Loading
Loading facility…
Pulling inspections, violations, and complaints.
Loading
Pulling inspections, violations, and complaints.
Home › NC › Crouse › Bridge OF Hope Daycare
100 Anthony Grove RD, Crouse NC 28033 · License #36000611 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
When they operate
Schedule type not published.
Ages served
10A NCAC 09 .0803 · Violation
Name of Operation: BRIDGE OF HOPE DAYCARE Facility ID: 36000611 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 4/20/2026 Number Present: 53 Completed Date: 4/20/2026 Age: From 0 To 4 Total Minutes: 435 Time In: 09:45 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with all applicable child care requirements, including health and safety. You, Keely Warlick, Administrator, assisted me with today’s visit. Your last annual compliance visit was conducted on May 28, 2025. The North Carolina Secretary of State website was viewed on April 17, 2026, and your business, Anthony Grove Baptist Church, was not listed. The owner of the facility, Anthony Grove Baptist Church, is a non-profit, unincorporated organization. This program operates with a notice of compliance issued on July 22, 2021. The permit restrictions were in compliance including first shift (daytime care). A walkthrough was completed, and all licensed indoor and outdoor spaces were monitored. A checklist was used to note the requirements I monitored today. I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were observed participating in gross motor play outdoors, teacher-lead group activities and free play indoors, personal care and handwashing routines, lunch, and nap. Infants in space #7 and space #8 were engaged in tummy time and observed during individual feeding schedules. Sleep checks were completed, recorded, and maintained as required. The caregivers were interacting and meeting the developmental needs for each of the children. Inspections/Drills: The most recent approved fire inspection was conducted on June 2, 2025, for daytime care only. The most recent sanitation inspection for your facility was conducted on January 28, 2026. A “superior” classification was issued with four demerits noted on the grade card. The most recent monthly fire drill was conducted on April 14, 2026, at 10:30am. The most recent quarterly lockdown/shelter-in-place drill was a shelter-in-place conducted on January 21, 2026, at 10:00am. The most recent monthly playground inspection was conducted on April 15, 2026, by Keely Warlick. The last annual Emergency Preparedness and Response Plan was completed on March 25, 2026. Lead and Asbestos Testing: The analysis date for the most recent lead water test was March 8, 2025. Lead testing must be completed every three years. You may review your facilities results and enroll in the asbestos testing by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated enrollment, and the risk assessment report was completed for required lead-based paint testing and indicated “no results” for asbestos testing. Files Reviewed: You provided me with applicable program, staff, and children’s records for review. Files for six new staff, two existing staff and applicable records for all staff were reviewed. Three current staff were not listed on the ABCMS Provider Portal roster for this facility. A sample of seven children’s records were reviewed. Violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed/documented: 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. In space #3, the feeding plan for one child enrolled on August 24, 2025, was not signed by the child's parent. .0902(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #4, a permission form to administer medication was not on file available for review for one tube of Boudreaux max strength butt paste. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. In space #1, Coppertone Kids sunscreen administered to a child expired December 2025. In space #3, Aquaphor 3 in 1 diaper rash cream administered to a child expired March 2026. 10A NCAC 09 .0803(1)(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #1, authorization for one tube of Aquaphor Healing Ointment expired January 5, 2026, and one tube of Destin diaper rash cream expired February 26, 2026. In space #13, authorization for one tube of Aquaphor Healing Ointment expired January 24, 2026. The medications were not returned to the parent or discarded within 72 hours. .0803(12) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. There was no medical exam or health assessment on file for review for one child enrolled on September 29, 2025 and one child enrolled on June 30, 2025. GS110-91(1) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Two staff members employed on June 21, 2021, and one staff member employed on March 2, 2026, were not listed on the ABCMS Provider Portal roster for this facility. G.S. 110-90.2 & .2703(r) Technical Assistance provided regarding the violations cited: -All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. - Teachers should check Permission to Administer Medication Forms when brought into the facility and regularly thereafter to ensure they are filled out completely and properly and to ensure permission has not expired. A parent may give standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. A parent may give 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. I suggested you place extra Permission to Administer Medication Forms in each classroom to be completed in the event a form is expired or misplaced. Additionally, I suggested you assign a staff member to each room to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. - The parent or health care provider of each child under 15 months of age must provide the center an individual written feeding plan for the child. This plan must be followed at the center. This plan must 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 is to 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 must include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that you review this requirement with all staff members employed in classrooms where children under 15 months of age are enrolled and remind staff members that they should review all infant feeding plans with the parents to ensure information is recorded correctly and that the feeding plans are fully completed and signed by the parent when received. - I suggested that you review all medications to ensure the medication has not expired, the authorization from the parent has not expired and that the manufacturer’s instructions on the medication are followed in conjunction with the instructions from the parent. I suggested that you instruct staff to complete monthly checks of medications to ensure compliance with all medication requirements. This was corrected during the visit by the expired medications being discarded. - I discussed with you that you must notify the Division of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. I reviewed with you the ABCMS Provider Portal Access Guide document and provided you with a copy of the document during the visit. I suggested you reference the ABCMS Provider Portal Access Guide document provided to assist you in completing the process. Reminders & Resources: Fire Inspections You must schedule and obtain a fire inspection within 12 months of your center's previous fire inspection and notify the local fire inspector when it is time for your center's annual fire inspection. You must submit the original of the approved annual fire inspection report to your Child Care Consultant within one week of the inspection visit on the form provided by the Division. Lead Water Testing Under rule 15A NCAC 18A .2816, child care centers are required to complete lead water testing every three (3) years. Automated Background Check Management System (ABCMS) The ABCMS provider portal facility roster must be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401. DCDEE Website For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Compliance History The program’s compliance history was reviewed with the administrator. The program’s compliance history was ninety-one percent as of April 17, 2026. Compliance Letter: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. Repeated violations or violations left unresolved may lead to an administrative action. On or before May 4, 2026, your child care consultant 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. Email the information to: farran.m.rhyne@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. Thank you for your time today. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, Farran M. Rhyne, Child Care Consultant, at 704-594-0003, farran.m.rhyne@dhhs.nc.gov or Tammy McGalliard, Licensing Supervisor, 828-782-0718, Tammy.McGalliard@dhhs.nc.gov if you have any questions. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@dhhs.nc.gov 704-594-0003 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 .0803 · Violation
Name of Operation: BRIDGE OF HOPE DAYCARE Facility ID: 36000611 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 4/20/2026 Number Present: 53 Completed Date: 4/20/2026 Age: From 0 To 4 Total Minutes: 435 Time In: 09:45 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with all applicable child care requirements, including health and safety. You, Keely Warlick, Administrator, assisted me with today’s visit. Your last annual compliance visit was conducted on May 28, 2025. The North Carolina Secretary of State website was viewed on April 17, 2026, and your business, Anthony Grove Baptist Church, was not listed. The owner of the facility, Anthony Grove Baptist Church, is a non-profit, unincorporated organization. This program operates with a notice of compliance issued on July 22, 2021. The permit restrictions were in compliance including first shift (daytime care). A walkthrough was completed, and all licensed indoor and outdoor spaces were monitored. A checklist was used to note the requirements I monitored today. I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were observed participating in gross motor play outdoors, teacher-lead group activities and free play indoors, personal care and handwashing routines, lunch, and nap. Infants in space #7 and space #8 were engaged in tummy time and observed during individual feeding schedules. Sleep checks were completed, recorded, and maintained as required. The caregivers were interacting and meeting the developmental needs for each of the children. Inspections/Drills: The most recent approved fire inspection was conducted on June 2, 2025, for daytime care only. The most recent sanitation inspection for your facility was conducted on January 28, 2026. A “superior” classification was issued with four demerits noted on the grade card. The most recent monthly fire drill was conducted on April 14, 2026, at 10:30am. The most recent quarterly lockdown/shelter-in-place drill was a shelter-in-place conducted on January 21, 2026, at 10:00am. The most recent monthly playground inspection was conducted on April 15, 2026, by Keely Warlick. The last annual Emergency Preparedness and Response Plan was completed on March 25, 2026. Lead and Asbestos Testing: The analysis date for the most recent lead water test was March 8, 2025. Lead testing must be completed every three years. You may review your facilities results and enroll in the asbestos testing by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated enrollment, and the risk assessment report was completed for required lead-based paint testing and indicated “no results” for asbestos testing. Files Reviewed: You provided me with applicable program, staff, and children’s records for review. Files for six new staff, two existing staff and applicable records for all staff were reviewed. Three current staff were not listed on the ABCMS Provider Portal roster for this facility. A sample of seven children’s records were reviewed. Violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed/documented: 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. In space #3, the feeding plan for one child enrolled on August 24, 2025, was not signed by the child's parent. .0902(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #4, a permission form to administer medication was not on file available for review for one tube of Boudreaux max strength butt paste. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. In space #1, Coppertone Kids sunscreen administered to a child expired December 2025. In space #3, Aquaphor 3 in 1 diaper rash cream administered to a child expired March 2026. 10A NCAC 09 .0803(1)(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #1, authorization for one tube of Aquaphor Healing Ointment expired January 5, 2026, and one tube of Destin diaper rash cream expired February 26, 2026. In space #13, authorization for one tube of Aquaphor Healing Ointment expired January 24, 2026. The medications were not returned to the parent or discarded within 72 hours. .0803(12) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. There was no medical exam or health assessment on file for review for one child enrolled on September 29, 2025 and one child enrolled on June 30, 2025. GS110-91(1) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Two staff members employed on June 21, 2021, and one staff member employed on March 2, 2026, were not listed on the ABCMS Provider Portal roster for this facility. G.S. 110-90.2 & .2703(r) Technical Assistance provided regarding the violations cited: -All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. - Teachers should check Permission to Administer Medication Forms when brought into the facility and regularly thereafter to ensure they are filled out completely and properly and to ensure permission has not expired. A parent may give standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. A parent may give 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. I suggested you place extra Permission to Administer Medication Forms in each classroom to be completed in the event a form is expired or misplaced. Additionally, I suggested you assign a staff member to each room to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. - The parent or health care provider of each child under 15 months of age must provide the center an individual written feeding plan for the child. This plan must be followed at the center. This plan must 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 is to 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 must include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that you review this requirement with all staff members employed in classrooms where children under 15 months of age are enrolled and remind staff members that they should review all infant feeding plans with the parents to ensure information is recorded correctly and that the feeding plans are fully completed and signed by the parent when received. - I suggested that you review all medications to ensure the medication has not expired, the authorization from the parent has not expired and that the manufacturer’s instructions on the medication are followed in conjunction with the instructions from the parent. I suggested that you instruct staff to complete monthly checks of medications to ensure compliance with all medication requirements. This was corrected during the visit by the expired medications being discarded. - I discussed with you that you must notify the Division of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. I reviewed with you the ABCMS Provider Portal Access Guide document and provided you with a copy of the document during the visit. I suggested you reference the ABCMS Provider Portal Access Guide document provided to assist you in completing the process. Reminders & Resources: Fire Inspections You must schedule and obtain a fire inspection within 12 months of your center's previous fire inspection and notify the local fire inspector when it is time for your center's annual fire inspection. You must submit the original of the approved annual fire inspection report to your Child Care Consultant within one week of the inspection visit on the form provided by the Division. Lead Water Testing Under rule 15A NCAC 18A .2816, child care centers are required to complete lead water testing every three (3) years. Automated Background Check Management System (ABCMS) The ABCMS provider portal facility roster must be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401. DCDEE Website For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Compliance History The program’s compliance history was reviewed with the administrator. The program’s compliance history was ninety-one percent as of April 17, 2026. Compliance Letter: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. Repeated violations or violations left unresolved may lead to an administrative action. On or before May 4, 2026, your child care consultant 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. Email the information to: farran.m.rhyne@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. Thank you for your time today. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, Farran M. Rhyne, Child Care Consultant, at 704-594-0003, farran.m.rhyne@dhhs.nc.gov or Tammy McGalliard, Licensing Supervisor, 828-782-0718, Tammy.McGalliard@dhhs.nc.gov if you have any questions. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@dhhs.nc.gov 704-594-0003 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-90 · Violation
Name of Operation: BRIDGE OF HOPE DAYCARE Facility ID: 36000611 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 4/20/2026 Number Present: 53 Completed Date: 4/20/2026 Age: From 0 To 4 Total Minutes: 435 Time In: 09:45 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with all applicable child care requirements, including health and safety. You, Keely Warlick, Administrator, assisted me with today’s visit. Your last annual compliance visit was conducted on May 28, 2025. The North Carolina Secretary of State website was viewed on April 17, 2026, and your business, Anthony Grove Baptist Church, was not listed. The owner of the facility, Anthony Grove Baptist Church, is a non-profit, unincorporated organization. This program operates with a notice of compliance issued on July 22, 2021. The permit restrictions were in compliance including first shift (daytime care). A walkthrough was completed, and all licensed indoor and outdoor spaces were monitored. A checklist was used to note the requirements I monitored today. I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were observed participating in gross motor play outdoors, teacher-lead group activities and free play indoors, personal care and handwashing routines, lunch, and nap. Infants in space #7 and space #8 were engaged in tummy time and observed during individual feeding schedules. Sleep checks were completed, recorded, and maintained as required. The caregivers were interacting and meeting the developmental needs for each of the children. Inspections/Drills: The most recent approved fire inspection was conducted on June 2, 2025, for daytime care only. The most recent sanitation inspection for your facility was conducted on January 28, 2026. A “superior” classification was issued with four demerits noted on the grade card. The most recent monthly fire drill was conducted on April 14, 2026, at 10:30am. The most recent quarterly lockdown/shelter-in-place drill was a shelter-in-place conducted on January 21, 2026, at 10:00am. The most recent monthly playground inspection was conducted on April 15, 2026, by Keely Warlick. The last annual Emergency Preparedness and Response Plan was completed on March 25, 2026. Lead and Asbestos Testing: The analysis date for the most recent lead water test was March 8, 2025. Lead testing must be completed every three years. You may review your facilities results and enroll in the asbestos testing by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated enrollment, and the risk assessment report was completed for required lead-based paint testing and indicated “no results” for asbestos testing. Files Reviewed: You provided me with applicable program, staff, and children’s records for review. Files for six new staff, two existing staff and applicable records for all staff were reviewed. Three current staff were not listed on the ABCMS Provider Portal roster for this facility. A sample of seven children’s records were reviewed. Violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed/documented: 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. In space #3, the feeding plan for one child enrolled on August 24, 2025, was not signed by the child's parent. .0902(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #4, a permission form to administer medication was not on file available for review for one tube of Boudreaux max strength butt paste. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. In space #1, Coppertone Kids sunscreen administered to a child expired December 2025. In space #3, Aquaphor 3 in 1 diaper rash cream administered to a child expired March 2026. 10A NCAC 09 .0803(1)(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #1, authorization for one tube of Aquaphor Healing Ointment expired January 5, 2026, and one tube of Destin diaper rash cream expired February 26, 2026. In space #13, authorization for one tube of Aquaphor Healing Ointment expired January 24, 2026. The medications were not returned to the parent or discarded within 72 hours. .0803(12) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. There was no medical exam or health assessment on file for review for one child enrolled on September 29, 2025 and one child enrolled on June 30, 2025. GS110-91(1) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Two staff members employed on June 21, 2021, and one staff member employed on March 2, 2026, were not listed on the ABCMS Provider Portal roster for this facility. G.S. 110-90.2 & .2703(r) Technical Assistance provided regarding the violations cited: -All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. - Teachers should check Permission to Administer Medication Forms when brought into the facility and regularly thereafter to ensure they are filled out completely and properly and to ensure permission has not expired. A parent may give standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. A parent may give 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. I suggested you place extra Permission to Administer Medication Forms in each classroom to be completed in the event a form is expired or misplaced. Additionally, I suggested you assign a staff member to each room to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. - The parent or health care provider of each child under 15 months of age must provide the center an individual written feeding plan for the child. This plan must be followed at the center. This plan must 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 is to 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 must include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that you review this requirement with all staff members employed in classrooms where children under 15 months of age