions to ensure compliance. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A few bottles did not have either the name or the date on them. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three feeding schedules did not have a date received by, teacher signature and parent signature. One feeding schedule was not completely filled out regarding a updated made to the child's schedule. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator in the infant classroom did not have a thermometer. 15A NCAC 18A .2806(j)(2) 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. Three classrooms had safety outlets that 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. A can of microband that is under aerosol pressure can was not stored in a locked room or cabinet. .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. One child's medication authorization expired 4/26/24. .0803(12) 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. One child who's first day was today 6/5/24, did not have a sleep chart and the visual checks were not documented. The child had been sleep since 9:30am. I observed this at 9:45am. .0606(g) 1793 Infants were served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. In the infant classroom one child was served juice in a bottle without a prescription or written statement o file from a health care professional or licensed dietitian/nutritionist. .0902( c ) The violation(s) documented must be corrected immediately. On or before 6-19-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Gilette Parker, Child Care Consultant Gilette.parker@dhhs.nc.gov The emailed compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Falsification: If child care operators state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information, and an Administrative Action may be issued. If you cannot meet the requirements by the date, you must contact me with a proposed timeline of the corrections in a timely manner. In some cases, this timeline may be extended. Consultation and Technical Assistance 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 10A NCAC 09 .2820 ENHANCED EDUCATION STANDARDS FOR LEAD TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1) a copy of the credential certificate; (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3) a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4) documentation of enrollment in credential coursework. (d) If the individual does not yet meet the staff qualifications required by G.S. 110-91(8) when assuming lead teacher or administrative duties, the individual shall submit to the Division documentation of completion of the coursework or credential to be considered for equivalency within six months of assuming the duties. Rated License Information Your facility is in cohort 2. Preparation Year: July 1, 2024-June 30, 2025. Reassessment Year: July 1, 2025-June 30, 2026. Once you are ready to have the assessment done, please complete the rated license assessment for child care centers application which can be found on our website. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
NC GS 110-90 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 46 Completed Date: 6/5/2024 Age: From 0 To 5 Total Minutes: 260 Time In: 09:00 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of our unannounced follow-up visit today was to verify corrections of violations observed on 4/30/24 during unannounced follow up. The facility is operating with a provisional license issued March 28th, 2024, September 28th, 2024. Upon our arrival, I rang the bell and was greeted by the Director, Ms. Rh. Durham. The program’s compliance history was at seventy eight percent (78%) as of 6/5/24. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed on 5/5/24 and WHITE RABBIT DAY CARE INC was listed as current- active. I completed an unassisted walk through of the facility where I monitored the provisional license posted, staff/child ratio, group size, use of space, licensed space capacity, license/permit restrictions, activity plans, new staff records, ITS-SIDS training, sleep charts, CPR training, discipline, nurture and care of children, criminal record check requirements, hand washing, up to date training, attendance sheets and supervision of children. During the visit today, I observed children during morning snack time, outside time, circle time and free play. In the infant room, the infants were observed sleeping, playing with toys, and having diapers changed and feeding. The violations documented during the (4/30/24) visit were monitored for compliance during this visit. Failure to maintain compliance could result in an administrative action being taken against your license. These pending violations from 4/30/24 visit was completed May 1st, 2024. I did not monitor all the proposed corrective action plan requirements (CAP) because the facility is still in the appeal process. Follow-up visits will continue every 4 to 6 weeks throughout the appeal process. One existing staff member and seven new staff member's files were observed during today's visit. Eight violations were observed, and documentation was given to maintain compliance. Four violations were corrected during today’s visit. One violation (840) was a repeat violation The provider asked questions to ensure compliance. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A few bottles did not have either the name or the date on them. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three feeding schedules did not have a date received by, teacher signature and parent signature. One feeding schedule was not completely filled out regarding a updated made to the child's schedule. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator in the infant classroom did not have a thermometer. 15A NCAC 18A .2806(j)(2) 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. Three classrooms had safety outlets that 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. A can of microband that is under aerosol pressure can was not stored in a locked room or cabinet. .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. One child's medication authorization expired 4/26/24. .0803(12) 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. One child who's first day was today 6/5/24, did not have a sleep chart and the visual checks were not documented. The child had been sleep since 9:30am. I observed this at 9:45am. .0606(g) 1793 Infants were served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. In the infant classroom one child was served juice in a bottle without a prescription or written statement o file from a health care professional or licensed dietitian/nutritionist. .0902( c ) The violation(s) documented must be corrected immediately. On or before 6-19-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Gilette Parker, Child Care Consultant Gilette.parker@dhhs.nc.gov The emailed compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Falsification: If child care operators state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information, and an Administrative Action may be issued. If you cannot meet the requirements by the date, you must contact me with a proposed timeline of the corrections in a timely manner. In some cases, this timeline may be extended. Consultation and Technical Assistance 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 10A NCAC 09 .2820 ENHANCED EDUCATION STANDARDS FOR LEAD TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1) a copy of the credential certificate; (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3) a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4) documentation of enrollment in credential coursework. (d) If the individual does not yet meet the staff qualifications required by G.S. 110-91(8) when assuming lead teacher or administrative duties, the individual shall submit to the Division documentation of completion of the coursework or credential to be considered for equivalency within six months of assuming the duties. Rated License Information Your facility is in cohort 2. Preparation Year: July 1, 2024-June 30, 2025. Reassessment Year: July 1, 2025-June 30, 2026. Once you are ready to have the assessment done, please complete the rated license assessment for child care centers application which can be found on our website. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
NC GS 110-90 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 4/30/2024 Number Present: 44 Completed Date: 4/30/2024 Age: From 0 To 5 Total Minutes: 115 Time In: 12:40 PM Time Out: 02:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of our unannounced follow-up visit today was to verify corrections of violations observed on 2/28/24 and 4/15/24 during unannounced complaint visits. Kaye Adkins, Licensing Supervisor, accompanied me during today’s visit. Upon our arrival, we rang the bell and were told to hold on a minute and then we were greeted by Ms. Rhonda and let in the facility. The program’s compliance history was at seventy eight percent (78%) as of 4/30/24. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed on 4/30/24 and WHITE RABBIT DAY CARE INC was listed as current- active. We completed an unassisted walk through of the facility where we monitored staff/child ratio, group size, use of space, licensed space capacity, license/permit restrictions, activity plans, new staff records, ITS-SIDS training, CPR training, discipline, nurture and care of children nutritional standards, criminal record check requirements regarding pre-service and five-year reassessment, hand washing, up to date training, and adequate supervision of children. During the visit today, we observed the children resting quietly during rest time. In the infant room, the infants were observed sleeping, playing with toys, and having diapers changed. In the EPS 1 and EPS2 classroom children were napping during rest time. All seven violations from the 2/28/24 visit were corrected according to the correction action letter provided by the director on 3/5/24. The violations documented during the (4/15/24) visit were monitored for compliance during this visit. Two of the five violations cited on 4/15/24 were corrected according to the director’s correction action letter received on 4/23/24. I did not observe any violations regarding staff/child ratio. I looked up the owners in the ABCMS portal for criminal background qualifications during today’s visit. I did not get any results for the owners G. White-Byrd and R. Byrd. Failure to maintain compliance could result in an administrative action being taken against your license. Below are all pending violations: 1.1797 2.1065 These pending violations must be completed by the end of the week May 3rd 2024. We did not monitor all the proposed corrective action plan requirements (CAP) because the facility is still in the appeal process. Follow-up visits will continue every 4 to 6 weeks throughout the appeal process. One new staff member's file was checked during today's visit. Three violations were observed, and documentation was given to maintain compliance. One violation was corrected during today’s visit. Violation Number Comment Rule 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. Products under aerosol dispenser/pressure were not stored in a locked room or cabinet. .2820(b) 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. Om or before the first day of work one staff member who started 4/49/24 had a TB screening form,however it was not signed by a health care professional. .0701(a) 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. The prevention of shaken baby syndrome and abusive head trauma policy was not signed in the staff's persons file prior to providing care with children 0-5 years of age. .0608(d)(1-4) The above violation(s) must be corrected immediately, and a compliance letter must be received by the consultant no later than (5/13/24) stating how each item was corrected and a plan to maintain compliance with the requirement. Please include your facility ID, date, your name, and your title. If I do not receive your letter by 5/13/24 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. Please be aware any information submitted by you is considered legal documentation. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature). The center's compliance history was reviewed with the operator. Technical assistance (TA) was documented in the visit summary for 2/28/24 and 4/15/24 visits. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. This training is free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov or 336-580-2527 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .1102 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 0424-157L Visit Date: 4/15/2024 Number Present: 44 Completed Date: 4/17/2024 Age: From 0 To 5 Total Minutes: 213 Time In: 07:37 AM Time Out: 11:10 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 4-11-24. When I arrived at the facility, I rang the bell three times and signed the visitor log. After waiting for a few minutes, the Director Rhonda Durham acknowledged me and let me know she was in a classroom and to come in. I let the Director know the purpose of my visit and started my observation. Shortly after I started my observation the Owner Gina White-Byrd, husband Roger Byrd and daughter Macy Byrd arrived at the facility to assist due to four staff members calling out. Limited monitoring of childcare requirements occurred during today’s visit. I monitored supervision, staff/child ratio, nurture and care, staff records, attendance sheets, adequate /approved space, license posted and restrictions. During today’s visit I discussed the allegations, and the director, owner and staff were given an opportunity to provide information surrounding the allegations. Allegation # 1: There is a concern that the posted staff/child ratios are not being followed in the early morning hours. Observation: During today’s visit I observed. Space 1 had two teachers with eight children. The youngest child was under 1 year of age. Space 2 had two teachers with eight children. The youngest child was 1 year of age. Space 3 had one teacher with nine children. The youngest child was 2 years of age. Space 4 had one teacher with nine children. The youngest child was 3 years of age. Space 5 had one teacher with 10 children. The youngest child was 3 years of age. Some children were not in their enrolled classrooms due to staff calling out. The children were moved around to different classrooms however, the classrooms did maintain the staff/child ratio for the youngest child. Interview: According to the director the staff child ratios haven’t been out of compliance since the last visit made on 1/18/24. The director R. Durham and the owner G. White-Byrd stated that they use a weekly monitor sheet/system, to keep up with maintaining the staff/child ratios. The Owner stated that she can see on the cameras that the classrooms are maintaining staff/child ratio and checks in with the staff hourly and daily. According to the director, on days that ratios might become an issue the facility has the parents wait outside the facility until staff come in before they can bring their children in the facility. The director stated that she has trained her staff-on staff /child ratio and how to move/shift children to maintain ratio. Allegation #2: There is a concern of inadequate supervision in the classroom for toddlers. Observation: During today’s visit adequate supervision was provided in the toddler classroom. Interview: According to some staff members no children have been inadequately supervised or have gotten out of the classroom into the lobby or playground. Some staff members stated that a few toddlers have opened the door and gotten out of the classroom into the hallway and even onto the playground when staff are changing diapers with their backs turned. Some staff members stated that the toddlers are quick and like to open the door and run out /break out the classroom when the teachers turn their backs, however the staff members stated that the staff are quick and see the toddlers open the door and are right behind them to bring them back into the classroom. The director stated that children are adequately supervised, and no children have gotten out of the classroom. The director stated that the toddlers are in the foyer sometimes, but the teachers have been in the foyer with the children and the children are not left alone. CONCLUSION: Although it appears based on staff interviews that there may have been occasions when children left the room unsupervised, there wasn’t enough information provided in detail regarding when this occurred, additionally this was not observed during today’s visit therefore, the allegation is unsubstantiated. Allegation #3: There is a concern that children were not attended to in a nurturing and appropriate manner or in keeping with the children's developmental needs in the classroom for infants. Observation: During today’s visit I observed the infants being attended to in a nurturing and appropriate manner and the staff keeping up with the infants’ developmental needs. However, I did observe that some staff, parents, and children did not wash their hands upon entry to the classroom and before or after feeding and diaper changes. Interview: According to staff members all staff attend to the infants in a nurturing and appropriate manner as well as meet the infant’s developmental needs. Staff stated that there are a few infants who are spoiled and like to be held, so they do cry when they are not being held, however they do try to hold the infants, feed the infants, or call for assistance if they cannot get the infants to stop crying. The director stated that she has wonderful infant staff members, and they are always meeting the developmental needs of the children. The director stated that the infant staff attend to the infants in a nurturing and appropriate manner. CONCLUSION: Based on information received from the Director, staff and observations, the finding regarding this allegation is Unsubstantiated. Five violations were cited during today’s visit; these violations were not related to the complaint. The provider did ask questions to ensure the facility stays in compliance. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children did not wash their hands upon arrival at the center, before eating or after diaper changes. 15A NCAC 18A .2803(c) 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. Some staff members did not wash their hands thoroughly before beginning work, before and after handling food and after diaper changing. 15A NCAC 18A .2803(a) 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. A child care provider working in the infant classroom during today's visit, ITS-SIDS training expired on 1/22/23. .1102(f) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for C. Hite . C. Hite is a therapist who was present in the facility during today's and was left alone with children . A search was done in the ABCMS portal and no results were found. G.S. 110-90.2(b) & (d) & .2703(e) 1797 The child care provider that is a firm, partnership, association, or corporation, the chief executive officer or other person serving in like capacity or a person designated by the chief executive officer as responsible for the operation of the facility, did not complete criminal history background check. The owners G. White-Byrd, and R. Byrd who are responsible for the operation of the facility did not and have not complete criminal history background checks. During today's visit they were both present in the facility. A search was done in ABCMS portal and no results were found. G.S. 110-90.2 & .2703(c) The violation(s) documented must be corrected immediately. On or before 4-29-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Before today’s visit the facilities compliance, history is at 79 %. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance and Consultation Information Rule Reference 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Technical Assistance Caregivers/teachers should provide active and positive supervision of infants, toddlers, preschoolers, and school-aged children by sight and hearing at all times, including when children are resting or sleeping, eating, being diapered, or using the bathroom (as age appropriate) and when children are outdoors. Active supervision always requires focused attention and intentional observation of children. Caregivers/teachers position themselves so that they can observe all the children: watching, counting, and listening at all times. During transitions, caregivers/teachers should account for all children with name-to-face recognition by visually identifying each child. They also use their knowledge of each child’s development and abilities to anticipate what they will do, then get involved and redirect them when necessary. This constant vigilance helps children learn safely. Supervision is directly tied to safety and the prevention of injury and maintaining quality child care for infants, toddlers, preschoolers, and school-aged children. Parents/guardians depend on caregivers/teachers to supervise their children. To be available for supervision or rescue in an emergency, an adult must be able to hear and see the children. With proper supervision and in the event of an emergency, supervising adults can quickly and efficiently remove children from any potential harm. The facility should practice a relationship-based philosophy that promotes consistency and continuity of caregivers/teachers for infants and toddlers. Facilities should implement continuity of care practices into established policies and procedures as a means to foster strong, positive relationships that will act as a secure basis for exploration and learning in the classroom. Child–caregiver relationships based on high-quality care are central to brain development, emotional regulation, and overall learning. The facility should encourage practices of continuity of care that give infants and toddlers the added benefit of having the same caregiver for the first three years of life for the child or during the time of enrollment. The facility should limit the number of caregivers/teachers who interact with any one infant or toddler. The caregiver/teacher should: Use a variety of safe and appropriate individualized soothing methods of holding and comforting infants and toddlers who are upset. Engage in frequent, multiple, and rich social interchanges, such as smiling, talking, appropriate forms of touch, singing, and eating. Be play partners as well as protectors. Be attuned to infants’ and toddlers’ feelings and reflect them back. Communicate consistently with parents/guardians. Interact with infants and toddlers and develop a relationship in the context of everyday routines (eg, diapering, feeding). Opportunities should be provided for each infant and toddler to develop meaningful relationships with caregivers. The facility’s touch policy should be direct in addressing that children may be touched when it is appropriate for, respectful to, and safe for the child. Caregivers/teachers should respect the wishes of children, regardless of their age, for physical contact and their comfort or discomfort with it. Caregivers/teachers should avoid even “friendly” contact (eg, touching the shoulder or arm) with a child if the child expresses that he or she is uncomfortable. When children trust caregivers and are comfortable in the environment that surrounds them, they are allowed to focus on educational discoveries in their physical, social, and emotional development. Holding, and hugging, in a positive, respectful, and safe manner is an essential part of providing care for infants and toddlers. Quality caregivers/teachers provide care and learning experiences that play a key role in a child’s development as an active, self-knowing, self-respecting, thinking, feeling, and loving person. Limiting the number of adults with whom an infant or a toddler interacts fosters reciprocal understanding of communication cues that are unique to each infant or toddler. This leads to a sense of trust of the adult by the infant or toddler that the infant’s or toddler’s needs will be understood and met promptly. Studies of infant behavior show that infants have difficulty forming trusting relationships in settings where many adults interact with infants. Rule Reference 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS 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 shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Article 7 Chapter 110 of the North Carolina General Statutes Child Care Facilities § 110 90.2. Mandatory child care providers' criminal history checks (a) For purposes of this section: (1) "Child care", notwithstanding the definition in G.S. 110 86, means any child care provided in child care facilities required to be licensed or regulated under this Article and nonlicensed child care homes approved to receive or receiving State or federal funds for providing child care. (2) "Child care provider" means a person who: a. Is employed by or seeks to be employed by a child care facility providing child care as defined in subdivision (1) of this subsection, whether in temporary or permanent capacity, including substitute providers; b. Owns or operates or seeks to own or operate a child care facility or nonlicensed child care home providing child care as defined in subdivision (1) of this subsection; Program Reminders If staff members are going to be working at both facilities, they need to have a file on site at both facilities. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. This training is free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .1801 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 0424-157L Visit Date: 4/15/2024 Number Present: 44 Completed Date: 4/17/2024 Age: From 0 To 5 Total Minutes: 213 Time In: 07:37 AM Time Out: 11:10 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 4-11-24. When I arrived at the facility, I rang the bell three times and signed the visitor log. After waiting for a few minutes, the Director Rhonda Durham acknowledged me and let me know she was in a classroom and to come in. I let the Director know the purpose of my visit and started my observation. Shortly after I started my observation the Owner Gina White-Byrd, husband Roger Byrd and daughter Macy Byrd arrived at the facility to assist due to four staff members calling out. Limited monitoring of childcare requirements occurred during today’s visit. I monitored supervision, staff/child ratio, nurture and care, staff records, attendance sheets, adequate /approved space, license posted and restrictions. During today’s visit I discussed the allegations, and the director, owner and staff were given an opportunity to provide information surrounding the allegations. Allegation # 1: There is a concern that the posted staff/child ratios are not being followed in the early morning hours. Observation: During today’s visit I observed. Space 1 had two teachers with eight children. The youngest child was under 1 year of age. Space 2 had two teachers with eight children. The youngest child was 1 year of age. Space 3 had one teacher with nine children. The youngest child was 2 years of age. Space 4 had one teacher with nine children. The youngest child was 3 years of age. Space 5 had one teacher with 10 children. The youngest child was 3 years of age. Some children were not in their enrolled classrooms due to staff calling out. The children were moved around to different classrooms however, the classrooms did maintain the staff/child ratio for the youngest child. Interview: According to the director the staff child ratios haven’t been out of compliance since the last visit made on 1/18/24. The director R. Durham and the owner G. White-Byrd stated that they use a weekly monitor sheet/system, to keep up with maintaining the staff/child ratios. The Owner stated that she can see on the cameras that the classrooms are maintaining staff/child ratio and checks in with the staff hourly and daily. According to the director, on days that ratios might become an issue the facility has the parents wait outside the facility until staff come in before they can bring their children in the facility. The director stated that she has trained her staff-on staff /child ratio and how to move/shift children to maintain ratio. Allegation #2: There is a concern of inadequate supervision in the classroom for toddlers. Observation: During today’s visit adequate supervision was provided in the toddler classroom. Interview: According to some staff members no children have been inadequately supervised or have gotten out of the classroom into the lobby or playground. Some staff members stated that a few toddlers have opened the door and gotten out of the classroom into the hallway and even onto the playground when staff are changing diapers with their backs turned. Some staff members stated that the toddlers are quick and like to open the door and run out /break out the classroom when the teachers turn their backs, however the staff members stated that the staff are quick and see the toddlers open the door and are right behind them to bring them back into the classroom. The director stated that children are adequately supervised, and no children have gotten out of the classroom. The director stated that the toddlers are in the foyer sometimes, but the teachers have been in the foyer with the children and the children are not left alone. CONCLUSION: Although it appears based on staff interviews that there may have been occasions when children left the room unsupervised, there wasn’t enough information provided in detail regarding when this occurred, additionally this was not observed during today’s visit therefore, the allegation is unsubstantiated. Allegation #3: There is a concern that children were not attended to in a nurturing and appropriate manner or in keeping with the children's developmental needs in the classroom for infants. Observation: During today’s visit I observed the infants being attended to in a nurturing and appropriate manner and the staff keeping up with the infants’ developmental needs. However, I did observe that some staff, parents, and children did not wash their hands upon entry to the classroom and before or after feeding and diaper changes. Interview: According to staff members all staff attend to the infants in a nurturing and appropriate manner as well as meet the infant’s developmental needs. Staff stated that there are a few infants who are spoiled and like to be held, so they do cry when they are not being held, however they do try to hold the infants, feed the infants, or call for assistance if they cannot get the infants to stop crying. The director stated that she has wonderful infant staff members, and they are always meeting the developmental needs of the children. The director stated that the infant staff attend to the infants in a nurturing and appropriate manner. CONCLUSION: Based on information received from the Director, staff and observations, the finding regarding this allegation is Unsubstantiated. Five violations were cited during today’s visit; these violations were not related to the complaint. The provider did ask questions to ensure the facility stays in compliance. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children did not wash their hands upon arrival at the center, before eating or after diaper changes. 15A NCAC 18A .2803(c) 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. Some staff members did not wash their hands thoroughly before beginning work, before and after handling food and after diaper changing. 15A NCAC 18A .2803(a) 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. A child care provider working in the infant classroom during today's visit, ITS-SIDS training expired on 1/22/23. .1102(f) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for C. Hite . C. Hite is a therapist who was present in the facility during today's and was left alone with children . A search was done in the ABCMS portal and no results were found. G.S. 110-90.2(b) & (d) & .2703(e) 1797 The child care provider that is a firm, partnership, association, or corporation, the chief executive officer or other person serving in like capacity or a person designated by the chief executive officer as responsible for the operation of the facility, did not complete criminal history background check. The owners G. White-Byrd, and R. Byrd who are responsible for the operation of the facility did not and have not complete criminal history background checks. During today's visit they were both present in the facility. A search was done in ABCMS portal and no results were found. G.S. 110-90.2 & .2703(c) The violation(s) documented must be corrected immediately. On or before 4-29-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Before today’s visit the facilities compliance, history is at 79 %. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance and Consultation Information Rule Reference 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Technical Assistance Caregivers/teachers should provide active and positive supervision of infants, toddlers, preschoolers, and school-aged children by sight and hearing at all times, including when children are resting or sleeping, eating, being diapered, or using the bathroom (as age appropriate) and when children are outdoors. Active supervision always requires focused attention and intentional observation of children. Caregivers/teachers position themselves so that they can observe all the children: watching, counting, and listening at all times. During transitions, caregivers/teachers should account for all children with name-to-face recognition by visually identifying each child. They also use their knowledge of each child’s development and abilities to anticipate what they will do, then get involved and redirect them when necessary. This constant vigilance helps children learn safely. Supervision is directly tied to safety and the prevention of injury and maintaining quality child care for infants, toddlers, preschoolers, and school-aged children. Parents/guardians depend on caregivers/teachers to supervise their children. To be available for supervision or rescue in an emergency, an adult must be able to hear and see the children. With proper supervision and in the event of an emergency, supervising adults can quickly and efficiently remove children from any potential harm. The facility should practice a relationship-based philosophy that promotes consistency and continuity of caregivers/teachers for infants and toddlers. Facilities should implement continuity of care practices into established policies and procedures as a means to foster strong, positive relationships that will act as a secure basis for exploration and learning in the classroom. Child–caregiver relationships based on high-quality care are central to brain development, emotional regulation, and overall learning. The facility should encourage practices of continuity of care that give infants and toddlers the added benefit of having the same caregiver for the first three years of life for the child or during the time of enrollment. The facility should limit the number of caregivers/teachers who interact with any one infant or toddler. The caregiver/teacher should: Use a variety of safe and appropriate individualized soothing methods of holding and comforting infants and toddlers who are upset. Engage in frequent, multiple, and rich social interchanges, such as smiling, talking, appropriate forms of touch, singing, and eating. Be play partners as well as protectors. Be attuned to infants’ and toddlers’ feelings and reflect them back. Communicate consistently with parents/guardians. Interact with infants and toddlers and develop a relationship in the context of everyday routines (eg, diapering, feeding). Opportunities should be provided for each infant and toddler to develop meaningful relationships with caregivers. The facility’s touch policy should be direct in addressing that children may be touched when it is appropriate for, respectful to, and safe for the child. Caregivers/teachers should respect the wishes of children, regardless of their age, for physical contact and their comfort or discomfort with it. Caregivers/teachers should avoid even “friendly” contact (eg, touching the shoulder or arm) with a child if the child expresses that he or she is uncomfortable. When children trust caregivers and are comfortable in the environment that surrounds them, they are allowed to focus on educational discoveries in their physical, social, and emotional development. Holding, and hugging, in a positive, respectful, and safe manner is an essential part of providing care for infants and toddlers. Quality caregivers/teachers provide care and learning experiences that play a key role in a child’s development as an active, self-knowing, self-respecting, thinking, feeling, and loving person. Limiting the number of adults with whom an infant or a toddler interacts fosters reciprocal understanding of communication cues that are unique to each infant or toddler. This leads to a sense of trust of the adult by the infant or toddler that the infant’s or toddler’s needs will be understood and met promptly. Studies of infant behavior show that infants have difficulty forming trusting relationships in settings where many adults interact with infants. Rule Reference 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS 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 shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Article 7 Chapter 110 of the North Carolina General Statutes Child Care Facilities § 110 90.2. Mandatory child care providers' criminal history checks (a) For purposes of this section: (1) "Child care", notwithstanding the definition in G.S. 110 86, means any child care provided in child care facilities required to be licensed or regulated under this Article and nonlicensed child care homes approved to receive or receiving State or federal funds for providing child care. (2) "Child care provider" means a person who: a. Is employed by or seeks to be employed by a child care facility providing child care as defined in subdivision (1) of this subsection, whether in temporary or permanent capacity, including substitute providers; b. Owns or operates or seeks to own or operate a child care facility or nonlicensed child care home providing child care as defined in subdivision (1) of this subsection; Program Reminders If staff members are going to be working at both facilities, they need to have a file on site at both facilities. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. This training is free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110 86 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 0424-157L Visit Date: 4/15/2024 Number Present: 44 Completed Date: 4/17/2024 Age: From 0 To 5 Total Minutes: 213 Time In: 07:37 AM Time Out: 11:10 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 4-11-24. When I arrived at the facility, I rang the bell three times and signed the visitor log. After waiting for a few minutes, the Director Rhonda Durham acknowledged me and let me know she was in a classroom and to come in. I let the Director know the purpose of my visit and started my observation. Shortly after I started my observation the Owner Gina White-Byrd, husband Roger Byrd and daughter Macy Byrd arrived at the facility to assist due to four staff members calling out. Limited monitoring of childcare requirements occurred during today’s visit. I monitored supervision, staff/child ratio, nurture and care, staff records, attendance sheets, adequate /approved space, license posted and restrictions. During today’s visit I discussed the allegations, and the director, owner and staff were given an opportunity to provide information surrounding the allegations. Allegation # 1: There is a concern that the posted staff/child ratios are not being followed in the early morning hours. Observation: During today’s visit I observed. Space 1 had two teachers with eight children. The youngest child was under 1 year of age. Space 2 had two teachers with eight children. The youngest child was 1 year of age. Space 3 had one teacher with nine children. The youngest child was 2 years of age. Space 4 had one teacher with nine children. The youngest child was 3 years of age. Space 5 had one teacher with 10 children. The youngest child was 3 years of age. Some children were not in their enrolled classrooms due to staff calling out. The children were moved around to different classrooms however, the classrooms did maintain the staff/child ratio for the youngest child. Interview: According to the director the staff child ratios haven’t been out of compliance since the last visit made on 1/18/24. The director R. Durham and the owner G. White-Byrd stated that they use a weekly monitor sheet/system, to keep up with maintaining the staff/child ratios. The Owner stated that she can see on the cameras that the classrooms are maintaining staff/child ratio and checks in with the staff hourly and daily. According to the director, on days that ratios might become an issue the facility has the parents wait outside the facility until staff come in before they can bring their children in the facility. The director stated that she has trained her staff-on staff /child ratio and how to move/shift children to maintain ratio. Allegation #2: There is a concern of inadequate supervision in the classroom for toddlers. Observation: During today’s visit adequate supervision was provided in the toddler classroom. Interview: According to some staff members no children have been inadequately supervised or have gotten out of the classroom into the lobby or playground. Some staff members stated that a few toddlers have opened the door and gotten out of the classroom into the hallway and even onto the playground when staff are changing diapers with their backs turned. Some staff members stated that the toddlers are quick and like to open the door and run out /break out the classroom when the teachers turn their backs, however the staff members stated that the staff are quick and see the toddlers open the door and are right behind them to bring them back into the classroom. The director stated that children are adequately supervised, and no children have gotten out of the classroom. The director stated that the toddlers are in the foyer sometimes, but the teachers have been in the foyer with the children and the children are not left alone. CONCLUSION: Although it appears based on staff interviews that there may have been occasions when children left the room unsupervised, there wasn’t enough information provided in detail regarding when this occurred, additionally this was not observed during today’s visit therefore, the allegation is unsubstantiated. Allegation #3: There is a concern that children were not attended to in a nurturing and appropriate manner or in keeping with the children's developmental needs in the classroom for infants. Observation: During today’s visit I observed the infants being attended to in a nurturing and appropriate manner and the staff keeping up with the infants’ developmental needs. However, I did observe that some staff, parents, and children did not wash their hands upon entry to the classroom and before or after feeding and diaper changes. Interview: According to staff members all staff attend to the infants in a nurturing and appropriate manner as well as meet the infant’s developmental needs. Staff stated that there are a few infants who are spoiled and like to be held, so they do cry when they are not being held, however they do try to hold the infants, feed the infants, or call for assistance if they cannot get the infants to stop crying. The director stated that she has wonderful infant staff members, and they are always meeting the developmental needs of the children. The director stated that the infant staff attend to the infants in a nurturing and appropriate manner. CONCLUSION: Based on information received from the Director, staff and observations, the finding regarding this allegation is Unsubstantiated. Five violations were cited during today’s visit; these violations were not related to the complaint. The provider did ask questions to ensure the facility stays in compliance. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children did not wash their hands upon arrival at the center, before eating or after diaper changes. 15A NCAC 18A .2803(c) 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. Some staff members did not wash their hands thoroughly before beginning work, before and after handling food and after diaper changing. 15A NCAC 18A .2803(a) 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. A child care provider working in the infant classroom during today's visit, ITS-SIDS training expired on 1/22/23. .1102(f) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for C. Hite . C. Hite is a therapist who was present in the facility during today's and was left alone with children . A search was done in the ABCMS portal and no results were found. G.S. 110-90.2(b) & (d) & .2703(e) 1797 The child care provider that is a firm, partnership, association, or corporation, the chief executive officer or other person serving in like capacity or a person designated by the chief executive officer as responsible for the operation of the facility, did not complete criminal history background check. The owners G. White-Byrd, and R. Byrd who are responsible for the operation of the facility did not and have not complete criminal history background checks. During today's visit they were both present in the facility. A search was done in ABCMS portal and no results were found. G.S. 110-90.2 & .2703(c) The violation(s) documented must be corrected immediately. On or before 4-29-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Before today’s visit the facilities compliance, history is at 79 %. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance and Consultation Information Rule Reference 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Technical Assistance Caregivers/teachers should provide active and positive supervision of infants, toddlers, preschoolers, and school-aged children by sight and hearing at all times, including when children are resting or sleeping, eating, being diapered, or using the bathroom (as age appropriate) and when children are outdoors. Active supervision always requires focused attention and intentional observation of children. Caregivers/teachers position themselves so that they can observe all the children: watching, counting, and listening at all times. During transitions, caregivers/teachers should account for all children with name-to-face recognition by visually identifying each child. They also use their knowledge of each child’s development and abilities to anticipate what they will do, then get involved and redirect them when necessary. This constant vigilance helps children learn safely. Supervision is directly tied to safety and the prevention of injury and maintaining quality child care for infants, toddlers, preschoolers, and school-aged children. Parents/guardians depend on caregivers/teachers to supervise their children. To be available for supervision or rescue in an emergency, an adult must be able to hear and see the children. With proper supervision and in the event of an emergency, supervising adults can quickly and efficiently remove children from any potential harm. The facility should practice a relationship-based philosophy that promotes consistency and continuity of caregivers/teachers for infants and toddlers. Facilities should implement continuity of care practices into established policies and procedures as a means to foster strong, positive relationships that will act as a secure basis for exploration and learning in the classroom. Child–caregiver relationships based on high-quality care are central to brain development, emotional regulation, and overall learning. The facility should encourage practices of continuity of care that give infants and toddlers the added benefit of having the same caregiver for the first three years of life for the child or during the time of enrollment. The facility should limit the number of caregivers/teachers who interact with any one infant or toddler. The caregiver/teacher should: Use a variety of safe and appropriate individualized soothing methods of holding and comforting infants and toddlers who are upset. Engage in frequent, multiple, and rich social interchanges, such as smiling, talking, appropriate forms of touch, singing, and eating. Be play partners as well as protectors. Be attuned to infants’ and toddlers’ feelings and reflect them back. Communicate consistently with parents/guardians. Interact with infants and toddlers and develop a relationship in the context of everyday routines (eg, diapering, feeding). Opportunities should be provided for each infant and toddler to develop meaningful relationships with caregivers. The facility’s touch policy should be direct in addressing that children may be touched when it is appropriate for, respectful to, and safe for the child. Caregivers/teachers should respect the wishes of children, regardless of their age, for physical contact and their comfort or discomfort with it. Caregivers/teachers should avoid even “friendly” contact (eg, touching the shoulder or arm) with a child if the child expresses that he or she is uncomfortable. When children trust caregivers and are comfortable in the environment that surrounds them, they are allowed to focus on educational discoveries in their physical, social, and emotional development. Holding, and hugging, in a positive, respectful, and safe manner is an essential part of providing care for infants and toddlers. Quality caregivers/teachers provide care and learning experiences that play a key role in a child’s development as an active, self-knowing, self-respecting, thinking, feeling, and loving person. Limiting the number of adults with whom an infant or a toddler interacts fosters reciprocal understanding of communication cues that are unique to each infant or toddler. This leads to a sense of trust of the adult by the infant or toddler that the infant’s or toddler’s needs will be understood and met promptly. Studies of infant behavior show that infants have difficulty forming trusting relationships in settings where many adults interact with infants. Rule Reference 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS 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 shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Article 7 Chapter 110 of the North Carolina General Statutes Child Care Facilities § 110 90.2. Mandatory child care providers' criminal history checks (a) For purposes of this section: (1) "Child care", notwithstanding the definition in G.S. 110 86, means any child care provided in child care facilities required to be licensed or regulated under this Article and nonlicensed child care homes approved to receive or receiving State or federal funds for providing child care. (2) "Child care provider" means a person who: a. Is employed by or seeks to be employed by a child care facility providing child care as defined in subdivision (1) of this subsection, whether in temporary or permanent capacity, including substitute providers; b. Owns or operates or seeks to own or operate a child care facility or nonlicensed child care home providing child care as defined in subdivision (1) of this subsection; Program Reminders If staff members are going to be working at both facilities, they need to have a file on site at both facilities. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. This training is free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-90 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 0424-157L Visit Date: 4/15/2024 Number Present: 44 Completed Date: 4/17/2024 Age: From 0 To 5 Total Minutes: 213 Time In: 07:37 AM Time Out: 11:10 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 4-11-24. When I arrived at the facility, I rang the bell three times and signed the visitor log. After waiting for a few minutes, the Director Rhonda Durham acknowledged me and let me know she was in a classroom and to come in. I let the Director know the purpose of my visit and started my observation. Shortly after I started my observation the Owner Gina White-Byrd, husband Roger Byrd and daughter Macy Byrd arrived at the facility to assist due to four staff members calling out. Limited monitoring of childcare requirements occurred during today’s visit. I monitored supervision, staff/child ratio, nurture and care, staff records, attendance sheets, adequate /approved space, license posted and restrictions. During today’s visit I discussed the allegations, and the director, owner and staff were given an opportunity to provide information surrounding the allegations. Allegation # 1: There is a concern that the posted staff/child ratios are not being followed in the early morning hours. Observation: During today’s visit I observed. Space 1 had two teachers with eight children. The youngest child was under 1 year of age. Space 2 had two teachers with eight children. The youngest child was 1 year of age. Space 3 had one teacher with nine children. The youngest child was 2 years of age. Space 4 had one teacher with nine children. The youngest child was 3 years of age. Space 5 had one teacher with 10 children. The youngest child was 3 years of age. Some children were not in their enrolled classrooms due to staff calling out. The children were moved around to different classrooms however, the classrooms did maintain the staff/child ratio for the youngest child. Interview: According to the director the staff child ratios haven’t been out of compliance since the last visit made on 1/18/24. The director R. Durham and the owner G. White-Byrd stated that they use a weekly monitor sheet/system, to keep up with maintaining the staff/child ratios. The Owner stated that she can see on the cameras that the classrooms are maintaining staff/child ratio and checks in with the staff hourly and daily. According to the director, on days that ratios might become an issue the facility has the parents wait outside the facility until staff come in before they can bring their children in the facility. The director stated that she has trained her staff-on staff /child ratio and how to move/shift children to maintain ratio. Allegation #2: There is a concern of inadequate supervision in the classroom for toddlers. Observation: During today’s visit adequate supervision was provided in the toddler classroom. Interview: According to some staff members no children have been inadequately supervised or have gotten out of the classroom into the lobby or playground. Some staff members stated that a few toddlers have opened the door and gotten out of the classroom into the hallway and even onto the playground when staff are changing diapers with their backs turned. Some staff members stated that the toddlers are quick and like to open the door and run out /break out the classroom when the teachers turn their backs, however the staff members stated that the staff are quick and see the toddlers open the door and are right behind them to bring them back into the classroom. The director stated that children are adequately supervised, and no children have gotten out of the classroom. The director stated that the toddlers are in the foyer sometimes, but the teachers have been in the foyer with the children and the children are not left alone. CONCLUSION: Although it appears based on staff interviews that there may have been occasions when children left the room unsupervised, there wasn’t enough information provided in detail regarding when this occurred, additionally this was not observed during today’s visit therefore, the allegation is unsubstantiated. Allegation #3: There is a concern that children were not attended to in a nurturing and appropriate manner or in keeping with the children's developmental needs in the classroom for infants. Observation: During today’s visit I observed the infants being attended to in a nurturing and appropriate manner and the staff keeping up with the infants’ developmental needs. However, I did observe that some staff, parents, and children did not wash their hands upon entry to the classroom and before or after feeding and diaper changes. Interview: According to staff members all staff attend to the infants in a nurturing and appropriate manner as well as meet the infant’s developmental needs. Staff stated that there are a few infants who are spoiled and like to be held, so they do cry when they are not being held, however they do try to hold the infants, feed the infants, or call for assistance if they cannot get the infants to stop crying. The director stated that she has wonderful infant staff members, and they are always meeting the developmental needs of the children. The director stated that the infant staff attend to the infants in a nurturing and appropriate manner. CONCLUSION: Based on information received from the Director, staff and observations, the finding regarding this allegation is Unsubstantiated. Five violations were cited during today’s visit; these violations were not related to the complaint. The provider did ask questions to ensure the facility stays in compliance. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children did not wash their hands upon arrival at the center, before eating or after diaper changes. 15A NCAC 18A .2803(c) 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. Some staff members did not wash their hands thoroughly before beginning work, before and after handling food and after diaper changing. 15A NCAC 18A .2803(a) 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. A child care provider working in the infant classroom during today's visit, ITS-SIDS training expired on 1/22/23. .1102(f) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for C. Hite . C. Hite is a therapist who was present in the facility during today's and was left alone with children . A search was done in the ABCMS portal and no results were found. G.S. 110-90.2(b) & (d) & .2703(e) 1797 The child care provider that is a firm, partnership, association, or corporation, the chief executive officer or other person serving in like capacity or a person designated by the chief executive officer as responsible for the operation of the facility, did not complete criminal history background check. The owners G. White-Byrd, and R. Byrd who are responsible for the operation of the facility did not and have not complete criminal history background checks. During today's visit they were both present in the facility. A search was done in ABCMS portal and no results were found. G.S. 110-90.2 & .2703(c) The violation(s) documented must be corrected immediately. On or before 4-29-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Before today’s visit the facilities compliance, history is at 79 %. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance and Consultation Information Rule Reference 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Technical Assistance Caregivers/teachers should provide active and positive supervision of infants, toddlers, preschoolers, and school-aged children by sight and hearing at all times, including when children are resting or sleeping, eating, being diapered, or using the bathroom (as age appropriate) and when children are outdoors. Active supervision always requires focused attention and intentional observation of children. Caregivers/teachers position themselves so that they can observe all the children: watching, counting, and listening at all times. During transitions, caregivers/teachers should account for all children with name-to-face recognition by visually identifying each child. They also use their knowledge of each child’s development and abilities to anticipate what they will do, then get involved and redirect them when necessary. This constant vigilance helps children learn safely. Supervision is directly tied to safety and the prevention of injury and maintaining quality child care for infants, toddlers, preschoolers, and school-aged children. Parents/guardians depend on caregivers/teachers to supervise their children. To be available for supervision or rescue in an emergency, an adult must be able to hear and see the children. With proper supervision and in the event of an emergency, supervising adults can quickly and efficiently remove children from any potential harm. The facility should practice a relationship-based philosophy that promotes consistency and continuity of caregivers/teachers for infants and toddlers. Facilities should implement continuity of care practices into established policies and procedures as a means to foster strong, positive relationships that will act as a secure basis for exploration and learning in the classroom. Child–caregiver relationships based on high-quality care are central to brain development, emotional regulation, and overall learning. The facility should encourage practices of continuity of care that give infants and toddlers the added benefit of having the same caregiver for the first three years of life for the child or during the time of enrollment. The facility should limit the number of caregivers/teachers who interact with any one infant or toddler. The caregiver/teacher should: Use a variety of safe and appropriate individualized soothing methods of holding and comforting infants and toddlers who are upset. Engage in frequent, multiple, and rich social interchanges, such as smiling, talking, appropriate forms of touch, singing, and eating. Be play partners as well as protectors. Be attuned to infants’ and toddlers’ feelings and reflect them back. Communicate consistently with parents/guardians. Interact with infants and toddlers and develop a relationship in the context of everyday routines (eg, diapering, feeding). Opportunities should be provided for each infant and toddler to develop meaningful relationships with caregivers. The facility’s touch policy should be direct in addressing that children may be touched when it is appropriate for, respectful to, and safe for the child. Caregivers/teachers should respect the wishes of children, regardless of their age, for physical contact and their comfort or discomfort with it. Caregivers/teachers should avoid even “friendly” contact (eg, touching the shoulder or arm) with a child if the child expresses that he or she is uncomfortable. When children trust caregivers and are comfortable in the environment that surrounds them, they are allowed to focus on educational discoveries in their physical, social, and emotional development. Holding, and hugging, in a positive, respectful, and safe manner is an essential part of providing care for infants and toddlers. Quality caregivers/teachers provide care and learning experiences that play a key role in a child’s development as an active, self-knowing, self-respecting, thinking, feeling, and loving person. Limiting the number of adults with whom an infant or a toddler interacts fosters reciprocal understanding of communication cues that are unique to each infant or toddler. This leads to a sense of trust of the adult by the infant or toddler that the infant’s or toddler’s needs will be understood and met promptly. Studies of infant behavior show that infants have difficulty forming trusting relationships in settings where many adults interact with infants. Rule Reference 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS 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 shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Article 7 Chapter 110 of the North Carolina General Statutes Child Care Facilities § 110 90.2. Mandatory child care providers' criminal history checks (a) For purposes of this section: (1) "Child care", notwithstanding the definition in G.S. 110 86, means any child care provided in child care facilities required to be licensed or regulated under this Article and nonlicensed child care homes approved to receive or receiving State or federal funds for providing child care. (2) "Child care provider" means a person who: a. Is employed by or seeks to be employed by a child care facility providing child care as defined in subdivision (1) of this subsection, whether in temporary or permanent capacity, including substitute providers; b. Owns or operates or seeks to own or operate a child care facility or nonlicensed child care home providing child care as defined in subdivision (1) of this subsection; Program Reminders If staff members are going to be working at both facilities, they need to have a file on site at both facilities. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. This training is free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