are enrolled and remind staff members that they should review all infant feeding plans with the parents to ensure information is recorded correctly and that the feeding plans are fully completed and signed by the parent when received. - I suggested that you review all medications to ensure the medication has not expired, the authorization from the parent has not expired and that the manufacturer’s instructions on the medication are followed in conjunction with the instructions from the parent. I suggested that you instruct staff to complete monthly checks of medications to ensure compliance with all medication requirements. This was corrected during the visit by the expired medications being discarded. - I discussed with you that you must notify the Division of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. I reviewed with you the ABCMS Provider Portal Access Guide document and provided you with a copy of the document during the visit. I suggested you reference the ABCMS Provider Portal Access Guide document provided to assist you in completing the process. Reminders & Resources: Fire Inspections You must schedule and obtain a fire inspection within 12 months of your center's previous fire inspection and notify the local fire inspector when it is time for your center's annual fire inspection. You must submit the original of the approved annual fire inspection report to your Child Care Consultant within one week of the inspection visit on the form provided by the Division. Lead Water Testing Under rule 15A NCAC 18A .2816, child care centers are required to complete lead water testing every three (3) years. Automated Background Check Management System (ABCMS) The ABCMS provider portal facility roster must be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401. DCDEE Website For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Compliance History The program’s compliance history was reviewed with the administrator. The program’s compliance history was ninety-one percent as of April 17, 2026. Compliance Letter: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. Repeated violations or violations left unresolved may lead to an administrative action. On or before May 4, 2026, your child care consultant 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. Email the information to: farran.m.rhyne@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. Thank you for your time today. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, Farran M. Rhyne, Child Care Consultant, at 704-594-0003, farran.m.rhyne@dhhs.nc.gov or Tammy McGalliard, Licensing Supervisor, 828-782-0718, Tammy.McGalliard@dhhs.nc.gov if you have any questions. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@dhhs.nc.gov 704-594-0003 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
GS110-91 · Violation
Name of Operation: BRIDGE OF HOPE DAYCARE Facility ID: 36000611 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 4/20/2026 Number Present: 53 Completed Date: 4/20/2026 Age: From 0 To 4 Total Minutes: 435 Time In: 09:45 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with all applicable child care requirements, including health and safety. You, Keely Warlick, Administrator, assisted me with today’s visit. Your last annual compliance visit was conducted on May 28, 2025. The North Carolina Secretary of State website was viewed on April 17, 2026, and your business, Anthony Grove Baptist Church, was not listed. The owner of the facility, Anthony Grove Baptist Church, is a non-profit, unincorporated organization. This program operates with a notice of compliance issued on July 22, 2021. The permit restrictions were in compliance including first shift (daytime care). A walkthrough was completed, and all licensed indoor and outdoor spaces were monitored. A checklist was used to note the requirements I monitored today. I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were observed participating in gross motor play outdoors, teacher-lead group activities and free play indoors, personal care and handwashing routines, lunch, and nap. Infants in space #7 and space #8 were engaged in tummy time and observed during individual feeding schedules. Sleep checks were completed, recorded, and maintained as required. The caregivers were interacting and meeting the developmental needs for each of the children. Inspections/Drills: The most recent approved fire inspection was conducted on June 2, 2025, for daytime care only. The most recent sanitation inspection for your facility was conducted on January 28, 2026. A “superior” classification was issued with four demerits noted on the grade card. The most recent monthly fire drill was conducted on April 14, 2026, at 10:30am. The most recent quarterly lockdown/shelter-in-place drill was a shelter-in-place conducted on January 21, 2026, at 10:00am. The most recent monthly playground inspection was conducted on April 15, 2026, by Keely Warlick. The last annual Emergency Preparedness and Response Plan was completed on March 25, 2026. Lead and Asbestos Testing: The analysis date for the most recent lead water test was March 8, 2025. Lead testing must be completed every three years. You may review your facilities results and enroll in the asbestos testing by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated enrollment, and the risk assessment report was completed for required lead-based paint testing and indicated “no results” for asbestos testing. Files Reviewed: You provided me with applicable program, staff, and children’s records for review. Files for six new staff, two existing staff and applicable records for all staff were reviewed. Three current staff were not listed on the ABCMS Provider Portal roster for this facility. A sample of seven children’s records were reviewed. Violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed/documented: 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. In space #3, the feeding plan for one child enrolled on August 24, 2025, was not signed by the child's parent. .0902(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #4, a permission form to administer medication was not on file available for review for one tube of Boudreaux max strength butt paste. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. In space #1, Coppertone Kids sunscreen administered to a child expired December 2025. In space #3, Aquaphor 3 in 1 diaper rash cream administered to a child expired March 2026. 10A NCAC 09 .0803(1)(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #1, authorization for one tube of Aquaphor Healing Ointment expired January 5, 2026, and one tube of Destin diaper rash cream expired February 26, 2026. In space #13, authorization for one tube of Aquaphor Healing Ointment expired January 24, 2026. The medications were not returned to the parent or discarded within 72 hours. .0803(12) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. There was no medical exam or health assessment on file for review for one child enrolled on September 29, 2025 and one child enrolled on June 30, 2025. GS110-91(1) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Two staff members employed on June 21, 2021, and one staff member employed on March 2, 2026, were not listed on the ABCMS Provider Portal roster for this facility. G.S. 110-90.2 & .2703(r) Technical Assistance provided regarding the violations cited: -All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. - Teachers should check Permission to Administer Medication Forms when brought into the facility and regularly thereafter to ensure they are filled out completely and properly and to ensure permission has not expired. A parent may give standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. A parent may give 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. I suggested you place extra Permission to Administer Medication Forms in each classroom to be completed in the event a form is expired or misplaced. Additionally, I suggested you assign a staff member to each room to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. - The parent or health care provider of each child under 15 months of age must provide the center an individual written feeding plan for the child. This plan must be followed at the center. This plan must 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 is to 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 must include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that you review this requirement with all staff members employed in classrooms where children under 15 months of age are enrolled and remind staff members that they should review all infant feeding plans with the parents to ensure information is recorded correctly and that the feeding plans are fully completed and signed by the parent when received. - I suggested that you review all medications to ensure the medication has not expired, the authorization from the parent has not expired and that the manufacturer’s instructions on the medication are followed in conjunction with the instructions from the parent. I suggested that you instruct staff to complete monthly checks of medications to ensure compliance with all medication requirements. This was corrected during the visit by the expired medications being discarded. - I discussed with you that you must notify the Division of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. I reviewed with you the ABCMS Provider Portal Access Guide document and provided you with a copy of the document during the visit. I suggested you reference the ABCMS Provider Portal Access Guide document provided to assist you in completing the process. Reminders & Resources: Fire Inspections You must schedule and obtain a fire inspection within 12 months of your center's previous fire inspection and notify the local fire inspector when it is time for your center's annual fire inspection. You must submit the original of the approved annual fire inspection report to your Child Care Consultant within one week of the inspection visit on the form provided by the Division. Lead Water Testing Under rule 15A NCAC 18A .2816, child care centers are required to complete lead water testing every three (3) years. Automated Background Check Management System (ABCMS) The ABCMS provider portal facility roster must be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401. DCDEE Website For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Compliance History The program’s compliance history was reviewed with the administrator. The program’s compliance history was ninety-one percent as of April 17, 2026. Compliance Letter: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. Repeated violations or violations left unresolved may lead to an administrative action. On or before May 4, 2026, your child care consultant 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. Email the information to: farran.m.rhyne@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. Thank you for your time today. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, Farran M. Rhyne, Child Care Consultant, at 704-594-0003, farran.m.rhyne@dhhs.nc.gov or Tammy McGalliard, Licensing Supervisor, 828-782-0718, Tammy.McGalliard@dhhs.nc.gov if you have any questions. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@dhhs.nc.gov 704-594-0003 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: BRIDGE OF HOPE DAYCARE Facility ID: 36000611 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 4/20/2026 Number Present: 53 Completed Date: 4/20/2026 Age: From 0 To 4 Total Minutes: 435 Time In: 09:45 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with all applicable child care requirements, including health and safety. You, Keely Warlick, Administrator, assisted me with today’s visit. Your last annual compliance visit was conducted on May 28, 2025. The North Carolina Secretary of State website was viewed on April 17, 2026, and your business, Anthony Grove Baptist Church, was not listed. The owner of the facility, Anthony Grove Baptist Church, is a non-profit, unincorporated organization. This program operates with a notice of compliance issued on July 22, 2021. The permit restrictions were in compliance including first shift (daytime care). A walkthrough was completed, and all licensed indoor and outdoor spaces were monitored. A checklist was used to note the requirements I monitored today. I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were observed participating in gross motor play outdoors, teacher-lead group activities and free play indoors, personal care and handwashing routines, lunch, and nap. Infants in space #7 and space #8 were engaged in tummy time and observed during individual feeding schedules. Sleep checks were completed, recorded, and maintained as required. The caregivers were interacting and meeting the developmental needs for each of the children. Inspections/Drills: The most recent approved fire inspection was conducted on June 2, 2025, for daytime care only. The most recent sanitation inspection for your facility was conducted on January 28, 2026. A “superior” classification was issued with four demerits noted on the grade card. The most recent monthly fire drill was conducted on April 14, 2026, at 10:30am. The most recent quarterly lockdown/shelter-in-place drill was a shelter-in-place conducted on January 21, 2026, at 10:00am. The most recent monthly playground inspection was conducted on April 15, 2026, by Keely Warlick. The last annual Emergency Preparedness and Response Plan was completed on March 25, 2026. Lead and Asbestos Testing: The analysis date for the most recent lead water test was March 8, 2025. Lead testing must be completed every three years. You may review your facilities results and enroll in the asbestos testing by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated enrollment, and the risk assessment report was completed for required lead-based paint testing and indicated “no results” for asbestos testing. Files Reviewed: You provided me with applicable program, staff, and children’s records for review. Files for six new staff, two existing staff and applicable records for all staff were reviewed. Three current staff were not listed on the ABCMS Provider Portal roster for this facility. A sample of seven children’s records were reviewed. Violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed/documented: 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. In space #3, the feeding plan for one child enrolled on August 24, 2025, was not signed by the child's parent. .0902(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #4, a permission form to administer medication was not on file available for review for one tube of Boudreaux max strength butt paste. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. In space #1, Coppertone Kids sunscreen administered to a child expired December 2025. In space #3, Aquaphor 3 in 1 diaper rash cream administered to a child expired March 2026. 10A NCAC 09 .0803(1)(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #1, authorization for one tube of Aquaphor Healing Ointment expired January 5, 2026, and one tube of Destin diaper rash cream expired February 26, 2026. In space #13, authorization for one tube of Aquaphor Healing Ointment expired January 24, 2026. The medications were not returned to the parent or discarded within 72 hours. .0803(12) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. There was no medical exam or health assessment on file for review for one child enrolled on September 29, 2025 and one child enrolled on June 30, 2025. GS110-91(1) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Two staff members employed on June 21, 2021, and one staff member employed on March 2, 2026, were not listed on the ABCMS Provider Portal roster for this facility. G.S. 110-90.2 & .2703(r) Technical Assistance provided regarding the violations cited: -All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. - Teachers should check Permission to Administer Medication Forms when brought into the facility and regularly thereafter to ensure they are filled out completely and properly and to ensure permission has not expired. A parent may give standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. A parent may give 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. I suggested you place extra Permission to Administer Medication Forms in each classroom to be completed in the event a form is expired or misplaced. Additionally, I suggested you assign a staff member to each room to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. - The parent or health care provider of each child under 15 months of age must provide the center an individual written feeding plan for the child. This plan must be followed at the center. This plan must 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 is to 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 must include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that you review this requirement with all staff members employed in classrooms where children under 15 months of age are enrolled and remind staff members that they should review all infant feeding plans with the parents to ensure information is recorded correctly and that the feeding plans are fully completed and signed by the parent when received. - I suggested that you review all medications to ensure the medication has not expired, the authorization from the parent has not expired and that the manufacturer’s instructions on the medication are followed in conjunction with the instructions from the parent. I suggested that you instruct staff to complete monthly checks of medications to ensure compliance with all medication requirements. This was corrected during the visit by the expired medications being discarded. - I discussed with you that you must notify the Division of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. I reviewed with you the ABCMS Provider Portal Access Guide document and provided you with a copy of the document during the visit. I suggested you reference the ABCMS Provider Portal Access Guide document provided to assist you in completing the process. Reminders & Resources: Fire Inspections You must schedule and obtain a fire inspection within 12 months of your center's previous fire inspection and notify the local fire inspector when it is time for your center's annual fire inspection. You must submit the original of the approved annual fire inspection report to your Child Care Consultant within one week of the inspection visit on the form provided by the Division. Lead Water Testing Under rule 15A NCAC 18A .2816, child care centers are required to complete lead water testing every three (3) years. Automated Background Check Management System (ABCMS) The ABCMS provider portal facility roster must be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401. DCDEE Website For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Compliance History The program’s compliance history was reviewed with the administrator. The program’s compliance history was ninety-one percent as of April 17, 2026. Compliance Letter: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. Repeated violations or violations left unresolved may lead to an administrative action. On or before May 4, 2026, your child care consultant 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. Email the information to: farran.m.rhyne@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. Thank you for your time today. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, Farran M. Rhyne, Child Care Consultant, at 704-594-0003, farran.m.rhyne@dhhs.nc.gov or Tammy McGalliard, Licensing Supervisor, 828-782-0718, Tammy.McGalliard@dhhs.nc.gov if you have any questions. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@dhhs.nc.gov 704-594-0003 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 .0601 · Violation
Name of Operation: BRIDGE OF HOPE DAYCARE Facility ID: 36000611 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Present: 46 Completed Date: 10/13/2025 Age: From 0 To 4 Total Minutes: 150 Time In: 12:00 PM Time Out: 02:30 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 all applicable child care requirements for a routine unannounced visit. Your last annual compliance visit was conducted on May 28, 2025. Upon arrival you, Tricia Crocker, Administrator, assisted me with the visit. The North Carolina Secretary of State website was viewed on October 13, 2025, and your business, Anthony Grove Baptist Church, was not listed. The owner of the facility, Anthony Grove Baptist Church, is a non-profit, unincorporated organization. Your program operates with a Notice of Compliance issued on July 22, 2021. A walkthrough was completed and all licensed indoor and outdoor spaces were monitored. Staff and children were observed during indoor free play, outdoor gross motor play, diapering/toileting, handwashing, lunch and naptime. Inspections/Drills: The last fire inspection was completed on June 2, 2025. The last sanitation inspection was completed on July 10, 2025. A “superior” classification was issued with six (6) demerits noted on the grade card. The last monthly fire drill was completed on September 25, 2025, at 4:00pm. The last emergency drill was a lockdown completed on October 8, 2025, at 4:55pm. The last playground inspection was completed on October 6, 2025. The last Emergency Preparedness and Response Plan was completed on February 17, 2025. Lead and Asbestos Testing: The last lead water test was completed on March 8, 2025. Your next lead water test is due by March 8, 2028. The last lead-based paint test was completed on September 8, 2025. No information was listed for asbestos testing. Files Reviewed: Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. The Automated Background Check Management System (ABCMS) was reviewed and verified during the visit. You stated four (4) staff have been hired since the last visit. The following violations were observed: Violation Number Comment Rule 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Four (4) current staff members were not entered into the Automated Background Check Management System (ABCMS) to notify the Division. G.S. 110-90.2 & .2703(r) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #4, one (1) tube of Boudreaux Butt Paste had an expiration date listed 12/2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance: Medications I suggested administrative and designated staff monitor all medications to ensure the medication has not expired. Instruct all staff to review medications and medication permission forms at least monthly to ensure compliance with all medication requirements. This was corrected during the visit by discarding the expired medications. Automated Background Check Management System (ABCMS): I discussed with you that you must notify the Division of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. I reviewed with you the ABCMS Provider Portal Access Guide document and provided you with a copy of the document during the visit. Consultation: Asbestos Testing Under rule 10A NCAC 09 .0601, child care centers are required to be free of asbestos hazards. You stated you completed the enrollment process. Please visit https://www.cleanwaterforuskids.org/en/carolina/ today to complete the asbestos testing process. Reminders & Resources: Fire Inspections You must schedule and obtain a fire inspection within 12 months of your center's previous fire inspection and notify the local fire inspector when it is time for your center's annual fire inspection. You must submit the original of the approved annual fire inspection report to your Child Care Consultant within one week of the inspection visit on the form provided by the Division. Lead Water Testing Under rule 15A NCAC 18A .2816, child care centers are required to complete lead water testing every three (3) years. Automated Background Check Management System (ABCMS) The Division must be notified of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. DCDEE Website For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Compliance History The program’s compliance history was eighty-eight percent (88%) prior to today's visit. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4)(c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by October 27, 2025. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at farran.m.rhyne@dhhs.nc.gov Farran M. Rhyne PO Box 92 Maiden, NC 28650 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-594-0003. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-90 · Violation