NC GS 110-90 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 0424-157L Visit Date: 4/15/2024 Number Present: 44 Completed Date: 4/17/2024 Age: From 0 To 5 Total Minutes: 213 Time In: 07:37 AM Time Out: 11:10 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 4-11-24. When I arrived at the facility, I rang the bell three times and signed the visitor log. After waiting for a few minutes, the Director Rhonda Durham acknowledged me and let me know she was in a classroom and to come in. I let the Director know the purpose of my visit and started my observation. Shortly after I started my observation the Owner Gina White-Byrd, husband Roger Byrd and daughter Macy Byrd arrived at the facility to assist due to four staff members calling out. Limited monitoring of childcare requirements occurred during today’s visit. I monitored supervision, staff/child ratio, nurture and care, staff records, attendance sheets, adequate /approved space, license posted and restrictions. During today’s visit I discussed the allegations, and the director, owner and staff were given an opportunity to provide information surrounding the allegations. Allegation # 1: There is a concern that the posted staff/child ratios are not being followed in the early morning hours. Observation: During today’s visit I observed. Space 1 had two teachers with eight children. The youngest child was under 1 year of age. Space 2 had two teachers with eight children. The youngest child was 1 year of age. Space 3 had one teacher with nine children. The youngest child was 2 years of age. Space 4 had one teacher with nine children. The youngest child was 3 years of age. Space 5 had one teacher with 10 children. The youngest child was 3 years of age. Some children were not in their enrolled classrooms due to staff calling out. The children were moved around to different classrooms however, the classrooms did maintain the staff/child ratio for the youngest child. Interview: According to the director the staff child ratios haven’t been out of compliance since the last visit made on 1/18/24. The director R. Durham and the owner G. White-Byrd stated that they use a weekly monitor sheet/system, to keep up with maintaining the staff/child ratios. The Owner stated that she can see on the cameras that the classrooms are maintaining staff/child ratio and checks in with the staff hourly and daily. According to the director, on days that ratios might become an issue the facility has the parents wait outside the facility until staff come in before they can bring their children in the facility. The director stated that she has trained her staff-on staff /child ratio and how to move/shift children to maintain ratio. Allegation #2: There is a concern of inadequate supervision in the classroom for toddlers. Observation: During today’s visit adequate supervision was provided in the toddler classroom. Interview: According to some staff members no children have been inadequately supervised or have gotten out of the classroom into the lobby or playground. Some staff members stated that a few toddlers have opened the door and gotten out of the classroom into the hallway and even onto the playground when staff are changing diapers with their backs turned. Some staff members stated that the toddlers are quick and like to open the door and run out /break out the classroom when the teachers turn their backs, however the staff members stated that the staff are quick and see the toddlers open the door and are right behind them to bring them back into the classroom. The director stated that children are adequately supervised, and no children have gotten out of the classroom. The director stated that the toddlers are in the foyer sometimes, but the teachers have been in the foyer with the children and the children are not left alone. CONCLUSION: Although it appears based on staff interviews that there may have been occasions when children left the room unsupervised, there wasn’t enough information provided in detail regarding when this occurred, additionally this was not observed during today’s visit therefore, the allegation is unsubstantiated. Allegation #3: There is a concern that children were not attended to in a nurturing and appropriate manner or in keeping with the children's developmental needs in the classroom for infants. Observation: During today’s visit I observed the infants being attended to in a nurturing and appropriate manner and the staff keeping up with the infants’ developmental needs. However, I did observe that some staff, parents, and children did not wash their hands upon entry to the classroom and before or after feeding and diaper changes. Interview: According to staff members all staff attend to the infants in a nurturing and appropriate manner as well as meet the infant’s developmental needs. Staff stated that there are a few infants who are spoiled and like to be held, so they do cry when they are not being held, however they do try to hold the infants, feed the infants, or call for assistance if they cannot get the infants to stop crying. The director stated that she has wonderful infant staff members, and they are always meeting the developmental needs of the children. The director stated that the infant staff attend to the infants in a nurturing and appropriate manner. CONCLUSION: Based on information received from the Director, staff and observations, the finding regarding this allegation is Unsubstantiated. Five violations were cited during today’s visit; these violations were not related to the complaint. The provider did ask questions to ensure the facility stays in compliance. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children did not wash their hands upon arrival at the center, before eating or after diaper changes. 15A NCAC 18A .2803(c) 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. Some staff members did not wash their hands thoroughly before beginning work, before and after handling food and after diaper changing. 15A NCAC 18A .2803(a) 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. A child care provider working in the infant classroom during today's visit, ITS-SIDS training expired on 1/22/23. .1102(f) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for C. Hite . C. Hite is a therapist who was present in the facility during today's and was left alone with children . A search was done in the ABCMS portal and no results were found. G.S. 110-90.2(b) & (d) & .2703(e) 1797 The child care provider that is a firm, partnership, association, or corporation, the chief executive officer or other person serving in like capacity or a person designated by the chief executive officer as responsible for the operation of the facility, did not complete criminal history background check. The owners G. White-Byrd, and R. Byrd who are responsible for the operation of the facility did not and have not complete criminal history background checks. During today's visit they were both present in the facility. A search was done in ABCMS portal and no results were found. G.S. 110-90.2 & .2703(c) The violation(s) documented must be corrected immediately. On or before 4-29-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Before today’s visit the facilities compliance, history is at 79 %. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance and Consultation Information Rule Reference 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Technical Assistance Caregivers/teachers should provide active and positive supervision of infants, toddlers, preschoolers, and school-aged children by sight and hearing at all times, including when children are resting or sleeping, eating, being diapered, or using the bathroom (as age appropriate) and when children are outdoors. Active supervision always requires focused attention and intentional observation of children. Caregivers/teachers position themselves so that they can observe all the children: watching, counting, and listening at all times. During transitions, caregivers/teachers should account for all children with name-to-face recognition by visually identifying each child. They also use their knowledge of each child’s development and abilities to anticipate what they will do, then get involved and redirect them when necessary. This constant vigilance helps children learn safely. Supervision is directly tied to safety and the prevention of injury and maintaining quality child care for infants, toddlers, preschoolers, and school-aged children. Parents/guardians depend on caregivers/teachers to supervise their children. To be available for supervision or rescue in an emergency, an adult must be able to hear and see the children. With proper supervision and in the event of an emergency, supervising adults can quickly and efficiently remove children from any potential harm. The facility should practice a relationship-based philosophy that promotes consistency and continuity of caregivers/teachers for infants and toddlers. Facilities should implement continuity of care practices into established policies and procedures as a means to foster strong, positive relationships that will act as a secure basis for exploration and learning in the classroom. Child–caregiver relationships based on high-quality care are central to brain development, emotional regulation, and overall learning. The facility should encourage practices of continuity of care that give infants and toddlers the added benefit of having the same caregiver for the first three years of life for the child or during the time of enrollment. The facility should limit the number of caregivers/teachers who interact with any one infant or toddler. The caregiver/teacher should: Use a variety of safe and appropriate individualized soothing methods of holding and comforting infants and toddlers who are upset. Engage in frequent, multiple, and rich social interchanges, such as smiling, talking, appropriate forms of touch, singing, and eating. Be play partners as well as protectors. Be attuned to infants’ and toddlers’ feelings and reflect them back. Communicate consistently with parents/guardians. Interact with infants and toddlers and develop a relationship in the context of everyday routines (eg, diapering, feeding). Opportunities should be provided for each infant and toddler to develop meaningful relationships with caregivers. The facility’s touch policy should be direct in addressing that children may be touched when it is appropriate for, respectful to, and safe for the child. Caregivers/teachers should respect the wishes of children, regardless of their age, for physical contact and their comfort or discomfort with it. Caregivers/teachers should avoid even “friendly” contact (eg, touching the shoulder or arm) with a child if the child expresses that he or she is uncomfortable. When children trust caregivers and are comfortable in the environment that surrounds them, they are allowed to focus on educational discoveries in their physical, social, and emotional development. Holding, and hugging, in a positive, respectful, and safe manner is an essential part of providing care for infants and toddlers. Quality caregivers/teachers provide care and learning experiences that play a key role in a child’s development as an active, self-knowing, self-respecting, thinking, feeling, and loving person. Limiting the number of adults with whom an infant or a toddler interacts fosters reciprocal understanding of communication cues that are unique to each infant or toddler. This leads to a sense of trust of the adult by the infant or toddler that the infant’s or toddler’s needs will be understood and met promptly. Studies of infant behavior show that infants have difficulty forming trusting relationships in settings where many adults interact with infants. Rule Reference 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS 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 shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Article 7 Chapter 110 of the North Carolina General Statutes Child Care Facilities § 110 90.2. Mandatory child care providers' criminal history checks (a) For purposes of this section: (1) "Child care", notwithstanding the definition in G.S. 110 86, means any child care provided in child care facilities required to be licensed or regulated under this Article and nonlicensed child care homes approved to receive or receiving State or federal funds for providing child care. (2) "Child care provider" means a person who: a. Is employed by or seeks to be employed by a child care facility providing child care as defined in subdivision (1) of this subsection, whether in temporary or permanent capacity, including substitute providers; b. Owns or operates or seeks to own or operate a child care facility or nonlicensed child care home providing child care as defined in subdivision (1) of this subsection; Program Reminders If staff members are going to be working at both facilities, they need to have a file on site at both facilities. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. This training is free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0508 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 0224-300L Visit Date: 2/28/2024 Number Present: 43 Completed Date: 2/28/2024 Age: From 0 To 5 Total Minutes: 295 Time In: 09:20 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 2-26-24. When I arrived at the facility, the Director Rhonda Durham was not present. Ms. Wilma let me in and she called Rhonda and she arrived shortly after and she assisted me during today’s visit. Limited monitoring of childcare requirements occurred during today’s visit. I monitored supervision, staff/child ratio, adequate /approved space, license posted and restrictions, attendance records, and staff files for qualifications and training. During today’s visit I discussed the allegations, and the director and staff were given an opportunity to provide information surrounding the allegations. Allegation # 1: There is a concern that the posted staff/child ratio is not being followed in the classroom for one and two-year-old children. One provider was responsible for twenty children. Observation: During today’s visit staff did state that the facility is out of ratio a lot in the morning and afternoon. I also observed attendance records for the month of February. However, during today’s visit this was not observed. During today’s visit: Space 1 had two teachers with nine children. The youngest child was under 1 year of age. Space 2 had two teachers with six children. The youngest child was 1 year of age. Space 3 had two teachers with eight children. The youngest child was 2 years of age. Space 4 had one teacher with five children. The youngest child was 3 years of age. Space 5 had two teachers with 15 children. The youngest child was 3 years of age. Interview: According to the director the staff child ratios are being followed. The director stated that she is at the facility in the mornings at 6:30am to ensure the ratios are being maintained. According to staff the staff/child ratios are not being followed throughout the day. According to staff some classrooms are out of ratio all day, in the early mornings and afternoons. According to staff children are constantly being moved around. CONCLUSION: Based on information received from the Director, staff and observations, the finding regarding this allegation is Unsubstantiated. Allegation #2: There is a concern of inadequate supervision in the classroom for two-year-old children. Two children were left in a classroom unattended for an unknown amount of time. Observation: During today’s visit I didn’t observe inadequate supervision in the classroom for two-year-old children or any other classroom. Interview: According to the director no children in the two-year-old classroom have been left unattended or unsupervised to their knowledge. Nor has any other classroom had a concern or any issues of inadequate supervision. According to staff they aren’t or weren’t aware of children in the two-year-old classroom being left unsupervised for a unknown amount of time. Some staff stated that one child does run out of the classroom. CONCLUSION: Based on information received today from the Director, staff and observations, the finding regarding this allegation is Unsubstantiated. Allegation #3: There is a concern related to staff qualifications and training. Observation: During today’s visit I reviewed 5 staff files. Orientation wasn’t documented in any of the staff files observed during today’s visit. Interview: According to the director she does training with the staff as well as orientation. The director also stated that she has outside resources from FVG smart start and Amy Matthews, Childcare health consultant come out and do trainings as well with the staff. According to the staff no training or orientation is provided. Some staff stated that they just get put into a classroom without training. Some staff stated that the only training that has been provided is First Aid and CPR training and some online training. CONCLUSION: Based on information received from staff and observations, the finding regarding this allegation is Substantiated. Seven violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A activity plan was not posted for the Toddler classroom. GS 110-91(12); .0508(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. A staff member did not have a TB test on file on or before the first day of work. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Some staff members did not have documentation that at least 16 hours of orientation has been done within the first 6 weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. The five new staff files I observed today did not complete or have documented that six clock hours of training has been completed within the first two weeks of employment. .1101(a)(b) 1230 Personnel policies were not discussed with each staff at employment and a copy was not available to all staff. Personal policies were not discussed or documented that they were discussed for a new staff member. 10A NCAC 09 .0514(e) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. A new staff members file did not have a signed and dated statement they received personal and operational policies. 10A NCAC 09 .0514(g) 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. A new staff members file observed today did not have documented that they have reviewed the EPR plan during orientation. .0607(f) The violation(s) documented must be corrected immediately. On or before 3-11-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Before today’s visit the facilities compliance, history is at 80%. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of children in care, the activity plan shall 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: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individuals personnel file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. 10A NCAC 09 .2805 OPERATIONAL AND PERSONNEL POLICIES (TRANSFERRED TO 10A NCAC 09 .0514) RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. This training is free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0514 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 0224-300L Visit Date: 2/28/2024 Number Present: 43 Completed Date: 2/28/2024 Age: From 0 To 5 Total Minutes: 295 Time In: 09:20 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 2-26-24. When I arrived at the facility, the Director Rhonda Durham was not present. Ms. Wilma let me in and she called Rhonda and she arrived shortly after and she assisted me during today’s visit. Limited monitoring of childcare requirements occurred during today’s visit. I monitored supervision, staff/child ratio, adequate /approved space, license posted and restrictions, attendance records, and staff files for qualifications and training. During today’s visit I discussed the allegations, and the director and staff were given an opportunity to provide information surrounding the allegations. Allegation # 1: There is a concern that the posted staff/child ratio is not being followed in the classroom for one and two-year-old children. One provider was responsible for twenty children. Observation: During today’s visit staff did state that the facility is out of ratio a lot in the morning and afternoon. I also observed attendance records for the month of February. However, during today’s visit this was not observed. During today’s visit: Space 1 had two teachers with nine children. The youngest child was under 1 year of age. Space 2 had two teachers with six children. The youngest child was 1 year of age. Space 3 had two teachers with eight children. The youngest child was 2 years of age. Space 4 had one teacher with five children. The youngest child was 3 years of age. Space 5 had two teachers with 15 children. The youngest child was 3 years of age. Interview: According to the director the staff child ratios are being followed. The director stated that she is at the facility in the mornings at 6:30am to ensure the ratios are being maintained. According to staff the staff/child ratios are not being followed throughout the day. According to staff some classrooms are out of ratio all day, in the early mornings and afternoons. According to staff children are constantly being moved around. CONCLUSION: Based on information received from the Director, staff and observations, the finding regarding this allegation is Unsubstantiated. Allegation #2: There is a concern of inadequate supervision in the classroom for two-year-old children. Two children were left in a classroom unattended for an unknown amount of time. Observation: During today’s visit I didn’t observe inadequate supervision in the classroom for two-year-old children or any other classroom. Interview: According to the director no children in the two-year-old classroom have been left unattended or unsupervised to their knowledge. Nor has any other classroom had a concern or any issues of inadequate supervision. According to staff they aren’t or weren’t aware of children in the two-year-old classroom being left unsupervised for a unknown amount of time. Some staff stated that one child does run out of the classroom. CONCLUSION: Based on information received today from the Director, staff and observations, the finding regarding this allegation is Unsubstantiated. Allegation #3: There is a concern related to staff qualifications and training. Observation: During today’s visit I reviewed 5 staff files. Orientation wasn’t documented in any of the staff files observed during today’s visit. Interview: According to the director she does training with the staff as well as orientation. The director also stated that she has outside resources from FVG smart start and Amy Matthews, Childcare health consultant come out and do trainings as well with the staff. According to the staff no training or orientation is provided. Some staff stated that they just get put into a classroom without training. Some staff stated that the only training that has been provided is First Aid and CPR training and some online training. CONCLUSION: Based on information received from staff and observations, the finding regarding this allegation is Substantiated. Seven violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A activity plan was not posted for the Toddler classroom. GS 110-91(12); .0508(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. A staff member did not have a TB test on file on or before the first day of work. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Some staff members did not have documentation that at least 16 hours of orientation has been done within the first 6 weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. The five new staff files I observed today did not complete or have documented that six clock hours of training has been completed within the first two weeks of employment. .1101(a)(b) 1230 Personnel policies were not discussed with each staff at employment and a copy was not available to all staff. Personal policies were not discussed or documented that they were discussed for a new staff member. 10A NCAC 09 .0514(e) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. A new staff members file did not have a signed and dated statement they received personal and operational policies. 10A NCAC 09 .0514(g) 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. A new staff members file observed today did not have documented that they have reviewed the EPR plan during orientation. .0607(f) The violation(s) documented must be corrected immediately. On or before 3-11-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Before today’s visit the facilities compliance, history is at 80%. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of children in care, the activity plan shall 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: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individuals personnel file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. 10A NCAC 09 .2805 OPERATIONAL AND PERSONNEL POLICIES (TRANSFERRED TO 10A NCAC 09 .0514) RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. This training is free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0607 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 0224-300L Visit Date: 2/28/2024 Number Present: 43 Completed Date: 2/28/2024 Age: From 0 To 5 Total Minutes: 295 Time In: 09:20 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 2-26-24. When I arrived at the facility, the Director Rhonda Durham was not present. Ms. Wilma let me in and she called Rhonda and she arrived shortly after and she assisted me during today’s visit. Limited monitoring of childcare requirements occurred during today’s visit. I monitored supervision, staff/child ratio, adequate /approved space, license posted and restrictions, attendance records, and staff files for qualifications and training. During today’s visit I discussed the allegations, and the director and staff were given an opportunity to provide information surrounding the allegations. Allegation # 1: There is a concern that the posted staff/child ratio is not being followed in the classroom for one and two-year-old children. One provider was responsible for twenty children. Observation: During today’s visit staff did state that the facility is out of ratio a lot in the morning and afternoon. I also observed attendance records for the month of February. However, during today’s visit this was not observed. During today’s visit: Space 1 had two teachers with nine children. The youngest child was under 1 year of age. Space 2 had two teachers with six children. The youngest child was 1 year of age. Space 3 had two teachers with eight children. The youngest child was 2 years of age. Space 4 had one teacher with five children. The youngest child was 3 years of age. Space 5 had two teachers with 15 children. The youngest child was 3 years of age. Interview: According to the director the staff child ratios are being followed. The director stated that she is at the facility in the mornings at 6:30am to ensure the ratios are being maintained. According to staff the staff/child ratios are not being followed throughout the day. According to staff some classrooms are out of ratio all day, in the early mornings and afternoons. According to staff children are constantly being moved around. CONCLUSION: Based on information received from the Director, staff and observations, the finding regarding this allegation is Unsubstantiated. Allegation #2: There is a concern of inadequate supervision in the classroom for two-year-old children. Two children were left in a classroom unattended for an unknown amount of time. Observation: During today’s visit I didn’t observe inadequate supervision in the classroom for two-year-old children or any other classroom. Interview: According to the director no children in the two-year-old classroom have been left unattended or unsupervised to their knowledge. Nor has any other classroom had a concern or any issues of inadequate supervision. According to staff they aren’t or weren’t aware of children in the two-year-old classroom being left unsupervised for a unknown amount of time. Some staff stated that one child does run out of the classroom. CONCLUSION: Based on information received today from the Director, staff and observations, the finding regarding this allegation is Unsubstantiated. Allegation #3: There is a concern related to staff qualifications and training. Observation: During today’s visit I reviewed 5 staff files. Orientation wasn’t documented in any of the staff files observed during today’s visit. Interview: According to the director she does training with the staff as well as orientation. The director also stated that she has outside resources from FVG smart start and Amy Matthews, Childcare health consultant come out and do trainings as well with the staff. According to the staff no training or orientation is provided. Some staff stated that they just get put into a classroom without training. Some staff stated that the only training that has been provided is First Aid and CPR training and some online training. CONCLUSION: Based on information received from staff and observations, the finding regarding this allegation is Substantiated. Seven violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A activity plan was not posted for the Toddler classroom. GS 110-91(12); .0508(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. A staff member did not have a TB test on file on or before the first day of work. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Some staff members did not have documentation that at least 16 hours of orientation has been done within the first 6 weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. The five new staff files I observed today did not complete or have documented that six clock hours of training has been completed within the first two weeks of employment. .1101(a)(b) 1230 Personnel policies were not discussed with each staff at employment and a copy was not available to all staff. Personal policies were not discussed or documented that they were discussed for a new staff member. 10A NCAC 09 .0514(e) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. A new staff members file did not have a signed and dated statement they received personal and operational policies. 10A NCAC 09 .0514(g) 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. A new staff members file observed today did not have documented that they have reviewed the EPR plan during orientation. .0607(f) The violation(s) documented must be corrected immediately. On or before 3-11-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Before today’s visit the facilities compliance, history is at 80%. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of children in care, the activity plan shall 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: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individuals personnel file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. 10A NCAC 09 .2805 OPERATIONAL AND PERSONNEL POLICIES (TRANSFERRED TO 10A NCAC 09 .0514) RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. This training is free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0701 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 0224-300L Visit Date: 2/28/2024 Number Present: 43 Completed Date: 2/28/2024 Age: From 0 To 5 Total Minutes: 295 Time In: 09:20 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 2-26-24. When I arrived at the facility, the Director Rhonda Durham was not present. Ms. Wilma let me in and she called Rhonda and she arrived shortly after and she assisted me during today’s visit. Limited monitoring of childcare requirements occurred during today’s visit. I monitored supervision, staff/child ratio, adequate /approved space, license posted and restrictions, attendance records, and staff files for qualifications and training. During today’s visit I discussed the allegations, and the director and staff were given an opportunity to provide information surrounding the allegations. Allegation # 1: There is a concern that the posted staff/child ratio is not being followed in the classroom for one and two-year-old children. One provider was responsible for twenty children. Observation: During today’s visit staff did state that the facility is out of ratio a lot in the morning and afternoon. I also observed attendance records for the month of February. However, during today’s visit this was not observed. During today’s visit: Space 1 had two teachers with nine children. The youngest child was under 1 year of age. Space 2 had two teachers with six children. The youngest child was 1 year of age. Space 3 had two teachers with eight children. The youngest child was 2 years of age. Space 4 had one teacher with five children. The youngest child was 3 years of age. Space 5 had two teachers with 15 children. The youngest child was 3 years of age. Interview: According to the director the staff child ratios are being followed. The director stated that she is at the facility in the mornings at 6:30am to ensure the ratios are being maintained. According to staff the staff/child ratios are not being followed throughout the day. According to staff some classrooms are out of ratio all day, in the early mornings and afternoons. According to staff children are constantly being moved around. CONCLUSION: Based on information received from the Director, staff and observations, the finding regarding this allegation is Unsubstantiated. Allegation #2: There is a concern of inadequate supervision in the classroom for two-year-old children. Two children were left in a classroom unattended for an unknown amount of time. Observation: During today’s visit I didn’t observe inadequate supervision in the classroom for two-year-old children or any other classroom. Interview: According to the director no children in the two-year-old classroom have been left unattended or unsupervised to their knowledge. Nor has any other classroom had a concern or any issues of inadequate supervision. According to staff they aren’t or weren’t aware of children in the two-year-old classroom being left unsupervised for a unknown amount of time. Some staff stated that one child does run out of the classroom. CONCLUSION: Based on information received today from the Director, staff and observations, the finding regarding this allegation is Unsubstantiated. Allegation #3: There is a concern related to staff qualifications and training. Observation: During today’s visit I reviewed 5 staff files. Orientation wasn’t documented in any of the staff files observed during today’s visit. Interview: According to the director she does training with the staff as well as orientation. The director also stated that she has outside resources from FVG smart start and Amy Matthews, Childcare health consultant come out and do trainings as well with the staff. According to the staff no training or orientation is provided. Some staff stated that they just get put into a classroom without training. Some staff stated that the only training that has been provided is First Aid and CPR training and some online training. CONCLUSION: Based on information received from staff and observations, the finding regarding this allegation is Substantiated. Seven violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A activity plan was not posted for the Toddler classroom. GS 110-91(12); .0508(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. A staff member did not have a TB test on file on or before the first day of work. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Some staff members did not have documentation that at least 16 hours of orientation has been done within the first 6 weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. The five new staff files I observed today did not complete or have documented that six clock hours of training has been completed within the first two weeks of employment. .1101(a)(b) 1230 Personnel policies were not discussed with each staff at employment and a copy was not available to all staff. Personal policies were not discussed or documented that they were discussed for a new staff member. 10A NCAC 09 .0514(e) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. A new staff members file did not have a signed and dated statement they received personal and operational policies. 10A NCAC 09 .0514(g) 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. A new staff members file observed today did not have documented that they have reviewed the EPR plan during orientation. .0607(f) The violation(s) documented must be corrected immediately. On or before 3-11-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Before today’s visit the facilities compliance, history is at 80%. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of children in care, the activity plan shall 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: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individuals personnel file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. 10A NCAC 09 .2805 OPERATIONAL AND PERSONNEL POLICIES (TRANSFERRED TO 10A NCAC 09 .0514) RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. This training is free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .1101 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 0224-300L Visit Date: 2/28/2024 Number Present: 43 Completed Date: 2/28/2024 Age: From 0 To 5 Total Minutes: 295 Time In: 09:20 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 2-26-24. When I arrived at the facility, the Director Rhonda Durham was not present. Ms. Wilma let me in and she called Rhonda and she arrived shortly after and she assisted me during today’s visit. Limited monitoring of childcare requirements occurred during today’s visit. I monitored supervision, staff/child ratio, adequate /approved space, license posted and restrictions, attendance records, and staff files for qualifications and training. During today’s visit I discussed the allegations, and the director and staff were given an opportunity to provide information surrounding the allegations. Allegation # 1: There is a concern that the posted staff/child ratio is not being followed in the classroom for one and two-year-old children. One provider was responsible for twenty children. Observation: During today’s visit staff did state that the facility is out of ratio a lot in the morning and afternoon. I also observed attendance records for the month of February. However, during today’s visit this was not observed. During today’s visit: Space 1 had two teachers with nine children. The youngest child was under 1 year of age. Space 2 had two teachers with six children. The youngest child was 1 year of age. Space 3 had two teachers with eight children. The youngest child was 2 years of age. Space 4 had one teacher with five children. The youngest child was 3 years of age. Space 5 had two teachers with 15 children. The youngest child was 3 years of age. Interview: According to the director the staff child ratios are being followed. The director stated that she is at the facility in the mornings at 6:30am to ensure the ratios are being maintained. According to staff the staff/child ratios are not being followed throughout the day. According to staff some classrooms are out of ratio all day, in the early mornings and afternoons. According to staff children are constantly being moved around. CONCLUSION: Based on information received from the Director, staff and observations, the finding regarding this allegation is Unsubstantiated. Allegation #2: There is a concern of inadequate supervision in the classroom for two-year-old children. Two children were left in a classroom unattended for an unknown amount of time. Observation: During today’s visit I didn’t observe inadequate supervision in the classroom for two-year-old children or any other classroom. Interview: According to the director no children in the two-year-old classroom have been left unattended or unsupervised to their knowledge. Nor has any other classroom had a concern or any issues of inadequate supervision. According to staff they aren’t or weren’t aware of children in the two-year-old classroom being left unsupervised for a unknown amount of time. Some staff stated that one child does run out of the classroom. CONCLUSION: Based on information received today from the Director, staff and observations, the finding regarding this allegation is Unsubstantiated. Allegation #3: There is a concern related to staff qualifications and training. Observation: During today’s visit I reviewed 5 staff files. Orientation wasn’t documented in any of the staff files observed during today’s visit. Interview: According to the director she does training with the staff as well as orientation. The director also stated that she has outside resources from FVG smart start and Amy Matthews, Childcare health consultant come out and do trainings as well with the staff. According to the staff no training or orientation is provided. Some staff stated that they just get put into a classroom without training. Some staff stated that the only training that has been provided is First Aid and CPR training and some online training. CONCLUSION: Based on information received from staff and observations, the finding regarding this allegation is Substantiated. Seven violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A activity plan was not posted for the Toddler classroom. GS 110-91(12); .0508(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. A staff member did not have a TB test on file on or before the first day of work. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Some staff members did not have documentation that at least 16 hours of orientation has been done within the first 6 weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. The five new staff files I observed today did not complete or have documented that six clock hours of training has been completed within the first two weeks of employment. .1101(a)(b) 1230 Personnel policies were not discussed with each staff at employment and a copy was not available to all staff. Personal policies were not discussed or documented that they were discussed for a new staff member. 10A NCAC 09 .0514(e) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. A new staff members file did not have a signed and dated statement they received personal and operational policies. 10A NCAC 09 .0514(g) 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. A new staff members file observed today did not have documented that they have reviewed the EPR plan during orientation. .0607(f) The violation(s) documented must be corrected immediately. On or before 3-11-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Before today’s visit the facilities compliance, history is at 80%. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of children in care, the activity plan shall 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: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individuals personnel file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. 10A NCAC 09 .2805 OPERATIONAL AND PERSONNEL POLICIES (TRANSFERRED TO 10A NCAC 09 .0514) RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. This training is free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .2805 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 0224-300L Visit Date: 2/28/2024 Number Present: 43 Completed Date: 2/28/2024 Age: From 0 To 5 Total Minutes: 295 Time In: 09:20 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 2-26-24. When I arrived at the facility, the Director Rhonda Durham was not present. Ms. Wilma let me in and she called Rhonda and she arrived shortly after and she assisted me during today’s visit. Limited monitoring of childcare requirements occurred during today’s visit. I monitored supervision, staff/child ratio, adequate /approved space, license posted and restrictions, attendance records, and staff files for qualifications and training. During today’s visit I discussed the allegations, and the director and staff were given an opportunity to provide information surrounding the allegations. Allegation # 1: There is a concern that the posted staff/child ratio is not being followed in the classroom for one and two-year-old children. One provider was responsible for twenty children. Observation: During today’s visit staff did state that the facility is out of ratio a lot in the morning and afternoon. I also observed attendance records for the month of February. However, during today’s visit this was not observed. During today’s visit: Space 1 had two teachers with nine children. The youngest child was under 1 year of age. Space 2 had two teachers with six children. The youngest child was 1 year of age. Space 3 had two teachers with eight children. The youngest child was 2 years of age. Space 4 had one teacher with five children. The youngest child was 3 years of age. Space 5 had two teachers with 15 children. The youngest child was 3 years of age. Interview: According to the director the staff child ratios are being followed. The director stated that she is at the facility in the mornings at 6:30am to ensure the ratios are being maintained. According to staff the staff/child ratios are not being followed throughout the day. According to staff some classrooms are out of ratio all day, in the early mornings and afternoons. According to staff children are constantly being moved around. CONCLUSION: Based on information received from the Director, staff and observations, the finding regarding this allegation is Unsubstantiated. Allegation #2: There is a concern of inadequate supervision in the classroom for two-year-old children. Two children were left in a classroom unattended for an unknown amount of time. Observation: During today’s visit I didn’t observe inadequate supervision in the classroom for two-year-old children or any other classroom. Interview: According to the director no children in the two-year-old classroom have been left unattended or unsupervised to their knowledge. Nor has any other classroom had a concern or any issues of inadequate supervision. According to staff they aren’t or weren’t aware of children in the two-year-old classroom being left unsupervised for a unknown amount of time. Some staff stated that one child does run out of the classroom. CONCLUSION: Based on information received today from the Director, staff and observations, the finding regarding this allegation is Unsubstantiated. Allegation #3: There is a concern related to staff qualifications and training. Observation: During today’s visit I reviewed 5 staff files. Orientation wasn’t documented in any of the staff files observed during today’s visit. Interview: According to the director she does training with the staff as well as orientation. The director also stated that she has outside resources from FVG smart start and Amy Matthews, Childcare health consultant come out and do trainings as well with the staff. According to the staff no training or orientation is provided. Some staff stated that they just get put into a classroom without training. Some staff stated that the only training that has been provided is First Aid and CPR training and some online training. CONCLUSION: Based on information received from staff and observations, the finding regarding this allegation is Substantiated. Seven violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A activity plan was not posted for the Toddler classroom. GS 110-91(12); .0508(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. A staff member did not have a TB test on file on or before the first day of work. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Some staff members did not have documentation that at least 16 hours of orientation has been done within the first 6 weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. The five new staff files I observed today did not complete or have documented that six clock hours of training has been completed within the first two weeks of employment. .1101(a)(b) 1230 Personnel policies were not discussed with each staff at employment and a copy was not available to all staff. Personal policies were not discussed or documented that they were discussed for a new staff member. 10A NCAC 09 .0514(e) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. A new staff members file did not have a signed and dated statement they received personal and operational policies. 10A NCAC 09 .0514(g) 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. A new staff members file observed today did not have documented that they have reviewed the EPR plan during orientation. .0607(f) The violation(s) documented must be corrected immediately. On or before 3-11-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Before today’s visit the facilities compliance, history is at 80%. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of children in care, the activity plan shall 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: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individuals personnel file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. 10A NCAC 09 .2805 OPERATIONAL AND PERSONNEL POLICIES (TRANSFERRED TO 10A NCAC 09 .0514) RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. This training is free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
GS 110-91 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 0224-300L Visit Date: 2/28/2024 Number Present: 43 Completed Date: 2/28/2024 Age: From 0 To 5 Total Minutes: 295 Time In: 09:20 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 2-26-24. When I arrived at the facility, the Director Rhonda Durham was not present. Ms. Wilma let me in and she called Rhonda and she arrived shortly after and she assisted me during today’s visit. Limited monitoring of childcare requirements occurred during today’s visit. I monitored supervision, staff/child ratio, adequate /approved space, license posted and restrictions, attendance records, and staff files for qualifications and training. During today’s visit I discussed the allegations, and the director and staff were given an opportunity to provide information surrounding the allegations. Allegation # 1: There is a concern that the posted staff/child ratio is not being followed in the classroom for one and two-year-old children. One provider was responsible for twenty children. Observation: During today’s visit staff did state that the facility is out of ratio a lot in the morning and afternoon. I also observed attendance records for the month of February. However, during today’s visit this was not observed. During today’s visit: Space 1 had two teachers with nine children. The youngest child was under 1 year of age. Space 2 had two teachers with six children. The youngest child was 1 year of age. Space 3 had two teachers with eight children. The youngest child was 2 years of age. Space 4 had one teacher with five children. The youngest child was 3 years of age. Space 5 had two teachers with 15 children. The youngest child was 3 years of age. Interview: According to the director the staff child ratios are being followed. The director stated that she is at the facility in the mornings at 6:30am to ensure the ratios are being maintained. According to staff the staff/child ratios are not being followed throughout the day. According to staff some classrooms are out of ratio all day, in the early mornings and afternoons. According to staff children are constantly being moved around. CONCLUSION: Based on information received from the Director, staff and observations, the finding regarding this allegation is Unsubstantiated. Allegation #2: There is a concern of inadequate supervision in the classroom for two-year-old children. Two children were left in a classroom unattended for an unknown amount of time. Observation: During today’s visit I didn’t observe inadequate supervision in the classroom for two-year-old children or any other classroom. Interview: According to the director no children in the two-year-old classroom have been left unattended or unsupervised to their knowledge. Nor has any other classroom had a concern or any issues of inadequate supervision. According to staff they aren’t or weren’t aware of children in the two-year-old classroom being left unsupervised for a unknown amount of time. Some staff stated that one child does run out of the classroom. CONCLUSION: Based on information received today from the Director, staff and observations, the finding regarding this allegation is Unsubstantiated. Allegation #3: There is a concern related to staff qualifications and training. Observation: During today’s visit I reviewed 5 staff files. Orientation wasn’t documented in any of the staff files observed during today’s visit. Interview: According to the director she does training with the staff as well as orientation. The director also stated that she has outside resources from FVG smart start and Amy Matthews, Childcare health consultant come out and do trainings as well with the staff. According to the staff no training or orientation is provided. Some staff stated that they just get put into a classroom without training. Some staff stated that the only training that has been provided is First Aid and CPR training and some online training. CONCLUSION: Based on information received from staff and observations, the finding regarding this allegation is Substantiated. Seven violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A activity plan was not posted for the Toddler classroom. GS 110-91(12); .0508(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. A staff member did not have a TB test on file on or before the first day of work. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Some staff members did not have documentation that at least 16 hours of orientation has been done within the first 6 weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. The five new staff files I observed today did not complete or have documented that six clock hours of training has been completed within the first two weeks of employment. .1101(a)(b) 1230 Personnel policies were not discussed with each staff at employment and a copy was not available to all staff. Personal policies were not discussed or documented that they were discussed for a new staff member. 10A NCAC 09 .0514(e) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. A new staff members file did not have a signed and dated statement they received personal and operational policies. 10A NCAC 09 .0514(g) 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. A new staff members file observed today did not have documented that they have reviewed the EPR plan during orientation. .0607(f) The violation(s) documented must be corrected immediately. On or before 3-11-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Before today’s visit the facilities compliance, history is at 80%. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of children in care, the activity plan shall 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: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individuals personnel file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. 10A NCAC 09 .2805 OPERATIONAL AND PERSONNEL POLICIES (TRANSFERRED TO 10A NCAC 09 .0514) RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. This training is free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
NC GS 110-90 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 0224-300L Visit Date: 2/28/2024 Number Present: 43 Completed Date: 2/28/2024 Age: From 0 To 5 Total Minutes: 295 Time In: 09:20 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 2-26-24. When I arrived at the facility, the Director Rhonda Durham was not present. Ms. Wilma let me in and she called Rhonda and she arrived shortly after and she assisted me during today’s visit. Limited monitoring of childcare requirements occurred during today’s visit. I monitored supervision, staff/child ratio, adequate /approved space, license posted and restrictions, attendance records, and staff files for qualifications and training. During today’s visit I discussed the allegations, and the director and staff were given an opportunity to provide information surrounding the allegations. Allegation # 1: There is a concern that the posted staff/child ratio is not being followed in the classroom for one and two-year-old children. One provider was responsible for twenty children. Observation: During today’s visit staff did state that the facility is out of ratio a lot in the morning and afternoon. I also observed attendance records for the month of February. However, during today’s visit this was not observed. During today’s visit: Space 1 had two teachers with nine children. The youngest child was under 1 year of age. Space 2 had two teachers with six children. The youngest child was 1 year of age. Space 3 had two teachers with eight children. The youngest child was 2 years of age. Space 4 had one teacher with five children. The youngest child was 3 years of age. Space 5 had two teachers with 15 children. The youngest child was 3 years of age. Interview: According to the director the staff child ratios are being followed. The director stated that she is at the facility in the mornings at 6:30am to ensure the ratios are being maintained. According to staff the staff/child ratios are not being followed throughout the day. According to staff some classrooms are out of ratio all day, in the early mornings and afternoons. According to staff children are constantly being moved around. CONCLUSION: Based on information received from the Director, staff and observations, the finding regarding this allegation is Unsubstantiated. Allegation #2: There is a concern of inadequate supervision in the classroom for two-year-old children. Two children were left in a classroom unattended for an unknown amount of time. Observation: During today’s visit I didn’t observe inadequate supervision in the classroom for two-year-old children or any other classroom. Interview: According to the director no children in the two-year-old classroom have been left unattended or unsupervised to their knowledge. Nor has any other classroom had a concern or any issues of inadequate supervision. According to staff they aren’t or weren’t aware of children in the two-year-old classroom being left unsupervised for a unknown amount of time. Some staff stated that one child does run out of the classroom. CONCLUSION: Based on information received today from the Director, staff and observations, the finding regarding this allegation is Unsubstantiated. Allegation #3: There is a concern related to staff qualifications and training. Observation: During today’s visit I reviewed 5 staff files. Orientation wasn’t documented in any of the staff files observed during today’s visit. Interview: According to the director she does training with the staff as well as orientation. The director also stated that she has outside resources from FVG smart start and Amy Matthews, Childcare health consultant come out and do trainings as well with the staff. According to the staff no training or orientation is provided. Some staff stated that they just get put into a classroom without training. Some staff stated that the only training that has been provided is First Aid and CPR training and some online training. CONCLUSION: Based on information received from staff and observations, the finding regarding this allegation is Substantiated. Seven violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A activity plan was not posted for the Toddler classroom. GS 110-91(12); .0508(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. A staff member did not have a TB test on file on or before the first day of work. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Some staff members did not have documentation that at least 16 hours of orientation has been done within the first 6 weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. The five new staff files I observed today did not complete or have documented that six clock hours of training has been completed within the first two weeks of employment. .1101(a)(b) 1230 Personnel policies were not discussed with each staff at employment and a copy was not available to all staff. Personal policies were not discussed or documented that they were discussed for a new staff member. 10A NCAC 09 .0514(e) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. A new staff members file did not have a signed and dated statement they received personal and operational policies. 10A NCAC 09 .0514(g) 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. A new staff members file observed today did not have documented that they have reviewed the EPR plan during orientation. .0607(f) The violation(s) documented must be corrected immediately. On or before 3-11-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Before today’s visit the facilities compliance, history is at 80%. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of children in care, the activity plan shall 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: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individuals personnel file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. 10A NCAC 09 .2805 OPERATIONAL AND PERSONNEL POLICIES (TRANSFERRED TO 10A NCAC 09 .0514) RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. This training is free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-90 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 0124-063L Visit Date: 1/25/2024 Number Present: 49 Completed Date: 1/25/2024 Age: From 0 To 5 Total Minutes: 130 Time In: 11:20 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s complaint follow up visit was to monitor for staff/child ratio, and supervision which was observed, cited and documented during my complaint visit on 1-18-24, (Lead Consultant Marcia Humphrey accompanied me on the visit that day) as well as to verify correction of violations documented on 1-18-24. Kaye Adkins licensing supervisor accompanied me on today’s visit. Today, we confirmed that staff/child ratio, and supervision requirements, were in compliance. We also observed activity plans, menus, attendance sheets, staff time sheets, kitchen supplies, children eating lunch and sleep charts for the month of January in the infant classroom. As stated in the 1-18-24 visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date (2-1-24). At the time of today’s visit, a compliance letter had not been received. Today, I verified correction of all 3 violations cited on 1/18/24. Any violations requiring additional time for correction must be addressed immediately to ensure a safe environment for the children in your care. All staff present during today’s visit had a qualifying letter. It was confirmed by the director and observed on documents that one staff member had been working with children and training in the facility without a qualifying letter even though previously the director stated that the staff member had not been working or been in the facility due to not having a qualifying letter. Technical assistance (TA) was documented in the visit summary for 1/18/24 visit. Three violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A actvity plan was not current for the infant and two year old classroom. GS 110-91(12); .0508(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. Cargivers did not document complaince with visually checking on infants aged 12 months or younger and documents were not maintained for 1/22-1/25 2024. .0606(g) 1041 Prior to employment a Criminal Background Check was not completed. A indivual was training/working in the facility without a criminal background check since at least in December 2023. Staff attendace sheets,actvity plans and sleep charts were observed with that staff members name and intials on them.The staff members name was on a activity plan dated 12/18/23. The stafff members intials were on sleep charts dated 1/8/24-1/19/24. G.S. 110-90.2(b) The violation(s) documented must be corrected immediately. On or before 2-1-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Before today’s visit the facilities compliance, history is at 84%. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. This training is free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
GS 110-91 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 0124-063L Visit Date: 1/25/2024 Number Present: 49 Completed Date: 1/25/2024 Age: From 0 To 5 Total Minutes: 130 Time In: 11:20 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s complaint follow up visit was to monitor for staff/child ratio, and supervision which was observed, cited and documented during my complaint visit on 1-18-24, (Lead Consultant Marcia Humphrey accompanied me on the visit that day) as well as to verify correction of violations documented on 1-18-24. Kaye Adkins licensing supervisor accompanied me on today’s visit. Today, we confirmed that staff/child ratio, and supervision requirements, were in compliance. We also observed activity plans, menus, attendance sheets, staff time sheets, kitchen supplies, children eating lunch and sleep charts for the month of January in the infant classroom. As stated in the 1-18-24 visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date (2-1-24). At the time of today’s visit, a compliance letter had not been received. Today, I verified correction of all 3 violations cited on 1/18/24. Any violations requiring additional time for correction must be addressed immediately to ensure a safe environment for the children in your care. All staff present during today’s visit had a qualifying letter. It was confirmed by the director and observed on documents that one staff member had been working with children and training in the facility without a qualifying letter even though previously the director stated that the staff member had not been working or been in the facility due to not having a qualifying letter. Technical assistance (TA) was documented in the visit summary for 1/18/24 visit. Three violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A actvity plan was not current for the infant and two year old classroom. GS 110-91(12); .0508(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. Cargivers did not document complaince with visually checking on infants aged 12 months or younger and documents were not maintained for 1/22-1/25 2024. .0606(g) 1041 Prior to employment a Criminal Background Check was not completed. A indivual was training/working in the facility without a criminal background check since at least in December 2023. Staff attendace sheets,actvity plans and sleep charts were observed with that staff members name and intials on them.The staff members name was on a activity plan dated 12/18/23. The stafff members intials were on sleep charts dated 1/8/24-1/19/24. G.S. 110-90.2(b) The violation(s) documented must be corrected immediately. On or before 2-1-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Before today’s visit the facilities compliance, history is at 84%. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. This training is free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
NC GS 110-90 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 0124-063L Visit Date: 1/25/2024 Number Present: 49 Completed Date: 1/25/2024 Age: From 0 To 5 Total Minutes: 130 Time In: 11:20 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s complaint follow up visit was to monitor for staff/child ratio, and supervision which was observed, cited and documented during my complaint visit on 1-18-24, (Lead Consultant Marcia Humphrey accompanied me on the visit that day) as well as to verify correction of violations documented on 1-18-24. Kaye Adkins licensing supervisor accompanied me on today’s visit. Today, we confirmed that staff/child ratio, and supervision requirements, were in compliance. We also observed activity plans, menus, attendance sheets, staff time sheets, kitchen supplies, children eating lunch and sleep charts for the month of January in the infant classroom. As stated in the 1-18-24 visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date (2-1-24). At the time of today’s visit, a compliance letter had not been received. Today, I verified correction of all 3 violations cited on 1/18/24. Any violations requiring additional time for correction must be addressed immediately to ensure a safe environment for the children in your care. All staff present during today’s visit had a qualifying letter. It was confirmed by the director and observed on documents that one staff member had been working with children and training in the facility without a qualifying letter even though previously the director stated that the staff member had not been working or been in the facility due to not having a qualifying letter. Technical assistance (TA) was documented in the visit summary for 1/18/24 visit. Three violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A actvity plan was not current for the infant and two year old classroom. GS 110-91(12); .0508(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. Cargivers did not document complaince with visually checking on infants aged 12 months or younger and documents were not maintained for 1/22-1/25 2024. .0606(g) 1041 Prior to employment a Criminal Background Check was not completed. A indivual was training/working in the facility without a criminal background check since at least in December 2023. Staff attendace sheets,actvity plans and sleep charts were observed with that staff members name and intials on them.The staff members name was on a activity plan dated 12/18/23. The stafff members intials were on sleep charts dated 1/8/24-1/19/24. G.S. 110-90.2(b) The violation(s) documented must be corrected immediately. On or before 2-1-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Before today’s visit the facilities compliance, history is at 84%. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. This training is free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0302 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 0124-063L Visit Date: 1/18/2024 Number Present: 39 Completed Date: 1/18/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 08:15 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 1-9-24. Marcia Humprey Lead, Child Care Consultant accompanied me during today’s visit. When we arrived at the facility, the Director Rhonda Durham was present and assisted us during today’s visit. Limited monitoring of childcare requirements occurred during today’s visit. We monitored supervision, staff/child ratio, adequate /approved space, license posted and restrictions, attendance records, menus, and nutritional requirements. During today’s visit we discussed the allegations, and the director and staff were given an opportunity to provide information surrounding the allegations. Allegation # 1: There is a concern that the posted staff/child ratios are not being followed, especially in the early morning hours. Interview: During today’s visit the facility teaching staff were interviewed. According to several staff members the staff/child ratios are not always maintained. Several staff members stated that the classrooms are out of ratio for over an hour on some days. According to staff, the director and owner tell staff to lie or give false information to the state licensing consultants when they ask questions. According to staff the owner will call the facility when the director isn’t there and ask whoever answers the phone to walk around and get numbers, knowing that this will cause staff to have to leave their classrooms out of ratio. According to the owner and director they do not tell the staff what or what not to say. Based on the documentation provided by the owner, the owner stated they openly tell the staff not to be afraid and answer questions to the best of their ability and if they are caught telling untruthful things it will jeopardize their job and credibility. According to the director, the staff/child ratios are always being met throughout the day. However, the Director also stated that if she is not present at the facility or if there aren’t enough staff to maintain staff/child ratios the staff members know to call her or the owner. The director stated that she will leave the other facility (PresleyBrooke) if she needs to (which is 6 minutes away) to come help the facility maintain ratio. The director stated that some staff do not understand the staff child ratios, and that each classroom has a staff enrollment sheet which shows staff how to maintain ratio and that she is overstaffed. Observation: During today’s visit: Space 1 had two teachers with nine children. The youngest child was 1 year of age. Space 2 had two teachers with seven children. The youngest child was under 1 year of age. Space 3 had one teacher with seven children. The youngest child was 1 year of age. This space was out of ratio for approximately 15 minutes starting at 8:50am. This is a violation. Space 4 had two teachers with ten children. The youngest child was 2 years of age. Space 5 had one teacher with 11 children. The youngest child was 3 years of age. This space was out of ratio from approximately 8:42am-9:38am. This is a violation. This space has a 2-year-old on enrollment with children ages three- to five-year-olds. The Director stated that the two-year-old child’s name might have been put on the in error. However, the child’s name was on the roll during today's visit. Staff members have stated that 2-year children are mixed with 3–5-year-olds children for more than just the 1st and last hour of the day. During today’s visit the Director did shift children to try and maintain child/staff ratio in the classrooms. However, 2 rooms were out of ratio when we arrived, and children kept arriving causing staff/child ratio to not be maintained for different times during the visit. When the visit ended the classrooms were in ratio. The Director also sent documentation via email stating that three staff members who were scheduled to arrive at work on 1/18/24 had no calls no shows. The two staff members were to arrive at 7:30am and the one at 8:00am did not show up for work. The fourth staff member scheduled to arrive at work at 9:00am was late and did not call to inform the facility. The Director stated in her documentation that in the event of staff call outs creating ratio issues they will close classrooms or turn away children to maintain the safety of the children. Children being turned away was not observed during today’s visit. CONCLUSION: Based on information received from the Director, staff and observations, the finding regarding this allegation is Substantiated. Allegation # 2: There is a concern of inadequate supervision. Interview: According to several staff members there is a child that constantly runs out of the classroom. According to staff members on 1/8/24 a child ran out the classroom and down the hallway 3 times within a five-minute time span. Staff members stated that typically only one teacher is in the room and that the teacher must leave the classroom unsupervised to run after the child. According to staff members, the director or another staff member isn’t always available to run after the child when he/she runs out causing the child to be unsupervised until someone can assist. The Director confirmed that there is a child who actively opens the door and runs down the hall. According to the Director if the child runs out into the hall the teacher will call for help and a staff member or herself will redirect the child to the classroom. According to the director and the owner they have spoken to the parents of the child and a plan is in place. Observation: During today’s visit we did not observe any concerns of inadequate supervision, however staff members admitted that staff have had to leave the children unsupervised to run behind a child that does leave the room and the child has left the room and gone down the hall to the toddler classroom. CONCLUSION: Based on information received from the Director and staff, the finding regarding this allegation is Substantiated. Allegation # 3 There is a concern that snacks do not meet nutritional requirements. According to a staff member the children get portions of food based off the state regulations and the age of children. The staff member also stated that if supplies are getting low, she lets the director know at least 2 days in advance. Several staff members stated that snacks are brought to the classroom and the teachers will serve the children snack. However, some staff members stated that they were told to only serve the children 2 crackers for an afternoon snack. According to some staff members the facility often runs out of supplies, cups, gloves, and paper towels. According to staff sometimes expired milk is provided to serve to children. According to one staff member expired milk is not served to children and if milk is expired it is thrown away. According to the staff the food served to the children is cold and served in very small portions. According to the director the facility is always stocked on a weekly basis and the facility has more than enough food and supplies. According to the director the cook serves children based off the food and nutrition program guidelines. The Director stated that they follow a 2-component food program. Am and pm snack. Milk and one other component, no juice is served. Observation: During today’s visit I did observe morning snack being eaten by the children and I observed the menu. However, afternoon snack was not observed during today’s visit. CONCLUSION: Based on information received from the Director and my observations, the finding regarding this allegation is unsubstantiated. Additional Information: Also, according to staff, the heat was out in the infant classroom until 2:00pm. According to the staff they wanted the director to contact the parents to make them aware of the situation. According to staff the director refused. According to the staff, the temperature in the infant classroom was the same as the temperature outside that day, approximately 30 degrees. The Director stated that the heat went out on 1/5/24 and that maintenance was called to come out immediately. The director stated that the issue was fixed within 45 minutes. The director stated in her documentation that the protocol is to contact parents and apprise them of the situation. According to the director, in the interview she stated that she contacts the parents and gives them the choice to determine if they would like to pick their child up until the issue is fixed. The Director stated that the heat was flowing through the rest of the building and that the temperature never went below 69 degrees. The owner stated in her documentation that the heater did go out in one room on 1/11/24 and it was reported to maintenance asap. The owner stated that if maintenance couldn’t fix the issue, then they would have closed that side of the building. The owner and the director stated two differnt dates for the heat being out. I was determined that the date was 1/5/24. During today’s visit the infant classroom had heat. Addtional Information regarding allegations: According to staff member some staff members are hired and working at the facility without all the required paperwork and or a qualifying criminal background letter from NCDHHS/DCDEE. All staff members present during the 1/18/24 visit was looked up in the ABCMS portal. Those staff members had qualifying letters; however, it wasn’t determined if the qualifying letters were received before or after the staff started employment. One staff member who was on the staff log wasn’t present during today’s visit. This staff member did not have a qualifying letter in the ABCMS portal. According to several staff members the staff member who doesn’t have a qualifying letter has been working for at least 2 months. The staff stated that the staff member may not work every day, however she does come to work from 9am-6pm. According to the staff log I observed the staff member has been employed and a record of absence and tardy were recorded at least since 1/2/24. The director stated that this was an error. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. The minimum staff/child ratio and group sizes for the number of children in care were not met in space 3 and space 5.Space 3 had one teacher with seven children. The youngest child was 1 year of age. This space was out of ratio for approximately 15 minutes starting at 8:50am.Space 5 had one teacher with 11 children. The youngest child was 3 years of age. This space was out of ratio from approximately 8:42am-9:38am. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. Statements from staff determined that staff members have had to leave the children unsupervised in the classroom to run behind a child that does leave the room. This child has left the room and gone down the hall to the toddler classroom. .1801(a)(1-5) Two violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. The violation(s) documented must be corrected immediately. On or before 2-1-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Before today’s visit the facilities compliance, history is at 84%. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: Age of Children Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 12 to 24 Months 1/6 12 2 to 3 Years 1/10 20 3 to 4 Years 1/15 25 4 to 5 Years 1/20 25 5 Years and Older 1/25 25 (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean 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. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. SECTION .0900 - NUTRITION STANDARDS 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. When a private water supply is used, it must be tested by and meet the requirements of the Commission for Public Health as set forth in 15A NCAC 18A 2800. (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or lowfat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. (i) Food that does not meet the nutritional requirements specified in Paragraph (a) of this Rule, such as cupcakes, cakes, and donuts shall only be offered for special occasions such as holidays and birthdays. (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. (k) Parents shall be allowed to provide breast milk for their children. Accommodations for breastfeeding mothers shall be provided that include seating and an electrical outlet in a place other than a bathroom that is shielded from view by staff and the public which may be used by mothers while they are breastfeeding or expressing milk. 10A NCAC 09 .0903 REQUIREMENTS FOR CHILDREN AGED 15 MONTHS AND OLDER Meals and snacks shall be planned according to the number of hours a child is in the center. Children shall be provided a meal or snack a minimum of every four hours. 10A NCAC 09 .2216 AMOUNT OF CIVIL PENALTIES FOR CHILD CARE FACILITIES (a) The amount of the penalty assessed to an operator shall be based upon the following: (1) willful or negligent noncompliance by the operator; (2) extent of deviation from the rule or law; (3) evidence of effort to comply; (4) harm or risk of harm to children; and (5) any other factors relevant to the situation. (b) A separate penalty may be imposed for each violation. (c) A civil penalty in an amount up to one thousand dollars ($1,000) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) staff-child ratios; (B) adequate supervision of children; (C) transportation of children; (D) use of swimming pools and other swim areas; (E) administration of medication; (F) discipline, nurture, or care of children; or (G) medical action plan requirements; (2) Disapproved fire safety, building or sanitation inspection reports; (3) Exceeding licensed capacity of center, or use of unauthorized space; (4) Change of ownership or relocation of center without prior notification to the Division; (5) Determination of child maltreatment at the center as set forth in G.S. 110-105.3; (6) Willful, repeated noncompliance with any requirement; or (7) Denial of entry to a representative of the Department or Division. (d) A civil penalty in an amount up to five hundred dollars ($500.00) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) staff health requirements; (B) staff qualifications; (C) children's health requirements; (D) proper nutrition; (E) sanitation and personal hygiene practices; (F) indoor or outdoor space; (G) emergency medical plan; or (2) Failure to comply with a corrective action plan. (e) A civil penalty in an amount up to two hundred fifty dollars ($250.00) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) safe environment; (B) age-appropriate activities; or (C) staff development; (2) Failure to post current child care license or notice of compliance to operate a child care center; or (3) Failure to maintain records as set forth in Rule .2318 of this Chapter. 15A NCAC 18A .2826 LIGHTING AND THERMAL ENVIRONMENT (b) All rooms used by children shall be heated, cooled, and ventilated to maintain an ambient temperature between 65 degrees Fahrenheit and 85 degrees Fahrenheit. Ventilation may be in the form of openable windows with screens or by means of mechanical ventilation to the outside of the building. Windows and window treatments shall be kept clean and in good repair. All ventilation equipment, including air supply diffusers, return grilles, and fans shall be kept clean and in good repair. (c) Nothing in the rules of this Section shall require that outdoor storage buildings be wired with electricity or provided with heating and air conditioning. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (a) An application for a license for a child care center shall be submitted on the form provided by the Division, which may be found online at http://ncchildcare.ncdhhs.gov/PDF_forms/FacilityProfileApp.pdf. The application for a child care center license shall include the following information: (b) During the pre-licensing visits, the applicant or the operator shall be able to describe the plans for the daily program, including room arrangement, staffing patterns, equipment, and supplies, in sufficient detail to show that the center shall comply with applicable requirements for activities, equipment, and staff-child ratios for the capacity of the center and type of license requested. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION (d) Bulk food stored in a refrigerator shall be stored at 45 degrees Fahrenheit or below and stored in the child care center's kitchen or in an approved food preparation area equipped with a full-size refrigerator. Specialty bulk milk that is sent from home for consumption by a child while at the child care center may be stored as set forth in this Paragraph when the child's parent or guardian provides written permission and the specialty bulk milk is sent to the child care center at the beginning of each week unopened, labeled with the date received by the child care center, and labeled with the name of the child to whom the bulk specialty milk belongs. Any remaining bulk specialty milk shall be sent home at the end of the week with the child to whom the bulk specialty milk belongs. (j) The following shall apply to refrigerated storage of food: (1) Refrigeration equipment shall be provided in such number and of such capacity to ensure the maintenance of potentially hazardous food at the required temperatures during storage. Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. (2) Potentially hazardous food requiring refrigeration after preparation shall be cooled to an internal temperature of 45 degrees Fahrenheit or below. Cooling of potentially hazardous foods shall be initiated upon completion of the food preparation or hot storage. Methods such as pouring into pans, agitation, and chilling with ice or water circulation external to the food containers shall be used to cool potentially hazardous food. Potentially hazardous food that will be transported cold shall be prechilled and held at a temperature of 45 degrees Fahrenheit or below. SECTION .2700 - CRIMINAL BACKGROUND CHECKS 10A NCAC 09 .2701 SCOPE The rules in this Section shall apply to all child care providers as defined in G.S.110-90.2. The Division, in accordance with G.S.110-90.2, shall determine if an individual is a qualified child care provider. An individual may work or be present in any child care facility during the time the individual holds a valid qualification letter from the Division. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. This training is free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . At the completion of the visit, a handwritten visit was left with the director due to the nature of the visit and addtional investigation was needed. The report was reviewed with the dirctor on 1/23/24. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0713 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 0124-063L Visit Date: 1/18/2024 Number Present: 39 Completed Date: 1/18/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 08:15 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 1-9-24. Marcia Humprey Lead, Child Care Consultant accompanied me during today’s visit. When we arrived at the facility, the Director Rhonda Durham was present and assisted us during today’s visit. Limited monitoring of childcare requirements occurred during today’s visit. We monitored supervision, staff/child ratio, adequate /approved space, license posted and restrictions, attendance records, menus, and nutritional requirements. During today’s visit we discussed the allegations, and the director and staff were given an opportunity to provide information surrounding the allegations. Allegation # 1: There is a concern that the posted staff/child ratios are not being followed, especially in the early morning hours. Interview: During today’s visit the facility teaching staff were interviewed. According to several staff members the staff/child ratios are not always maintained. Several staff members stated that the classrooms are out of ratio for over an hour on some days. According to staff, the director and owner tell staff to lie or give false information to the state licensing consultants when they ask questions. According to staff the owner will call the facility when the director isn’t there and ask whoever answers the phone to walk around and get numbers, knowing that this will cause staff to have to leave their classrooms out of ratio. According to the owner and director they do not tell the staff what or what not to say. Based on the documentation provided by the owner, the owner stated they openly tell the staff not to be afraid and answer questions to the best of their ability and if they are caught telling untruthful things it will jeopardize their job and credibility. According to the director, the staff/child ratios are always being met throughout the day. However, the Director also stated that if she is not present at the facility or if there aren’t enough staff to maintain staff/child ratios the staff members know to call her or the owner. The director stated that she will leave the other facility (PresleyBrooke) if she needs to (which is 6 minutes away) to come help the facility maintain ratio. The director stated that some staff do not understand the staff child ratios, and that each classroom has a staff enrollment sheet which shows staff how to maintain ratio and that she is overstaffed. Observation: During today’s visit: Space 1 had two teachers with nine children. The youngest child was 1 year of age. Space 2 had two teachers with seven children. The youngest child was under 1 year of age. Space 3 had one teacher with seven children. The youngest child was 1 year of age. This space was out of ratio for approximately 15 minutes starting at 8:50am. This is a violation. Space 4 had two teachers with ten children. The youngest child was 2 years of age. Space 5 had one teacher with 11 children. The youngest child was 3 years of age. This space was out of ratio from approximately 8:42am-9:38am. This is a violation. This space has a 2-year-old on enrollment with children ages three- to five-year-olds. The Director stated that the two-year-old child’s name might have been put on the in error. However, the child’s name was on the roll during today's visit. Staff members have stated that 2-year children are mixed with 3–5-year-olds children for more than just the 1st and last hour of the day. During today’s visit the Director did shift children to try and maintain child/staff ratio in the classrooms. However, 2 rooms were out of ratio when we arrived, and children kept arriving causing staff/child ratio to not be maintained for different times during the visit. When the visit ended the classrooms were in ratio. The Director also sent documentation via email stating that three staff members who were scheduled to arrive at work on 1/18/24 had no calls no shows. The two staff members were to arrive at 7:30am and the one at 8:00am did not show up for work. The fourth staff member scheduled to arrive at work at 9:00am was late and did not call to inform the facility. The Director stated in her documentation that in the event of staff call outs creating ratio issues they will close classrooms or turn away children to maintain the safety of the children. Children being turned away was not observed during today’s visit. CONCLUSION: Based on information received from the Director, staff and observations, the finding regarding this allegation is Substantiated. Allegation # 2: There is a concern of inadequate supervision. Interview: According to several staff members there is a child that constantly runs out of the classroom. According to staff members on 1/8/24 a child ran out the classroom and down the hallway 3 times within a five-minute time span. Staff members stated that typically only one teacher is in the room and that the teacher must leave the classroom unsupervised to run after the child. According to staff members, the director or another staff member isn’t always available to run after the child when he/she runs out causing the child to be unsupervised until someone can assist. The Director confirmed that there is a child who actively opens the door and runs down the hall. According to the Director if the child runs out into the hall the teacher will call for help and a staff member or herself will redirect the child to the classroom. According to the director and the owner they have spoken to the parents of the child and a plan is in place. Observation: During today’s visit we did not observe any concerns of inadequate supervision, however staff members admitted that staff have had to leave the children unsupervised to run behind a child that does leave the room and the child has left the room and gone down the hall to the toddler classroom. CONCLUSION: Based on information received from the Director and staff, the finding regarding this allegation is Substantiated. Allegation # 3 There is a concern that snacks do not meet nutritional requirements. According to a staff member the children get portions of food based off the state regulations and the age of children. The staff member also stated that if supplies are getting low, she lets the director know at least 2 days in advance. Several staff members stated that snacks are brought to the classroom and the teachers will serve the children snack. However, some staff members stated that they were told to only serve the children 2 crackers for an afternoon snack. According to some staff members the facility often runs out of supplies, cups, gloves, and paper towels. According to staff sometimes expired milk is provided to serve to children. According to one staff member expired milk is not served to children and if milk is expired it is thrown away. According to the staff the food served to the children is cold and served in very small portions. According to the director the facility is always stocked on a weekly basis and the facility has more than enough food and supplies. According to the director the cook serves children based off the food and nutrition program guidelines. The Director stated that they follow a 2-component food program. Am and pm snack. Milk and one other component, no juice is served. Observation: During today’s visit I did observe morning snack being eaten by the children and I observed the menu. However, afternoon snack was not observed during today’s visit. CONCLUSION: Based on information received from the Director and my observations, the finding regarding this allegation is unsubstantiated. Additional Information: Also, according to staff, the heat was out in the infant classroom until 2:00pm. According to the staff they wanted the director to contact the parents to make them aware of the situation. According to staff the director refused. According to the staff, the temperature in the infant classroom was the same as the temperature outside that day, approximately 30 degrees. The Director stated that the heat went out on 1/5/24 and that maintenance was called to come out immediately. The director stated that the issue was fixed within 45 minutes. The director stated in her documentation that the protocol is to contact parents and apprise them of the situation. According to the director, in the interview she stated that she contacts the parents and gives them the choice to determine if they would like to pick their child up until the issue is fixed. The Director stated that the heat was flowing through the rest of the building and that the temperature never went below 69 degrees. The owner stated in her documentation that the heater did go out in one room on 1/11/24 and it was reported to maintenance asap. The owner stated that if maintenance couldn’t fix the issue, then they would have closed that side of the building. The owner and the director stated two differnt dates for the heat being out. I was determined that the date was 1/5/24. During today’s visit the infant classroom had heat. Addtional Information regarding allegations: According to staff member some staff members are hired and working at the facility without all the required paperwork and or a qualifying criminal background letter from NCDHHS/DCDEE. All staff members present during the 1/18/24 visit was looked up in the ABCMS portal. Those staff members had qualifying letters; however, it wasn’t determined if the qualifying letters were received before or after the staff started employment. One staff member who was on the staff log wasn’t present during today’s visit. This staff member did not have a qualifying letter in the ABCMS portal. According to several staff members the staff member who doesn’t have a qualifying letter has been working for at least 2 months. The staff stated that the staff member may not work every day, however she does come to work from 9am-6pm. According to the staff log I observed the staff member has been employed and a record of absence and tardy were recorded at least since 1/2/24. The director stated that this was an error. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. The minimum staff/child ratio and group sizes for the number of children in care were not met in space 3 and space 5.Space 3 had one teacher with seven children. The youngest child was 1 year of age. This space was out of ratio for approximately 15 minutes starting at 8:50am.Space 5 had one teacher with 11 children. The youngest child was 3 years of age. This space was out of ratio from approximately 8:42am-9:38am. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. Statements from staff determined that staff members have had to leave the children unsupervised in the classroom to run behind a child that does leave the room. This child has left the room and gone down the hall to the toddler classroom. .1801(a)(1-5) Two violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. The violation(s) documented must be corrected immediately. On or before 2-1-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Before today’s visit the facilities compliance, history is at 84%. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: Age of Children Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 12 to 24 Months 1/6 12 2 to 3 Years 1/10 20 3 to 4 Years 1/15 25 4 to 5 Years 1/20 25 5 Years and Older 1/25 25 (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean 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. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. SECTION .0900 - NUTRITION STANDARDS 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. When a private water supply is used, it must be tested by and meet the requirements of the Commission for Public Health as set forth in 15A NCAC 18A 2800. (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or lowfat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. (i) Food that does not meet the nutritional requirements specified in Paragraph (a) of this Rule, such as cupcakes, cakes, and donuts shall only be offered for special occasions such as holidays and birthdays. (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. (k) Parents shall be allowed to provide breast milk for their children. Accommodations for breastfeeding mothers shall be provided that include seating and an electrical outlet in a place other than a bathroom that is shielded from view by staff and the public which may be used by mothers while they are breastfeeding or expressing milk. 10A NCAC 09 .0903 REQUIREMENTS FOR CHILDREN AGED 15 MONTHS AND OLDER Meals and snacks shall be planned according to the number of hours a child is in the center. Children shall be provided a meal or snack a minimum of every four hours. 10A NCAC 09 .2216 AMOUNT OF CIVIL PENALTIES FOR CHILD CARE FACILITIES (a) The amount of the penalty assessed to an operator shall be based upon the following: (1) willful or negligent noncompliance by the operator; (2) extent of deviation from the rule or law; (3) evidence of effort to comply; (4) harm or risk of harm to children; and (5) any other factors relevant to the situation. (b) A separate penalty may be imposed for each violation. (c) A civil penalty in an amount up to one thousand dollars ($1,000) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) staff-child ratios; (B) adequate supervision of children; (C) transportation of children; (D) use of swimming pools and other swim areas; (E) administration of medication; (F) discipline, nurture, or care of children; or (G) medical action plan requirements; (2) Disapproved fire safety, building or sanitation inspection reports; (3) Exceeding licensed capacity of center, or use of unauthorized space; (4) Change of ownership or relocation of center without prior notification to the Division; (5) Determination of child maltreatment at the center as set forth in G.S. 110-105.3; (6) Willful, repeated noncompliance with any requirement; or (7) Denial of entry to a representative of the Department or Division. (d) A civil penalty in an amount up to five hundred dollars ($500.00) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) staff health requirements; (B) staff qualifications; (C) children's health requirements; (D) proper nutrition; (E) sanitation and personal hygiene practices; (F) indoor or outdoor space; (G) emergency medical plan; or (2) Failure to comply with a corrective action plan. (e) A civil penalty in an amount up to two hundred fifty dollars ($250.00) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) safe environment; (B) age-appropriate activities; or (C) staff development; (2) Failure to post current child care license or notice of compliance to operate a child care center; or (3) Failure to maintain records as set forth in Rule .2318 of this Chapter. 15A NCAC 18A .2826 LIGHTING AND THERMAL ENVIRONMENT (b) All rooms used by children shall be heated, cooled, and ventilated to maintain an ambient temperature between 65 degrees Fahrenheit and 85 degrees Fahrenheit. Ventilation may be in the form of openable windows with screens or by means of mechanical ventilation to the outside of the building. Windows and window treatments shall be kept clean and in good repair. All ventilation equipment, including air supply diffusers, return grilles, and fans shall be kept clean and in good repair. (c) Nothing in the rules of this Section shall require that outdoor storage buildings be wired with electricity or provided with heating and air conditioning. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (a) An application for a license for a child care center shall be submitted on the form provided by the Division, which may be found online at http://ncchildcare.ncdhhs.gov/PDF_forms/FacilityProfileApp.pdf. The application for a child care center license shall include the following information: (b) During the pre-licensing visits, the applicant or the operator shall be able to describe the plans for the daily program, including room arrangement, staffing patterns, equipment, and supplies, in sufficient detail to show that the center shall comply with applicable requirements for activities, equipment, and staff-child ratios for the capacity of the center and type of license requested. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION (d) Bulk food stored in a refrigerator shall be stored at 45 degrees Fahrenheit or below and stored in the child care center's kitchen or in an approved food preparation area equipped with a full-size refrigerator. Specialty bulk milk that is sent from home for consumption by a child while at the child care center may be stored as set forth in this Paragraph when the child's parent or guardian provides written permission and the specialty bulk milk is sent to the child care center at the beginning of each week unopened, labeled with the date received by the child care center, and labeled with the name of the child to whom the bulk specialty milk belongs. Any remaining bulk specialty milk shall be sent home at the end of the week with the child to whom the bulk specialty milk belongs. (j) The following shall apply to refrigerated storage of food: (1) Refrigeration equipment shall be provided in such number and of such capacity to ensure the maintenance of potentially hazardous food at the required temperatures during storage. Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. (2) Potentially hazardous food requiring refrigeration after preparation shall be cooled to an internal temperature of 45 degrees Fahrenheit or below. Cooling of potentially hazardous foods shall be initiated upon completion of the food preparation or hot storage. Methods such as pouring into pans, agitation, and chilling with ice or water circulation external to the food containers shall be used to cool potentially hazardous food. Potentially hazardous food that will be transported cold shall be prechilled and held at a temperature of 45 degrees Fahrenheit or below. SECTION .2700 - CRIMINAL BACKGROUND CHECKS 10A NCAC 09 .2701 SCOPE The rules in this Section shall apply to all child care providers as defined in G.S.110-90.2. The Division, in accordance with G.S.110-90.2, shall determine if an individual is a qualified child care provider. An individual may work or be present in any child care facility during the time the individual holds a valid qualification letter from the Division. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. This training is free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . At the completion of the visit, a handwritten visit was left with the director due to the nature of the visit and addtional investigation was needed. The report was reviewed with the dirctor on 1/23/24. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0901 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 0124-063L Visit Date: 1/18/2024 Number Present: 39 Completed Date: 1/18/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 08:15 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 1-9-24. Marcia Humprey Lead, Child Care Consultant accompanied me during today’s visit. When we arrived at the facility, the Director Rhonda Durham was present and assisted us during today’s visit. Limited monitoring of childcare requirements occurred during today’s visit. We monitored supervision, staff/child ratio, adequate /approved space, license posted and restrictions, attendance records, menus, and nutritional requirements. During today’s visit we discussed the allegations, and the director and staff were given an opportunity to provide information surrounding the allegations. Allegation # 1: There is a concern that the posted staff/child ratios are not being followed, especially in the early morning hours. Interview: During today’s visit the facility teaching staff were interviewed. According to several staff members the staff/child ratios are not always maintained. Several staff members stated that the classrooms are out of ratio for over an hour on some days. According to staff, the director and owner tell staff to lie or give false information to the state licensing consultants when they ask questions. According to staff the owner will call the facility when the director isn’t there and ask whoever answers the phone to walk around and get numbers, knowing that this will cause staff to have to leave their classrooms out of ratio. According to the owner and director they do not tell the staff what or what not to say. Based on the documentation provided by the owner, the owner stated they openly tell the staff not to be afraid and answer questions to the best of their ability and if they are caught telling untruthful things it will jeopardize their job and credibility. According to the director, the staff/child ratios are always being met throughout the day. However, the Director also stated that if she is not present at the facility or if there aren’t enough staff to maintain staff/child ratios the staff members know to call her or the owner. The director stated that she will leave the other facility (PresleyBrooke) if she needs to (which is 6 minutes away) to come help the facility maintain ratio. The director stated that some staff do not understand the staff child ratios, and that each classroom has a staff enrollment sheet which shows staff how to maintain ratio and that she is overstaffed. Observation: During today’s visit: Space 1 had two teachers with nine children. The youngest child was 1 year of age. Space 2 had two teachers with seven children. The youngest child was under 1 year of age. Space 3 had one teacher with seven children. The youngest child was 1 year of age. This space was out of ratio for approximately 15 minutes starting at 8:50am. This is a violation. Space 4 had two teachers with ten children. The youngest child was 2 years of age. Space 5 had one teacher with 11 children. The youngest child was 3 years of age. This space was out of ratio from approximately 8:42am-9:38am. This is a violation. This space has a 2-year-old on enrollment with children ages three- to five-year-olds. The Director stated that the two-year-old child’s name might have been put on the in error. However, the child’s name was on the roll during today's visit. Staff members have stated that 2-year children are mixed with 3–5-year-olds children for more than just the 1st and last hour of the day. During today’s visit the Director did shift children to try and maintain child/staff ratio in the classrooms. However, 2 rooms were out of ratio when we arrived, and children kept arriving causing staff/child ratio to not be maintained for different times during the visit. When the visit ended the classrooms were in ratio. The Director also sent documentation via email stating that three staff members who were scheduled to arrive at work on 1/18/24 had no calls no shows. The two staff members were to arrive at 7:30am and the one at 8:00am did not show up for work. The fourth staff member scheduled to arrive at work at 9:00am was late and did not call to inform the facility. The Director stated in her documentation that in the event of staff call outs creating ratio issues they will close classrooms or turn away children to maintain the safety of the children. Children being turned away was not observed during today’s visit. CONCLUSION: Based on information received from the Director, staff and observations, the finding regarding this allegation is Substantiated. Allegation # 2: There is a concern of inadequate supervision. Interview: According to several staff members there is a child that constantly runs out of the classroom. According to staff members on 1/8/24 a child ran out the classroom and down the hallway 3 times within a five-minute time span. Staff members stated that typically only one teacher is in the room and that the teacher must leave the classroom unsupervised to run after the child. According to staff members, the director or another staff member isn’t always available to run after the child when he/she runs out causing the child to be unsupervised until someone can assist. The Director confirmed that there is a child who actively opens the door and runs down the hall. According to the Director if the child runs out into the hall the teacher will call for help and a staff member or herself will redirect the child to the classroom. According to the director and the owner they have spoken to the parents of the child and a plan is in place. Observation: During today’s visit we did not observe any concerns of inadequate supervision, however staff members admitted that staff have had to leave the children unsupervised to run behind a child that does leave the room and the child has left the room and gone down the hall to the toddler classroom. CONCLUSION: Based on information received from the Director and staff, the finding regarding this allegation is Substantiated. Allegation # 3 There is a concern that snacks do not meet nutritional requirements. According to a staff member the children get portions of food based off the state regulations and the age of children. The staff member also stated that if supplies are getting low, she lets the director know at least 2 days in advance. Several staff members stated that snacks are brought to the classroom and the teachers will serve the children snack. However, some staff members stated that they were told to only serve the children 2 crackers for an afternoon snack. According to some staff members the facility often runs out of supplies, cups, gloves, and paper towels. According to staff sometimes expired milk is provided to serve to children. According to one staff member expired milk is not served to children and if milk is expired it is thrown away. According to the staff the food served to the children is cold and served in very small portions. According to the director the facility is always stocked on a weekly basis and the facility has more than enough food and supplies. According to the director the cook serves children based off the food and nutrition program guidelines. The Director stated that they follow a 2-component food program. Am and pm snack. Milk and one other component, no juice is served. Observation: During today’s visit I did observe morning snack being eaten by the children and I observed the menu. However, afternoon snack was not observed during today’s visit. CONCLUSION: Based on information received from the Director and my observations, the finding regarding this allegation is unsubstantiated. Additional Information: Also, according to staff, the heat was out in the infant classroom until 2:00pm. According to the staff they wanted the director to contact the parents to make them aware of the situation. According to staff the director refused. According to the staff, the temperature in the infant classroom was the same as the temperature outside that day, approximately 30 degrees. The Director stated that the heat went out on 1/5/24 and that maintenance was called to come out immediately. The director stated that the issue was fixed within 45 minutes. The director stated in her documentation that the protocol is to contact parents and apprise them of the situation. According to the director, in the interview she stated that she contacts the parents and gives them the choice to determine if they would like to pick their child up until the issue is fixed. The Director stated that the heat was flowing through the rest of the building and that the temperature never went below 69 degrees. The owner stated in her documentation that the heater did go out in one room on 1/11/24 and it was reported to maintenance asap. The owner stated that if maintenance couldn’t fix the issue, then they would have closed that side of the building. The owner and the director stated two differnt dates for the heat being out. I was determined that the date was 1/5/24. During today’s visit the infant classroom had heat. Addtional Information regarding allegations: According to staff member some staff members are hired and working at the facility without all the required paperwork and or a qualifying criminal background letter from NCDHHS/DCDEE. All staff members present during the 1/18/24 visit was looked up in the ABCMS portal. Those staff members had qualifying letters; however, it wasn’t determined if the qualifying letters were received before or after the staff started employment. One staff member who was on the staff log wasn’t present during today’s visit. This staff member did not have a qualifying letter in the ABCMS portal. According to several staff members the staff member who doesn’t have a qualifying letter has been working for at least 2 months. The staff stated that the staff member may not work every day, however she does come to work from 9am-6pm. According to the staff log I observed the staff member has been employed and a record of absence and tardy were recorded at least since 1/2/24. The director stated that this was an error. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. The minimum staff/child ratio and group sizes for the number of children in care were not met in space 3 and space 5.Space 3 had one teacher with seven children. The youngest child was 1 year of age. This space was out of ratio for approximately 15 minutes starting at 8:50am.Space 5 had one teacher with 11 children. The youngest child was 3 years of age. This space was out of ratio from approximately 8:42am-9:38am. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. Statements from staff determined that staff members have had to leave the children unsupervised in the classroom to run behind a child that does leave the room. This child has left the room and gone down the hall to the toddler classroom. .1801(a)(1-5) Two violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. The violation(s) documented must be corrected immediately. On or before 2-1-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Before today’s visit the facilities compliance, history is at 84%. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: Age of Children Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 12 to 24 Months 1/6 12 2 to 3 Years 1/10 20 3 to 4 Years 1/15 25 4 to 5 Years 1/20 25 5 Years and Older 1/25 25 (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean 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. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. SECTION .0900 - NUTRITION STANDARDS 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. When a private water supply is used, it must be tested by and meet the requirements of the Commission for Public Health as set forth in 15A NCAC 18A 2800. (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or lowfat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. (i) Food that does not meet the nutritional requirements specified in Paragraph (a) of this Rule, such as cupcakes, cakes, and donuts shall only be offered for special occasions such as holidays and birthdays. (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. (k) Parents shall be allowed to provide breast milk for their children. Accommodations for breastfeeding mothers shall be provided that include seating and an electrical outlet in a place other than a bathroom that is shielded from view by staff and the public which may be used by mothers while they are breastfeeding or expressing milk. 10A NCAC 09 .0903 REQUIREMENTS FOR CHILDREN AGED 15 MONTHS AND OLDER Meals and snacks shall be planned according to the number of hours a child is in the center. Children shall be provided a meal or snack a minimum of every four hours. 10A NCAC 09 .2216 AMOUNT OF CIVIL PENALTIES FOR CHILD CARE FACILITIES (a) The amount of the penalty assessed to an operator shall be based upon the following: (1) willful or negligent noncompliance by the operator; (2) extent of deviation from the rule or law; (3) evidence of effort to comply; (4) harm or risk of harm to children; and (5) any other factors relevant to the situation. (b) A separate penalty may be imposed for each violation. (c) A civil penalty in an amount up to one thousand dollars ($1,000) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) staff-child ratios; (B) adequate supervision of children; (C) transportation of children; (D) use of swimming pools and other swim areas; (E) administration of medication; (F) discipline, nurture, or care of children; or (G) medical action plan requirements; (2) Disapproved fire safety, building or sanitation inspection reports; (3) Exceeding licensed capacity of center, or use of unauthorized space; (4) Change of ownership or relocation of center without prior notification to the Division; (5) Determination of child maltreatment at the center as set forth in G.S. 110-105.3; (6) Willful, repeated noncompliance with any requirement; or (7) Denial of entry to a representative of the Department or Division. (d) A civil penalty in an amount up to five hundred dollars ($500.00) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) staff health requirements; (B) staff qualifications; (C) children's health requirements; (D) proper nutrition; (E) sanitation and personal hygiene practices; (F) indoor or outdoor space; (G) emergency medical plan; or (2) Failure to comply with a corrective action plan. (e) A civil penalty in an amount up to two hundred fifty dollars ($250.00) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) safe environment; (B) age-appropriate activities; or (C) staff development; (2) Failure to post current child care license or notice of compliance to operate a child care center; or (3) Failure to maintain records as set forth in Rule .2318 of this Chapter. 15A NCAC 18A .2826 LIGHTING AND THERMAL ENVIRONMENT (b) All rooms used by children shall be heated, cooled, and ventilated to maintain an ambient temperature between 65 degrees Fahrenheit and 85 degrees Fahrenheit. Ventilation may be in the form of openable windows with screens or by means of mechanical ventilation to the outside of the building. Windows and window treatments shall be kept clean and in good repair. All ventilation equipment, including air supply diffusers, return grilles, and fans shall be kept clean and in good repair. (c) Nothing in the rules of this Section shall require that outdoor storage buildings be wired with electricity or provided with heating and air conditioning. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (a) An application for a license for a child care center shall be submitted on the form provided by the Division, which may be found online at http://ncchildcare.ncdhhs.gov/PDF_forms/FacilityProfileApp.pdf. The application for a child care center license shall include the following information: (b) During the pre-licensing visits, the applicant or the operator shall be able to describe the plans for the daily program, including room arrangement, staffing patterns, equipment, and supplies, in sufficient detail to show that the center shall comply with applicable requirements for activities, equipment, and staff-child ratios for the capacity of the center and type of license requested. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION (d) Bulk food stored in a refrigerator shall be stored at 45 degrees Fahrenheit or below and stored in the child care center's kitchen or in an approved food preparation area equipped with a full-size refrigerator. Specialty bulk milk that is sent from home for consumption by a child while at the child care center may be stored as set forth in this Paragraph when the child's parent or guardian provides written permission and the specialty bulk milk is sent to the child care center at the beginning of each week unopened, labeled with the date received by the child care center, and labeled with the name of the child to whom the bulk specialty milk belongs. Any remaining bulk specialty milk shall be sent home at the end of the week with the child to whom the bulk specialty milk belongs. (j) The following shall apply to refrigerated storage of food: (1) Refrigeration equipment shall be provided in such number and of such capacity to ensure the maintenance of potentially hazardous food at the required temperatures during storage. Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. (2) Potentially hazardous food requiring refrigeration after preparation shall be cooled to an internal temperature of 45 degrees Fahrenheit or below. Cooling of potentially hazardous foods shall be initiated upon completion of the food preparation or hot storage. Methods such as pouring into pans, agitation, and chilling with ice or water circulation external to the food containers shall be used to cool potentially hazardous food. Potentially hazardous food that will be transported cold shall be prechilled and held at a temperature of 45 degrees Fahrenheit or below. SECTION .2700 - CRIMINAL BACKGROUND CHECKS 10A NCAC 09 .2701 SCOPE The rules in this Section shall apply to all child care providers as defined in G.S.110-90.2. The Division, in accordance with G.S.110-90.2, shall determine if an individual is a qualified child care provider. An individual may work or be present in any child care facility during the time the individual holds a valid qualification letter from the Division. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. This training is free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . At the completion of the visit, a handwritten visit was left with the director due to the nature of the visit and addtional investigation was needed. The report was reviewed with the dirctor on 1/23/24. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0903 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 0124-063L Visit Date: 1/18/2024 Number Present: 39 Completed Date: 1/18/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 08:15 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 1-9-24. Marcia Humprey Lead, Child Care Consultant accompanied me during today’s visit. When we arrived at the facility, the Director Rhonda Durham was present and assisted us during today’s visit. Limited monitoring of childcare requirements occurred during today’s visit. We monitored supervision, staff/child ratio, adequate /approved space, license posted and restrictions, attendance records, menus, and nutritional requirements. During today’s visit we discussed the allegations, and the director and staff were given an opportunity to provide information surrounding the allegations. Allegation # 1: There is a concern that the posted staff/child ratios are not being followed, especially in the early morning hours. Interview: During today’s visit the facility teaching staff were interviewed. According to several staff members the staff/child ratios are not always maintained. Several staff members stated that the classrooms are out of ratio for over an hour on some days. According to staff, the director and owner tell staff to lie or give false information to the state licensing consultants when they ask questions. According to staff the owner will call the facility when the director isn’t there and ask whoever answers the phone to walk around and get numbers, knowing that this will cause staff to have to leave their classrooms out of ratio. According to the owner and director they do not tell the staff what or what not to say. Based on the documentation provided by the owner, the owner stated they openly tell the staff not to be afraid and answer questions to the best of their ability and if they are caught telling untruthful things it will jeopardize their job and credibility. According to the director, the staff/child ratios are always being met throughout the day. However, the Director also stated that if she is not present at the facility or if there aren’t enough staff to maintain staff/child ratios the staff members know to call her or the owner. The director stated that she will leave the other facility (PresleyBrooke) if she needs to (which is 6 minutes away) to come help the facility maintain ratio. The director stated that some staff do not understand the staff child ratios, and that each classroom has a staff enrollment sheet which shows staff how to maintain ratio and that she is overstaffed. Observation: During today’s visit: Space 1 had two teachers with nine children. The youngest child was 1 year of age. Space 2 had two teachers with seven children. The youngest child was under 1 year of age. Space 3 had one teacher with seven children. The youngest child was 1 year of age. This space was out of ratio for approximately 15 minutes starting at 8:50am. This is a violation. Space 4 had two teachers with ten children. The youngest child was 2 years of age. Space 5 had one teacher with 11 children. The youngest child was 3 years of age. This space was out of ratio from approximately 8:42am-9:38am. This is a violation. This space has a 2-year-old on enrollment with children ages three- to five-year-olds. The Director stated that the two-year-old child’s name might have been put on the in error. However, the child’s name was on the roll during today's visit. Staff members have stated that 2-year children are mixed with 3–5-year-olds children for more than just the 1st and last hour of the day. During today’s visit the Director did shift children to try and maintain child/staff ratio in the classrooms. However, 2 rooms were out of ratio when we arrived, and children kept arriving causing staff/child ratio to not be maintained for different times during the visit. When the visit ended the classrooms were in ratio. The Director also sent documentation via email stating that three staff members who were scheduled to arrive at work on 1/18/24 had no calls no shows. The two staff members were to arrive at 7:30am and the one at 8:00am did not show up for work. The fourth staff member scheduled to arrive at work at 9:00am was late and did not call to inform the facility. The Director stated in her documentation that in the event of staff call outs creating ratio issues they will close classrooms or turn away children to maintain the safety of the children. Children being turned away was not observed during today’s visit. CONCLUSION: Based on information received from the Director, staff and observations, the finding regarding this allegation is Substantiated. Allegation # 2: There is a concern of inadequate supervision. Interview: According to several staff members there is a child that constantly runs out of the classroom. According to staff members on 1/8/24 a child ran out the classroom and down the hallway 3 times within a five-minute time span. Staff members stated that typically only one teacher is in the room and that the teacher must leave the classroom unsupervised to run after the child. According to staff members, the director or another staff member isn’t always available to run after the child when he/she runs out causing the child to be unsupervised until someone can assist. The Director confirmed that there is a child who actively opens the door and runs down the hall. According to the Director if the child runs out into the hall the teacher will call for help and a staff member or herself will redirect the child to the classroom. According to the director and the owner they have spoken to the parents of the child and a plan is in place. Observation: During today’s visit we did not observe any concerns of inadequate supervision, however staff members admitted that staff have had to leave the children unsupervised to run behind a child that does leave the room and the child has left the room and gone down the hall to the toddler classroom. CONCLUSION: Based on information received from the Director and staff, the finding regarding this allegation is Substantiated. Allegation # 3 There is a concern that snacks do not meet nutritional requirements. According to a staff member the children get portions of food based off the state regulations and the age of children. The staff member also stated that if supplies are getting low, she lets the director know at least 2 days in advance. Several staff members stated that snacks are brought to the classroom and the teachers will serve the children snack. However, some staff members stated that they were told to only serve the children 2 crackers for an afternoon snack. According to some staff members the facility often runs out of supplies, cups, gloves, and paper towels. According to staff sometimes expired milk is provided to serve to children. According to one staff member expired milk is not served to children and if milk is expired it is thrown away. According to the staff the food served to the children is cold and served in very small portions. According to the director the facility is always stocked on a weekly basis and the facility has more than enough food and supplies. According to the director the cook serves children based off the food and nutrition program guidelines. The Director stated that they follow a 2-component food program. Am and pm snack. Milk and one other component, no juice is served. Observation: During today’s visit I did observe morning snack being eaten by the children and I observed the menu. However, afternoon snack was not observed during today’s visit. CONCLUSION: Based on information received from the Director and my observations, the finding regarding this allegation is unsubstantiated. Additional Information: Also, according to staff, the heat was out in the infant classroom until 2:00pm. According to the staff they wanted the director to contact the parents to make them aware of the situation. According to staff the director refused. According to the staff, the temperature in the infant classroom was the same as the temperature outside that day, approximately 30 degrees. The Director stated that the heat went out on 1/5/24 and that maintenance was called to come out immediately. The director stated that the issue was fixed within 45 minutes. The director stated in her documentation that the protocol is to contact parents and apprise them of the situation. According to the director, in the interview she stated that she contacts the parents and gives them the choice to determine if they would like to pick their child up until the issue is fixed. The Director stated that the heat was flowing through the rest of the building and that the temperature never went below 69 degrees. The owner stated in her documentation that the heater did go out in one room on 1/11/24 and it was reported to maintenance asap. The owner stated that if maintenance couldn’t fix the issue, then they would have closed that side of the building. The owner and the director stated two differnt dates for the heat being out. I was determined that the date was 1/5/24. During today’s visit the infant classroom had heat. Addtional Information regarding allegations: According to staff member some staff members are hired and working at the facility without all the required paperwork and or a qualifying criminal background letter from NCDHHS/DCDEE. All staff members present during the 1/18/24 visit was looked up in the ABCMS portal. Those staff members had qualifying letters; however, it wasn’t determined if the qualifying letters were received before or after the staff started employment. One staff member who was on the staff log wasn’t present during today’s visit. This staff member did not have a qualifying letter in the ABCMS portal. According to several staff members the staff member who doesn’t have a qualifying letter has been working for at least 2 months. The staff stated that the staff member may not work every day, however she does come to work from 9am-6pm. According to the staff log I observed the staff member has been employed and a record of absence and tardy were recorded at least since 1/2/24. The director stated that this was an error. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. The minimum staff/child ratio and group sizes for the number of children in care were not met in space 3 and space 5.Space 3 had one teacher with seven children. The youngest child was 1 year of age. This space was out of ratio for approximately 15 minutes starting at 8:50am.Space 5 had one teacher with 11 children. The youngest child was 3 years of age. This space was out of ratio from approximately 8:42am-9:38am. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. Statements from staff determined that staff members have had to leave the children unsupervised in the classroom to run behind a child that does leave the room. This child has left the room and gone down the hall to the toddler classroom. .1801(a)(1-5) Two violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. The violation(s) documented must be corrected immediately. On or before 2-1-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Before today’s visit the facilities compliance, history is at 84%. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: Age of Children Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 12 to 24 Months 1/6 12 2 to 3 Years 1/10 20 3 to 4 Years 1/15 25 4 to 5 Years 1/20 25 5 Years and Older 1/25 25 (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean 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. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. SECTION .0900 - NUTRITION STANDARDS 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. When a private water supply is used, it must be tested by and meet the requirements of the Commission for Public Health as set forth in 15A NCAC 18A 2800. (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or lowfat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. (i) Food that does not meet the nutritional requirements specified in Paragraph (a) of this Rule, such as cupcakes, cakes, and donuts shall only be offered for special occasions such as holidays and birthdays. (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. (k) Parents shall be allowed to provide breast milk for their children. Accommodations for breastfeeding mothers shall be provided that include seating and an electrical outlet in a place other than a bathroom that is shielded from view by staff and the public which may be used by mothers while they are breastfeeding or expressing milk. 10A NCAC 09 .0903 REQUIREMENTS FOR CHILDREN AGED 15 MONTHS AND OLDER Meals and snacks shall be planned according to the number of hours a child is in the center. Children shall be provided a meal or snack a minimum of every four hours. 10A NCAC 09 .2216 AMOUNT OF CIVIL PENALTIES FOR CHILD CARE FACILITIES (a) The amount of the penalty assessed to an operator shall be based upon the following: (1) willful or negligent noncompliance by the operator; (2) extent of deviation from the rule or law; (3) evidence of effort to comply; (4) harm or risk of harm to children; and (5) any other factors relevant to the situation. (b) A separate penalty may be imposed for each violation. (c) A civil penalty in an amount up to one thousand dollars ($1,000) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) staff-child ratios; (B) adequate supervision of children; (C) transportation of children; (D) use of swimming pools and other swim areas; (E) administration of medication; (F) discipline, nurture, or care of children; or (G) medical action plan requirements; (2) Disapproved fire safety, building or sanitation inspection reports; (3) Exceeding licensed capacity of center, or use of unauthorized space; (4) Change of ownership or relocation of center without prior notification to the Division; (5) Determination of child maltreatment at the center as set forth in G.S. 110-105.3; (6) Willful, repeated noncompliance with any requirement; or (7) Denial of entry to a representative of the Department or Division. (d) A civil penalty in an amount up to five hundred dollars ($500.00) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) staff health requirements; (B) staff qualifications; (C) children's health requirements; (D) proper nutrition; (E) sanitation and personal hygiene practices; (F) indoor or outdoor space; (G) emergency medical plan; or (2) Failure to comply with a corrective action plan. (e) A civil penalty in an amount up to two hundred fifty dollars ($250.00) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) safe environment; (B) age-appropriate activities; or (C) staff development; (2) Failure to post current child care license or notice of compliance to operate a child care center; or (3) Failure to maintain records as set forth in Rule .2318 of this Chapter. 15A NCAC 18A .2826 LIGHTING AND THERMAL ENVIRONMENT (b) All rooms used by children shall be heated, cooled, and ventilated to maintain an ambient temperature between 65 degrees Fahrenheit and 85 degrees Fahrenheit. Ventilation may be in the form of openable windows with screens or by means of mechanical ventilation to the outside of the building. Windows and window treatments shall be kept clean and in good repair. All ventilation equipment, including air supply diffusers, return grilles, and fans shall be kept clean and in good repair. (c) Nothing in the rules of this Section shall require that outdoor storage buildings be wired with electricity or provided with heating and air conditioning. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (a) An application for a license for a child care center shall be submitted on the form provided by the Division, which may be found online at http://ncchildcare.ncdhhs.gov/PDF_forms/FacilityProfileApp.pdf. The application for a child care center license shall include the following information: (b) During the pre-licensing visits, the applicant or the operator shall be able to describe the plans for the daily program, including room arrangement, staffing patterns, equipment, and supplies, in sufficient detail to show that the center shall comply with applicable requirements for activities, equipment, and staff-child ratios for the capacity of the center and type of license requested. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION (d) Bulk food stored in a refrigerator shall be stored at 45 degrees Fahrenheit or below and stored in the child care center's kitchen or in an approved food preparation area equipped with a full-size refrigerator. Specialty bulk milk that is sent from home for consumption by a child while at the child care center may be stored as set forth in this Paragraph when the child's parent or guardian provides written permission and the specialty bulk milk is sent to the child care center at the beginning of each week unopened, labeled with the date received by the child care center, and labeled with the name of the child to whom the bulk specialty milk belongs. Any remaining bulk specialty milk shall be sent home at the end of the week with the child to whom the bulk specialty milk belongs. (j) The following shall apply to refrigerated storage of food: (1) Refrigeration equipment shall be provided in such number and of such capacity to ensure the maintenance of potentially hazardous food at the required temperatures during storage. Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. (2) Potentially hazardous food requiring refrigeration after preparation shall be cooled to an internal temperature of 45 degrees Fahrenheit or below. Cooling of potentially hazardous foods shall be initiated upon completion of the food preparation or hot storage. Methods such as pouring into pans, agitation, and chilling with ice or water circulation external to the food containers shall be used to cool potentially hazardous food. Potentially hazardous food that will be transported cold shall be prechilled and held at a temperature of 45 degrees Fahrenheit or below. SECTION .2700 - CRIMINAL BACKGROUND CHECKS 10A NCAC 09 .2701 SCOPE The rules in this Section shall apply to all child care providers as defined in G.S.110-90.2. The Division, in accordance with G.S.110-90.2, shall determine if an individual is a qualified child care provider. An individual may work or be present in any child care facility during the time the individual holds a valid qualification letter from the Division. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. This training is free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . At the completion of the visit, a handwritten visit was left with the director due to the nature of the visit and addtional investigation was needed. The report was reviewed with the dirctor on 1/23/24. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .1801 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 0124-063L Visit Date: 1/18/2024 Number Present: 39 Completed Date: 1/18/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 08:15 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 1-9-24. Marcia Humprey Lead, Child Care Consultant accompanied me during today’s visit. When we arrived at the facility, the Director Rhonda Durham was present and assisted us during today’s visit. Limited monitoring of childcare requirements occurred during today’s visit. We monitored supervision, staff/child ratio, adequate /approved space, license posted and restrictions, attendance records, menus, and nutritional requirements. During today’s visit we discussed the allegations, and the director and staff were given an opportunity to provide information surrounding the allegations. Allegation # 1: There is a concern that the posted staff/child ratios are not being followed, especially in the early morning hours. Interview: During today’s visit the facility teaching staff were interviewed. According to several staff members the staff/child ratios are not always maintained. Several staff members stated that the classrooms are out of ratio for over an hour on some days. According to staff, the director and owner tell staff to lie or give false information to the state licensing consultants when they ask questions. According to staff the owner will call the facility when the director isn’t there and ask whoever answers the phone to walk around and get numbers, knowing that this will cause staff to have to leave their classrooms out of ratio. According to the owner and director they do not tell the staff what or what not to say. Based on the documentation provided by the owner, the owner stated they openly tell the staff not to be afraid and answer questions to the best of their ability and if they are caught telling untruthful things it will jeopardize their job and credibility. According to the director, the staff/child ratios are always being met throughout the day. However, the Director also stated that if she is not present at the facility or if there aren’t enough staff to maintain staff/child ratios the staff members know to call her or the owner. The director stated that she will leave the other facility (PresleyBrooke) if she needs to (which is 6 minutes away) to come help the facility maintain ratio. The director stated that some staff do not understand the staff child ratios, and that each classroom has a staff enrollment sheet which shows staff how to maintain ratio and that she is overstaffed. Observation: During today’s visit: Space 1 had two teachers with nine children. The youngest child was 1 year of age. Space 2 had two teachers with seven children. The youngest child was under 1 year of age. Space 3 had one teacher with seven children. The youngest child was 1 year of age. This space was out of ratio for approximately 15 minutes starting at 8:50am. This is a violation. Space 4 had two teachers with ten children. The youngest child was 2 years of age. Space 5 had one teacher with 11 children. The youngest child was 3 years of age. This space was out of ratio from approximately 8:42am-9:38am. This is a violation. This space has a 2-year-old on enrollment with children ages three- to five-year-olds. The Director stated that the two-year-old child’s name might have been put on the in error. However, the child’s name was on the roll during today's visit. Staff members have stated that 2-year children are mixed with 3–5-year-olds children for more than just the 1st and last hour of the day. During today’s visit the Director did shift children to try and maintain child/staff ratio in the classrooms. However, 2 rooms were out of ratio when we arrived, and children kept arriving causing staff/child ratio to not be maintained for different times during the visit. When the visit ended the classrooms were in ratio. The Director also sent documentation via email stating that three staff members who were scheduled to arrive at work on 1/18/24 had no calls no shows. The two staff members were to arrive at 7:30am and the one at 8:00am did not show up for work. The fourth staff member scheduled to arrive at work at 9:00am was late and did not call to inform the facility. The Director stated in her documentation that in the event of staff call outs creating ratio issues they will close classrooms or turn away children to maintain the safety of the children. Children being turned away was not observed during today’s visit. CONCLUSION: Based on information received from the Director, staff and observations, the finding regarding this allegation is Substantiated. Allegation # 2: There is a concern of inadequate supervision. Interview: According to several staff members there is a child that constantly runs out of the classroom. According to staff members on 1/8/24 a child ran out the classroom and down the hallway 3 times within a five-minute time span. Staff members stated that typically only one teacher is in the room and that the teacher must leave the classroom unsupervised to run after the child. According to staff members, the director or another staff member isn’t always available to run after the child when he/she runs out causing the child to be unsupervised until someone can assist. The Director confirmed that there is a child who actively opens the door and runs down the hall. According to the Director if the child runs out into the hall the teacher will call for help and a staff member or herself will redirect the child to the classroom. According to the director and the owner they have spoken to the parents of the child and a plan is in place. Observation: During today’s visit we did not observe any concerns of inadequate supervision, however staff members admitted that staff have had to leave the children unsupervised to run behind a child that does leave the room and the child has left the room and gone down the hall to the toddler classroom. CONCLUSION: Based on information received from the Director and staff, the finding regarding this allegation is Substantiated. Allegation # 3 There is a concern that snacks do not meet nutritional requirements. According to a staff member the children get portions of food based off the state regulations and the age of children. The staff member also stated that if supplies are getting low, she lets the director know at least 2 days in advance. Several staff members stated that snacks are brought to the classroom and the teachers will serve the children snack. However, some staff members stated that they were told to only serve the children 2 crackers for an afternoon snack. According to some staff members the facility often runs out of supplies, cups, gloves, and paper towels. According to staff sometimes expired milk is provided to serve to children. According to one staff member expired milk is not served to children and if milk is expired it is thrown away. According to the staff the food served to the children is cold and served in very small portions. According to the director the facility is always stocked on a weekly basis and the facility has more than enough food and supplies. According to the director the cook serves children based off the food and nutrition program guidelines. The Director stated that they follow a 2-component food program. Am and pm snack. Milk and one other component, no juice is served. Observation: During today’s visit I did observe morning snack being eaten by the children and I observed the menu. However, afternoon snack was not observed during today’s visit. CONCLUSION: Based on information received from the Director and my observations, the finding regarding this allegation is unsubstantiated. Additional Information: Also, according to staff, the heat was out in the infant classroom until 2:00pm. According to the staff they wanted the director to contact the parents to make them aware of the situation. According to staff the director refused. According to the staff, the temperature in the infant classroom was the same as the temperature outside that day, approximately 30 degrees. The Director stated that the heat went out on 1/5/24 and that maintenance was called to come out immediately. The director stated that the issue was fixed within 45 minutes. The director stated in her documentation that the protocol is to contact parents and apprise them of the situation. According to the director, in the interview she stated that she contacts the parents and gives them the choice to determine if they would like to pick their child up until the issue is fixed. The Director stated that the heat was flowing through the rest of the building and that the temperature never went below 69 degrees. The owner stated in her documentation that the heater did go out in one room on 1/11/24 and it was reported to maintenance asap. The owner stated that if maintenance couldn’t fix the issue, then they would have closed that side of the building. The owner and the director stated two differnt dates for the heat being out. I was determined that the date was 1/5/24. During today’s visit the infant classroom had heat. Addtional Information regarding allegations: According to staff member some staff members are hired and working at the facility without all the required paperwork and or a qualifying criminal background letter from NCDHHS/DCDEE. All staff members present during the 1/18/24 visit was looked up in the ABCMS portal. Those staff members had qualifying letters; however, it wasn’t determined if the qualifying letters were received before or after the staff started employment. One staff member who was on the staff log wasn’t present during today’s visit. This staff member did not have a qualifying letter in the ABCMS portal. According to several staff members the staff member who doesn’t have a qualifying letter has been working for at least 2 months. The staff stated that the staff member may not work every day, however she does come to work from 9am-6pm. According to the staff log I observed the staff member has been employed and a record of absence and tardy were recorded at least since 1/2/24. The director stated that this was an error. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. The minimum staff/child ratio and group sizes for the number of children in care were not met in space 3 and space 5.Space 3 had one teacher with seven children. The youngest child was 1 year of age. This space was out of ratio for approximately 15 minutes starting at 8:50am.Space 5 had one teacher with 11 children. The youngest child was 3 years of age. This space was out of ratio from approximately 8:42am-9:38am. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. Statements from staff determined that staff members have had to leave the children unsupervised in the classroom to run behind a child that does leave the room. This child has left the room and gone down the hall to the toddler classroom. .1801(a)(1-5) Two violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. The violation(s) documented must be corrected immediately. On or before 2-1-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Before today’s visit the facilities compliance, history is at 84%. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: Age of Children Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 12 to 24 Months 1/6 12 2 to 3 Years 1/10 20 3 to 4 Years 1/15 25 4 to 5 Years 1/20 25 5 Years and Older 1/25 25 (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean 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. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. SECTION .0900 - NUTRITION STANDARDS 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. When a private water supply is used, it must be tested by and meet the requirements of the Commission for Public Health as set forth in 15A NCAC 18A 2800. (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or lowfat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. (i) Food that does not meet the nutritional requirements specified in Paragraph (a) of this Rule, such as cupcakes, cakes, and donuts shall only be offered for special occasions such as holidays and birthdays. (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. (k) Parents shall be allowed to provide breast milk for their children. Accommodations for breastfeeding mothers shall be provided that include seating and an electrical outlet in a place other than a bathroom that is shielded from view by staff and the public which may be used by mothers while they are breastfeeding or expressing milk. 10A NCAC 09 .0903 REQUIREMENTS FOR CHILDREN AGED 15 MONTHS AND OLDER Meals and snacks shall be planned according to the number of hours a child is in the center. Children shall be provided a meal or snack a minimum of every four hours. 10A NCAC 09 .2216 AMOUNT OF CIVIL PENALTIES FOR CHILD CARE FACILITIES (a) The amount of the penalty assessed to an operator shall be based upon the following: (1) willful or negligent noncompliance by the operator; (2) extent of deviation from the rule or law; (3) evidence of effort to comply; (4) harm or risk of harm to children; and (5) any other factors relevant to the situation. (b) A separate penalty may be imposed for each violation. (c) A civil penalty in an amount up to one thousand dollars ($1,000) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) staff-child ratios; (B) adequate supervision of children; (C) transportation of children; (D) use of swimming pools and other swim areas; (E) administration of medication; (F) discipline, nurture, or care of children; or (G) medical action plan requirements; (2) Disapproved fire safety, building or sanitation inspection reports; (3) Exceeding licensed capacity of center, or use of unauthorized space; (4) Change of ownership or relocation of center without prior notification to the Division; (5) Determination of child maltreatment at the center as set forth in G.S. 110-105.3; (6) Willful, repeated noncompliance with any requirement; or (7) Denial of entry to a representative of the Department or Division. (d) A civil penalty in an amount up to five hundred dollars ($500.00) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) staff health requirements; (B) staff qualifications; (C) children's health requirements; (D) proper nutrition; (E) sanitation and personal hygiene practices; (F) indoor or outdoor space; (G) emergency medical plan; or (2) Failure to comply with a corrective action plan. (e) A civil penalty in an amount up to two hundred fifty dollars ($250.00) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) safe environment; (B) age-appropriate activities; or (C) staff development; (2) Failure to post current child care license or notice of compliance to operate a child care center; or (3) Failure to maintain records as set forth in Rule .2318 of this Chapter. 15A NCAC 18A .2826 LIGHTING AND THERMAL ENVIRONMENT (b) All rooms used by children shall be heated, cooled, and ventilated to maintain an ambient temperature between 65 degrees Fahrenheit and 85 degrees Fahrenheit. Ventilation may be in the form of openable windows with screens or by means of mechanical ventilation to the outside of the building. Windows and window treatments shall be kept clean and in good repair. All ventilation equipment, including air supply diffusers, return grilles, and fans shall be kept clean and in good repair. (c) Nothing in the rules of this Section shall require that outdoor storage buildings be wired with electricity or provided with heating and air conditioning. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (a) An application for a license for a child care center shall be submitted on the form provided by the Division, which may be found online at http://ncchildcare.ncdhhs.gov/PDF_forms/FacilityProfileApp.pdf. The application for a child care center license shall include the following information: (b) During the pre-licensing visits, the applicant or the operator shall be able to describe the plans for the daily program, including room arrangement, staffing patterns, equipment, and supplies, in sufficient detail to show that the center shall comply with applicable requirements for activities, equipment, and staff-child ratios for the capacity of the center and type of license requested. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION (d) Bulk food stored in a refrigerator shall be stored at 45 degrees Fahrenheit or below and stored in the child care center's kitchen or in an approved food preparation area equipped with a full-size refrigerator. Specialty bulk milk that is sent from home for consumption by a child while at the child care center may be stored as set forth in this Paragraph when the child's parent or guardian provides written permission and the specialty bulk milk is sent to the child care center at the beginning of each week unopened, labeled with the date received by the child care center, and labeled with the name of the child to whom the bulk specialty milk belongs. Any remaining bulk specialty milk shall be sent home at the end of the week with the child to whom the bulk specialty milk belongs. (j) The following shall apply to refrigerated storage of food: (1) Refrigeration equipment shall be provided in such number and of such capacity to ensure the maintenance of potentially hazardous food at the required temperatures during storage. Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. (2) Potentially hazardous food requiring refrigeration after preparation shall be cooled to an internal temperature of 45 degrees Fahrenheit or below. Cooling of potentially hazardous foods shall be initiated upon completion of the food preparation or hot storage. Methods such as pouring into pans, agitation, and chilling with ice or water circulation external to the food containers shall be used to cool potentially hazardous food. Potentially hazardous food that will be transported cold shall be prechilled and held at a temperature of 45 degrees Fahrenheit or below. SECTION .2700 - CRIMINAL BACKGROUND CHECKS 10A NCAC 09 .2701 SCOPE The rules in this Section shall apply to all child care providers as defined in G.S.110-90.2. The Division, in accordance with G.S.110-90.2, shall determine if an individual is a qualified child care provider. An individual may work or be present in any child care facility during the time the individual holds a valid qualification letter from the Division. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. This training is free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . At the completion of the visit, a handwritten visit was left with the director due to the nature of the visit and addtional investigation was needed. The report was reviewed with the dirctor on 1/23/24. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .2216 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 0124-063L Visit Date: 1/18/2024 Number Present: 39 Completed Date: 1/18/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 08:15 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 1-9-24. Marcia Humprey Lead, Child Care Consultant accompanied me during today’s visit. When we arrived at the facility, the Director Rhonda Durham was present and assisted us during today’s visit. Limited monitoring of childcare requirements occurred during today’s visit. We monitored supervision, staff/child ratio, adequate /approved space, license posted and restrictions, attendance records, menus, and nutritional requirements. During today’s visit we discussed the allegations, and the director and staff were given an opportunity to provide information surrounding the allegations. Allegation # 1: There is a concern that the posted staff/child ratios are not being followed, especially in the early morning hours. Interview: During today’s visit the facility teaching staff were interviewed. According to several staff members the staff/child ratios are not always maintained. Several staff members stated that the classrooms are out of ratio for over an hour on some days. According to staff, the director and owner tell staff to lie or give false information to the state licensing consultants when they ask questions. According to staff the owner will call the facility when the director isn’t there and ask whoever answers the phone to walk around and get numbers, knowing that this will cause staff to have to leave their classrooms out of ratio. According to the owner and director they do not tell the staff what or what not to say. Based on the documentation provided by the owner, the owner stated they openly tell the staff not to be afraid and answer questions to the best of their ability and if they are caught telling untruthful things it will jeopardize their job and credibility. According to the director, the staff/child ratios are always being met throughout the day. However, the Director also stated that if she is not present at the facility or if there aren’t enough staff to maintain staff/child ratios the staff members know to call her or the owner. The director stated that she will leave the other facility (PresleyBrooke) if she needs to (which is 6 minutes away) to come help the facility maintain ratio. The director stated that some staff do not understand the staff child ratios, and that each classroom has a staff enrollment sheet which shows staff how to maintain ratio and that she is overstaffed. Observation: During today’s visit: Space 1 had two teachers with nine children. The youngest child was 1 year of age. Space 2 had two teachers with seven children. The youngest child was under 1 year of age. Space 3 had one teacher with seven children. The youngest child was 1 year of age. This space was out of ratio for approximately 15 minutes starting at 8:50am. This is a violation. Space 4 had two teachers with ten children. The youngest child was 2 years of age. Space 5 had one teacher with 11 children. The youngest child was 3 years of age. This space was out of ratio from approximately 8:42am-9:38am. This is a violation. This space has a 2-year-old on enrollment with children ages three- to five-year-olds. The Director stated that the two-year-old child’s name might have been put on the in error. However, the child’s name was on the roll during today's visit. Staff members have stated that 2-year children are mixed with 3–5-year-olds children for more than just the 1st and last hour of the day. During today’s visit the Director did shift children to try and maintain child/staff ratio in the classrooms. However, 2 rooms were out of ratio when we arrived, and children kept arriving causing staff/child ratio to not be maintained for different times during the visit. When the visit ended the classrooms were in ratio. The Director also sent documentation via email stating that three staff members who were scheduled to arrive at work on 1/18/24 had no calls no shows. The two staff members were to arrive at 7:30am and the one at 8:00am did not show up for work. The fourth staff member scheduled to arrive at work at 9:00am was late and did not call to inform the facility. The Director stated in her documentation that in the event of staff call outs creating ratio issues they will close classrooms or turn away children to maintain the safety of the children. Children being turned away was not observed during today’s visit. CONCLUSION: Based on information received from the Director, staff and observations, the finding regarding this allegation is Substantiated. Allegation # 2: There is a concern of inadequate supervision. Interview: According to several staff members there is a child that constantly runs out of the classroom. According to staff members on 1/8/24 a child ran out the classroom and down the hallway 3 times within a five-minute time span. Staff members stated that typically only one teacher is in the room and that the teacher must leave the classroom unsupervised to run after the child. According to staff members, the director or another staff member isn’t always available to run after the child when he/she runs out causing the child to be unsupervised until someone can assist. The Director confirmed that there is a child who actively opens the door and runs down the hall. According to the Director if the child runs out into the hall the teacher will call for help and a staff member or herself will redirect the child to the classroom. According to the director and the owner they have spoken to the parents of the child and a plan is in place. Observation: During today’s visit we did not observe any concerns of inadequate supervision, however staff members admitted that staff have had to leave the children unsupervised to run behind a child that does leave the room and the child has left the room and gone down the hall to the toddler classroom. CONCLUSION: Based on information received from the Director and staff, the finding regarding this allegation is Substantiated. Allegation # 3 There is a concern that snacks do not meet nutritional requirements. According to a staff member the children get portions of food based off the state regulations and the age of children. The staff member also stated that if supplies are getting low, she lets the director know at least 2 days in advance. Several staff members stated that snacks are brought to the classroom and the teachers will serve the children snack. However, some staff members stated that they were told to only serve the children 2 crackers for an afternoon snack. According to some staff members the facility often runs out of supplies, cups, gloves, and paper towels. According to staff sometimes expired milk is provided to serve to children. According to one staff member expired milk is not served to children and if milk is expired it is thrown away. According to the staff the food served to the children is cold and served in very small portions. According to the director the facility is always stocked on a weekly basis and the facility has more than enough food and supplies. According to the director the cook serves children based off the food and nutrition program guidelines. The Director stated that they follow a 2-component food program. Am and pm snack. Milk and one other component, no juice is served. Observation: During today’s visit I did observe morning snack being eaten by the children and I observed the menu. However, afternoon snack was not observed during today’s visit. CONCLUSION: Based on information received from the Director and my observations, the finding regarding this allegation is unsubstantiated. Additional Information: Also, according to staff, the heat was out in the infant classroom until 2:00pm. According to the staff they wanted the director to contact the parents to make them aware of the situation. According to staff the director refused. According to the staff, the temperature in the infant classroom was the same as the temperature outside that day, approximately 30 degrees. The Director stated that the heat went out on 1/5/24 and that maintenance was called to come out immediately. The director stated that the issue was fixed within 45 minutes. The director stated in her documentation that the protocol is to contact parents and apprise them of the situation. According to the director, in the interview she stated that she contacts the parents and gives them the choice to determine if they would like to pick their child up until the issue is fixed. The Director stated that the heat was flowing through the rest of the building and that the temperature never went below 69 degrees. The owner stated in her documentation that the heater did go out in one room on 1/11/24 and it was reported to maintenance asap. The owner stated that if maintenance couldn’t fix the issue, then they would have closed that side of the building. The owner and the director stated two differnt dates for the heat being out. I was determined that the date was 1/5/24. During today’s visit the infant classroom had heat. Addtional Information regarding allegations: According to staff member some staff members are hired and working at the facility without all the required paperwork and or a qualifying criminal background letter from NCDHHS/DCDEE. All staff members present during the 1/18/24 visit was looked up in the ABCMS portal. Those staff members had qualifying letters; however, it wasn’t determined if the qualifying letters were received before or after the staff started employment. One staff member who was on the staff log wasn’t present during today’s visit. This staff member did not have a qualifying letter in the ABCMS portal. According to several staff members the staff member who doesn’t have a qualifying letter has been working for at least 2 months. The staff stated that the staff member may not work every day, however she does come to work from 9am-6pm. According to the staff log I observed the staff member has been employed and a record of absence and tardy were recorded at least since 1/2/24. The director stated that this was an error. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. The minimum staff/child ratio and group sizes for the number of children in care were not met in space 3 and space 5.Space 3 had one teacher with seven children. The youngest child was 1 year of age. This space was out of ratio for approximately 15 minutes starting at 8:50am.Space 5 had one teacher with 11 children. The youngest child was 3 years of age. This space was out of ratio from approximately 8:42am-9:38am. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. Statements from staff determined that staff members have had to leave the children unsupervised in the classroom to run behind a child that does leave the room. This child has left the room and gone down the hall to the toddler classroom. .1801(a)(1-5) Two violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. The violation(s) documented must be corrected immediately. On or before 2-1-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Before today’s visit the facilities compliance, history is at 84%. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: Age of Children Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 12 to 24 Months 1/6 12 2 to 3 Years 1/10 20 3 to 4 Years 1/15 25 4 to 5 Years 1/20 25 5 Years and Older 1/25 25 (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean 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. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. SECTION .0900 - NUTRITION STANDARDS 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. When a private water supply is used, it must be tested by and meet the requirements of the Commission for Public Health as set forth in 15A NCAC 18A 2800. (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or lowfat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. (i) Food that does not meet the nutritional requirements specified in Paragraph (a) of this Rule, such as cupcakes, cakes, and donuts shall only be offered for special occasions such as holidays and birthdays. (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. (k) Parents shall be allowed to provide breast milk for their children. Accommodations for breastfeeding mothers shall be provided that include seating and an electrical outlet in a place other than a bathroom that is shielded from view by staff and the public which may be used by mothers while they are breastfeeding or expressing milk. 10A NCAC 09 .0903 REQUIREMENTS FOR CHILDREN AGED 15 MONTHS AND OLDER Meals and snacks shall be planned according to the number of hours a child is in the center. Children shall be provided a meal or snack a minimum of every four hours. 10A NCAC 09 .2216 AMOUNT OF CIVIL PENALTIES FOR CHILD CARE FACILITIES (a) The amount of the penalty assessed to an operator shall be based upon the following: (1) willful or negligent noncompliance by the operator; (2) extent of deviation from the rule or law; (3) evidence of effort to comply; (4) harm or risk of harm to children; and (5) any other factors relevant to the situation. (b) A separate penalty may be imposed for each violation. (c) A civil penalty in an amount up to one thousand dollars ($1,000) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) staff-child ratios; (B) adequate supervision of children; (C) transportation of children; (D) use of swimming pools and other swim areas; (E) administration of medication; (F) discipline, nurture, or care of children; or (G) medical action plan requirements; (2) Disapproved fire safety, building or sanitation inspection reports; (3) Exceeding licensed capacity of center, or use of unauthorized space; (4) Change of ownership or relocation of center without prior notification to the Division; (5) Determination of child maltreatment at the center as set forth in G.S. 110-105.3; (6) Willful, repeated noncompliance with any requirement; or (7) Denial of entry to a representative of the Department or Division. (d) A civil penalty in an amount up to five hundred dollars ($500.00) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) staff health requirements; (B) staff qualifications; (C) children's health requirements; (D) proper nutrition; (E) sanitation and personal hygiene practices; (F) indoor or outdoor space; (G) emergency medical plan; or (2) Failure to comply with a corrective action plan. (e) A civil penalty in an amount up to two hundred fifty dollars ($250.00) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) safe environment; (B) age-appropriate activities; or (C) staff development; (2) Failure to post current child care license or notice of compliance to operate a child care center; or (3) Failure to maintain records as set forth in Rule .2318 of this Chapter. 15A NCAC 18A .2826 LIGHTING AND THERMAL ENVIRONMENT (b) All rooms used by children shall be heated, cooled, and ventilated to maintain an ambient temperature between 65 degrees Fahrenheit and 85 degrees Fahrenheit. Ventilation may be in the form of openable windows with screens or by means of mechanical ventilation to the outside of the building. Windows and window treatments shall be kept clean and in good repair. All ventilation equipment, including air supply diffusers, return grilles, and fans shall be kept clean and in good repair. (c) Nothing in the rules of this Section shall require that outdoor storage buildings be wired with electricity or provided with heating and air conditioning. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (a) An application for a license for a child care center shall be submitted on the form provided by the Division, which may be found online at http://ncchildcare.ncdhhs.gov/PDF_forms/FacilityProfileApp.pdf. The application for a child care center license shall include the following information: (b) During the pre-licensing visits, the applicant or the operator shall be able to describe the plans for the daily program, including room arrangement, staffing patterns, equipment, and supplies, in sufficient detail to show that the center shall comply with applicable requirements for activities, equipment, and staff-child ratios for the capacity of the center and type of license requested. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION (d) Bulk food stored in a refrigerator shall be stored at 45 degrees Fahrenheit or below and stored in the child care center's kitchen or in an approved food preparation area equipped with a full-size refrigerator. Specialty bulk milk that is sent from home for consumption by a child while at the child care center may be stored as set forth in this Paragraph when the child's parent or guardian provides written permission and the specialty bulk milk is sent to the child care center at the beginning of each week unopened, labeled with the date received by the child care center, and labeled with the name of the child to whom the bulk specialty milk belongs. Any remaining bulk specialty milk shall be sent home at the end of the week with the child to whom the bulk specialty milk belongs. (j) The following shall apply to refrigerated storage of food: (1) Refrigeration equipment shall be provided in such number and of such capacity to ensure the maintenance of potentially hazardous food at the required temperatures during storage. Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. (2) Potentially hazardous food requiring refrigeration after preparation shall be cooled to an internal temperature of 45 degrees Fahrenheit or below. Cooling of potentially hazardous foods shall be initiated upon completion of the food preparation or hot storage. Methods such as pouring into pans, agitation, and chilling with ice or water circulation external to the food containers shall be used to cool potentially hazardous food. Potentially hazardous food that will be transported cold shall be prechilled and held at a temperature of 45 degrees Fahrenheit or below. SECTION .2700 - CRIMINAL BACKGROUND CHECKS 10A NCAC 09 .2701 SCOPE The rules in this Section shall apply to all child care providers as defined in G.S.110-90.2. The Division, in accordance with G.S.110-90.2, shall determine if an individual is a qualified child care provider. An individual may work or be present in any child care facility during the time the individual holds a valid qualification letter from the Division. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. This training is free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . At the completion of the visit, a handwritten visit was left with the director due to the nature of the visit and addtional investigation was needed. The report was reviewed with the dirctor on 1/23/24. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .2701 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 0124-063L Visit Date: 1/18/2024 Number Present: 39 Completed Date: 1/18/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 08:15 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 1-9-24. Marcia Humprey Lead, Child Care Consultant accompanied me during today’s visit. When we arrived at the facility, the Director Rhonda Durham was present and assisted us during today’s visit. Limited monitoring of childcare requirements occurred during today’s visit. We monitored supervision, staff/child ratio, adequate /approved space, license posted and restrictions, attendance records, menus, and nutritional requirements. During today’s visit we discussed the allegations, and the director and staff were given an opportunity to provide information surrounding the allegations. Allegation # 1: There is a concern that the posted staff/child ratios are not being followed, especially in the early morning hours. Interview: During today’s visit the facility teaching staff were interviewed. According to several staff members the staff/child ratios are not always maintained. Several staff members stated that the classrooms are out of ratio for over an hour on some days. According to staff, the director and owner tell staff to lie or give false information to the state licensing consultants when they ask questions. According to staff the owner will call the facility when the director isn’t there and ask whoever answers the phone to walk around and get numbers, knowing that this will cause staff to have to leave their classrooms out of ratio. According to the owner and director they do not tell the staff what or what not to say. Based on the documentation provided by the owner, the owner stated they openly tell the staff not to be afraid and answer questions to the best of their ability and if they are caught telling untruthful things it will jeopardize their job and credibility. According to the director, the staff/child ratios are always being met throughout the day. However, the Director also stated that if she is not present at the facility or if there aren’t enough staff to maintain staff/child ratios the staff members know to call her or the owner. The director stated that she will leave the other facility (PresleyBrooke) if she needs to (which is 6 minutes away) to come help the facility maintain ratio. The director stated that some staff do not understand the staff child ratios, and that each classroom has a staff enrollment sheet which shows staff how to maintain ratio and that she is overstaffed. Observation: During today’s visit: Space 1 had two teachers with nine children. The youngest child was 1 year of age. Space 2 had two teachers with seven children. The youngest child was under 1 year of age. Space 3 had one teacher with seven children. The youngest child was 1 year of age. This space was out of ratio for approximately 15 minutes starting at 8:50am. This is a violation. Space 4 had two teachers with ten children. The youngest child was 2 years of age. Space 5 had one teacher with 11 children. The youngest child was 3 years of age. This space was out of ratio from approximately 8:42am-9:38am. This is a violation. This space has a 2-year-old on enrollment with children ages three- to five-year-olds. The Director stated that the two-year-old child’s name might have been put on the in error. However, the child’s name was on the roll during today's visit. Staff members have stated that 2-year children are mixed with 3–5-year-olds children for more than just the 1st and last hour of the day. During today’s visit the Director did shift children to try and maintain child/staff ratio in the classrooms. However, 2 rooms were out of ratio when we arrived, and children kept arriving causing staff/child ratio to not be maintained for different times during the visit. When the visit ended the classrooms were in ratio. The Director also sent documentation via email stating that three staff members who were scheduled to arrive at work on 1/18/24 had no calls no shows. The two staff members were to arrive at 7:30am and the one at 8:00am did not show up for work. The fourth staff member scheduled to arrive at work at 9:00am was late and did not call to inform the facility. The Director stated in her documentation that in the event of staff call outs creating ratio issues they will close classrooms or turn away children to maintain the safety of the children. Children being turned away was not observed during today’s visit. CONCLUSION: Based on information received from the Director, staff and observations, the finding regarding this allegation is Substantiated. Allegation # 2: There is a concern of inadequate supervision. Interview: According to several staff members there is a child that constantly runs out of the classroom. According to staff members on 1/8/24 a child ran out the classroom and down the hallway 3 times within a five-minute time span. Staff members stated that typically only one teacher is in the room and that the teacher must leave the classroom unsupervised to run after the child. According to staff members, the director or another staff member isn’t always available to run after the child when he/she runs out causing the child to be unsupervised until someone can assist. The Director confirmed that there is a child who actively opens the door and runs down the hall. According to the Director if the child runs out into the hall the teacher will call for help and a staff member or herself will redirect the child to the classroom. According to the director and the owner they have spoken to the parents of the child and a plan is in place. Observation: During today’s visit we did not observe any concerns of inadequate supervision, however staff members admitted that staff have had to leave the children unsupervised to run behind a child that does leave the room and the child has left the room and gone down the hall to the toddler classroom. CONCLUSION: Based on information received from the Director and staff, the finding regarding this allegation is Substantiated. Allegation # 3 There is a concern that snacks do not meet nutritional requirements. According to a staff member the children get portions of food based off the state regulations and the age of children. The staff member also stated that if supplies are getting low, she lets the director know at least 2 days in advance. Several staff members stated that snacks are brought to the classroom and the teachers will serve the children snack. However, some staff members stated that they were told to only serve the children 2 crackers for an afternoon snack. According to some staff members the facility often runs out of supplies, cups, gloves, and paper towels. According to staff sometimes expired milk is provided to serve to children. According to one staff member expired milk is not served to children and if milk is expired it is thrown away. According to the staff the food served to the children is cold and served in very small portions. According to the director the facility is always stocked on a weekly basis and the facility has more than enough food and supplies. According to the director the cook serves children based off the food and nutrition program guidelines. The Director stated that they follow a 2-component food program. Am and pm snack. Milk and one other component, no juice is served. Observation: During today’s visit I did observe morning snack being eaten by the children and I observed the menu. However, afternoon snack was not observed during today’s visit. CONCLUSION: Based on information received from the Director and my observations, the finding regarding this allegation is unsubstantiated. Additional Information: Also, according to staff, the heat was out in the infant classroom until 2:00pm. According to the staff they wanted the director to contact the parents to make them aware of the situation. According to staff the director refused. According to the staff, the temperature in the infant classroom was the same as the temperature outside that day, approximately 30 degrees. The Director stated that the heat went out on 1/5/24 and that maintenance was called to come out immediately. The director stated that the issue was fixed within 45 minutes. The director stated in her documentation that the protocol is to contact parents and apprise them of the situation. According to the director, in the interview she stated that she contacts the parents and gives them the choice to determine if they would like to pick their child up until the issue is fixed. The Director stated that the heat was flowing through the rest of the building and that the temperature never went below 69 degrees. The owner stated in her documentation that the heater did go out in one room on 1/11/24 and it was reported to maintenance asap. The owner stated that if maintenance couldn’t fix the issue, then they would have closed that side of the building. The owner and the director stated two differnt dates for the heat being out. I was determined that the date was 1/5/24. During today’s visit the infant classroom had heat. Addtional Information regarding allegations: According to staff member some staff members are hired and working at the facility without all the required paperwork and or a qualifying criminal background letter from NCDHHS/DCDEE. All staff members present during the 1/18/24 visit was looked up in the ABCMS portal. Those staff members had qualifying letters; however, it wasn’t determined if the qualifying letters were received before or after the staff started employment. One staff member who was on the staff log wasn’t present during today’s visit. This staff member did not have a qualifying letter in the ABCMS portal. According to several staff members the staff member who doesn’t have a qualifying letter has been working for at least 2 months. The staff stated that the staff member may not work every day, however she does come to work from 9am-6pm. According to the staff log I observed the staff member has been employed and a record of absence and tardy were recorded at least since 1/2/24. The director stated that this was an error. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. The minimum staff/child ratio and group sizes for the number of children in care were not met in space 3 and space 5.Space 3 had one teacher with seven children. The youngest child was 1 year of age. This space was out of ratio for approximately 15 minutes starting at 8:50am.Space 5 had one teacher with 11 children. The youngest child was 3 years of age. This space was out of ratio from approximately 8:42am-9:38am. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. Statements from staff determined that staff members have had to leave the children unsupervised in the classroom to run behind a child that does leave the room. This child has left the room and gone down the hall to the toddler classroom. .1801(a)(1-5) Two violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. The violation(s) documented must be corrected immediately. On or before 2-1-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Before today’s visit the facilities compliance, history is at 84%. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: Age of Children Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 12 to 24 Months 1/6 12 2 to 3 Years 1/10 20 3 to 4 Years 1/15 25 4 to 5 Years 1/20 25 5 Years and Older 1/25 25 (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean 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. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. SECTION .0900 - NUTRITION STANDARDS 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. When a private water supply is used, it must be tested by and meet the requirements of the Commission for Public Health as set forth in 15A NCAC 18A 2800. (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or lowfat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. (i) Food that does not meet the nutritional requirements specified in Paragraph (a) of this Rule, such as cupcakes, cakes, and donuts shall only be offered for special occasions such as holidays and birthdays. (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. (k) Parents shall be allowed to provide breast milk for their children. Accommodations for breastfeeding mothers shall be provided that include seating and an electrical outlet in a place other than a bathroom that is shielded from view by staff and the public which may be used by mothers while they are breastfeeding or expressing milk. 10A NCAC 09 .0903 REQUIREMENTS FOR CHILDREN AGED 15 MONTHS AND OLDER Meals and snacks shall be planned according to the number of hours a child is in the center. Children shall be provided a meal or snack a minimum of every four hours. 10A NCAC 09 .2216 AMOUNT OF CIVIL PENALTIES FOR CHILD CARE FACILITIES (a) The amount of the penalty assessed to an operator shall be based upon the following: (1) willful or negligent noncompliance by the operator; (2) extent of deviation from the rule or law; (3) evidence of effort to comply; (4) harm or risk of harm to children; and (5) any other factors relevant to the situation. (b) A separate penalty may be imposed for each violation. (c) A civil penalty in an amount up to one thousand dollars ($1,000) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) staff-child ratios; (B) adequate supervision of children; (C) transportation of children; (D) use of swimming pools and other swim areas; (E) administration of medication; (F) discipline, nurture, or care of children; or (G) medical action plan requirements; (2) Disapproved fire safety, building or sanitation inspection reports; (3) Exceeding licensed capacity of center, or use of unauthorized space; (4) Change of ownership or relocation of center without prior notification to the Division; (5) Determination of child maltreatment at the center as set forth in G.S. 110-105.3; (6) Willful, repeated noncompliance with any requirement; or (7) Denial of entry to a representative of the Department or Division. (d) A civil penalty in an amount up to five hundred dollars ($500.00) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) staff health requirements; (B) staff qualifications; (C) children's health requirements; (D) proper nutrition; (E) sanitation and personal hygiene practices; (F) indoor or outdoor space; (G) emergency medical plan; or (2) Failure to comply with a corrective action plan. (e) A civil penalty in an amount up to two hundred fifty dollars ($250.00) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) safe environment; (B) age-appropriate activities; or (C) staff development; (2) Failure to post current child care license or notice of compliance to operate a child care center; or (3) Failure to maintain records as set forth in Rule .2318 of this Chapter. 15A NCAC 18A .2826 LIGHTING AND THERMAL ENVIRONMENT (b) All rooms used by children shall be heated, cooled, and ventilated to maintain an ambient temperature between 65 degrees Fahrenheit and 85 degrees Fahrenheit. Ventilation may be in the form of openable windows with screens or by means of mechanical ventilation to the outside of the building. Windows and window treatments shall be kept clean and in good repair. All ventilation equipment, including air supply diffusers, return grilles, and fans shall be kept clean and in good repair. (c) Nothing in the rules of this Section shall require that outdoor storage buildings be wired with electricity or provided with heating and air conditioning. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (a) An application for a license for a child care center shall be submitted on the form provided by the Division, which may be found online at http://ncchildcare.ncdhhs.gov/PDF_forms/FacilityProfileApp.pdf. The application for a child care center license shall include the following information: (b) During the pre-licensing visits, the applicant or the operator shall be able to describe the plans for the daily program, including room arrangement, staffing patterns, equipment, and supplies, in sufficient detail to show that the center shall comply with applicable requirements for activities, equipment, and staff-child ratios for the capacity of the center and type of license requested. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION (d) Bulk food stored in a refrigerator shall be stored at 45 degrees Fahrenheit or below and stored in the child care center's kitchen or in an approved food preparation area equipped with a full-size refrigerator. Specialty bulk milk that is sent from home for consumption by a child while at the child care center may be stored as set forth in this Paragraph when the child's parent or guardian provides written permission and the specialty bulk milk is sent to the child care center at the beginning of each week unopened, labeled with the date received by the child care center, and labeled with the name of the child to whom the bulk specialty milk belongs. Any remaining bulk specialty milk shall be sent home at the end of the week with the child to whom the bulk specialty milk belongs. (j) The following shall apply to refrigerated storage of food: (1) Refrigeration equipment shall be provided in such number and of such capacity to ensure the maintenance of potentially hazardous food at the required temperatures during storage. Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. (2) Potentially hazardous food requiring refrigeration after preparation shall be cooled to an internal temperature of 45 degrees Fahrenheit or below. Cooling of potentially hazardous foods shall be initiated upon completion of the food preparation or hot storage. Methods such as pouring into pans, agitation, and chilling with ice or water circulation external to the food containers shall be used to cool potentially hazardous food. Potentially hazardous food that will be transported cold shall be prechilled and held at a temperature of 45 degrees Fahrenheit or below. SECTION .2700 - CRIMINAL BACKGROUND CHECKS 10A NCAC 09 .2701 SCOPE The rules in this Section shall apply to all child care providers as defined in G.S.110-90.2. The Division, in accordance with G.S.110-90.2, shall determine if an individual is a qualified child care provider. An individual may work or be present in any child care facility during the time the individual holds a valid qualification letter from the Division. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. This training is free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . At the completion of the visit, a handwritten visit was left with the director due to the nature of the visit and addtional investigation was needed. The report was reviewed with the dirctor on 1/23/24. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-105 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 0124-063L Visit Date: 1/18/2024 Number Present: 39 Completed Date: 1/18/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 08:15 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 1-9-24. Marcia Humprey Lead, Child Care Consultant accompanied me during today’s visit. When we arrived at the facility, the Director Rhonda Durham was present and assisted us during today’s visit. Limited monitoring of childcare requirements occurred during today’s visit. We monitored supervision, staff/child ratio, adequate /approved space, license posted and restrictions, attendance records, menus, and nutritional requirements. During today’s visit we discussed the allegations, and the director and staff were given an opportunity to provide information surrounding the allegations. Allegation # 1: There is a concern that the posted staff/child ratios are not being followed, especially in the early morning hours. Interview: During today’s visit the facility teaching staff were interviewed. According to several staff members the staff/child ratios are not always maintained. Several staff members stated that the classrooms are out of ratio for over an hour on some days. According to staff, the director and owner tell staff to lie or give false information to the state licensing consultants when they ask questions. According to staff the owner will call the facility when the director isn’t there and ask whoever answers the phone to walk around and get numbers, knowing that this will cause staff to have to leave their classrooms out of ratio. According to the owner and director they do not tell the staff what or what not to say. Based on the documentation provided by the owner, the owner stated they openly tell the staff not to be afraid and answer questions to the best of their ability and if they are caught telling untruthful things it will jeopardize their job and credibility. According to the director, the staff/child ratios are always being met throughout the day. However, the Director also stated that if she is not present at the facility or if there aren’t enough staff to maintain staff/child ratios the staff members know to call her or the owner. The director stated that she will leave the other facility (PresleyBrooke) if she needs to (which is 6 minutes away) to come help the facility maintain ratio. The director stated that some staff do not understand the staff child ratios, and that each classroom has a staff enrollment sheet which shows staff how to maintain ratio and that she is overstaffed. Observation: During today’s visit: Space 1 had two teachers with nine children. The youngest child was 1 year of age. Space 2 had two teachers with seven children. The youngest child was under 1 year of age. Space 3 had one teacher with seven children. The youngest child was 1 year of age. This space was out of ratio for approximately 15 minutes starting at 8:50am. This is a violation. Space 4 had two teachers with ten children. The youngest child was 2 years of age. Space 5 had one teacher with 11 children. The youngest child was 3 years of age. This space was out of ratio from approximately 8:42am-9:38am. This is a violation. This space has a 2-year-old on enrollment with children ages three- to five-year-olds. The Director stated that the two-year-old child’s name might have been put on the in error. However, the child’s name was on the roll during today's visit. Staff members have stated that 2-year children are mixed with 3–5-year-olds children for more than just the 1st and last hour of the day. During today’s visit the Director did shift children to try and maintain child/staff ratio in the classrooms. However, 2 rooms were out of ratio when we arrived, and children kept arriving causing staff/child ratio to not be maintained for different times during the visit. When the visit ended the classrooms were in ratio. The Director also sent documentation via email stating that three staff members who were scheduled to arrive at work on 1/18/24 had no calls no shows. The two staff members were to arrive at 7:30am and the one at 8:00am did not show up for work. The fourth staff member scheduled to arrive at work at 9:00am was late and did not call to inform the facility. The Director stated in her documentation that in the event of staff call outs creating ratio issues they will close classrooms or turn away children to maintain the safety of the children. Children being turned away was not observed during today’s visit. CONCLUSION: Based on information received from the Director, staff and observations, the finding regarding this allegation is Substantiated. Allegation # 2: There is a concern of inadequate supervision. Interview: According to several staff members there is a child that constantly runs out of the classroom. According to staff members on 1/8/24 a child ran out the classroom and down the hallway 3 times within a five-minute time span. Staff members stated that typically only one teacher is in the room and that the teacher must leave the classroom unsupervised to run after the child. According to staff members, the director or another staff member isn’t always available to run after the child when he/she runs out causing the child to be unsupervised until someone can assist. The Director confirmed that there is a child who actively opens the door and runs down the hall. According to the Director if the child runs out into the hall the teacher will call for help and a staff member or herself will redirect the child to the classroom. According to the director and the owner they have spoken to the parents of the child and a plan is in place. Observation: During today’s visit we did not observe any concerns of inadequate supervision, however staff members admitted that staff have had to leave the children unsupervised to run behind a child that does leave the room and the child has left the room and gone down the hall to the toddler classroom. CONCLUSION: Based on information received from the Director and staff, the finding regarding this allegation is Substantiated. Allegation # 3 There is a concern that snacks do not meet nutritional requirements. According to a staff member the children get portions of food based off the state regulations and the age of children. The staff member also stated that if supplies are getting low, she lets the director know at least 2 days in advance. Several staff members stated that snacks are brought to the classroom and the teachers will serve the children snack. However, some staff members stated that they were told to only serve the children 2 crackers for an afternoon snack. According to some staff members the facility often runs out of supplies, cups, gloves, and paper towels. According to staff sometimes expired milk is provided to serve to children. According to one staff member expired milk is not served to children and if milk is expired it is thrown away. According to the staff the food served to the children is cold and served in very small portions. According to the director the facility is always stocked on a weekly basis and the facility has more than enough food and supplies. According to the director the cook serves children based off the food and nutrition program guidelines. The Director stated that they follow a 2-component food program. Am and pm snack. Milk and one other component, no juice is served. Observation: During today’s visit I did observe morning snack being eaten by the children and I observed the menu. However, afternoon snack was not observed during today’s visit. CONCLUSION: Based on information received from the Director and my observations, the finding regarding this allegation is unsubstantiated. Additional Information: Also, according to staff, the heat was out in the infant classroom until 2:00pm. According to the staff they wanted the director to contact the parents to make them aware of the situation. According to staff the director refused. According to the staff, the temperature in the infant classroom was the same as the temperature outside that day, approximately 30 degrees. The Director stated that the heat went out on 1/5/24 and that maintenance was called to come out immediately. The director stated that the issue was fixed within 45 minutes. The director stated in her documentation that the protocol is to contact parents and apprise them of the situation. According to the director, in the interview she stated that she contacts the parents and gives them the choice to determine if they would like to pick their child up until the issue is fixed. The Director stated that the heat was flowing through the rest of the building and that the temperature never went below 69 degrees. The owner stated in her documentation that the heater did go out in one room on 1/11/24 and it was reported to maintenance asap. The owner stated that if maintenance couldn’t fix the issue, then they would have closed that side of the building. The owner and the director stated two differnt dates for the heat being out. I was determined that the date was 1/5/24. During today’s visit the infant classroom had heat. Addtional Information regarding allegations: According to staff member some staff members are hired and working at the facility without all the required paperwork and or a qualifying criminal background letter from NCDHHS/DCDEE. All staff members present during the 1/18/24 visit was looked up in the ABCMS portal. Those staff members had qualifying letters; however, it wasn’t determined if the qualifying letters were received before or after the staff started employment. One staff member who was on the staff log wasn’t present during today’s visit. This staff member did not have a qualifying letter in the ABCMS portal. According to several staff members the staff member who doesn’t have a qualifying letter has been working for at least 2 months. The staff stated that the staff member may not work every day, however she does come to work from 9am-6pm. According to the staff log I observed the staff member has been employed and a record of absence and tardy were recorded at least since 1/2/24. The director stated that this was an error. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. The minimum staff/child ratio and group sizes for the number of children in care were not met in space 3 and space 5.Space 3 had one teacher with seven children. The youngest child was 1 year of age. This space was out of ratio for approximately 15 minutes starting at 8:50am.Space 5 had one teacher with 11 children. The youngest child was 3 years of age. This space was out of ratio from approximately 8:42am-9:38am. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. Statements from staff determined that staff members have had to leave the children unsupervised in the classroom to run behind a child that does leave the room. This child has left the room and gone down the hall to the toddler classroom. .1801(a)(1-5) Two violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. The violation(s) documented must be corrected immediately. On or before 2-1-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Before today’s visit the facilities compliance, history is at 84%. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: Age of Children Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 12 to 24 Months 1/6 12 2 to 3 Years 1/10 20 3 to 4 Years 1/15 25 4 to 5 Years 1/20 25 5 Years and Older 1/25 25 (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean 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. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. SECTION .0900 - NUTRITION STANDARDS 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. When a private water supply is used, it must be tested by and meet the requirements of the Commission for Public Health as set forth in 15A NCAC 18A 2800. (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or lowfat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. (i) Food that does not meet the nutritional requirements specified in Paragraph (a) of this Rule, such as cupcakes, cakes, and donuts shall only be offered for special occasions such as holidays and birthdays. (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. (k) Parents shall be allowed to provide breast milk for their children. Accommodations for breastfeeding mothers shall be provided that include seating and an electrical outlet in a place other than a bathroom that is shielded from view by staff and the public which may be used by mothers while they are breastfeeding or expressing milk. 10A NCAC 09 .0903 REQUIREMENTS FOR CHILDREN AGED 15 MONTHS AND OLDER Meals and snacks shall be planned according to the number of hours a child is in the center. Children shall be provided a meal or snack a minimum of every four hours. 10A NCAC 09 .2216 AMOUNT OF CIVIL PENALTIES FOR CHILD CARE FACILITIES (a) The amount of the penalty assessed to an operator shall be based upon the following: (1) willful or negligent noncompliance by the operator; (2) extent of deviation from the rule or law; (3) evidence of effort to comply; (4) harm or risk of harm to children; and (5) any other factors relevant to the situation. (b) A separate penalty may be imposed for each violation. (c) A civil penalty in an amount up to one thousand dollars ($1,000) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) staff-child ratios; (B) adequate supervision of children; (C) transportation of children; (D) use of swimming pools and other swim areas; (E) administration of medication; (F) discipline, nurture, or care of children; or (G) medical action plan requirements; (2) Disapproved fire safety, building or sanitation inspection reports; (3) Exceeding licensed capacity of center, or use of unauthorized space; (4) Change of ownership or relocation of center without prior notification to the Division; (5) Determination of child maltreatment at the center as set forth in G.S. 110-105.3; (6) Willful, repeated noncompliance with any requirement; or (7) Denial of entry to a representative of the Department or Division. (d) A civil penalty in an amount up to five hundred dollars ($500.00) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) staff health requirements; (B) staff qualifications; (C) children's health requirements; (D) proper nutrition; (E) sanitation and personal hygiene practices; (F) indoor or outdoor space; (G) emergency medical plan; or (2) Failure to comply with a corrective action plan. (e) A civil penalty in an amount up to two hundred fifty dollars ($250.00) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) safe environment; (B) age-appropriate activities; or (C) staff development; (2) Failure to post current child care license or notice of compliance to operate a child care center; or (3) Failure to maintain records as set forth in Rule .2318 of this Chapter. 15A NCAC 18A .2826 LIGHTING AND THERMAL ENVIRONMENT (b) All rooms used by children shall be heated, cooled, and ventilated to maintain an ambient temperature between 65 degrees Fahrenheit and 85 degrees Fahrenheit. Ventilation may be in the form of openable windows with screens or by means of mechanical ventilation to the outside of the building. Windows and window treatments shall be kept clean and in good repair. All ventilation equipment, including air supply diffusers, return grilles, and fans shall be kept clean and in good repair. (c) Nothing in the rules of this Section shall require that outdoor storage buildings be wired with electricity or provided with heating and air conditioning. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (a) An application for a license for a child care center shall be submitted on the form provided by the Division, which may be found online at http://ncchildcare.ncdhhs.gov/PDF_forms/FacilityProfileApp.pdf. The application for a child care center license shall include the following information: (b) During the pre-licensing visits, the applicant or the operator shall be able to describe the plans for the daily program, including room arrangement, staffing patterns, equipment, and supplies, in sufficient detail to show that the center shall comply with applicable requirements for activities, equipment, and staff-child ratios for the capacity of the center and type of license requested. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION (d) Bulk food stored in a refrigerator shall be stored at 45 degrees Fahrenheit or below and stored in the child care center's kitchen or in an approved food preparation area equipped with a full-size refrigerator. Specialty bulk milk that is sent from home for consumption by a child while at the child care center may be stored as set forth in this Paragraph when the child's parent or guardian provides written permission and the specialty bulk milk is sent to the child care center at the beginning of each week unopened, labeled with the date received by the child care center, and labeled with the name of the child to whom the bulk specialty milk belongs. Any remaining bulk specialty milk shall be sent home at the end of the week with the child to whom the bulk specialty milk belongs. (j) The following shall apply to refrigerated storage of food: (1) Refrigeration equipment shall be provided in such number and of such capacity to ensure the maintenance of potentially hazardous food at the required temperatures during storage. Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. (2) Potentially hazardous food requiring refrigeration after preparation shall be cooled to an internal temperature of 45 degrees Fahrenheit or below. Cooling of potentially hazardous foods shall be initiated upon completion of the food preparation or hot storage. Methods such as pouring into pans, agitation, and chilling with ice or water circulation external to the food containers shall be used to cool potentially hazardous food. Potentially hazardous food that will be transported cold shall be prechilled and held at a temperature of 45 degrees Fahrenheit or below. SECTION .2700 - CRIMINAL BACKGROUND CHECKS 10A NCAC 09 .2701 SCOPE The rules in this Section shall apply to all child care providers as defined in G.S.110-90.2. The Division, in accordance with G.S.110-90.2, shall determine if an individual is a qualified child care provider. An individual may work or be present in any child care facility during the time the individual holds a valid qualification letter from the Division. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. This training is free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . At the completion of the visit, a handwritten visit was left with the director due to the nature of the visit and addtional investigation was needed. The report was reviewed with the dirctor on 1/23/24. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-91 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 0124-063L Visit Date: 1/18/2024 Number Present: 39 Completed Date: 1/18/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 08:15 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 1-9-24. Marcia Humprey Lead, Child Care Consultant accompanied me during today’s visit. When we arrived at the facility, the Director Rhonda Durham was present and assisted us during today’s visit. Limited monitoring of childcare requirements occurred during today’s visit. We monitored supervision, staff/child ratio, adequate /approved space, license posted and restrictions, attendance records, menus, and nutritional requirements. During today’s visit we discussed the allegations, and the director and staff were given an opportunity to provide information surrounding the allegations. Allegation # 1: There is a concern that the posted staff/child ratios are not being followed, especially in the early morning hours. Interview: During today’s visit the facility teaching staff were interviewed. According to several staff members the staff/child ratios are not always maintained. Several staff members stated that the classrooms are out of ratio for over an hour on some days. According to staff, the director and owner tell staff to lie or give false information to the state licensing consultants when they ask questions. According to staff the owner will call the facility when the director isn’t there and ask whoever answers the phone to walk around and get numbers, knowing that this will cause staff to have to leave their classrooms out of ratio. According to the owner and director they do not tell the staff what or what not to say. Based on the documentation provided by the owner, the owner stated they openly tell the staff not to be afraid and answer questions to the best of their ability and if they are caught telling untruthful things it will jeopardize their job and credibility. According to the director, the staff/child ratios are always being met throughout the day. However, the Director also stated that if she is not present at the facility or if there aren’t enough staff to maintain staff/child ratios the staff members know to call her or the owner. The director stated that she will leave the other facility (PresleyBrooke) if she needs to (which is 6 minutes away) to come help the facility maintain ratio. The director stated that some staff do not understand the staff child ratios, and that each classroom has a staff enrollment sheet which shows staff how to maintain ratio and that she is overstaffed. Observation: During today’s visit: Space 1 had two teachers with nine children. The youngest child was 1 year of age. Space 2 had two teachers with seven children. The youngest child was under 1 year of age. Space 3 had one teacher with seven children. The youngest child was 1 year of age. This space was out of ratio for approximately 15 minutes starting at 8:50am. This is a violation. Space 4 had two teachers with ten children. The youngest child was 2 years of age. Space 5 had one teacher with 11 children. The youngest child was 3 years of age. This space was out of ratio from approximately 8:42am-9:38am. This is a violation. This space has a 2-year-old on enrollment with children ages three- to five-year-olds. The Director stated that the two-year-old child’s name might have been put on the in error. However, the child’s name was on the roll during today's visit. Staff members have stated that 2-year children are mixed with 3–5-year-olds children for more than just the 1st and last hour of the day. During today’s visit the Director did shift children to try and maintain child/staff ratio in the classrooms. However, 2 rooms were out of ratio when we arrived, and children kept arriving causing staff/child ratio to not be maintained for different times during the visit. When the visit ended the classrooms were in ratio. The Director also sent documentation via email stating that three staff members who were scheduled to arrive at work on 1/18/24 had no calls no shows. The two staff members were to arrive at 7:30am and the one at 8:00am did not show up for work. The fourth staff member scheduled to arrive at work at 9:00am was late and did not call to inform the facility. The Director stated in her documentation that in the event of staff call outs creating ratio issues they will close classrooms or turn away children to maintain the safety of the children. Children being turned away was not observed during today’s visit. CONCLUSION: Based on information received from the Director, staff and observations, the finding regarding this allegation is Substantiated. Allegation # 2: There is a concern of inadequate supervision. Interview: According to several staff members there is a child that constantly runs out of the classroom. According to staff members on 1/8/24 a child ran out the classroom and down the hallway 3 times within a five-minute time span. Staff members stated that typically only one teacher is in the room and that the teacher must leave the classroom unsupervised to run after the child. According to staff members, the director or another staff member isn’t always available to run after the child when he/she runs out causing the child to be unsupervised until someone can assist. The Director confirmed that there is a child who actively opens the door and runs down the hall. According to the Director if the child runs out into the hall the teacher will call for help and a staff member or herself will redirect the child to the classroom. According to the director and the owner they have spoken to the parents of the child and a plan is in place. Observation: During today’s visit we did not observe any concerns of inadequate supervision, however staff members admitted that staff have had to leave the children unsupervised to run behind a child that does leave the room and the child has left the room and gone down the hall to the toddler classroom. CONCLUSION: Based on information received from the Director and staff, the finding regarding this allegation is Substantiated. Allegation # 3 There is a concern that snacks do not meet nutritional requirements. According to a staff member the children get portions of food based off the state regulations and the age of children. The staff member also stated that if supplies are getting low, she lets the director know at least 2 days in advance. Several staff members stated that snacks are brought to the classroom and the teachers will serve the children snack. However, some staff members stated that they were told to only serve the children 2 crackers for an afternoon snack. According to some staff members the facility often runs out of supplies, cups, gloves, and paper towels. According to staff sometimes expired milk is provided to serve to children. According to one staff member expired milk is not served to children and if milk is expired it is thrown away. According to the staff the food served to the children is cold and served in very small portions. According to the director the facility is always stocked on a weekly basis and the facility has more than enough food and supplies. According to the director the cook serves children based off the food and nutrition program guidelines. The Director stated that they follow a 2-component food program. Am and pm snack. Milk and one other component, no juice is served. Observation: During today’s visit I did observe morning snack being eaten by the children and I observed the menu. However, afternoon snack was not observed during today’s visit. CONCLUSION: Based on information received from the Director and my observations, the finding regarding this allegation is unsubstantiated. Additional Information: Also, according to staff, the heat was out in the infant classroom until 2:00pm. According to the staff they wanted the director to contact the parents to make them aware of the situation. According to staff the director refused. According to the staff, the temperature in the infant classroom was the same as the temperature outside that day, approximately 30 degrees. The Director stated that the heat went out on 1/5/24 and that maintenance was called to come out immediately. The director stated that the issue was fixed within 45 minutes. The director stated in her documentation that the protocol is to contact parents and apprise them of the situation. According to the director, in the interview she stated that she contacts the parents and gives them the choice to determine if they would like to pick their child up until the issue is fixed. The Director stated that the heat was flowing through the rest of the building and that the temperature never went below 69 degrees. The owner stated in her documentation that the heater did go out in one room on 1/11/24 and it was reported to maintenance asap. The owner stated that if maintenance couldn’t fix the issue, then they would have closed that side of the building. The owner and the director stated two differnt dates for the heat being out. I was determined that the date was 1/5/24. During today’s visit the infant classroom had heat. Addtional Information regarding allegations: According to staff member some staff members are hired and working at the facility without all the required paperwork and or a qualifying criminal background letter from NCDHHS/DCDEE. All staff members present during the 1/18/24 visit was looked up in the ABCMS portal. Those staff members had qualifying letters; however, it wasn’t determined if the qualifying letters were received before or after the staff started employment. One staff member who was on the staff log wasn’t present during today’s visit. This staff member did not have a qualifying letter in the ABCMS portal. According to several staff members the staff member who doesn’t have a qualifying letter has been working for at least 2 months. The staff stated that the staff member may not work every day, however she does come to work from 9am-6pm. According to the staff log I observed the staff member has been employed and a record of absence and tardy were recorded at least since 1/2/24. The director stated that this was an error. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. The minimum staff/child ratio and group sizes for the number of children in care were not met in space 3 and space 5.Space 3 had one teacher with seven children. The youngest child was 1 year of age. This space was out of ratio for approximately 15 minutes starting at 8:50am.Space 5 had one teacher with 11 children. The youngest child was 3 years of age. This space was out of ratio from approximately 8:42am-9:38am. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. Statements from staff determined that staff members have had to leave the children unsupervised in the classroom to run behind a child that does leave the room. This child has left the room and gone down the hall to the toddler classroom. .1801(a)(1-5) Two violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. The violation(s) documented must be corrected immediately. On or before 2-1-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Before today’s visit the facilities compliance, history is at 84%. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: Age of Children Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 12 to 24 Months 1/6 12 2 to 3 Years 1/10 20 3 to 4 Years 1/15 25 4 to 5 Years 1/20 25 5 Years and Older 1/25 25 (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean 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. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. SECTION .0900 - NUTRITION STANDARDS 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. When a private water supply is used, it must be tested by and meet the requirements of the Commission for Public Health as set forth in 15A NCAC 18A 2800. (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or lowfat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. (i) Food that does not meet the nutritional requirements specified in Paragraph (a) of this Rule, such as cupcakes, cakes, and donuts shall only be offered for special occasions such as holidays and birthdays. (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. (k) Parents shall be allowed to provide breast milk for their children. Accommodations for breastfeeding mothers shall be provided that include seating and an electrical outlet in a place other than a bathroom that is shielded from view by staff and the public which may be used by mothers while they are breastfeeding or expressing milk. 10A NCAC 09 .0903 REQUIREMENTS FOR CHILDREN AGED 15 MONTHS AND OLDER Meals and snacks shall be planned according to the number of hours a child is in the center. Children shall be provided a meal or snack a minimum of every four hours. 10A NCAC 09 .2216 AMOUNT OF CIVIL PENALTIES FOR CHILD CARE FACILITIES (a) The amount of the penalty assessed to an operator shall be based upon the following: (1) willful or negligent noncompliance by the operator; (2) extent of deviation from the rule or law; (3) evidence of effort to comply; (4) harm or risk of harm to children; and (5) any other factors relevant to the situation. (b) A separate penalty may be imposed for each violation. (c) A civil penalty in an amount up to one thousand dollars ($1,000) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) staff-child ratios; (B) adequate supervision of children; (C) transportation of children; (D) use of swimming pools and other swim areas; (E) administration of medication; (F) discipline, nurture, or care of children; or (G) medical action plan requirements; (2) Disapproved fire safety, building or sanitation inspection reports; (3) Exceeding licensed capacity of center, or use of unauthorized space; (4) Change of ownership or relocation of center without prior notification to the Division; (5) Determination of child maltreatment at the center as set forth in G.S. 110-105.3; (6) Willful, repeated noncompliance with any requirement; or (7) Denial of entry to a representative of the Department or Division. (d) A civil penalty in an amount up to five hundred dollars ($500.00) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) staff health requirements; (B) staff qualifications; (C) children's health requirements; (D) proper nutrition; (E) sanitation and personal hygiene practices; (F) indoor or outdoor space; (G) emergency medical plan; or (2) Failure to comply with a corrective action plan. (e) A civil penalty in an amount up to two hundred fifty dollars ($250.00) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) safe environment; (B) age-appropriate activities; or (C) staff development; (2) Failure to post current child care license or notice of compliance to operate a child care center; or (3) Failure to maintain records as set forth in Rule .2318 of this Chapter. 15A NCAC 18A .2826 LIGHTING AND THERMAL ENVIRONMENT (b) All rooms used by children shall be heated, cooled, and ventilated to maintain an ambient temperature between 65 degrees Fahrenheit and 85 degrees Fahrenheit. Ventilation may be in the form of openable windows with screens or by means of mechanical ventilation to the outside of the building. Windows and window treatments shall be kept clean and in good repair. All ventilation equipment, including air supply diffusers, return grilles, and fans shall be kept clean and in good repair. (c) Nothing in the rules of this Section shall require that outdoor storage buildings be wired with electricity or provided with heating and air conditioning. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (a) An application for a license for a child care center shall be submitted on the form provided by the Division, which may be found online at http://ncchildcare.ncdhhs.gov/PDF_forms/FacilityProfileApp.pdf. The application for a child care center license shall include the following information: (b) During the pre-licensing visits, the applicant or the operator shall be able to describe the plans for the daily program, including room arrangement, staffing patterns, equipment, and supplies, in sufficient detail to show that the center shall comply with applicable requirements for activities, equipment, and staff-child ratios for the capacity of the center and type of license requested. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION (d) Bulk food stored in a refrigerator shall be stored at 45 degrees Fahrenheit or below and stored in the child care center's kitchen or in an approved food preparation area equipped with a full-size refrigerator. Specialty bulk milk that is sent from home for consumption by a child while at the child care center may be stored as set forth in this Paragraph when the child's parent or guardian provides written permission and the specialty bulk milk is sent to the child care center at the beginning of each week unopened, labeled with the date received by the child care center, and labeled with the name of the child to whom the bulk specialty milk belongs. Any remaining bulk specialty milk shall be sent home at the end of the week with the child to whom the bulk specialty milk belongs. (j) The following shall apply to refrigerated storage of food: (1) Refrigeration equipment shall be provided in such number and of such capacity to ensure the maintenance of potentially hazardous food at the required temperatures during storage. Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. (2) Potentially hazardous food requiring refrigeration after preparation shall be cooled to an internal temperature of 45 degrees Fahrenheit or below. Cooling of potentially hazardous foods shall be initiated upon completion of the food preparation or hot storage. Methods such as pouring into pans, agitation, and chilling with ice or water circulation external to the food containers shall be used to cool potentially hazardous food. Potentially hazardous food that will be transported cold shall be prechilled and held at a temperature of 45 degrees Fahrenheit or below. SECTION .2700 - CRIMINAL BACKGROUND CHECKS 10A NCAC 09 .2701 SCOPE The rules in this Section shall apply to all child care providers as defined in G.S.110-90.2. The Division, in accordance with G.S.110-90.2, shall determine if an individual is a qualified child care provider. An individual may work or be present in any child care facility during the time the individual holds a valid qualification letter from the Division. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. This training is free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . At the completion of the visit, a handwritten visit was left with the director due to the nature of the visit and addtional investigation was needed. The report was reviewed with the dirctor on 1/23/24. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S.110-90 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 0124-063L Visit Date: 1/18/2024 Number Present: 39 Completed Date: 1/18/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 08:15 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 1-9-24. Marcia Humprey Lead, Child Care Consultant accompanied me during today’s visit. When we arrived at the facility, the Director Rhonda Durham was present and assisted us during today’s visit. Limited monitoring of childcare requirements occurred during today’s visit. We monitored supervision, staff/child ratio, adequate /approved space, license posted and restrictions, attendance records, menus, and nutritional requirements. During today’s visit we discussed the allegations, and the director and staff were given an opportunity to provide information surrounding the allegations. Allegation # 1: There is a concern that the posted staff/child ratios are not being followed, especially in the early morning hours. Interview: During today’s visit the facility teaching staff were interviewed. According to several staff members the staff/child ratios are not always maintained. Several staff members stated that the classrooms are out of ratio for over an hour on some days. According to staff, the director and owner tell staff to lie or give false information to the state licensing consultants when they ask questions. According to staff the owner will call the facility when the director isn’t there and ask whoever answers the phone to walk around and get numbers, knowing that this will cause staff to have to leave their classrooms out of ratio. According to the owner and director they do not tell the staff what or what not to say. Based on the documentation provided by the owner, the owner stated they openly tell the staff not to be afraid and answer questions to the best of their ability and if they are caught telling untruthful things it will jeopardize their job and credibility. According to the director, the staff/child ratios are always being met throughout the day. However, the Director also stated that if she is not present at the facility or if there aren’t enough staff to maintain staff/child ratios the staff members know to call her or the owner. The director stated that she will leave the other facility (PresleyBrooke) if she needs to (which is 6 minutes away) to come help the facility maintain ratio. The director stated that some staff do not understand the staff child ratios, and that each classroom has a staff enrollment sheet which shows staff how to maintain ratio and that she is overstaffed. Observation: During today’s visit: Space 1 had two teachers with nine children. The youngest child was 1 year of age. Space 2 had two teachers with seven children. The youngest child was under 1 year of age. Space 3 had one teacher with seven children. The youngest child was 1 year of age. This space was out of ratio for approximately 15 minutes starting at 8:50am. This is a violation. Space 4 had two teachers with ten children. The youngest child was 2 years of age. Space 5 had one teacher with 11 children. The youngest child was 3 years of age. This space was out of ratio from approximately 8:42am-9:38am. This is a violation. This space has a 2-year-old on enrollment with children ages three- to five-year-olds. The Director stated that the two-year-old child’s name might have been put on the in error. However, the child’s name was on the roll during today's visit. Staff members have stated that 2-year children are mixed with 3–5-year-olds children for more than just the 1st and last hour of the day. During today’s visit the Director did shift children to try and maintain child/staff ratio in the classrooms. However, 2 rooms were out of ratio when we arrived, and children kept arriving causing staff/child ratio to not be maintained for different times during the visit. When the visit ended the classrooms were in ratio. The Director also sent documentation via email stating that three staff members who were scheduled to arrive at work on 1/18/24 had no calls no shows. The two staff members were to arrive at 7:30am and the one at 8:00am did not show up for work. The fourth staff member scheduled to arrive at work at 9:00am was late and did not call to inform the facility. The Director stated in her documentation that in the event of staff call outs creating ratio issues they will close classrooms or turn away children to maintain the safety of the children. Children being turned away was not observed during today’s visit. CONCLUSION: Based on information received from the Director, staff and observations, the finding regarding this allegation is Substantiated. Allegation # 2: There is a concern of inadequate supervision. Interview: According to several staff members there is a child that constantly runs out of the classroom. According to staff members on 1/8/24 a child ran out the classroom and down the hallway 3 times within a five-minute time span. Staff members stated that typically only one teacher is in the room and that the teacher must leave the classroom unsupervised to run after the child. According to staff members, the director or another staff member isn’t always available to run after the child when he/she runs out causing the child to be unsupervised until someone can assist. The Director confirmed that there is a child who actively opens the door and runs down the hall. According to the Director if the child runs out into the hall the teacher will call for help and a staff member or herself will redirect the child to the classroom. According to the director and the owner they have spoken to the parents of the child and a plan is in place. Observation: During today’s visit we did not observe any concerns of inadequate supervision, however staff members admitted that staff have had to leave the children unsupervised to run behind a child that does leave the room and the child has left the room and gone down the hall to the toddler classroom. CONCLUSION: Based on information received from the Director and staff, the finding regarding this allegation is Substantiated. Allegation # 3 There is a concern that snacks do not meet nutritional requirements. According to a staff member the children get portions of food based off the state regulations and the age of children. The staff member also stated that if supplies are getting low, she lets the director know at least 2 days in advance. Several staff members stated that snacks are brought to the classroom and the teachers will serve the children snack. However, some staff members stated that they were told to only serve the children 2 crackers for an afternoon snack. According to some staff members the facility often runs out of supplies, cups, gloves, and paper towels. According to staff sometimes expired milk is provided to serve to children. According to one staff member expired milk is not served to children and if milk is expired it is thrown away. According to the staff the food served to the children is cold and served in very small portions. According to the director the facility is always stocked on a weekly basis and the facility has more than enough food and supplies. According to the director the cook serves children based off the food and nutrition program guidelines. The Director stated that they follow a 2-component food program. Am and pm snack. Milk and one other component, no juice is served. Observation: During today’s visit I did observe morning snack being eaten by the children and I observed the menu. However, afternoon snack was not observed during today’s visit. CONCLUSION: Based on information received from the Director and my observations, the finding regarding this allegation is unsubstantiated. Additional Information: Also, according to staff, the heat was out in the infant classroom until 2:00pm. According to the staff they wanted the director to contact the parents to make them aware of the situation. According to staff the director refused. According to the staff, the temperature in the infant classroom was the same as the temperature outside that day, approximately 30 degrees. The Director stated that the heat went out on 1/5/24 and that maintenance was called to come out immediately. The director stated that the issue was fixed within 45 minutes. The director stated in her documentation that the protocol is to contact parents and apprise them of the situation. According to the director, in the interview she stated that she contacts the parents and gives them the choice to determine if they would like to pick their child up until the issue is fixed. The Director stated that the heat was flowing through the rest of the building and that the temperature never went below 69 degrees. The owner stated in her documentation that the heater did go out in one room on 1/11/24 and it was reported to maintenance asap. The owner stated that if maintenance couldn’t fix the issue, then they would have closed that side of the building. The owner and the director stated two differnt dates for the heat being out. I was determined that the date was 1/5/24. During today’s visit the infant classroom had heat. Addtional Information regarding allegations: According to staff member some staff members are hired and working at the facility without all the required paperwork and or a qualifying criminal background letter from NCDHHS/DCDEE. All staff members present during the 1/18/24 visit was looked up in the ABCMS portal. Those staff members had qualifying letters; however, it wasn’t determined if the qualifying letters were received before or after the staff started employment. One staff member who was on the staff log wasn’t present during today’s visit. This staff member did not have a qualifying letter in the ABCMS portal. According to several staff members the staff member who doesn’t have a qualifying letter has been working for at least 2 months. The staff stated that the staff member may not work every day, however she does come to work from 9am-6pm. According to the staff log I observed the staff member has been employed and a record of absence and tardy were recorded at least since 1/2/24. The director stated that this was an error. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. The minimum staff/child ratio and group sizes for the number of children in care were not met in space 3 and space 5.Space 3 had one teacher with seven children. The youngest child was 1 year of age. This space was out of ratio for approximately 15 minutes starting at 8:50am.Space 5 had one teacher with 11 children. The youngest child was 3 years of age. This space was out of ratio from approximately 8:42am-9:38am. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. Statements from staff determined that staff members have had to leave the children unsupervised in the classroom to run behind a child that does leave the room. This child has left the room and gone down the hall to the toddler classroom. .1801(a)(1-5) Two violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. The violation(s) documented must be corrected immediately. On or before 2-1-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Before today’s visit the facilities compliance, history is at 84%. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: Age of Children Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 12 to 24 Months 1/6 12 2 to 3 Years 1/10 20 3 to 4 Years 1/15 25 4 to 5 Years 1/20 25 5 Years and Older 1/25 25 (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean 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. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. SECTION .0900 - NUTRITION STANDARDS 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. When a private water supply is used, it must be tested by and meet the requirements of the Commission for Public Health as set forth in 15A NCAC 18A 2800. (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or lowfat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. (i) Food that does not meet the nutritional requirements specified in Paragraph (a) of this Rule, such as cupcakes, cakes, and donuts shall only be offered for special occasions such as holidays and birthdays. (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. (k) Parents shall be allowed to provide breast milk for their children. Accommodations for breastfeeding mothers shall be provided that include seating and an electrical outlet in a place other than a bathroom that is shielded from view by staff and the public which may be used by mothers while they are breastfeeding or expressing milk. 10A NCAC 09 .0903 REQUIREMENTS FOR CHILDREN AGED 15 MONTHS AND OLDER Meals and snacks shall be planned according to the number of hours a child is in the center. Children shall be provided a meal or snack a minimum of every four hours. 10A NCAC 09 .2216 AMOUNT OF CIVIL PENALTIES FOR CHILD CARE FACILITIES (a) The amount of the penalty assessed to an operator shall be based upon the following: (1) willful or negligent noncompliance by the operator; (2) extent of deviation from the rule or law; (3) evidence of effort to comply; (4) harm or risk of harm to children; and (5) any other factors relevant to the situation. (b) A separate penalty may be imposed for each violation. (c) A civil penalty in an amount up to one thousand dollars ($1,000) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) staff-child ratios; (B) adequate supervision of children; (C) transportation of children; (D) use of swimming pools and other swim areas; (E) administration of medication; (F) discipline, nurture, or care of children; or (G) medical action plan requirements; (2) Disapproved fire safety, building or sanitation inspection reports; (3) Exceeding licensed capacity of center, or use of unauthorized space; (4) Change of ownership or relocation of center without prior notification to the Division; (5) Determination of child maltreatment at the center as set forth in G.S. 110-105.3; (6) Willful, repeated noncompliance with any requirement; or (7) Denial of entry to a representative of the Department or Division. (d) A civil penalty in an amount up to five hundred dollars ($500.00) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) staff health requirements; (B) staff qualifications; (C) children's health requirements; (D) proper nutrition; (E) sanitation and personal hygiene practices; (F) indoor or outdoor space; (G) emergency medical plan; or (2) Failure to comply with a corrective action plan. (e) A civil penalty in an amount up to two hundred fifty dollars ($250.00) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) safe environment; (B) age-appropriate activities; or (C) staff development; (2) Failure to post current child care license or notice of compliance to operate a child care center; or (3) Failure to maintain records as set forth in Rule .2318 of this Chapter. 15A NCAC 18A .2826 LIGHTING AND THERMAL ENVIRONMENT (b) All rooms used by children shall be heated, cooled, and ventilated to maintain an ambient temperature between 65 degrees Fahrenheit and 85 degrees Fahrenheit. Ventilation may be in the form of openable windows with screens or by means of mechanical ventilation to the outside of the building. Windows and window treatments shall be kept clean and in good repair. All ventilation equipment, including air supply diffusers, return grilles, and fans shall be kept clean and in good repair. (c) Nothing in the rules of this Section shall require that outdoor storage buildings be wired with electricity or provided with heating and air conditioning. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (a) An application for a license for a child care center shall be submitted on the form provided by the Division, which may be found online at http://ncchildcare.ncdhhs.gov/PDF_forms/FacilityProfileApp.pdf. The application for a child care center license shall include the following information: (b) During the pre-licensing visits, the applicant or the operator shall be able to describe the plans for the daily program, including room arrangement, staffing patterns, equipment, and supplies, in sufficient detail to show that the center shall comply with applicable requirements for activities, equipment, and staff-child ratios for the capacity of the center and type of license requested. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION (d) Bulk food stored in a refrigerator shall be stored at 45 degrees Fahrenheit or below and stored in the child care center's kitchen or in an approved food preparation area equipped with a full-size refrigerator. Specialty bulk milk that is sent from home for consumption by a child while at the child care center may be stored as set forth in this Paragraph when the child's parent or guardian provides written permission and the specialty bulk milk is sent to the child care center at the beginning of each week unopened, labeled with the date received by the child care center, and labeled with the name of the child to whom the bulk specialty milk belongs. Any remaining bulk specialty milk shall be sent home at the end of the week with the child to whom the bulk specialty milk belongs. (j) The following shall apply to refrigerated storage of food: (1) Refrigeration equipment shall be provided in such number and of such capacity to ensure the maintenance of potentially hazardous food at the required temperatures during storage. Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. (2) Potentially hazardous food requiring refrigeration after preparation shall be cooled to an internal temperature of 45 degrees Fahrenheit or below. Cooling of potentially hazardous foods shall be initiated upon completion of the food preparation or hot storage. Methods such as pouring into pans, agitation, and chilling with ice or water circulation external to the food containers shall be used to cool potentially hazardous food. Potentially hazardous food that will be transported cold shall be prechilled and held at a temperature of 45 degrees Fahrenheit or below. SECTION .2700 - CRIMINAL BACKGROUND CHECKS 10A NCAC 09 .2701 SCOPE The rules in this Section shall apply to all child care providers as defined in G.S.110-90.2. The Division, in accordance with G.S.110-90.2, shall determine if an individual is a qualified child care provider. An individual may work or be present in any child care facility during the time the individual holds a valid qualification letter from the Division. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. This training is free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . At the completion of the visit, a handwritten visit was left with the director due to the nature of the visit and addtional investigation was needed. The report was reviewed with the dirctor on 1/23/24. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
GS 110-91 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 0124-063L Visit Date: 1/18/2024 Number Present: 39 Completed Date: 1/18/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 08:15 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 1-9-24. Marcia Humprey Lead, Child Care Consultant accompanied me during today’s visit. When we arrived at the facility, the Director Rhonda Durham was present and assisted us during today’s visit. Limited monitoring of childcare requirements occurred during today’s visit. We monitored supervision, staff/child ratio, adequate /approved space, license posted and restrictions, attendance records, menus, and nutritional requirements. During today’s visit we discussed the allegations, and the director and staff were given an opportunity to provide information surrounding the allegations. Allegation # 1: There is a concern that the posted staff/child ratios are not being followed, especially in the early morning hours. Interview: During today’s visit the facility teaching staff were interviewed. According to several staff members the staff/child ratios are not always maintained. Several staff members stated that the classrooms are out of ratio for over an hour on some days. According to staff, the director and owner tell staff to lie or give false information to the state licensing consultants when they ask questions. According to staff the owner will call the facility when the director isn’t there and ask whoever answers the phone to walk around and get numbers, knowing that this will cause staff to have to leave their classrooms out of ratio. According to the owner and director they do not tell the staff what or what not to say. Based on the documentation provided by the owner, the owner stated they openly tell the staff not to be afraid and answer questions to the best of their ability and if they are caught telling untruthful things it will jeopardize their job and credibility. According to the director, the staff/child ratios are always being met throughout the day. However, the Director also stated that if she is not present at the facility or if there aren’t enough staff to maintain staff/child ratios the staff members know to call her or the owner. The director stated that she will leave the other facility (PresleyBrooke) if she needs to (which is 6 minutes away) to come help the facility maintain ratio. The director stated that some staff do not understand the staff child ratios, and that each classroom has a staff enrollment sheet which shows staff how to maintain ratio and that she is overstaffed. Observation: During today’s visit: Space 1 had two teachers with nine children. The youngest child was 1 year of age. Space 2 had two teachers with seven children. The youngest child was under 1 year of age. Space 3 had one teacher with seven children. The youngest child was 1 year of age. This space was out of ratio for approximately 15 minutes starting at 8:50am. This is a violation. Space 4 had two teachers with ten children. The youngest child was 2 years of age. Space 5 had one teacher with 11 children. The youngest child was 3 years of age. This space was out of ratio from approximately 8:42am-9:38am. This is a violation. This space has a 2-year-old on enrollment with children ages three- to five-year-olds. The Director stated that the two-year-old child’s name might have been put on the in error. However, the child’s name was on the roll during today's visit. Staff members have stated that 2-year children are mixed with 3–5-year-olds children for more than just the 1st and last hour of the day. During today’s visit the Director did shift children to try and maintain child/staff ratio in the classrooms. However, 2 rooms were out of ratio when we arrived, and children kept arriving causing staff/child ratio to not be maintained for different times during the visit. When the visit ended the classrooms were in ratio. The Director also sent documentation via email stating that three staff members who were scheduled to arrive at work on 1/18/24 had no calls no shows. The two staff members were to arrive at 7:30am and the one at 8:00am did not show up for work. The fourth staff member scheduled to arrive at work at 9:00am was late and did not call to inform the facility. The Director stated in her documentation that in the event of staff call outs creating ratio issues they will close classrooms or turn away children to maintain the safety of the children. Children being turned away was not observed during today’s visit. CONCLUSION: Based on information received from the Director, staff and observations, the finding regarding this allegation is Substantiated. Allegation # 2: There is a concern of inadequate supervision. Interview: According to several staff members there is a child that constantly runs out of the classroom. According to staff members on 1/8/24 a child ran out the classroom and down the hallway 3 times within a five-minute time span. Staff members stated that typically only one teacher is in the room and that the teacher must leave the classroom unsupervised to run after the child. According to staff members, the director or another staff member isn’t always available to run after the child when he/she runs out causing the child to be unsupervised until someone can assist. The Director confirmed that there is a child who actively opens the door and runs down the hall. According to the Director if the child runs out into the hall the teacher will call for help and a staff member or herself will redirect the child to the classroom. According to the director and the owner they have spoken to the parents of the child and a plan is in place. Observation: During today’s visit we did not observe any concerns of inadequate supervision, however staff members admitted that staff have had to leave the children unsupervised to run behind a child that does leave the room and the child has left the room and gone down the hall to the toddler classroom. CONCLUSION: Based on information received from the Director and staff, the finding regarding this allegation is Substantiated. Allegation # 3 There is a concern that snacks do not meet nutritional requirements. According to a staff member the children get portions of food based off the state regulations and the age of children. The staff member also stated that if supplies are getting low, she lets the director know at least 2 days in advance. Several staff members stated that snacks are brought to the classroom and the teachers will serve the children snack. However, some staff members stated that they were told to only serve the children 2 crackers for an afternoon snack. According to some staff members the facility often runs out of supplies, cups, gloves, and paper towels. According to staff sometimes expired milk is provided to serve to children. According to one staff member expired milk is not served to children and if milk is expired it is thrown away. According to the staff the food served to the children is cold and served in very small portions. According to the director the facility is always stocked on a weekly basis and the facility has more than enough food and supplies. According to the director the cook serves children based off the food and nutrition program guidelines. The Director stated that they follow a 2-component food program. Am and pm snack. Milk and one other component, no juice is served. Observation: During today’s visit I did observe morning snack being eaten by the children and I observed the menu. However, afternoon snack was not observed during today’s visit. CONCLUSION: Based on information received from the Director and my observations, the finding regarding this allegation is unsubstantiated. Additional Information: Also, according to staff, the heat was out in the infant classroom until 2:00pm. According to the staff they wanted the director to contact the parents to make them aware of the situation. According to staff the director refused. According to the staff, the temperature in the infant classroom was the same as the temperature outside that day, approximately 30 degrees. The Director stated that the heat went out on 1/5/24 and that maintenance was called to come out immediately. The director stated that the issue was fixed within 45 minutes. The director stated in her documentation that the protocol is to contact parents and apprise them of the situation. According to the director, in the interview she stated that she contacts the parents and gives them the choice to determine if they would like to pick their child up until the issue is fixed. The Director stated that the heat was flowing through the rest of the building and that the temperature never went below 69 degrees. The owner stated in her documentation that the heater did go out in one room on 1/11/24 and it was reported to maintenance asap. The owner stated that if maintenance couldn’t fix the issue, then they would have closed that side of the building. The owner and the director stated two differnt dates for the heat being out. I was determined that the date was 1/5/24. During today’s visit the infant classroom had heat. Addtional Information regarding allegations: According to staff member some staff members are hired and working at the facility without all the required paperwork and or a qualifying criminal background letter from NCDHHS/DCDEE. All staff members present during the 1/18/24 visit was looked up in the ABCMS portal. Those staff members had qualifying letters; however, it wasn’t determined if the qualifying letters were received before or after the staff started employment. One staff member who was on the staff log wasn’t present during today’s visit. This staff member did not have a qualifying letter in the ABCMS portal. According to several staff members the staff member who doesn’t have a qualifying letter has been working for at least 2 months. The staff stated that the staff member may not work every day, however she does come to work from 9am-6pm. According to the staff log I observed the staff member has been employed and a record of absence and tardy were recorded at least since 1/2/24. The director stated that this was an error. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. The minimum staff/child ratio and group sizes for the number of children in care were not met in space 3 and space 5.Space 3 had one teacher with seven children. The youngest child was 1 year of age. This space was out of ratio for approximately 15 minutes starting at 8:50am.Space 5 had one teacher with 11 children. The youngest child was 3 years of age. This space was out of ratio from approximately 8:42am-9:38am. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. Statements from staff determined that staff members have had to leave the children unsupervised in the classroom to run behind a child that does leave the room. This child has left the room and gone down the hall to the toddler classroom. .1801(a)(1-5) Two violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. The violation(s) documented must be corrected immediately. On or before 2-1-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Before today’s visit the facilities compliance, history is at 84%. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: Age of Children Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 12 to 24 Months 1/6 12 2 to 3 Years 1/10 20 3 to 4 Years 1/15 25 4 to 5 Years 1/20 25 5 Years and Older 1/25 25 (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean 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. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. SECTION .0900 - NUTRITION STANDARDS 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. When a private water supply is used, it must be tested by and meet the requirements of the Commission for Public Health as set forth in 15A NCAC 18A 2800. (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or lowfat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. (i) Food that does not meet the nutritional requirements specified in Paragraph (a) of this Rule, such as cupcakes, cakes, and donuts shall only be offered for special occasions such as holidays and birthdays. (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. (k) Parents shall be allowed to provide breast milk for their children. Accommodations for breastfeeding mothers shall be provided that include seating and an electrical outlet in a place other than a bathroom that is shielded from view by staff and the public which may be used by mothers while they are breastfeeding or expressing milk. 10A NCAC 09 .0903 REQUIREMENTS FOR CHILDREN AGED 15 MONTHS AND OLDER Meals and snacks shall be planned according to the number of hours a child is in the center. Children shall be provided a meal or snack a minimum of every four hours. 10A NCAC 09 .2216 AMOUNT OF CIVIL PENALTIES FOR CHILD CARE FACILITIES (a) The amount of the penalty assessed to an operator shall be based upon the following: (1) willful or negligent noncompliance by the operator; (2) extent of deviation from the rule or law; (3) evidence of effort to comply; (4) harm or risk of harm to children; and (5) any other factors relevant to the situation. (b) A separate penalty may be imposed for each violation. (c) A civil penalty in an amount up to one thousand dollars ($1,000) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) staff-child ratios; (B) adequate supervision of children; (C) transportation of children; (D) use of swimming pools and other swim areas; (E) administration of medication; (F) discipline, nurture, or care of children; or (G) medical action plan requirements; (2) Disapproved fire safety, building or sanitation inspection reports; (3) Exceeding licensed capacity of center, or use of unauthorized space; (4) Change of ownership or relocation of center without prior notification to the Division; (5) Determination of child maltreatment at the center as set forth in G.S. 110-105.3; (6) Willful, repeated noncompliance with any requirement; or (7) Denial of entry to a representative of the Department or Division. (d) A civil penalty in an amount up to five hundred dollars ($500.00) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) staff health requirements; (B) staff qualifications; (C) children's health requirements; (D) proper nutrition; (E) sanitation and personal hygiene practices; (F) indoor or outdoor space; (G) emergency medical plan; or (2) Failure to comply with a corrective action plan. (e) A civil penalty in an amount up to two hundred fifty dollars ($250.00) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) safe environment; (B) age-appropriate activities; or (C) staff development; (2) Failure to post current child care license or notice of compliance to operate a child care center; or (3) Failure to maintain records as set forth in Rule .2318 of this Chapter. 15A NCAC 18A .2826 LIGHTING AND THERMAL ENVIRONMENT (b) All rooms used by children shall be heated, cooled, and ventilated to maintain an ambient temperature between 65 degrees Fahrenheit and 85 degrees Fahrenheit. Ventilation may be in the form of openable windows with screens or by means of mechanical ventilation to the outside of the building. Windows and window treatments shall be kept clean and in good repair. All ventilation equipment, including air supply diffusers, return grilles, and fans shall be kept clean and in good repair. (c) Nothing in the rules of this Section shall require that outdoor storage buildings be wired with electricity or provided with heating and air conditioning. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (a) An application for a license for a child care center shall be submitted on the form provided by the Division, which may be found online at http://ncchildcare.ncdhhs.gov/PDF_forms/FacilityProfileApp.pdf. The application for a child care center license shall include the following information: (b) During the pre-licensing visits, the applicant or the operator shall be able to describe the plans for the daily program, including room arrangement, staffing patterns, equipment, and supplies, in sufficient detail to show that the center shall comply with applicable requirements for activities, equipment, and staff-child ratios for the capacity of the center and type of license requested. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION (d) Bulk food stored in a refrigerator shall be stored at 45 degrees Fahrenheit or below and stored in the child care center's kitchen or in an approved food preparation area equipped with a full-size refrigerator. Specialty bulk milk that is sent from home for consumption by a child while at the child care center may be stored as set forth in this Paragraph when the child's parent or guardian provides written permission and the specialty bulk milk is sent to the child care center at the beginning of each week unopened, labeled with the date received by the child care center, and labeled with the name of the child to whom the bulk specialty milk belongs. Any remaining bulk specialty milk shall be sent home at the end of the week with the child to whom the bulk specialty milk belongs. (j) The following shall apply to refrigerated storage of food: (1) Refrigeration equipment shall be provided in such number and of such capacity to ensure the maintenance of potentially hazardous food at the required temperatures during storage. Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. (2) Potentially hazardous food requiring refrigeration after preparation shall be cooled to an internal temperature of 45 degrees Fahrenheit or below. Cooling of potentially hazardous foods shall be initiated upon completion of the food preparation or hot storage. Methods such as pouring into pans, agitation, and chilling with ice or water circulation external to the food containers shall be used to cool potentially hazardous food. Potentially hazardous food that will be transported cold shall be prechilled and held at a temperature of 45 degrees Fahrenheit or below. SECTION .2700 - CRIMINAL BACKGROUND CHECKS 10A NCAC 09 .2701 SCOPE The rules in this Section shall apply to all child care providers as defined in G.S.110-90.2. The Division, in accordance with G.S.110-90.2, shall determine if an individual is a qualified child care provider. An individual may work or be present in any child care facility during the time the individual holds a valid qualification letter from the Division. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. This training is free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . At the completion of the visit, a handwritten visit was left with the director due to the nature of the visit and addtional investigation was needed. The report was reviewed with the dirctor on 1/23/24. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