Name of Operation: BRIDGE OF HOPE DAYCARE Facility ID: 36000611 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Present: 46 Completed Date: 10/13/2025 Age: From 0 To 4 Total Minutes: 150 Time In: 12:00 PM Time Out: 02:30 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 all applicable child care requirements for a routine unannounced visit. Your last annual compliance visit was conducted on May 28, 2025. Upon arrival you, Tricia Crocker, Administrator, assisted me with the visit. The North Carolina Secretary of State website was viewed on October 13, 2025, and your business, Anthony Grove Baptist Church, was not listed. The owner of the facility, Anthony Grove Baptist Church, is a non-profit, unincorporated organization. Your program operates with a Notice of Compliance issued on July 22, 2021. A walkthrough was completed and all licensed indoor and outdoor spaces were monitored. Staff and children were observed during indoor free play, outdoor gross motor play, diapering/toileting, handwashing, lunch and naptime. Inspections/Drills: The last fire inspection was completed on June 2, 2025. The last sanitation inspection was completed on July 10, 2025. A “superior” classification was issued with six (6) demerits noted on the grade card. The last monthly fire drill was completed on September 25, 2025, at 4:00pm. The last emergency drill was a lockdown completed on October 8, 2025, at 4:55pm. The last playground inspection was completed on October 6, 2025. The last Emergency Preparedness and Response Plan was completed on February 17, 2025. Lead and Asbestos Testing: The last lead water test was completed on March 8, 2025. Your next lead water test is due by March 8, 2028. The last lead-based paint test was completed on September 8, 2025. No information was listed for asbestos testing. Files Reviewed: Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. The Automated Background Check Management System (ABCMS) was reviewed and verified during the visit. You stated four (4) staff have been hired since the last visit. The following violations were observed: Violation Number Comment Rule 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Four (4) current staff members were not entered into the Automated Background Check Management System (ABCMS) to notify the Division. G.S. 110-90.2 & .2703(r) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #4, one (1) tube of Boudreaux Butt Paste had an expiration date listed 12/2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance: Medications I suggested administrative and designated staff monitor all medications to ensure the medication has not expired. Instruct all staff to review medications and medication permission forms at least monthly to ensure compliance with all medication requirements. This was corrected during the visit by discarding the expired medications. Automated Background Check Management System (ABCMS): I discussed with you that you must notify the Division of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. I reviewed with you the ABCMS Provider Portal Access Guide document and provided you with a copy of the document during the visit. Consultation: Asbestos Testing Under rule 10A NCAC 09 .0601, child care centers are required to be free of asbestos hazards. You stated you completed the enrollment process. Please visit https://www.cleanwaterforuskids.org/en/carolina/ today to complete the asbestos testing process. Reminders & Resources: Fire Inspections You must schedule and obtain a fire inspection within 12 months of your center's previous fire inspection and notify the local fire inspector when it is time for your center's annual fire inspection. You must submit the original of the approved annual fire inspection report to your Child Care Consultant within one week of the inspection visit on the form provided by the Division. Lead Water Testing Under rule 15A NCAC 18A .2816, child care centers are required to complete lead water testing every three (3) years. Automated Background Check Management System (ABCMS) The Division must be notified of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. DCDEE Website For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Compliance History The program’s compliance history was eighty-eight percent (88%) prior to today's visit. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4)(c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by October 27, 2025. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at farran.m.rhyne@dhhs.nc.gov Farran M. Rhyne PO Box 92 Maiden, NC 28650 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-594-0003. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0601 · Violation
Name of Operation: BRIDGE OF HOPE DAYCARE Facility ID: 36000611 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 5/28/2025 Number Present: 60 Completed Date: 5/28/2025 Age: From 0 To 5 Total Minutes: 370 Time In: 10:20 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements, including health and safety. Your last annual compliance visit was completed on June 12, 2024. Upon arrival you, Tricia Crocker, Administrator, assisted me with the visit. The North Carolina Secretary of State website was viewed on May 27, 2025, and Anthony Grove Baptist Church was listed as active and in good standing. If you decide to sell your business, then you must notify me, Farran Rhyne, at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Your program operates with a notice of compliance issued on July 22, 2021. The license was posted, and the permit restrictions were in compliance including: 1st shift (daytime care). A walk-through was completed, and all licensed indoor and outdoor spaces were monitored. You stated you do not provide transportation, and you stated your program does not currently accept subsidy. A checklist was used to note the requirements I monitored. Staff and children were observed during indoor free play, diapering/toileting, handwashing, lunch & naptime. The Staff and Training Worksheet was not available during today’s visit. As discussed, the Staff and Training Worksheet must be completed in full and emailed to me by the end of business on Thursday, May 29, 2025. Staff files will be monitored on Monday, June 2, 2025. Inspections/Drills: The last fire inspection was completed on June 17, 2024. The last sanitation inspection was completed on May 19, 2025. A “superior” classification was issued with eight (8) demerits noted on the grade card. The last monthly fire drill was completed on May 6, 2025, at 10:00am. The last emergency drill was a lockdown completed on April 24, 2025, at 9:10am. The last playground inspection was completed on May 7, 2025. The Emergency Preparedness and Response Plan was completed on February 17, 2025. Lead and Asbestos Testing: The last lead water test was completed on March 8, 2025. Your next lead water test is due by March 8, 2028. The lead-based paint and asbestos training was completed on February 17, 2025, and you submitted the RTI requested information to Clean Water for Kids. The results for the lead-based paint and asbestos tests are in process. Files Reviewed: Children’s files and program files were monitored. Seven (7) children’s files were reviewed. I discussed the Children’s Record form with you today. The form was completed and verified during the visit. The following violations were observed: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In space #7 and 8 the classrooms for infants, I observed both infant classrooms to be too dark with the overhead light turned off. Both infant classrooms did not have windows to provide natural light. The rooms were too dark for staff to adequately observe and document the infant’s sleep positions, skin color, breathing, level of sleep, and body temperature when visually checking sleeping infants every fifteen (15) minutes and recording the required information on the Sleep Chart. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #1, one (1) tub of A&D Prevent paste had an expiration date listed 01/2025. In space #6, one (1) tube of Gold Bond Eczema Relief cream had an expiration date listed 01/2025. .0803(12) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Four (4) incident report forms were not completed to list all required information. .0802 (e) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One (1) staff member, Jailynn Norris, employed on November 20, 2023, had a qualification letter on file with an expiration date of January 3, 2025. A new qualification letter was not received until April 24, 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff member employed on June 21, 2021did not have verification of the completion of a current First Aid training on file and available for review. The First Aid training on file and available for review had an expiration date of April 17, 2025. .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 (1) staff member employed on June 21, 2021did not have verification of the completion of a current CPR training on file and available for review. The CPR training on file and available for review had an expiration date of April 17, 2025. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) staff member, Jailynn Norris, employed on November 20, 2023, had a qualification letter on file with an expiration date of January 3, 2025. The staff member did not have a current staff qualification letter on file for review from January 3, 2025, through April 23, 2025. G.S. 110-90.2(b) & (d) & .2703(e) Technical Assistance provided on violations cited: Medications: I suggested administrative and designated staff monitor all medications to ensure the medication has not expired. Instruct all staff to review medications and medication permission forms at least monthly to ensure compliance with all medication requirements. This was corrected during the visit by discarding the expired medications. Incident Report Forms: I reviewed with you each Incident Report Form that did not list all the required information. I suggested you review with all staff on how to properly complete and list all required information on the Incident Report Form. I suggested you develop a plan for reviewing and processing these forms for accuracy and completion before they are logged and filed. Maintaining A Safe & Healthy Environment: I discussed with you and your staff that when the overhead light is turned off, the room is too dark to adequately note the infant’s sleep position, skin color, breathing, level of sleep, and body temperature when visually checking sleeping infants every fifteen (15) minutes and recording the observations on your Sleep Chart. I suggested to you and your staff to always keep the overhead light on in the infant classrooms to provide optimal lighting for visual sleep checks. I also suggested to you and your staff to always keep the overhead light on in all other dimly lit or dark classrooms to maintain a safe and healthy environment. Reminders & Resources: -Fire Inspections: You must schedule and obtain a fire inspection within 12 months of your center's previous fire inspection and notify the local fire inspector when it is time for your center's annual fire inspection. You must submit the original of the approved annual fire inspection report to your Child Care Consultant within one week of the inspection visit on the form provided by the Division. -Health & Safety Trainings: All staff must complete on-going health and safety trainings every five years. -Lead Water Testing: Under rule 15A NCAC 18A .2816, child care centers are required to complete lead water testing every three (3) years. -Provider Access to ABCMS North Carolina Child Care Providers can obtain access to the Provider Access to ABCMS after completing the Moodle training and completing the form afterward. Once you are logged in, you can access codes to allow your staff and applicants to create a connecting application to link themselves to your facility. The links include help documents to assist you. Steps to Access the ABCMS System: 1. Go to the DCDEE Website Home Page 2. Click on the Tab for Services 3. Click on the link for Background Checks 4. Click on the link for Child Care Background Checks and follow the instruction provided If you have any questions or concerns before proceeding in linking your child care facility and staff to the ABCMS System, please contact the CBC Unit at 919.814.6401 or by email at DHHS.CBC.Unit@dhhs.nc.gov or DCDEE_ABCMS_Provider@dhhs.nc.gov. This information will be monitored during your next visit. -DCDEE Website: For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Compliance History: The program’s compliance history was ninety percent (90%) prior to today's visit. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4)(c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by June 11, 2025. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at farran.m.rhyne@dhhs.nc.gov Farran M. Rhyne PO Box 92 Maiden, NC 28650 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-594-0003. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-90 · Violation
Name of Operation: BRIDGE OF HOPE DAYCARE Facility ID: 36000611 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 5/28/2025 Number Present: 60 Completed Date: 5/28/2025 Age: From 0 To 5 Total Minutes: 370 Time In: 10:20 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements, including health and safety. Your last annual compliance visit was completed on June 12, 2024. Upon arrival you, Tricia Crocker, Administrator, assisted me with the visit. The North Carolina Secretary of State website was viewed on May 27, 2025, and Anthony Grove Baptist Church was listed as active and in good standing. If you decide to sell your business, then you must notify me, Farran Rhyne, at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Your program operates with a notice of compliance issued on July 22, 2021. The license was posted, and the permit restrictions were in compliance including: 1st shift (daytime care). A walk-through was completed, and all licensed indoor and outdoor spaces were monitored. You stated you do not provide transportation, and you stated your program does not currently accept subsidy. A checklist was used to note the requirements I monitored. Staff and children were observed during indoor free play, diapering/toileting, handwashing, lunch & naptime. The Staff and Training Worksheet was not available during today’s visit. As discussed, the Staff and Training Worksheet must be completed in full and emailed to me by the end of business on Thursday, May 29, 2025. Staff files will be monitored on Monday, June 2, 2025. Inspections/Drills: The last fire inspection was completed on June 17, 2024. The last sanitation inspection was completed on May 19, 2025. A “superior” classification was issued with eight (8) demerits noted on the grade card. The last monthly fire drill was completed on May 6, 2025, at 10:00am. The last emergency drill was a lockdown completed on April 24, 2025, at 9:10am. The last playground inspection was completed on May 7, 2025. The Emergency Preparedness and Response Plan was completed on February 17, 2025. Lead and Asbestos Testing: The last lead water test was completed on March 8, 2025. Your next lead water test is due by March 8, 2028. The lead-based paint and asbestos training was completed on February 17, 2025, and you submitted the RTI requested information to Clean Water for Kids. The results for the lead-based paint and asbestos tests are in process. Files Reviewed: Children’s files and program files were monitored. Seven (7) children’s files were reviewed. I discussed the Children’s Record form with you today. The form was completed and verified during the visit. The following violations were observed: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In space #7 and 8 the classrooms for infants, I observed both infant classrooms to be too dark with the overhead light turned off. Both infant classrooms did not have windows to provide natural light. The rooms were too dark for staff to adequately observe and document the infant’s sleep positions, skin color, breathing, level of sleep, and body temperature when visually checking sleeping infants every fifteen (15) minutes and recording the required information on the Sleep Chart. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #1, one (1) tub of A&D Prevent paste had an expiration date listed 01/2025. In space #6, one (1) tube of Gold Bond Eczema Relief cream had an expiration date listed 01/2025. .0803(12) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Four (4) incident report forms were not completed to list all required information. .0802 (e) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One (1) staff member, Jailynn Norris, employed on November 20, 2023, had a qualification letter on file with an expiration date of January 3, 2025. A new qualification letter was not received until April 24, 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff member employed on June 21, 2021did not have verification of the completion of a current First Aid training on file and available for review. The First Aid training on file and available for review had an expiration date of April 17, 2025. .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 (1) staff member employed on June 21, 2021did not have verification of the completion of a current CPR training on file and available for review. The CPR training on file and available for review had an expiration date of April 17, 2025. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) staff member, Jailynn Norris, employed on November 20, 2023, had a qualification letter on file with an expiration date of January 3, 2025. The staff member did not have a current staff qualification letter on file for review from January 3, 2025, through April 23, 2025. G.S. 110-90.2(b) & (d) & .2703(e) Technical Assistance provided on violations cited: Medications: I suggested administrative and designated staff monitor all medications to ensure the medication has not expired. Instruct all staff to review medications and medication permission forms at least monthly to ensure compliance with all medication requirements. This was corrected during the visit by discarding the expired medications. Incident Report Forms: I reviewed with you each Incident Report Form that did not list all the required information. I suggested you review with all staff on how to properly complete and list all required information on the Incident Report Form. I suggested you develop a plan for reviewing and processing these forms for accuracy and completion before they are logged and filed. Maintaining A Safe & Healthy Environment: I discussed with you and your staff that when the overhead light is turned off, the room is too dark to adequately note the infant’s sleep position, skin color, breathing, level of sleep, and body temperature when visually checking sleeping infants every fifteen (15) minutes and recording the observations on your Sleep Chart. I suggested to you and your staff to always keep the overhead light on in the infant classrooms to provide optimal lighting for visual sleep checks. I also suggested to you and your staff to always keep the overhead light on in all other dimly lit or dark classrooms to maintain a safe and healthy environment. Reminders & Resources: -Fire Inspections: You must schedule and obtain a fire inspection within 12 months of your center's previous fire inspection and notify the local fire inspector when it is time for your center's annual fire inspection. You must submit the original of the approved annual fire inspection report to your Child Care Consultant within one week of the inspection visit on the form provided by the Division. -Health & Safety Trainings: All staff must complete on-going health and safety trainings every five years. -Lead Water Testing: Under rule 15A NCAC 18A .2816, child care centers are required to complete lead water testing every three (3) years. -Provider Access to ABCMS North Carolina Child Care Providers can obtain access to the Provider Access to ABCMS after completing the Moodle training and completing the form afterward. Once you are logged in, you can access codes to allow your staff and applicants to create a connecting application to link themselves to your facility. The links include help documents to assist you. Steps to Access the ABCMS System: 1. Go to the DCDEE Website Home Page 2. Click on the Tab for Services 3. Click on the link for Background Checks 4. Click on the link for Child Care Background Checks and follow the instruction provided If you have any questions or concerns before proceeding in linking your child care facility and staff to the ABCMS System, please contact the CBC Unit at 919.814.6401 or by email at DHHS.CBC.Unit@dhhs.nc.gov or DCDEE_ABCMS_Provider@dhhs.nc.gov. This information will be monitored during your next visit. -DCDEE Website: For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Compliance History: The program’s compliance history was ninety percent (90%) prior to today's visit. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4)(c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by June 11, 2025. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at farran.m.rhyne@dhhs.nc.gov Farran M. Rhyne PO Box 92 Maiden, NC 28650 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-594-0003. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0803 · Violation