NC GS 110-90 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 0124-063L Visit Date: 1/18/2024 Number Present: 39 Completed Date: 1/18/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 08:15 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 1-9-24. Marcia Humprey Lead, Child Care Consultant accompanied me during today’s visit. When we arrived at the facility, the Director Rhonda Durham was present and assisted us during today’s visit. Limited monitoring of childcare requirements occurred during today’s visit. We monitored supervision, staff/child ratio, adequate /approved space, license posted and restrictions, attendance records, menus, and nutritional requirements. During today’s visit we discussed the allegations, and the director and staff were given an opportunity to provide information surrounding the allegations. Allegation # 1: There is a concern that the posted staff/child ratios are not being followed, especially in the early morning hours. Interview: During today’s visit the facility teaching staff were interviewed. According to several staff members the staff/child ratios are not always maintained. Several staff members stated that the classrooms are out of ratio for over an hour on some days. According to staff, the director and owner tell staff to lie or give false information to the state licensing consultants when they ask questions. According to staff the owner will call the facility when the director isn’t there and ask whoever answers the phone to walk around and get numbers, knowing that this will cause staff to have to leave their classrooms out of ratio. According to the owner and director they do not tell the staff what or what not to say. Based on the documentation provided by the owner, the owner stated they openly tell the staff not to be afraid and answer questions to the best of their ability and if they are caught telling untruthful things it will jeopardize their job and credibility. According to the director, the staff/child ratios are always being met throughout the day. However, the Director also stated that if she is not present at the facility or if there aren’t enough staff to maintain staff/child ratios the staff members know to call her or the owner. The director stated that she will leave the other facility (PresleyBrooke) if she needs to (which is 6 minutes away) to come help the facility maintain ratio. The director stated that some staff do not understand the staff child ratios, and that each classroom has a staff enrollment sheet which shows staff how to maintain ratio and that she is overstaffed. Observation: During today’s visit: Space 1 had two teachers with nine children. The youngest child was 1 year of age. Space 2 had two teachers with seven children. The youngest child was under 1 year of age. Space 3 had one teacher with seven children. The youngest child was 1 year of age. This space was out of ratio for approximately 15 minutes starting at 8:50am. This is a violation. Space 4 had two teachers with ten children. The youngest child was 2 years of age. Space 5 had one teacher with 11 children. The youngest child was 3 years of age. This space was out of ratio from approximately 8:42am-9:38am. This is a violation. This space has a 2-year-old on enrollment with children ages three- to five-year-olds. The Director stated that the two-year-old child’s name might have been put on the in error. However, the child’s name was on the roll during today's visit. Staff members have stated that 2-year children are mixed with 3–5-year-olds children for more than just the 1st and last hour of the day. During today’s visit the Director did shift children to try and maintain child/staff ratio in the classrooms. However, 2 rooms were out of ratio when we arrived, and children kept arriving causing staff/child ratio to not be maintained for different times during the visit. When the visit ended the classrooms were in ratio. The Director also sent documentation via email stating that three staff members who were scheduled to arrive at work on 1/18/24 had no calls no shows. The two staff members were to arrive at 7:30am and the one at 8:00am did not show up for work. The fourth staff member scheduled to arrive at work at 9:00am was late and did not call to inform the facility. The Director stated in her documentation that in the event of staff call outs creating ratio issues they will close classrooms or turn away children to maintain the safety of the children. Children being turned away was not observed during today’s visit. CONCLUSION: Based on information received from the Director, staff and observations, the finding regarding this allegation is Substantiated. Allegation # 2: There is a concern of inadequate supervision. Interview: According to several staff members there is a child that constantly runs out of the classroom. According to staff members on 1/8/24 a child ran out the classroom and down the hallway 3 times within a five-minute time span. Staff members stated that typically only one teacher is in the room and that the teacher must leave the classroom unsupervised to run after the child. According to staff members, the director or another staff member isn’t always available to run after the child when he/she runs out causing the child to be unsupervised until someone can assist. The Director confirmed that there is a child who actively opens the door and runs down the hall. According to the Director if the child runs out into the hall the teacher will call for help and a staff member or herself will redirect the child to the classroom. According to the director and the owner they have spoken to the parents of the child and a plan is in place. Observation: During today’s visit we did not observe any concerns of inadequate supervision, however staff members admitted that staff have had to leave the children unsupervised to run behind a child that does leave the room and the child has left the room and gone down the hall to the toddler classroom. CONCLUSION: Based on information received from the Director and staff, the finding regarding this allegation is Substantiated. Allegation # 3 There is a concern that snacks do not meet nutritional requirements. According to a staff member the children get portions of food based off the state regulations and the age of children. The staff member also stated that if supplies are getting low, she lets the director know at least 2 days in advance. Several staff members stated that snacks are brought to the classroom and the teachers will serve the children snack. However, some staff members stated that they were told to only serve the children 2 crackers for an afternoon snack. According to some staff members the facility often runs out of supplies, cups, gloves, and paper towels. According to staff sometimes expired milk is provided to serve to children. According to one staff member expired milk is not served to children and if milk is expired it is thrown away. According to the staff the food served to the children is cold and served in very small portions. According to the director the facility is always stocked on a weekly basis and the facility has more than enough food and supplies. According to the director the cook serves children based off the food and nutrition program guidelines. The Director stated that they follow a 2-component food program. Am and pm snack. Milk and one other component, no juice is served. Observation: During today’s visit I did observe morning snack being eaten by the children and I observed the menu. However, afternoon snack was not observed during today’s visit. CONCLUSION: Based on information received from the Director and my observations, the finding regarding this allegation is unsubstantiated. Additional Information: Also, according to staff, the heat was out in the infant classroom until 2:00pm. According to the staff they wanted the director to contact the parents to make them aware of the situation. According to staff the director refused. According to the staff, the temperature in the infant classroom was the same as the temperature outside that day, approximately 30 degrees. The Director stated that the heat went out on 1/5/24 and that maintenance was called to come out immediately. The director stated that the issue was fixed within 45 minutes. The director stated in her documentation that the protocol is to contact parents and apprise them of the situation. According to the director, in the interview she stated that she contacts the parents and gives them the choice to determine if they would like to pick their child up until the issue is fixed. The Director stated that the heat was flowing through the rest of the building and that the temperature never went below 69 degrees. The owner stated in her documentation that the heater did go out in one room on 1/11/24 and it was reported to maintenance asap. The owner stated that if maintenance couldn’t fix the issue, then they would have closed that side of the building. The owner and the director stated two differnt dates for the heat being out. I was determined that the date was 1/5/24. During today’s visit the infant classroom had heat. Addtional Information regarding allegations: According to staff member some staff members are hired and working at the facility without all the required paperwork and or a qualifying criminal background letter from NCDHHS/DCDEE. All staff members present during the 1/18/24 visit was looked up in the ABCMS portal. Those staff members had qualifying letters; however, it wasn’t determined if the qualifying letters were received before or after the staff started employment. One staff member who was on the staff log wasn’t present during today’s visit. This staff member did not have a qualifying letter in the ABCMS portal. According to several staff members the staff member who doesn’t have a qualifying letter has been working for at least 2 months. The staff stated that the staff member may not work every day, however she does come to work from 9am-6pm. According to the staff log I observed the staff member has been employed and a record of absence and tardy were recorded at least since 1/2/24. The director stated that this was an error. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. The minimum staff/child ratio and group sizes for the number of children in care were not met in space 3 and space 5.Space 3 had one teacher with seven children. The youngest child was 1 year of age. This space was out of ratio for approximately 15 minutes starting at 8:50am.Space 5 had one teacher with 11 children. The youngest child was 3 years of age. This space was out of ratio from approximately 8:42am-9:38am. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. Statements from staff determined that staff members have had to leave the children unsupervised in the classroom to run behind a child that does leave the room. This child has left the room and gone down the hall to the toddler classroom. .1801(a)(1-5) Two violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. The violation(s) documented must be corrected immediately. On or before 2-1-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Before today’s visit the facilities compliance, history is at 84%. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: Age of Children Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 12 to 24 Months 1/6 12 2 to 3 Years 1/10 20 3 to 4 Years 1/15 25 4 to 5 Years 1/20 25 5 Years and Older 1/25 25 (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean 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. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. SECTION .0900 - NUTRITION STANDARDS 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. When a private water supply is used, it must be tested by and meet the requirements of the Commission for Public Health as set forth in 15A NCAC 18A 2800. (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or lowfat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. (i) Food that does not meet the nutritional requirements specified in Paragraph (a) of this Rule, such as cupcakes, cakes, and donuts shall only be offered for special occasions such as holidays and birthdays. (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. (k) Parents shall be allowed to provide breast milk for their children. Accommodations for breastfeeding mothers shall be provided that include seating and an electrical outlet in a place other than a bathroom that is shielded from view by staff and the public which may be used by mothers while they are breastfeeding or expressing milk. 10A NCAC 09 .0903 REQUIREMENTS FOR CHILDREN AGED 15 MONTHS AND OLDER Meals and snacks shall be planned according to the number of hours a child is in the center. Children shall be provided a meal or snack a minimum of every four hours. 10A NCAC 09 .2216 AMOUNT OF CIVIL PENALTIES FOR CHILD CARE FACILITIES (a) The amount of the penalty assessed to an operator shall be based upon the following: (1) willful or negligent noncompliance by the operator; (2) extent of deviation from the rule or law; (3) evidence of effort to comply; (4) harm or risk of harm to children; and (5) any other factors relevant to the situation. (b) A separate penalty may be imposed for each violation. (c) A civil penalty in an amount up to one thousand dollars ($1,000) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) staff-child ratios; (B) adequate supervision of children; (C) transportation of children; (D) use of swimming pools and other swim areas; (E) administration of medication; (F) discipline, nurture, or care of children; or (G) medical action plan requirements; (2) Disapproved fire safety, building or sanitation inspection reports; (3) Exceeding licensed capacity of center, or use of unauthorized space; (4) Change of ownership or relocation of center without prior notification to the Division; (5) Determination of child maltreatment at the center as set forth in G.S. 110-105.3; (6) Willful, repeated noncompliance with any requirement; or (7) Denial of entry to a representative of the Department or Division. (d) A civil penalty in an amount up to five hundred dollars ($500.00) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) staff health requirements; (B) staff qualifications; (C) children's health requirements; (D) proper nutrition; (E) sanitation and personal hygiene practices; (F) indoor or outdoor space; (G) emergency medical plan; or (2) Failure to comply with a corrective action plan. (e) A civil penalty in an amount up to two hundred fifty dollars ($250.00) may be imposed for the following violations: (1) Noncompliance with the rules and laws for: (A) safe environment; (B) age-appropriate activities; or (C) staff development; (2) Failure to post current child care license or notice of compliance to operate a child care center; or (3) Failure to maintain records as set forth in Rule .2318 of this Chapter. 15A NCAC 18A .2826 LIGHTING AND THERMAL ENVIRONMENT (b) All rooms used by children shall be heated, cooled, and ventilated to maintain an ambient temperature between 65 degrees Fahrenheit and 85 degrees Fahrenheit. Ventilation may be in the form of openable windows with screens or by means of mechanical ventilation to the outside of the building. Windows and window treatments shall be kept clean and in good repair. All ventilation equipment, including air supply diffusers, return grilles, and fans shall be kept clean and in good repair. (c) Nothing in the rules of this Section shall require that outdoor storage buildings be wired with electricity or provided with heating and air conditioning. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (a) An application for a license for a child care center shall be submitted on the form provided by the Division, which may be found online at http://ncchildcare.ncdhhs.gov/PDF_forms/FacilityProfileApp.pdf. The application for a child care center license shall include the following information: (b) During the pre-licensing visits, the applicant or the operator shall be able to describe the plans for the daily program, including room arrangement, staffing patterns, equipment, and supplies, in sufficient detail to show that the center shall comply with applicable requirements for activities, equipment, and staff-child ratios for the capacity of the center and type of license requested. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION (d) Bulk food stored in a refrigerator shall be stored at 45 degrees Fahrenheit or below and stored in the child care center's kitchen or in an approved food preparation area equipped with a full-size refrigerator. Specialty bulk milk that is sent from home for consumption by a child while at the child care center may be stored as set forth in this Paragraph when the child's parent or guardian provides written permission and the specialty bulk milk is sent to the child care center at the beginning of each week unopened, labeled with the date received by the child care center, and labeled with the name of the child to whom the bulk specialty milk belongs. Any remaining bulk specialty milk shall be sent home at the end of the week with the child to whom the bulk specialty milk belongs. (j) The following shall apply to refrigerated storage of food: (1) Refrigeration equipment shall be provided in such number and of such capacity to ensure the maintenance of potentially hazardous food at the required temperatures during storage. Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. (2) Potentially hazardous food requiring refrigeration after preparation shall be cooled to an internal temperature of 45 degrees Fahrenheit or below. Cooling of potentially hazardous foods shall be initiated upon completion of the food preparation or hot storage. Methods such as pouring into pans, agitation, and chilling with ice or water circulation external to the food containers shall be used to cool potentially hazardous food. Potentially hazardous food that will be transported cold shall be prechilled and held at a temperature of 45 degrees Fahrenheit or below. SECTION .2700 - CRIMINAL BACKGROUND CHECKS 10A NCAC 09 .2701 SCOPE The rules in this Section shall apply to all child care providers as defined in G.S.110-90.2. The Division, in accordance with G.S.110-90.2, shall determine if an individual is a qualified child care provider. An individual may work or be present in any child care facility during the time the individual holds a valid qualification letter from the Division. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. This training is free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . At the completion of the visit, a handwritten visit was left with the director due to the nature of the visit and addtional investigation was needed. The report was reviewed with the dirctor on 1/23/24. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0713 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 1023-246L Visit Date: 10/25/2023 Number Present: 45 Completed Date: 10/25/2023 Age: From 0 To 5 Total Minutes: 155 Time In: 08:25 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 10 -23-23. When I arrived at the facility, I spoke with Ms. H. Anderson, the infant teacher, Ms. Wilma the cook, and I explained the purpose of today’s visit. The Director arrived shortly after. Limited monitoring of childcare requirements occurred during today’s visit. I monitored supervision, staff/child ratio, adequate /approved space, license posted and restrictions, attendance, staff files, documentation. During today’s visit we discussed the allegations, and the Director and staff were given an opportunity to provide information surrounding the allegations. Allegation #1: There is a concern that the posted staff/child ratios are not being followed. There was one provider with eight infants for an unknown amount of time. Interview: According to a staff member who works in the infant classroom, on October 23rd, 2023, she had 9 infants by herself. According to the teacher in the infant room she got out of ratio at 8:00am. I arrived at 8:25am. According to the staff member she was out of ratio around 8:00 am until approximately 9:30am on October 23rd, 2023. I asked the staff member what she does if she is out ratio, she stated that she will ask Ms. Wilma (the cook) will come in and help. On October 23rd the Director was not available because she was on vacation, however the Owner (Gina) was available by phone to assist. Also, the staff member stated that the owner’s daughter (Macey) will come in to help, but the owner (Gina) did not physically come to the facility due to her having the flu. One staff member stated that 3 staff members have called out today. According to the Director she was out on October 23rd, 2023. The Director did state that the staff know what to do and are supposed to call her if they need assistance on what to do when she is not at the facility. On Wednesday’s the Director arrives at White Rabbit around 9:0am. According to the Director a staff member did allow a newly hired staff member to go in a classroom, that staff member was unaware that the new hire couldn’t be left alone with the children or be working without a qualifying letter. Observation: I observed 6 infants and one staff member in the infant classroom when I arrived at 8:25am. Soon after around 8:40am Rhonda the Director arrived and shifted children to maintain staff child ratio. The infant room was out of ratio for approximately 20 minutes before I arrived and approximately 15-20 minutes during my visit. I also observed an infant with a small 3ml bottle of Vigamox in their hand. The staff member did not know where the child could have gotten the vigamox from. The staff member stated that it could have fallen out of a parent’s purse during drop off. The Toddler classroom had 6 children, all 1-year-olds and one staff member. The Two-year-old classroom had 9 children (6) two-year-olds (3) one-year olds and one staff member. The Early preschool classroom had 9 children 2 two-year-olds,7 three-year-olds and one staff member. The Pre-K classroom had 9 children with one staff member.2 three-year-olds,6 four-year-olds,1 five-year-old. The staff member has not received a criminal background check and was alone with the children when I arrived. Lillian stated that her start date was 10/24/23. The staff member L. Moore left during the visit because she didn’t have a letter, I also checked the ABCMS system, and a determination has not been met yet for L. Moore. I observed documentation from the staff members that were late during today’s visit. I observed five staff members file for qualifying criminal background letters, K. Tate. Anderson, K. Jones, N. Elwahi, L. Moore, and M. Bryd. L. Moore did not have a qualifying letter. CONCLUSION: Based on information received from the Director and my observations, the finding regarding this allegation is Substantiated. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Staff child ratio was not met in the infant classroom. On October 23rd 2023 a staff member confirmed that she had 9 infants for over an hour by herself. During today's visit there were 6 infants under 1 year of age and one staff member for 20 minutes before I arrived and about 10-15 minutes until the Director arrived. GS 110-91(7);.0713(a-d) 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. A child in the infant classroom had a small 3ml bottle of Vigamox in her hand during today's visit that could of been ingested. The Vigamox was given to the director during the visit and removed from the classroom. .2820(b) 1041 Prior to employment a Criminal Background Check was not completed. Prior to employment a staff member was in a classroom supervising a group of children alone with out a qualifying criminal background letter, L. Moore. L. Moore left the facility during today's visit. G.S. 110-90.2(b) Three violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. The violation(s) documented must be corrected immediately. On or before 11-8-23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: Age of Children Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 12 to 24 Months 1/6 12 2 to 3 Years 1/10 20 3 to 4 Years 1/15 25 4 to 5 Years 1/20 25 5 Years and Older 1/25 25 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/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at 919-939-7519 or via email at gilette.parker@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .1719 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 1023-246L Visit Date: 10/25/2023 Number Present: 45 Completed Date: 10/25/2023 Age: From 0 To 5 Total Minutes: 155 Time In: 08:25 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 10 -23-23. When I arrived at the facility, I spoke with Ms. H. Anderson, the infant teacher, Ms. Wilma the cook, and I explained the purpose of today’s visit. The Director arrived shortly after. Limited monitoring of childcare requirements occurred during today’s visit. I monitored supervision, staff/child ratio, adequate /approved space, license posted and restrictions, attendance, staff files, documentation. During today’s visit we discussed the allegations, and the Director and staff were given an opportunity to provide information surrounding the allegations. Allegation #1: There is a concern that the posted staff/child ratios are not being followed. There was one provider with eight infants for an unknown amount of time. Interview: According to a staff member who works in the infant classroom, on October 23rd, 2023, she had 9 infants by herself. According to the teacher in the infant room she got out of ratio at 8:00am. I arrived at 8:25am. According to the staff member she was out of ratio around 8:00 am until approximately 9:30am on October 23rd, 2023. I asked the staff member what she does if she is out ratio, she stated that she will ask Ms. Wilma (the cook) will come in and help. On October 23rd the Director was not available because she was on vacation, however the Owner (Gina) was available by phone to assist. Also, the staff member stated that the owner’s daughter (Macey) will come in to help, but the owner (Gina) did not physically come to the facility due to her having the flu. One staff member stated that 3 staff members have called out today. According to the Director she was out on October 23rd, 2023. The Director did state that the staff know what to do and are supposed to call her if they need assistance on what to do when she is not at the facility. On Wednesday’s the Director arrives at White Rabbit around 9:0am. According to the Director a staff member did allow a newly hired staff member to go in a classroom, that staff member was unaware that the new hire couldn’t be left alone with the children or be working without a qualifying letter. Observation: I observed 6 infants and one staff member in the infant classroom when I arrived at 8:25am. Soon after around 8:40am Rhonda the Director arrived and shifted children to maintain staff child ratio. The infant room was out of ratio for approximately 20 minutes before I arrived and approximately 15-20 minutes during my visit. I also observed an infant with a small 3ml bottle of Vigamox in their hand. The staff member did not know where the child could have gotten the vigamox from. The staff member stated that it could have fallen out of a parent’s purse during drop off. The Toddler classroom had 6 children, all 1-year-olds and one staff member. The Two-year-old classroom had 9 children (6) two-year-olds (3) one-year olds and one staff member. The Early preschool classroom had 9 children 2 two-year-olds,7 three-year-olds and one staff member. The Pre-K classroom had 9 children with one staff member.2 three-year-olds,6 four-year-olds,1 five-year-old. The staff member has not received a criminal background check and was alone with the children when I arrived. Lillian stated that her start date was 10/24/23. The staff member L. Moore left during the visit because she didn’t have a letter, I also checked the ABCMS system, and a determination has not been met yet for L. Moore. I observed documentation from the staff members that were late during today’s visit. I observed five staff members file for qualifying criminal background letters, K. Tate. Anderson, K. Jones, N. Elwahi, L. Moore, and M. Bryd. L. Moore did not have a qualifying letter. CONCLUSION: Based on information received from the Director and my observations, the finding regarding this allegation is Substantiated. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Staff child ratio was not met in the infant classroom. On October 23rd 2023 a staff member confirmed that she had 9 infants for over an hour by herself. During today's visit there were 6 infants under 1 year of age and one staff member for 20 minutes before I arrived and about 10-15 minutes until the Director arrived. GS 110-91(7);.0713(a-d) 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. A child in the infant classroom had a small 3ml bottle of Vigamox in her hand during today's visit that could of been ingested. The Vigamox was given to the director during the visit and removed from the classroom. .2820(b) 1041 Prior to employment a Criminal Background Check was not completed. Prior to employment a staff member was in a classroom supervising a group of children alone with out a qualifying criminal background letter, L. Moore. L. Moore left the facility during today's visit. G.S. 110-90.2(b) Three violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. The violation(s) documented must be corrected immediately. On or before 11-8-23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: Age of Children Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 12 to 24 Months 1/6 12 2 to 3 Years 1/10 20 3 to 4 Years 1/15 25 4 to 5 Years 1/20 25 5 Years and Older 1/25 25 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/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at 919-939-7519 or via email at gilette.parker@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-90 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 1023-246L Visit Date: 10/25/2023 Number Present: 45 Completed Date: 10/25/2023 Age: From 0 To 5 Total Minutes: 155 Time In: 08:25 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 10 -23-23. When I arrived at the facility, I spoke with Ms. H. Anderson, the infant teacher, Ms. Wilma the cook, and I explained the purpose of today’s visit. The Director arrived shortly after. Limited monitoring of childcare requirements occurred during today’s visit. I monitored supervision, staff/child ratio, adequate /approved space, license posted and restrictions, attendance, staff files, documentation. During today’s visit we discussed the allegations, and the Director and staff were given an opportunity to provide information surrounding the allegations. Allegation #1: There is a concern that the posted staff/child ratios are not being followed. There was one provider with eight infants for an unknown amount of time. Interview: According to a staff member who works in the infant classroom, on October 23rd, 2023, she had 9 infants by herself. According to the teacher in the infant room she got out of ratio at 8:00am. I arrived at 8:25am. According to the staff member she was out of ratio around 8:00 am until approximately 9:30am on October 23rd, 2023. I asked the staff member what she does if she is out ratio, she stated that she will ask Ms. Wilma (the cook) will come in and help. On October 23rd the Director was not available because she was on vacation, however the Owner (Gina) was available by phone to assist. Also, the staff member stated that the owner’s daughter (Macey) will come in to help, but the owner (Gina) did not physically come to the facility due to her having the flu. One staff member stated that 3 staff members have called out today. According to the Director she was out on October 23rd, 2023. The Director did state that the staff know what to do and are supposed to call her if they need assistance on what to do when she is not at the facility. On Wednesday’s the Director arrives at White Rabbit around 9:0am. According to the Director a staff member did allow a newly hired staff member to go in a classroom, that staff member was unaware that the new hire couldn’t be left alone with the children or be working without a qualifying letter. Observation: I observed 6 infants and one staff member in the infant classroom when I arrived at 8:25am. Soon after around 8:40am Rhonda the Director arrived and shifted children to maintain staff child ratio. The infant room was out of ratio for approximately 20 minutes before I arrived and approximately 15-20 minutes during my visit. I also observed an infant with a small 3ml bottle of Vigamox in their hand. The staff member did not know where the child could have gotten the vigamox from. The staff member stated that it could have fallen out of a parent’s purse during drop off. The Toddler classroom had 6 children, all 1-year-olds and one staff member. The Two-year-old classroom had 9 children (6) two-year-olds (3) one-year olds and one staff member. The Early preschool classroom had 9 children 2 two-year-olds,7 three-year-olds and one staff member. The Pre-K classroom had 9 children with one staff member.2 three-year-olds,6 four-year-olds,1 five-year-old. The staff member has not received a criminal background check and was alone with the children when I arrived. Lillian stated that her start date was 10/24/23. The staff member L. Moore left during the visit because she didn’t have a letter, I also checked the ABCMS system, and a determination has not been met yet for L. Moore. I observed documentation from the staff members that were late during today’s visit. I observed five staff members file for qualifying criminal background letters, K. Tate. Anderson, K. Jones, N. Elwahi, L. Moore, and M. Bryd. L. Moore did not have a qualifying letter. CONCLUSION: Based on information received from the Director and my observations, the finding regarding this allegation is Substantiated. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Staff child ratio was not met in the infant classroom. On October 23rd 2023 a staff member confirmed that she had 9 infants for over an hour by herself. During today's visit there were 6 infants under 1 year of age and one staff member for 20 minutes before I arrived and about 10-15 minutes until the Director arrived. GS 110-91(7);.0713(a-d) 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. A child in the infant classroom had a small 3ml bottle of Vigamox in her hand during today's visit that could of been ingested. The Vigamox was given to the director during the visit and removed from the classroom. .2820(b) 1041 Prior to employment a Criminal Background Check was not completed. Prior to employment a staff member was in a classroom supervising a group of children alone with out a qualifying criminal background letter, L. Moore. L. Moore left the facility during today's visit. G.S. 110-90.2(b) Three violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. The violation(s) documented must be corrected immediately. On or before 11-8-23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: Age of Children Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 12 to 24 Months 1/6 12 2 to 3 Years 1/10 20 3 to 4 Years 1/15 25 4 to 5 Years 1/20 25 5 Years and Older 1/25 25 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/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at 919-939-7519 or via email at gilette.parker@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
GS 110-91 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 1023-246L Visit Date: 10/25/2023 Number Present: 45 Completed Date: 10/25/2023 Age: From 0 To 5 Total Minutes: 155 Time In: 08:25 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 10 -23-23. When I arrived at the facility, I spoke with Ms. H. Anderson, the infant teacher, Ms. Wilma the cook, and I explained the purpose of today’s visit. The Director arrived shortly after. Limited monitoring of childcare requirements occurred during today’s visit. I monitored supervision, staff/child ratio, adequate /approved space, license posted and restrictions, attendance, staff files, documentation. During today’s visit we discussed the allegations, and the Director and staff were given an opportunity to provide information surrounding the allegations. Allegation #1: There is a concern that the posted staff/child ratios are not being followed. There was one provider with eight infants for an unknown amount of time. Interview: According to a staff member who works in the infant classroom, on October 23rd, 2023, she had 9 infants by herself. According to the teacher in the infant room she got out of ratio at 8:00am. I arrived at 8:25am. According to the staff member she was out of ratio around 8:00 am until approximately 9:30am on October 23rd, 2023. I asked the staff member what she does if she is out ratio, she stated that she will ask Ms. Wilma (the cook) will come in and help. On October 23rd the Director was not available because she was on vacation, however the Owner (Gina) was available by phone to assist. Also, the staff member stated that the owner’s daughter (Macey) will come in to help, but the owner (Gina) did not physically come to the facility due to her having the flu. One staff member stated that 3 staff members have called out today. According to the Director she was out on October 23rd, 2023. The Director did state that the staff know what to do and are supposed to call her if they need assistance on what to do when she is not at the facility. On Wednesday’s the Director arrives at White Rabbit around 9:0am. According to the Director a staff member did allow a newly hired staff member to go in a classroom, that staff member was unaware that the new hire couldn’t be left alone with the children or be working without a qualifying letter. Observation: I observed 6 infants and one staff member in the infant classroom when I arrived at 8:25am. Soon after around 8:40am Rhonda the Director arrived and shifted children to maintain staff child ratio. The infant room was out of ratio for approximately 20 minutes before I arrived and approximately 15-20 minutes during my visit. I also observed an infant with a small 3ml bottle of Vigamox in their hand. The staff member did not know where the child could have gotten the vigamox from. The staff member stated that it could have fallen out of a parent’s purse during drop off. The Toddler classroom had 6 children, all 1-year-olds and one staff member. The Two-year-old classroom had 9 children (6) two-year-olds (3) one-year olds and one staff member. The Early preschool classroom had 9 children 2 two-year-olds,7 three-year-olds and one staff member. The Pre-K classroom had 9 children with one staff member.2 three-year-olds,6 four-year-olds,1 five-year-old. The staff member has not received a criminal background check and was alone with the children when I arrived. Lillian stated that her start date was 10/24/23. The staff member L. Moore left during the visit because she didn’t have a letter, I also checked the ABCMS system, and a determination has not been met yet for L. Moore. I observed documentation from the staff members that were late during today’s visit. I observed five staff members file for qualifying criminal background letters, K. Tate. Anderson, K. Jones, N. Elwahi, L. Moore, and M. Bryd. L. Moore did not have a qualifying letter. CONCLUSION: Based on information received from the Director and my observations, the finding regarding this allegation is Substantiated. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Staff child ratio was not met in the infant classroom. On October 23rd 2023 a staff member confirmed that she had 9 infants for over an hour by herself. During today's visit there were 6 infants under 1 year of age and one staff member for 20 minutes before I arrived and about 10-15 minutes until the Director arrived. GS 110-91(7);.0713(a-d) 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. A child in the infant classroom had a small 3ml bottle of Vigamox in her hand during today's visit that could of been ingested. The Vigamox was given to the director during the visit and removed from the classroom. .2820(b) 1041 Prior to employment a Criminal Background Check was not completed. Prior to employment a staff member was in a classroom supervising a group of children alone with out a qualifying criminal background letter, L. Moore. L. Moore left the facility during today's visit. G.S. 110-90.2(b) Three violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. The violation(s) documented must be corrected immediately. On or before 11-8-23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: Age of Children Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 12 to 24 Months 1/6 12 2 to 3 Years 1/10 20 3 to 4 Years 1/15 25 4 to 5 Years 1/20 25 5 Years and Older 1/25 25 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/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at 919-939-7519 or via email at gilette.parker@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
NC GS 110-90 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: 1023-246L Visit Date: 10/25/2023 Number Present: 45 Completed Date: 10/25/2023 Age: From 0 To 5 Total Minutes: 155 Time In: 08:25 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 10 -23-23. When I arrived at the facility, I spoke with Ms. H. Anderson, the infant teacher, Ms. Wilma the cook, and I explained the purpose of today’s visit. The Director arrived shortly after. Limited monitoring of childcare requirements occurred during today’s visit. I monitored supervision, staff/child ratio, adequate /approved space, license posted and restrictions, attendance, staff files, documentation. During today’s visit we discussed the allegations, and the Director and staff were given an opportunity to provide information surrounding the allegations. Allegation #1: There is a concern that the posted staff/child ratios are not being followed. There was one provider with eight infants for an unknown amount of time. Interview: According to a staff member who works in the infant classroom, on October 23rd, 2023, she had 9 infants by herself. According to the teacher in the infant room she got out of ratio at 8:00am. I arrived at 8:25am. According to the staff member she was out of ratio around 8:00 am until approximately 9:30am on October 23rd, 2023. I asked the staff member what she does if she is out ratio, she stated that she will ask Ms. Wilma (the cook) will come in and help. On October 23rd the Director was not available because she was on vacation, however the Owner (Gina) was available by phone to assist. Also, the staff member stated that the owner’s daughter (Macey) will come in to help, but the owner (Gina) did not physically come to the facility due to her having the flu. One staff member stated that 3 staff members have called out today. According to the Director she was out on October 23rd, 2023. The Director did state that the staff know what to do and are supposed to call her if they need assistance on what to do when she is not at the facility. On Wednesday’s the Director arrives at White Rabbit around 9:0am. According to the Director a staff member did allow a newly hired staff member to go in a classroom, that staff member was unaware that the new hire couldn’t be left alone with the children or be working without a qualifying letter. Observation: I observed 6 infants and one staff member in the infant classroom when I arrived at 8:25am. Soon after around 8:40am Rhonda the Director arrived and shifted children to maintain staff child ratio. The infant room was out of ratio for approximately 20 minutes before I arrived and approximately 15-20 minutes during my visit. I also observed an infant with a small 3ml bottle of Vigamox in their hand. The staff member did not know where the child could have gotten the vigamox from. The staff member stated that it could have fallen out of a parent’s purse during drop off. The Toddler classroom had 6 children, all 1-year-olds and one staff member. The Two-year-old classroom had 9 children (6) two-year-olds (3) one-year olds and one staff member. The Early preschool classroom had 9 children 2 two-year-olds,7 three-year-olds and one staff member. The Pre-K classroom had 9 children with one staff member.2 three-year-olds,6 four-year-olds,1 five-year-old. The staff member has not received a criminal background check and was alone with the children when I arrived. Lillian stated that her start date was 10/24/23. The staff member L. Moore left during the visit because she didn’t have a letter, I also checked the ABCMS system, and a determination has not been met yet for L. Moore. I observed documentation from the staff members that were late during today’s visit. I observed five staff members file for qualifying criminal background letters, K. Tate. Anderson, K. Jones, N. Elwahi, L. Moore, and M. Bryd. L. Moore did not have a qualifying letter. CONCLUSION: Based on information received from the Director and my observations, the finding regarding this allegation is Substantiated. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Staff child ratio was not met in the infant classroom. On October 23rd 2023 a staff member confirmed that she had 9 infants for over an hour by herself. During today's visit there were 6 infants under 1 year of age and one staff member for 20 minutes before I arrived and about 10-15 minutes until the Director arrived. GS 110-91(7);.0713(a-d) 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. A child in the infant classroom had a small 3ml bottle of Vigamox in her hand during today's visit that could of been ingested. The Vigamox was given to the director during the visit and removed from the classroom. .2820(b) 1041 Prior to employment a Criminal Background Check was not completed. Prior to employment a staff member was in a classroom supervising a group of children alone with out a qualifying criminal background letter, L. Moore. L. Moore left the facility during today's visit. G.S. 110-90.2(b) Three violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. The violation(s) documented must be corrected immediately. On or before 11-8-23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: Age of Children Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 12 to 24 Months 1/6 12 2 to 3 Years 1/10 20 3 to 4 Years 1/15 25 4 to 5 Years 1/20 25 5 Years and Older 1/25 25 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/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at 919-939-7519 or via email at gilette.parker@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0604 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 7/26/2023 Number Present: 51 Completed Date: 7/26/2023 Age: From 0 To 5 Total Minutes: 230 Time In: 09:30 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Ms. Wilma greeted me and let me in and then Mrs. R. Durham (Director) arrived shortly and assisted me with the visit. Your program is currently operating with a Provisional license, issued 3-30-23. The NC Secretary of State website was reviewed on 2-8-23 and White Rabbit Daycare Inc, was listed as current- active. A full 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 and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. Existing staff files were reviewed during the visit. A Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance. A sampling of Children’s files (ten percent of enrollment) was reviewed today. Fire (6/28/23) and sanitation (9/14/22) inspections remain current. Playground inspection :7/17/23. Emergency drill log: Shelter and lock down drills 7/17/23. Fire drill: 7/18/23. A checklist was used to note the requirements I monitored today. Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. A child's hands were not washed after their diaper was changed. 15A NCAC 18A .2803(c)(2) 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. A variety of outdoor materials were not provided for outdoor play. 10A NCAC 09 .0509(4) 531 Bottles were propped. A child's bottle was propped during today's visit. 10A NCAC 09 .0902(b) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One child was not held or placed in a feeding chair to be fed. The child's bottle was propped up using a pillow. 10A NCAC 09 .0902(b) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from a child's home were not fully prepared, dated, and labeled for the appropriate child. At least two bottles were not labeled and dated. 15A NCAC 18A .2804(d) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Refrigerator in the infant room was at 49 degrees F. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. On the Pre-K playgrouund some of the equipment was chipped, cracked and or broken. The Director did make repairs to the equipment and threw items away. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in spaces 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. Two electrical outlets not in use were not covered with safety plugs. 10A NCAC 09 .0604(c) 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. Leftover medicines were not returned to the parent or discarded within 72 hours of completion and/or the medication had had expired. .0803(12) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy or poster was not posted in the infant room. .0606(b) Ten violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. The following violation(s) were documented and observed. Ten violation(s) documented must be corrected immediately. On or before 8-9-23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant 202 Edinburgh Street Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The center's compliance history was reviewed with the operator. The program’s compliance history was eighty four percent 841%) as of 7/26/23. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (b) The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. (c) Handwashing procedures shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing well for ten seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 15A NCAC 18A .2804 FOOD SUPPLIES (d) Breast milk, formula, and other bottled beverages, including beverages in sippy cups, sent from home shall be fully prepared, dated, and identified for the appropriate child at the child's home. All breast milk, formula, and other bottled beverages shall be returned to the child's home or discarded at the end of each day. Frozen breast milk shall be stored frozen for up to seven days. Frozen breast milk shall be labeled with the date received and date thawed for use. Previously frozen breast milk shall be refrigerated and may be stored for no more than 24 hours. Microwaves shall not be used to thaw or warm breast milk, baby food, formula or other bottled beverages. Bottle warming equipment shall be inaccessible to children when in use and shall be emptied, cleaned and sanitized daily. Formula and other beverages which require refrigeration, baby food after opening, and breast milk shall be identified for the appropriate child and shall be refrigerated at 45°F (7°C) or below. Upon opening, jars of baby food shall be covered, dated, refrigerated, and used within two days. Baby food may be served directly from the jar to one child if unused portions of the food are discarded after each feeding; otherwise, commercially prepared baby foods shall be served from a serving dish rather than the food jar. After the completion of each feeding, leftover formula, breast milk, and other bottled beverages shall be discarded or returned to the child's home at the end of each day. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT cover all electrical outlets not in use and remove cracked, or frayed cords in occupied outlets; SECTION .0600 - SAFETY REQUIREMENTS FOR CHILD CARE CENTERS 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (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, the manufacturer's instructions shall be kept on file or electronically accessible, if available. (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) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. (e) Each child care center shall provide equipment and furnishings that are child-size or that can be adapted use by children. Chairs and tables shall be of appropriate height for the children who will be using them. (f) Each child care center shall be free of lead poisoning hazards as defined in G.S. 130A-131.7(7). 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS A written activity plan that shall: (A) 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 https://www.ncchildcare.ncdhhs.gov//pdf_forms/nc_foundations.pdf: (i) emotional and social development; (ii) health and physical development; (iii) approaches to play and learning; (iv) language development and communication; and (iv) cognitive development For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at 919-939-7519 or via email at gilette.parker@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0902 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 7/26/2023 Number Present: 51 Completed Date: 7/26/2023 Age: From 0 To 5 Total Minutes: 230 Time In: 09:30 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Ms. Wilma greeted me and let me in and then Mrs. R. Durham (Director) arrived shortly and assisted me with the visit. Your program is currently operating with a Provisional license, issued 3-30-23. The NC Secretary of State website was reviewed on 2-8-23 and White Rabbit Daycare Inc, was listed as current- active. A full 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 and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. Existing staff files were reviewed during the visit. A Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance. A sampling of Children’s files (ten percent of enrollment) was reviewed today. Fire (6/28/23) and sanitation (9/14/22) inspections remain current. Playground inspection :7/17/23. Emergency drill log: Shelter and lock down drills 7/17/23. Fire drill: 7/18/23. A checklist was used to note the requirements I monitored today. Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. A child's hands were not washed after their diaper was changed. 15A NCAC 18A .2803(c)(2) 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. A variety of outdoor materials were not provided for outdoor play. 10A NCAC 09 .0509(4) 531 Bottles were propped. A child's bottle was propped during today's visit. 10A NCAC 09 .0902(b) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One child was not held or placed in a feeding chair to be fed. The child's bottle was propped up using a pillow. 10A NCAC 09 .0902(b) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from a child's home were not fully prepared, dated, and labeled for the appropriate child. At least two bottles were not labeled and dated. 15A NCAC 18A .2804(d) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Refrigerator in the infant room was at 49 degrees F. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. On the Pre-K playgrouund some of the equipment was chipped, cracked and or broken. The Director did make repairs to the equipment and threw items away. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in spaces 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. Two electrical outlets not in use were not covered with safety plugs. 10A NCAC 09 .0604(c) 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. Leftover medicines were not returned to the parent or discarded within 72 hours of completion and/or the medication had had expired. .0803(12) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy or poster was not posted in the infant room. .0606(b) Ten violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. The following violation(s) were documented and observed. Ten violation(s) documented must be corrected immediately. On or before 8-9-23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant 202 Edinburgh Street Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The center's compliance history was reviewed with the operator. The program’s compliance history was eighty four percent 841%) as of 7/26/23. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (b) The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. (c) Handwashing procedures shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing well for ten seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 15A NCAC 18A .2804 FOOD SUPPLIES (d) Breast milk, formula, and other bottled beverages, including beverages in sippy cups, sent from home shall be fully prepared, dated, and identified for the appropriate child at the child's home. All breast milk, formula, and other bottled beverages shall be returned to the child's home or discarded at the end of each day. Frozen breast milk shall be stored frozen for up to seven days. Frozen breast milk shall be labeled with the date received and date thawed for use. Previously frozen breast milk shall be refrigerated and may be stored for no more than 24 hours. Microwaves shall not be used to thaw or warm breast milk, baby food, formula or other bottled beverages. Bottle warming equipment shall be inaccessible to children when in use and shall be emptied, cleaned and sanitized daily. Formula and other beverages which require refrigeration, baby food after opening, and breast milk shall be identified for the appropriate child and shall be refrigerated at 45°F (7°C) or below. Upon opening, jars of baby food shall be covered, dated, refrigerated, and used within two days. Baby food may be served directly from the jar to one child if unused portions of the food are discarded after each feeding; otherwise, commercially prepared baby foods shall be served from a serving dish rather than the food jar. After the completion of each feeding, leftover formula, breast milk, and other bottled beverages shall be discarded or returned to the child's home at the end of each day. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT cover all electrical outlets not in use and remove cracked, or frayed cords in occupied outlets; SECTION .0600 - SAFETY REQUIREMENTS FOR CHILD CARE CENTERS 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (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, the manufacturer's instructions shall be kept on file or electronically accessible, if available. (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) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. (e) Each child care center shall provide equipment and furnishings that are child-size or that can be adapted use by children. Chairs and tables shall be of appropriate height for the children who will be using them. (f) Each child care center shall be free of lead poisoning hazards as defined in G.S. 130A-131.7(7). 