Name of Operation: BRIDGE OF HOPE DAYCARE Facility ID: 36000611 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 6/12/2024 Number Present: 50 Completed Date: 6/12/2024 Age: From 0 To 4 Total Minutes: 445 Time In: 09:40 AM Time Out: 01:30 PM Time In: 02:25 PM Time Out: 06:00 PM 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 child care requirements for an annual compliance visit, including health and safety. The visit was conducted with you, Tricia Crocker, Operator/Administrator. You provided me with applicable program, staff, and children’s records for review. Farran Rhyne, Child Care Consultant, accompanied me. The NC Secretary of State website was viewed before the visit and Anthony Grove Baptist Church was not listed. The owner of the facility, Anthony Grove Baptist Church, is a non-profit, unincorporated organization. This program currently operates with a Notice of Compliance effective July 22, 2021. The program’s compliance history was 83 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements monitored today. Children and staff were observed during free play activities indoors, screen time activities, lunch, and nap. The most recent sanitation inspection for your facility was conducted on May 29, 2024. A superior sanitation classification was issued with 2 demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted on May 10, 2023. During the visit, you contacted the fire inspector and scheduled a tentative fire inspection for Monday, June 17, 2024. Please send me a copy of the approved fire inspection report once received. The most recent lead water testing results were completed on February 21, 2022. Lead testing must be completed every three years. You may complete this process when due by visiting https://www.cleanwaterforuskids.org/en/carolina/. Violations observed were discussed with you and documented in the handwritten visit summary left with you at the conclusion of the visit. The computer-generated visit summary was emailed to you on June 13, 2024. The following violations were observed: 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. The most recent fire inspection was completed on May 10, 2023. 10A NCAC 09 .0304(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #4, the feeding plan for one child enrolled on 6/3/2024 was not signed by the child's parent. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #5, one spray bottle of MicroBan multi-purpose cleaner, one tub of Lysol disinfectant wipes, two aerosol cans of Great Value disinfectant spray, Member’s Mark disinfectant wipes, and Lysol disinfectant wipes were observed in an unlocked cabinet on a shelf below five feet from the floor accessible to children. In space #7, one aerosol can of Great Value disinfectant spray was observed in an unlocked cabinet accessible to children. In the unlocked women's bathroom used by children, one aerosol can of Great Value disinfectant spray was observed on a shelf above the paper towel dispenser. In space #12, one aerosol can of Great Value disinfectant spray, one tub of Wipe Out antibacterial wipes, and one tub of Clorox disinfectant wipes were observed in an unlocked cabinet on a shelf below five feet from the floor accessible to children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #5, three aerosol cans of sunscreen, one aerosol can of Zarbees soothing saline nasal mist, five containers of sunscreen, and two tubes of lotion were observed in an unlocked cabinet on a shelf below five feet from the floor accessible to children. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #4, a permission form to administer the following medications was not on file available for review: two tubes of Desitin diaper rash cream and Neutrogena Kids mineral sunscreen. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. Blue Lizard Australian sunscreen and Hello Bello mineral sunscreen administered to children expired on 2/29/2024. Aquaphor Healing Ointment and Boudreaux's Butt Paste diaper rash ointment administered to children expired on April 30, 2024. 10A NCAC 09 .0803(1)(d) 847 Parent's medication authorization did not include required information. In space #4, the permission form for one child's Aveeno Baby Sunscreen did not include instructions for when to apply to the sunscreen. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, children two years of age were observed playing with a foam rubber ball. In space #4, the space for children one year of age, three plastic packages of wipes containing safety warnings were observed in an unlocked cabinet below the diaper changing table accessible to children. In the unlocked women's bathroom used by children two years of age, one plastic package of wipes containing safety warnings was observed in an unlocked drawer accessible to children. .0604(q) 870 Medications including prescription and non-prescription items were stored above food. In space #4, a plastic storage bag of graham crackers was stored in the same tote with a lid containing children's diaper rash cream and sunscreen. 15 A NCAC 18 A.2820(d) 871 Center staff did not comply with the safe sleep policy. The sleep check positions for one infant were not recorded on 6/10/2024 from 9:20am-10:20am. 10A NCAC 09 .0606(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Emergency Information for one staff employed on 6/6/2024 was not on file available for review. .0701(a) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by June 26, 2024. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your compliance letter that corrections have been made when they have not, it may be considered falsification of information. Technical Assistance was provided on the following: Fire Inspections- During the visit, you contacted the fire inspector and scheduled a tentative fire inspection for Monday, June 17, 2024. I suggested that you put a reminder on your calendar, specifically an electronic calendar that can send you an alert, to contact your fire inspector at the beginning of May 2025 to request a fire inspection at your facility. Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Storage of Hazardous Products- -Staff moved all aerosol cans and all hazardous products to locked storage during the visit. I reminded you to keep hazardous products, including aerosol cans, in locked storage at all times during operating hours. Sanitation requirement 15A NCAC 18A .2820(b) states 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 must be stored in a locked room or cabinet. I suggested that administration or designated staff check each classroom at the beginning of the day and throughout the day to ensure all hazardous products are kept in locked storage. Instruct staff to lock hazardous products back in cabinets immediately after use. Storage of Medications- -Staff locked the cabinet containing sunscreen, nasal mist, and lotion during the visit. The plastic storage bag of graham crackers was discarded during the visit. Per sanitation rule 15A NCAC 18A .2820(d), medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use but are not required to be in locked storage. I suggested that administration or designated staff check each classroom at the beginning of the day and throughout the day to ensure all medications are kept in locked storage or on a shelf at or above a vertical distance of five feet from the floor, if applicable. Instruct staff to return medication back to their appropriate storage area immediately after use. Remind staff that food may not be stored with medication. Choking Hazards- -The foam rubber ball was removed from the classroom for children two years of age and replaced with appropriately sized hard plastic balls. The plastic packaging was moved to a shelf above five feet from the floor during the visit. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three years of age. I suggested that you and your staff frequently monitor classrooms to ensure potential choking hazards are not accessible to children under three years of age. Instruct staff to always store wipe and diaper packages sent in from home on a shelf above five feet from the floor. Medications- -The child’s parent recorded “before going outside” on the permission form for Aveeno Baby Sunscreen during the visit. Expired medications and medications without permission forms were discarded during the visit. I suggested administrative and designated staff monitor all medications to ensure the authorization from the parent is on file, has not expired, includes all required information, and that the manufacturer’s instructions on the medication are followed in conjunction with the instructions from the parent. Instruct all staff to review medications and medication permission forms at least monthly to ensure compliance with all medication requirements. Remind staff that food may not be stored with medication. Child care requirements state medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Feeding Plans- -The parent signed the child’s feeding plan during the visit. I suggested that administrative staff thoroughly review each feeding plan to ensure that the parent’s signature has been obtained upon enrollment. Per Child Care Rule 10A NCAC 09 .0902(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. Staff Records- -I recommended that you check off and date all documents received for staff upon employment on the Staff File Checklist available on the DCDEE website and double check the checklist to ensure all documents are received within the required timeframe before the staff member begins work. Infant Sleep Checks- -The visual sleep checks conducted at least every 15 minutes for sleeping infants must include the infants sleep position. I suggested that you review your safe sleep policy and safe sleep requirements with all staff working with infants. Consultation: We discussed the following during the visit: -Administrators or an appropriate representative may visit http://www.cleanwaterforuskids.org/carolina to register for required asbestos and lead paint testing. According to the website, enrollment has been started. -We discussed keeping thermometers in the classrooms for infants to effectively measure the temperature in the classrooms. The temperature in the infant classroom was in compliance during today’s visit. -Sanitation requirements regarding storage in kitchen. 15A NCAC 18A .2820(e) states a locked kitchen is not considered to be a locked storage room or cabinet for the purposes of this Rule. Reminders: - Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0304 · Violation