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS A written activity plan that shall: (A) 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 https://www.ncchildcare.ncdhhs.gov//pdf_forms/nc_foundations.pdf: (i) emotional and social development; (ii) health and physical development; (iii) approaches to play and learning; (iv) language development and communication; and (iv) cognitive development For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at 919-939-7519 or via email at gilette.parker@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0509 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 7/26/2023 Number Present: 51 Completed Date: 7/26/2023 Age: From 0 To 5 Total Minutes: 230 Time In: 09:30 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Ms. Wilma greeted me and let me in and then Mrs. R. Durham (Director) arrived shortly and assisted me with the visit. Your program is currently operating with a Provisional license, issued 3-30-23. The NC Secretary of State website was reviewed on 2-8-23 and White Rabbit Daycare Inc, was listed as current- active. A full 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 and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. Existing staff files were reviewed during the visit. A Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance. A sampling of Children’s files (ten percent of enrollment) was reviewed today. Fire (6/28/23) and sanitation (9/14/22) inspections remain current. Playground inspection :7/17/23. Emergency drill log: Shelter and lock down drills 7/17/23. Fire drill: 7/18/23. A checklist was used to note the requirements I monitored today. Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. A child's hands were not washed after their diaper was changed. 15A NCAC 18A .2803(c)(2) 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. A variety of outdoor materials were not provided for outdoor play. 10A NCAC 09 .0509(4) 531 Bottles were propped. A child's bottle was propped during today's visit. 10A NCAC 09 .0902(b) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One child was not held or placed in a feeding chair to be fed. The child's bottle was propped up using a pillow. 10A NCAC 09 .0902(b) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from a child's home were not fully prepared, dated, and labeled for the appropriate child. At least two bottles were not labeled and dated. 15A NCAC 18A .2804(d) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Refrigerator in the infant room was at 49 degrees F. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. On the Pre-K playgrouund some of the equipment was chipped, cracked and or broken. The Director did make repairs to the equipment and threw items away. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in spaces 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. Two electrical outlets not in use were not covered with safety plugs. 10A NCAC 09 .0604(c) 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. Leftover medicines were not returned to the parent or discarded within 72 hours of completion and/or the medication had had expired. .0803(12) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy or poster was not posted in the infant room. .0606(b) Ten violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. The following violation(s) were documented and observed. Ten violation(s) documented must be corrected immediately. On or before 8-9-23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant 202 Edinburgh Street Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The center's compliance history was reviewed with the operator. The program’s compliance history was eighty four percent 841%) as of 7/26/23. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (b) The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. (c) Handwashing procedures shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing well for ten seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 15A NCAC 18A .2804 FOOD SUPPLIES (d) Breast milk, formula, and other bottled beverages, including beverages in sippy cups, sent from home shall be fully prepared, dated, and identified for the appropriate child at the child's home. All breast milk, formula, and other bottled beverages shall be returned to the child's home or discarded at the end of each day. Frozen breast milk shall be stored frozen for up to seven days. Frozen breast milk shall be labeled with the date received and date thawed for use. Previously frozen breast milk shall be refrigerated and may be stored for no more than 24 hours. Microwaves shall not be used to thaw or warm breast milk, baby food, formula or other bottled beverages. Bottle warming equipment shall be inaccessible to children when in use and shall be emptied, cleaned and sanitized daily. Formula and other beverages which require refrigeration, baby food after opening, and breast milk shall be identified for the appropriate child and shall be refrigerated at 45°F (7°C) or below. Upon opening, jars of baby food shall be covered, dated, refrigerated, and used within two days. Baby food may be served directly from the jar to one child if unused portions of the food are discarded after each feeding; otherwise, commercially prepared baby foods shall be served from a serving dish rather than the food jar. After the completion of each feeding, leftover formula, breast milk, and other bottled beverages shall be discarded or returned to the child's home at the end of each day. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT cover all electrical outlets not in use and remove cracked, or frayed cords in occupied outlets; SECTION .0600 - SAFETY REQUIREMENTS FOR CHILD CARE CENTERS 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (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, the manufacturer's instructions shall be kept on file or electronically accessible, if available. (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) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. (e) Each child care center shall provide equipment and furnishings that are child-size or that can be adapted use by children. Chairs and tables shall be of appropriate height for the children who will be using them. (f) Each child care center shall be free of lead poisoning hazards as defined in G.S. 130A-131.7(7). 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS A written activity plan that shall: (A) 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 https://www.ncchildcare.ncdhhs.gov//pdf_forms/nc_foundations.pdf: (i) emotional and social development; (ii) health and physical development; (iii) approaches to play and learning; (iv) language development and communication; and (iv) cognitive development For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at 919-939-7519 or via email at gilette.parker@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0601 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 7/26/2023 Number Present: 51 Completed Date: 7/26/2023 Age: From 0 To 5 Total Minutes: 230 Time In: 09:30 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Ms. Wilma greeted me and let me in and then Mrs. R. Durham (Director) arrived shortly and assisted me with the visit. Your program is currently operating with a Provisional license, issued 3-30-23. The NC Secretary of State website was reviewed on 2-8-23 and White Rabbit Daycare Inc, was listed as current- active. A full 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 and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. Existing staff files were reviewed during the visit. A Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance. A sampling of Children’s files (ten percent of enrollment) was reviewed today. Fire (6/28/23) and sanitation (9/14/22) inspections remain current. Playground inspection :7/17/23. Emergency drill log: Shelter and lock down drills 7/17/23. Fire drill: 7/18/23. A checklist was used to note the requirements I monitored today. Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. A child's hands were not washed after their diaper was changed. 15A NCAC 18A .2803(c)(2) 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. A variety of outdoor materials were not provided for outdoor play. 10A NCAC 09 .0509(4) 531 Bottles were propped. A child's bottle was propped during today's visit. 10A NCAC 09 .0902(b) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One child was not held or placed in a feeding chair to be fed. The child's bottle was propped up using a pillow. 10A NCAC 09 .0902(b) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from a child's home were not fully prepared, dated, and labeled for the appropriate child. At least two bottles were not labeled and dated. 15A NCAC 18A .2804(d) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Refrigerator in the infant room was at 49 degrees F. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. On the Pre-K playgrouund some of the equipment was chipped, cracked and or broken. The Director did make repairs to the equipment and threw items away. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in spaces 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. Two electrical outlets not in use were not covered with safety plugs. 10A NCAC 09 .0604(c) 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. Leftover medicines were not returned to the parent or discarded within 72 hours of completion and/or the medication had had expired. .0803(12) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy or poster was not posted in the infant room. .0606(b) Ten violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. The following violation(s) were documented and observed. Ten violation(s) documented must be corrected immediately. On or before 8-9-23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant 202 Edinburgh Street Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The center's compliance history was reviewed with the operator. The program’s compliance history was eighty four percent 841%) as of 7/26/23. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (b) The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. (c) Handwashing procedures shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing well for ten seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 15A NCAC 18A .2804 FOOD SUPPLIES (d) Breast milk, formula, and other bottled beverages, including beverages in sippy cups, sent from home shall be fully prepared, dated, and identified for the appropriate child at the child's home. All breast milk, formula, and other bottled beverages shall be returned to the child's home or discarded at the end of each day. Frozen breast milk shall be stored frozen for up to seven days. Frozen breast milk shall be labeled with the date received and date thawed for use. Previously frozen breast milk shall be refrigerated and may be stored for no more than 24 hours. Microwaves shall not be used to thaw or warm breast milk, baby food, formula or other bottled beverages. Bottle warming equipment shall be inaccessible to children when in use and shall be emptied, cleaned and sanitized daily. Formula and other beverages which require refrigeration, baby food after opening, and breast milk shall be identified for the appropriate child and shall be refrigerated at 45°F (7°C) or below. Upon opening, jars of baby food shall be covered, dated, refrigerated, and used within two days. Baby food may be served directly from the jar to one child if unused portions of the food are discarded after each feeding; otherwise, commercially prepared baby foods shall be served from a serving dish rather than the food jar. After the completion of each feeding, leftover formula, breast milk, and other bottled beverages shall be discarded or returned to the child's home at the end of each day. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT cover all electrical outlets not in use and remove cracked, or frayed cords in occupied outlets; SECTION .0600 - SAFETY REQUIREMENTS FOR CHILD CARE CENTERS 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (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, the manufacturer's instructions shall be kept on file or electronically accessible, if available. (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) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. (e) Each child care center shall provide equipment and furnishings that are child-size or that can be adapted use by children. Chairs and tables shall be of appropriate height for the children who will be using them. (f) Each child care center shall be free of lead poisoning hazards as defined in G.S. 130A-131.7(7). 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS A written activity plan that shall: (A) 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 https://www.ncchildcare.ncdhhs.gov//pdf_forms/nc_foundations.pdf: (i) emotional and social development; (ii) health and physical development; (iii) approaches to play and learning; (iv) language development and communication; and (iv) cognitive development For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at 919-939-7519 or via email at gilette.parker@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0803 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 7/26/2023 Number Present: 51 Completed Date: 7/26/2023 Age: From 0 To 5 Total Minutes: 230 Time In: 09:30 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Ms. Wilma greeted me and let me in and then Mrs. R. Durham (Director) arrived shortly and assisted me with the visit. Your program is currently operating with a Provisional license, issued 3-30-23. The NC Secretary of State website was reviewed on 2-8-23 and White Rabbit Daycare Inc, was listed as current- active. A full 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 and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. Existing staff files were reviewed during the visit. A Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance. A sampling of Children’s files (ten percent of enrollment) was reviewed today. Fire (6/28/23) and sanitation (9/14/22) inspections remain current. Playground inspection :7/17/23. Emergency drill log: Shelter and lock down drills 7/17/23. Fire drill: 7/18/23. A checklist was used to note the requirements I monitored today. Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. A child's hands were not washed after their diaper was changed. 15A NCAC 18A .2803(c)(2) 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. A variety of outdoor materials were not provided for outdoor play. 10A NCAC 09 .0509(4) 531 Bottles were propped. A child's bottle was propped during today's visit. 10A NCAC 09 .0902(b) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One child was not held or placed in a feeding chair to be fed. The child's bottle was propped up using a pillow. 10A NCAC 09 .0902(b) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from a child's home were not fully prepared, dated, and labeled for the appropriate child. At least two bottles were not labeled and dated. 15A NCAC 18A .2804(d) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Refrigerator in the infant room was at 49 degrees F. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. On the Pre-K playgrouund some of the equipment was chipped, cracked and or broken. The Director did make repairs to the equipment and threw items away. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in spaces 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. Two electrical outlets not in use were not covered with safety plugs. 10A NCAC 09 .0604(c) 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. Leftover medicines were not returned to the parent or discarded within 72 hours of completion and/or the medication had had expired. .0803(12) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy or poster was not posted in the infant room. .0606(b) Ten violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. The following violation(s) were documented and observed. Ten violation(s) documented must be corrected immediately. On or before 8-9-23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant 202 Edinburgh Street Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The center's compliance history was reviewed with the operator. The program’s compliance history was eighty four percent 841%) as of 7/26/23. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (b) The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. (c) Handwashing procedures shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing well for ten seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 15A NCAC 18A .2804 FOOD SUPPLIES (d) Breast milk, formula, and other bottled beverages, including beverages in sippy cups, sent from home shall be fully prepared, dated, and identified for the appropriate child at the child's home. All breast milk, formula, and other bottled beverages shall be returned to the child's home or discarded at the end of each day. Frozen breast milk shall be stored frozen for up to seven days. Frozen breast milk shall be labeled with the date received and date thawed for use. Previously frozen breast milk shall be refrigerated and may be stored for no more than 24 hours. Microwaves shall not be used to thaw or warm breast milk, baby food, formula or other bottled beverages. Bottle warming equipment shall be inaccessible to children when in use and shall be emptied, cleaned and sanitized daily. Formula and other beverages which require refrigeration, baby food after opening, and breast milk shall be identified for the appropriate child and shall be refrigerated at 45°F (7°C) or below. Upon opening, jars of baby food shall be covered, dated, refrigerated, and used within two days. Baby food may be served directly from the jar to one child if unused portions of the food are discarded after each feeding; otherwise, commercially prepared baby foods shall be served from a serving dish rather than the food jar. After the completion of each feeding, leftover formula, breast milk, and other bottled beverages shall be discarded or returned to the child's home at the end of each day. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT cover all electrical outlets not in use and remove cracked, or frayed cords in occupied outlets; SECTION .0600 - SAFETY REQUIREMENTS FOR CHILD CARE CENTERS 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (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, the manufacturer's instructions shall be kept on file or electronically accessible, if available. (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) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. (e) Each child care center shall provide equipment and furnishings that are child-size or that can be adapted use by children. Chairs and tables shall be of appropriate height for the children who will be using them. (f) Each child care center shall be free of lead poisoning hazards as defined in G.S. 130A-131.7(7). 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS A written activity plan that shall: (A) 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 https://www.ncchildcare.ncdhhs.gov//pdf_forms/nc_foundations.pdf: (i) emotional and social development; (ii) health and physical development; (iii) approaches to play and learning; (iv) language development and communication; and (iv) cognitive development For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at 919-939-7519 or via email at gilette.parker@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0902 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 7/26/2023 Number Present: 51 Completed Date: 7/26/2023 Age: From 0 To 5 Total Minutes: 230 Time In: 09:30 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Ms. Wilma greeted me and let me in and then Mrs. R. Durham (Director) arrived shortly and assisted me with the visit. Your program is currently operating with a Provisional license, issued 3-30-23. The NC Secretary of State website was reviewed on 2-8-23 and White Rabbit Daycare Inc, was listed as current- active. A full 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 and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. Existing staff files were reviewed during the visit. A Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance. A sampling of Children’s files (ten percent of enrollment) was reviewed today. Fire (6/28/23) and sanitation (9/14/22) inspections remain current. Playground inspection :7/17/23. Emergency drill log: Shelter and lock down drills 7/17/23. Fire drill: 7/18/23. A checklist was used to note the requirements I monitored today. Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. A child's hands were not washed after their diaper was changed. 15A NCAC 18A .2803(c)(2) 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. A variety of outdoor materials were not provided for outdoor play. 10A NCAC 09 .0509(4) 531 Bottles were propped. A child's bottle was propped during today's visit. 10A NCAC 09 .0902(b) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One child was not held or placed in a feeding chair to be fed. The child's bottle was propped up using a pillow. 10A NCAC 09 .0902(b) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from a child's home were not fully prepared, dated, and labeled for the appropriate child. At least two bottles were not labeled and dated. 15A NCAC 18A .2804(d) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Refrigerator in the infant room was at 49 degrees F. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. On the Pre-K playgrouund some of the equipment was chipped, cracked and or broken. The Director did make repairs to the equipment and threw items away. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in spaces 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. Two electrical outlets not in use were not covered with safety plugs. 10A NCAC 09 .0604(c) 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. Leftover medicines were not returned to the parent or discarded within 72 hours of completion and/or the medication had had expired. .0803(12) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy or poster was not posted in the infant room. .0606(b) Ten violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. The following violation(s) were documented and observed. Ten violation(s) documented must be corrected immediately. On or before 8-9-23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant 202 Edinburgh Street Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The center's compliance history was reviewed with the operator. The program’s compliance history was eighty four percent 841%) as of 7/26/23. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (b) The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. (c) Handwashing procedures shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing well for ten seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 15A NCAC 18A .2804 FOOD SUPPLIES (d) Breast milk, formula, and other bottled beverages, including beverages in sippy cups, sent from home shall be fully prepared, dated, and identified for the appropriate child at the child's home. All breast milk, formula, and other bottled beverages shall be returned to the child's home or discarded at the end of each day. Frozen breast milk shall be stored frozen for up to seven days. Frozen breast milk shall be labeled with the date received and date thawed for use. Previously frozen breast milk shall be refrigerated and may be stored for no more than 24 hours. Microwaves shall not be used to thaw or warm breast milk, baby food, formula or other bottled beverages. Bottle warming equipment shall be inaccessible to children when in use and shall be emptied, cleaned and sanitized daily. Formula and other beverages which require refrigeration, baby food after opening, and breast milk shall be identified for the appropriate child and shall be refrigerated at 45°F (7°C) or below. Upon opening, jars of baby food shall be covered, dated, refrigerated, and used within two days. Baby food may be served directly from the jar to one child if unused portions of the food are discarded after each feeding; otherwise, commercially prepared baby foods shall be served from a serving dish rather than the food jar. After the completion of each feeding, leftover formula, breast milk, and other bottled beverages shall be discarded or returned to the child's home at the end of each day. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT cover all electrical outlets not in use and remove cracked, or frayed cords in occupied outlets; SECTION .0600 - SAFETY REQUIREMENTS FOR CHILD CARE CENTERS 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (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, the manufacturer's instructions shall be kept on file or electronically accessible, if available. (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) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. (e) Each child care center shall provide equipment and furnishings that are child-size or that can be adapted use by children. Chairs and tables shall be of appropriate height for the children who will be using them. (f) Each child care center shall be free of lead poisoning hazards as defined in G.S. 130A-131.7(7). 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS A written activity plan that shall: (A) 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 https://www.ncchildcare.ncdhhs.gov//pdf_forms/nc_foundations.pdf: (i) emotional and social development; (ii) health and physical development; (iii) approaches to play and learning; (iv) language development and communication; and (iv) cognitive development For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at 919-939-7519 or via email at gilette.parker@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .1718 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 7/26/2023 Number Present: 51 Completed Date: 7/26/2023 Age: From 0 To 5 Total Minutes: 230 Time In: 09:30 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Ms. Wilma greeted me and let me in and then Mrs. R. Durham (Director) arrived shortly and assisted me with the visit. Your program is currently operating with a Provisional license, issued 3-30-23. The NC Secretary of State website was reviewed on 2-8-23 and White Rabbit Daycare Inc, was listed as current- active. A full 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 and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. Existing staff files were reviewed during the visit. A Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance. A sampling of Children’s files (ten percent of enrollment) was reviewed today. Fire (6/28/23) and sanitation (9/14/22) inspections remain current. Playground inspection :7/17/23. Emergency drill log: Shelter and lock down drills 7/17/23. Fire drill: 7/18/23. A checklist was used to note the requirements I monitored today. Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. A child's hands were not washed after their diaper was changed. 15A NCAC 18A .2803(c)(2) 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. A variety of outdoor materials were not provided for outdoor play. 10A NCAC 09 .0509(4) 531 Bottles were propped. A child's bottle was propped during today's visit. 10A NCAC 09 .0902(b) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One child was not held or placed in a feeding chair to be fed. The child's bottle was propped up using a pillow. 10A NCAC 09 .0902(b) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from a child's home were not fully prepared, dated, and labeled for the appropriate child. At least two bottles were not labeled and dated. 15A NCAC 18A .2804(d) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Refrigerator in the infant room was at 49 degrees F. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. On the Pre-K playgrouund some of the equipment was chipped, cracked and or broken. The Director did make repairs to the equipment and threw items away. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in spaces 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. Two electrical outlets not in use were not covered with safety plugs. 10A NCAC 09 .0604(c) 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. Leftover medicines were not returned to the parent or discarded within 72 hours of completion and/or the medication had had expired. .0803(12) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy or poster was not posted in the infant room. .0606(b) Ten violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. The following violation(s) were documented and observed. Ten violation(s) documented must be corrected immediately. On or before 8-9-23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant 202 Edinburgh Street Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The center's compliance history was reviewed with the operator. The program’s compliance history was eighty four percent 841%) as of 7/26/23. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (b) The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. (c) Handwashing procedures shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing well for ten seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 15A NCAC 18A .2804 FOOD SUPPLIES (d) Breast milk, formula, and other bottled beverages, including beverages in sippy cups, sent from home shall be fully prepared, dated, and identified for the appropriate child at the child's home. All breast milk, formula, and other bottled beverages shall be returned to the child's home or discarded at the end of each day. Frozen breast milk shall be stored frozen for up to seven days. Frozen breast milk shall be labeled with the date received and date thawed for use. Previously frozen breast milk shall be refrigerated and may be stored for no more than 24 hours. Microwaves shall not be used to thaw or warm breast milk, baby food, formula or other bottled beverages. Bottle warming equipment shall be inaccessible to children when in use and shall be emptied, cleaned and sanitized daily. Formula and other beverages which require refrigeration, baby food after opening, and breast milk shall be identified for the appropriate child and shall be refrigerated at 45°F (7°C) or below. Upon opening, jars of baby food shall be covered, dated, refrigerated, and used within two days. Baby food may be served directly from the jar to one child if unused portions of the food are discarded after each feeding; otherwise, commercially prepared baby foods shall be served from a serving dish rather than the food jar. After the completion of each feeding, leftover formula, breast milk, and other bottled beverages shall be discarded or returned to the child's home at the end of each day. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT cover all electrical outlets not in use and remove cracked, or frayed cords in occupied outlets; SECTION .0600 - SAFETY REQUIREMENTS FOR CHILD CARE CENTERS 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (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, the manufacturer's instructions shall be kept on file or electronically accessible, if available. (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) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. (e) Each child care center shall provide equipment and furnishings that are child-size or that can be adapted use by children. Chairs and tables shall be of appropriate height for the children who will be using them. (f) Each child care center shall be free of lead poisoning hazards as defined in G.S. 130A-131.7(7). 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS A written activity plan that shall: (A) 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 https://www.ncchildcare.ncdhhs.gov//pdf_forms/nc_foundations.pdf: (i) emotional and social development; (ii) health and physical development; (iii) approaches to play and learning; (iv) language development and communication; and (iv) cognitive development For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at 919-939-7519 or via email at gilette.parker@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .1719 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 7/26/2023 Number Present: 51 Completed Date: 7/26/2023 Age: From 0 To 5 Total Minutes: 230 Time In: 09:30 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Ms. Wilma greeted me and let me in and then Mrs. R. Durham (Director) arrived shortly and assisted me with the visit. Your program is currently operating with a Provisional license, issued 3-30-23. The NC Secretary of State website was reviewed on 2-8-23 and White Rabbit Daycare Inc, was listed as current- active. A full 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 and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. Existing staff files were reviewed during the visit. A Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance. A sampling of Children’s files (ten percent of enrollment) was reviewed today. Fire (6/28/23) and sanitation (9/14/22) inspections remain current. Playground inspection :7/17/23. Emergency drill log: Shelter and lock down drills 7/17/23. Fire drill: 7/18/23. A checklist was used to note the requirements I monitored today. Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. A child's hands were not washed after their diaper was changed. 15A NCAC 18A .2803(c)(2) 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. A variety of outdoor materials were not provided for outdoor play. 10A NCAC 09 .0509(4) 531 Bottles were propped. A child's bottle was propped during today's visit. 10A NCAC 09 .0902(b) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One child was not held or placed in a feeding chair to be fed. The child's bottle was propped up using a pillow. 10A NCAC 09 .0902(b) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from a child's home were not fully prepared, dated, and labeled for the appropriate child. At least two bottles were not labeled and dated. 15A NCAC 18A .2804(d) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Refrigerator in the infant room was at 49 degrees F. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. On the Pre-K playgrouund some of the equipment was chipped, cracked and or broken. The Director did make repairs to the equipment and threw items away. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in spaces 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. Two electrical outlets not in use were not covered with safety plugs. 10A NCAC 09 .0604(c) 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. Leftover medicines were not returned to the parent or discarded within 72 hours of completion and/or the medication had had expired. .0803(12) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy or poster was not posted in the infant room. .0606(b) Ten violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. The following violation(s) were documented and observed. Ten violation(s) documented must be corrected immediately. On or before 8-9-23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant 202 Edinburgh Street Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The center's compliance history was reviewed with the operator. The program’s compliance history was eighty four percent 841%) as of 7/26/23. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (b) The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. (c) Handwashing procedures shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing well for ten seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 15A NCAC 18A .2804 FOOD SUPPLIES (d) Breast milk, formula, and other bottled beverages, including beverages in sippy cups, sent from home shall be fully prepared, dated, and identified for the appropriate child at the child's home. All breast milk, formula, and other bottled beverages shall be returned to the child's home or discarded at the end of each day. Frozen breast milk shall be stored frozen for up to seven days. Frozen breast milk shall be labeled with the date received and date thawed for use. Previously frozen breast milk shall be refrigerated and may be stored for no more than 24 hours. Microwaves shall not be used to thaw or warm breast milk, baby food, formula or other bottled beverages. Bottle warming equipment shall be inaccessible to children when in use and shall be emptied, cleaned and sanitized daily. Formula and other beverages which require refrigeration, baby food after opening, and breast milk shall be identified for the appropriate child and shall be refrigerated at 45°F (7°C) or below. Upon opening, jars of baby food shall be covered, dated, refrigerated, and used within two days. Baby food may be served directly from the jar to one child if unused portions of the food are discarded after each feeding; otherwise, commercially prepared baby foods shall be served from a serving dish rather than the food jar. After the completion of each feeding, leftover formula, breast milk, and other bottled beverages shall be discarded or returned to the child's home at the end of each day. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT cover all electrical outlets not in use and remove cracked, or frayed cords in occupied outlets; SECTION .0600 - SAFETY REQUIREMENTS FOR CHILD CARE CENTERS 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (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, the manufacturer's instructions shall be kept on file or electronically accessible, if available. (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) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. (e) Each child care center shall provide equipment and furnishings that are child-size or that can be adapted use by children. Chairs and tables shall be of appropriate height for the children who will be using them. (f) Each child care center shall be free of lead poisoning hazards as defined in G.S. 130A-131.7(7). 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS A written activity plan that shall: (A) 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 https://www.ncchildcare.ncdhhs.gov//pdf_forms/nc_foundations.pdf: (i) emotional and social development; (ii) health and physical development; (iii) approaches to play and learning; (iv) language development and communication; and (iv) cognitive development For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at 919-939-7519 or via email at gilette.parker@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .1724 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 7/26/2023 Number Present: 51 Completed Date: 7/26/2023 Age: From 0 To 5 Total Minutes: 230 Time In: 09:30 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Ms. Wilma greeted me and let me in and then Mrs. R. Durham (Director) arrived shortly and assisted me with the visit. Your program is currently operating with a Provisional license, issued 3-30-23. The NC Secretary of State website was reviewed on 2-8-23 and White Rabbit Daycare Inc, was listed as current- active. A full 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 and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. Existing staff files were reviewed during the visit. A Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance. A sampling of Children’s files (ten percent of enrollment) was reviewed today. Fire (6/28/23) and sanitation (9/14/22) inspections remain current. Playground inspection :7/17/23. Emergency drill log: Shelter and lock down drills 7/17/23. Fire drill: 7/18/23. A checklist was used to note the requirements I monitored today. Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. A child's hands were not washed after their diaper was changed. 15A NCAC 18A .2803(c)(2) 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. A variety of outdoor materials were not provided for outdoor play. 10A NCAC 09 .0509(4) 531 Bottles were propped. A child's bottle was propped during today's visit. 10A NCAC 09 .0902(b) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One child was not held or placed in a feeding chair to be fed. The child's bottle was propped up using a pillow. 10A NCAC 09 .0902(b) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from a child's home were not fully prepared, dated, and labeled for the appropriate child. At least two bottles were not labeled and dated. 15A NCAC 18A .2804(d) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Refrigerator in the infant room was at 49 degrees F. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. On the Pre-K playgrouund some of the equipment was chipped, cracked and or broken. The Director did make repairs to the equipment and threw items away. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in spaces 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. Two electrical outlets not in use were not covered with safety plugs. 10A NCAC 09 .0604(c) 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. Leftover medicines were not returned to the parent or discarded within 72 hours of completion and/or the medication had had expired. .0803(12) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy or poster was not posted in the infant room. .0606(b) Ten violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. The following violation(s) were documented and observed. Ten violation(s) documented must be corrected immediately. On or before 8-9-23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant 202 Edinburgh Street Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The center's compliance history was reviewed with the operator. The program’s compliance history was eighty four percent 841%) as of 7/26/23. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (b) The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. (c) Handwashing procedures shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing well for ten seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 15A NCAC 18A .2804 FOOD SUPPLIES (d) Breast milk, formula, and other bottled beverages, including beverages in sippy cups, sent from home shall be fully prepared, dated, and identified for the appropriate child at the child's home. All breast milk, formula, and other bottled beverages shall be returned to the child's home or discarded at the end of each day. Frozen breast milk shall be stored frozen for up to seven days. Frozen breast milk shall be labeled with the date received and date thawed for use. Previously frozen breast milk shall be refrigerated and may be stored for no more than 24 hours. Microwaves shall not be used to thaw or warm breast milk, baby food, formula or other bottled beverages. Bottle warming equipment shall be inaccessible to children when in use and shall be emptied, cleaned and sanitized daily. Formula and other beverages which require refrigeration, baby food after opening, and breast milk shall be identified for the appropriate child and shall be refrigerated at 45°F (7°C) or below. Upon opening, jars of baby food shall be covered, dated, refrigerated, and used within two days. Baby food may be served directly from the jar to one child if unused portions of the food are discarded after each feeding; otherwise, commercially prepared baby foods shall be served from a serving dish rather than the food jar. After the completion of each feeding, leftover formula, breast milk, and other bottled beverages shall be discarded or returned to the child's home at the end of each day. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT cover all electrical outlets not in use and remove cracked, or frayed cords in occupied outlets; SECTION .0600 - SAFETY REQUIREMENTS FOR CHILD CARE CENTERS 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (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, the manufacturer's instructions shall be kept on file or electronically accessible, if available. (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) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. (e) Each child care center shall provide equipment and furnishings that are child-size or that can be adapted use by children. Chairs and tables shall be of appropriate height for the children who will be using them. (f) Each child care center shall be free of lead poisoning hazards as defined in G.S. 130A-131.7(7). 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS A written activity plan that shall: (A) 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 https://www.ncchildcare.ncdhhs.gov//pdf_forms/nc_foundations.pdf: (i) emotional and social development; (ii) health and physical development; (iii) approaches to play and learning; (iv) language development and communication; and (iv) cognitive development For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at 919-939-7519 or via email at gilette.parker@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-91 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 7/26/2023 Number Present: 51 Completed Date: 7/26/2023 Age: From 0 To 5 Total Minutes: 230 Time In: 09:30 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Ms. Wilma greeted me and let me in and then Mrs. R. Durham (Director) arrived shortly and assisted me with the visit. Your program is currently operating with a Provisional license, issued 3-30-23. The NC Secretary of State website was reviewed on 2-8-23 and White Rabbit Daycare Inc, was listed as current- active. A full 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 and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. Existing staff files were reviewed during the visit. A Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance. A sampling of Children’s files (ten percent of enrollment) was reviewed today. Fire (6/28/23) and sanitation (9/14/22) inspections remain current. Playground inspection :7/17/23. Emergency drill log: Shelter and lock down drills 7/17/23. Fire drill: 7/18/23. A checklist was used to note the requirements I monitored today. Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. A child's hands were not washed after their diaper was changed. 15A NCAC 18A .2803(c)(2) 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. A variety of outdoor materials were not provided for outdoor play. 10A NCAC 09 .0509(4) 531 Bottles were propped. A child's bottle was propped during today's visit. 10A NCAC 09 .0902(b) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One child was not held or placed in a feeding chair to be fed. The child's bottle was propped up using a pillow. 10A NCAC 09 .0902(b) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from a child's home were not fully prepared, dated, and labeled for the appropriate child. At least two bottles were not labeled and dated. 15A NCAC 18A .2804(d) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Refrigerator in the infant room was at 49 degrees F. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. On the Pre-K playgrouund some of the equipment was chipped, cracked and or broken. The Director did make repairs to the equipment and threw items away. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in spaces 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. Two electrical outlets not in use were not covered with safety plugs. 10A NCAC 09 .0604(c) 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. Leftover medicines were not returned to the parent or discarded within 72 hours of completion and/or the medication had had expired. .0803(12) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy or poster was not posted in the infant room. .0606(b) Ten violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. The following violation(s) were documented and observed. Ten violation(s) documented must be corrected immediately. On or before 8-9-23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant 202 Edinburgh Street Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The center's compliance history was reviewed with the operator. The program’s compliance history was eighty four percent 841%) as of 7/26/23. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (b) The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. (c) Handwashing procedures shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing well for ten seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 15A NCAC 18A .2804 FOOD SUPPLIES (d) Breast milk, formula, and other bottled beverages, including beverages in sippy cups, sent from home shall be fully prepared, dated, and identified for the appropriate child at the child's home. All breast milk, formula, and other bottled beverages shall be returned to the child's home or discarded at the end of each day. Frozen breast milk shall be stored frozen for up to seven days. Frozen breast milk shall be labeled with the date received and date thawed for use. Previously frozen breast milk shall be refrigerated and may be stored for no more than 24 hours. Microwaves shall not be used to thaw or warm breast milk, baby food, formula or other bottled beverages. Bottle warming equipment shall be inaccessible to children when in use and shall be emptied, cleaned and sanitized daily. Formula and other beverages which require refrigeration, baby food after opening, and breast milk shall be identified for the appropriate child and shall be refrigerated at 45°F (7°C) or below. Upon opening, jars of baby food shall be covered, dated, refrigerated, and used within two days. Baby food may be served directly from the jar to one child if unused portions of the food are discarded after each feeding; otherwise, commercially prepared baby foods shall be served from a serving dish rather than the food jar. After the completion of each feeding, leftover formula, breast milk, and other bottled beverages shall be discarded or returned to the child's home at the end of each day. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT cover all electrical outlets not in use and remove cracked, or frayed cords in occupied outlets; SECTION .0600 - SAFETY REQUIREMENTS FOR CHILD CARE CENTERS 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (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, the manufacturer's instructions shall be kept on file or electronically accessible, if available. (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) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. (e) Each child care center shall provide equipment and furnishings that are child-size or that can be adapted use by children. Chairs and tables shall be of appropriate height for the children who will be using them. (f) Each child care center shall be free of lead poisoning hazards as defined in G.S. 130A-131.7(7). 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS A written activity plan that shall: (A) 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 https://www.ncchildcare.ncdhhs.gov//pdf_forms/nc_foundations.pdf: (i) emotional and social development; (ii) health and physical development; (iii) approaches to play and learning; (iv) language development and communication; and (iv) cognitive development For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at 919-939-7519 or via email at gilette.parker@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
NC GS 110-90 · Violation
Name of Operation: WHITE RABBIT PRESCHOOL ACADEMY OF LEARNING Facility ID: 39000085 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 7/26/2023 Number Present: 51 Completed Date: 7/26/2023 Age: From 0 To 5 Total Minutes: 230 Time In: 09:30 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Ms. Wilma greeted me and let me in and then Mrs. R. Durham (Director) arrived shortly and assisted me with the visit. Your program is currently operating with a Provisional license, issued 3-30-23. The NC Secretary of State website was reviewed on 2-8-23 and White Rabbit Daycare Inc, was listed as current- active. A full 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 and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. Existing staff files were reviewed during the visit. A Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance. A sampling of Children’s files (ten percent of enrollment) was reviewed today. Fire (6/28/23) and sanitation (9/14/22) inspections remain current. Playground inspection :7/17/23. Emergency drill log: Shelter and lock down drills 7/17/23. Fire drill: 7/18/23. A checklist was used to note the requirements I monitored today. Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. A child's hands were not washed after their diaper was changed. 15A NCAC 18A .2803(c)(2) 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. A variety of outdoor materials were not provided for outdoor play. 10A NCAC 09 .0509(4) 531 Bottles were propped. A child's bottle was propped during today's visit. 10A NCAC 09 .0902(b) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One child was not held or placed in a feeding chair to be fed. The child's bottle was propped up using a pillow. 10A NCAC 09 .0902(b) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from a child's home were not fully prepared, dated, and labeled for the appropriate child. At least two bottles were not labeled and dated. 15A NCAC 18A .2804(d) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Refrigerator in the infant room was at 49 degrees F. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. On the Pre-K playgrouund some of the equipment was chipped, cracked and or broken. The Director did make repairs to the equipment and threw items away. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in spaces 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. Two electrical outlets not in use were not covered with safety plugs. 10A NCAC 09 .0604(c) 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. Leftover medicines were not returned to the parent or discarded within 72 hours of completion and/or the medication had had expired. .0803(12) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy or poster was not posted in the infant room. .0606(b) Ten violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. The following violation(s) were documented and observed. Ten violation(s) documented must be corrected immediately. On or before 8-9-23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant 202 Edinburgh Street Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The center's compliance history was reviewed with the operator. The program’s compliance history was eighty four percent 841%) as of 7/26/23. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (b) The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. (c) Handwashing procedures shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing well for ten seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 15A NCAC 18A .2804 FOOD SUPPLIES (d) Breast milk, formula, and other bottled beverages, including beverages in sippy cups, sent from home shall be fully prepared, dated, and identified for the appropriate child at the child's home. All breast milk, formula, and other bottled beverages shall be returned to the child's home or discarded at the end of each day. Frozen breast milk shall be stored frozen for up to seven days. Frozen breast milk shall be labeled with the date received and date thawed for use. Previously frozen breast milk shall be refrigerated and may be stored for no more than 24 hours. Microwaves shall not be used to thaw or warm breast milk, baby food, formula or other bottled beverages. Bottle warming equipment shall be inaccessible to children when in use and shall be emptied, cleaned and sanitized daily. Formula and other beverages which require refrigeration, baby food after opening, and breast milk shall be identified for the appropriate child and shall be refrigerated at 45°F (7°C) or below. Upon opening, jars of baby food shall be covered, dated, refrigerated, and used within two days. Baby food may be served directly from the jar to one child if unused portions of the food are discarded after each feeding; otherwise, commercially prepared baby foods shall be served from a serving dish rather than the food jar. After the completion of each feeding, leftover formula, breast milk, and other bottled beverages shall be discarded or returned to the child's home at the end of each day. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT cover all electrical outlets not in use and remove cracked, or frayed cords in occupied outlets; SECTION .0600 - SAFETY REQUIREMENTS FOR CHILD CARE CENTERS 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (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, the manufacturer's instructions shall be kept on file or electronically accessible, if available. (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) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. (e) Each child care center shall provide equipment and furnishings that are child-size or that can be adapted use by children. Chairs and tables shall be of appropriate height for the children who will be using them. (f) Each child care center shall be free of lead poisoning hazards as defined in G.S. 130A-131.7(7). 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS A written activity plan that shall: (A) 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 https://www.ncchildcare.ncdhhs.gov//pdf_forms/nc_foundations.pdf: (i) emotional and social development; (ii) health and physical development; (iii) approaches to play and learning; (iv) language development and communication; and (iv) cognitive development For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at 919-939-7519 or via email at gilette.parker@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
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