Name of Operation: BRIDGE OF HOPE DAYCARE Facility ID: 36000611 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 6/12/2024 Number Present: 50 Completed Date: 6/12/2024 Age: From 0 To 4 Total Minutes: 445 Time In: 09:40 AM Time Out: 01:30 PM Time In: 02:25 PM Time Out: 06:00 PM 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 child care requirements for an annual compliance visit, including health and safety. The visit was conducted with you, Tricia Crocker, Operator/Administrator. You provided me with applicable program, staff, and children’s records for review. Farran Rhyne, Child Care Consultant, accompanied me. The NC Secretary of State website was viewed before the visit and Anthony Grove Baptist Church was not listed. The owner of the facility, Anthony Grove Baptist Church, is a non-profit, unincorporated organization. This program currently operates with a Notice of Compliance effective July 22, 2021. The program’s compliance history was 83 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements monitored today. Children and staff were observed during free play activities indoors, screen time activities, lunch, and nap. The most recent sanitation inspection for your facility was conducted on May 29, 2024. A superior sanitation classification was issued with 2 demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted on May 10, 2023. During the visit, you contacted the fire inspector and scheduled a tentative fire inspection for Monday, June 17, 2024. Please send me a copy of the approved fire inspection report once received. The most recent lead water testing results were completed on February 21, 2022. Lead testing must be completed every three years. You may complete this process when due by visiting https://www.cleanwaterforuskids.org/en/carolina/. Violations observed were discussed with you and documented in the handwritten visit summary left with you at the conclusion of the visit. The computer-generated visit summary was emailed to you on June 13, 2024. The following violations were observed: 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. The most recent fire inspection was completed on May 10, 2023. 10A NCAC 09 .0304(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #4, the feeding plan for one child enrolled on 6/3/2024 was not signed by the child's parent. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #5, one spray bottle of MicroBan multi-purpose cleaner, one tub of Lysol disinfectant wipes, two aerosol cans of Great Value disinfectant spray, Member’s Mark disinfectant wipes, and Lysol disinfectant wipes were observed in an unlocked cabinet on a shelf below five feet from the floor accessible to children. In space #7, one aerosol can of Great Value disinfectant spray was observed in an unlocked cabinet accessible to children. In the unlocked women's bathroom used by children, one aerosol can of Great Value disinfectant spray was observed on a shelf above the paper towel dispenser. In space #12, one aerosol can of Great Value disinfectant spray, one tub of Wipe Out antibacterial wipes, and one tub of Clorox disinfectant wipes were observed in an unlocked cabinet on a shelf below five feet from the floor accessible to children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #5, three aerosol cans of sunscreen, one aerosol can of Zarbees soothing saline nasal mist, five containers of sunscreen, and two tubes of lotion were observed in an unlocked cabinet on a shelf below five feet from the floor accessible to children. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #4, a permission form to administer the following medications was not on file available for review: two tubes of Desitin diaper rash cream and Neutrogena Kids mineral sunscreen. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. Blue Lizard Australian sunscreen and Hello Bello mineral sunscreen administered to children expired on 2/29/2024. Aquaphor Healing Ointment and Boudreaux's Butt Paste diaper rash ointment administered to children expired on April 30, 2024. 10A NCAC 09 .0803(1)(d) 847 Parent's medication authorization did not include required information. In space #4, the permission form for one child's Aveeno Baby Sunscreen did not include instructions for when to apply to the sunscreen. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, children two years of age were observed playing with a foam rubber ball. In space #4, the space for children one year of age, three plastic packages of wipes containing safety warnings were observed in an unlocked cabinet below the diaper changing table accessible to children. In the unlocked women's bathroom used by children two years of age, one plastic package of wipes containing safety warnings was observed in an unlocked drawer accessible to children. .0604(q) 870 Medications including prescription and non-prescription items were stored above food. In space #4, a plastic storage bag of graham crackers was stored in the same tote with a lid containing children's diaper rash cream and sunscreen. 15 A NCAC 18 A.2820(d) 871 Center staff did not comply with the safe sleep policy. The sleep check positions for one infant were not recorded on 6/10/2024 from 9:20am-10:20am. 10A NCAC 09 .0606(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Emergency Information for one staff employed on 6/6/2024 was not on file available for review. .0701(a) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by June 26, 2024. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your compliance letter that corrections have been made when they have not, it may be considered falsification of information. Technical Assistance was provided on the following: Fire Inspections- During the visit, you contacted the fire inspector and scheduled a tentative fire inspection for Monday, June 17, 2024. I suggested that you put a reminder on your calendar, specifically an electronic calendar that can send you an alert, to contact your fire inspector at the beginning of May 2025 to request a fire inspection at your facility. Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Storage of Hazardous Products- -Staff moved all aerosol cans and all hazardous products to locked storage during the visit. I reminded you to keep hazardous products, including aerosol cans, in locked storage at all times during operating hours. Sanitation requirement 15A NCAC 18A .2820(b) states 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 must be stored in a locked room or cabinet. I suggested that administration or designated staff check each classroom at the beginning of the day and throughout the day to ensure all hazardous products are kept in locked storage. Instruct staff to lock hazardous products back in cabinets immediately after use. Storage of Medications- -Staff locked the cabinet containing sunscreen, nasal mist, and lotion during the visit. The plastic storage bag of graham crackers was discarded during the visit. Per sanitation rule 15A NCAC 18A .2820(d), medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use but are not required to be in locked storage. I suggested that administration or designated staff check each classroom at the beginning of the day and throughout the day to ensure all medications are kept in locked storage or on a shelf at or above a vertical distance of five feet from the floor, if applicable. Instruct staff to return medication back to their appropriate storage area immediately after use. Remind staff that food may not be stored with medication. Choking Hazards- -The foam rubber ball was removed from the classroom for children two years of age and replaced with appropriately sized hard plastic balls. The plastic packaging was moved to a shelf above five feet from the floor during the visit. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three years of age. I suggested that you and your staff frequently monitor classrooms to ensure potential choking hazards are not accessible to children under three years of age. Instruct staff to always store wipe and diaper packages sent in from home on a shelf above five feet from the floor. Medications- -The child’s parent recorded “before going outside” on the permission form for Aveeno Baby Sunscreen during the visit. Expired medications and medications without permission forms were discarded during the visit. I suggested administrative and designated staff monitor all medications to ensure the authorization from the parent is on file, has not expired, includes all required information, and that the manufacturer’s instructions on the medication are followed in conjunction with the instructions from the parent. Instruct all staff to review medications and medication permission forms at least monthly to ensure compliance with all medication requirements. Remind staff that food may not be stored with medication. Child care requirements state medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Feeding Plans- -The parent signed the child’s feeding plan during the visit. I suggested that administrative staff thoroughly review each feeding plan to ensure that the parent’s signature has been obtained upon enrollment. Per Child Care Rule 10A NCAC 09 .0902(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. Staff Records- -I recommended that you check off and date all documents received for staff upon employment on the Staff File Checklist available on the DCDEE website and double check the checklist to ensure all documents are received within the required timeframe before the staff member begins work. Infant Sleep Checks- -The visual sleep checks conducted at least every 15 minutes for sleeping infants must include the infants sleep position. I suggested that you review your safe sleep policy and safe sleep requirements with all staff working with infants. Consultation: We discussed the following during the visit: -Administrators or an appropriate representative may visit http://www.cleanwaterforuskids.org/carolina to register for required asbestos and lead paint testing. According to the website, enrollment has been started. -We discussed keeping thermometers in the classrooms for infants to effectively measure the temperature in the classrooms. The temperature in the infant classroom was in compliance during today’s visit. -Sanitation requirements regarding storage in kitchen. 15A NCAC 18A .2820(e) states a locked kitchen is not considered to be a locked storage room or cabinet for the purposes of this Rule. Reminders: - Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0606 · Violation
Name of Operation: BRIDGE OF HOPE DAYCARE Facility ID: 36000611 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 6/12/2024 Number Present: 50 Completed Date: 6/12/2024 Age: From 0 To 4 Total Minutes: 445 Time In: 09:40 AM Time Out: 01:30 PM Time In: 02:25 PM Time Out: 06:00 PM 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 child care requirements for an annual compliance visit, including health and safety. The visit was conducted with you, Tricia Crocker, Operator/Administrator. You provided me with applicable program, staff, and children’s records for review. Farran Rhyne, Child Care Consultant, accompanied me. The NC Secretary of State website was viewed before the visit and Anthony Grove Baptist Church was not listed. The owner of the facility, Anthony Grove Baptist Church, is a non-profit, unincorporated organization. This program currently operates with a Notice of Compliance effective July 22, 2021. The program’s compliance history was 83 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements monitored today. Children and staff were observed during free play activities indoors, screen time activities, lunch, and nap. The most recent sanitation inspection for your facility was conducted on May 29, 2024. A superior sanitation classification was issued with 2 demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted on May 10, 2023. During the visit, you contacted the fire inspector and scheduled a tentative fire inspection for Monday, June 17, 2024. Please send me a copy of the approved fire inspection report once received. The most recent lead water testing results were completed on February 21, 2022. Lead testing must be completed every three years. You may complete this process when due by visiting https://www.cleanwaterforuskids.org/en/carolina/. Violations observed were discussed with you and documented in the handwritten visit summary left with you at the conclusion of the visit. The computer-generated visit summary was emailed to you on June 13, 2024. The following violations were observed: 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. The most recent fire inspection was completed on May 10, 2023. 10A NCAC 09 .0304(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #4, the feeding plan for one child enrolled on 6/3/2024 was not signed by the child's parent. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #5, one spray bottle of MicroBan multi-purpose cleaner, one tub of Lysol disinfectant wipes, two aerosol cans of Great Value disinfectant spray, Member’s Mark disinfectant wipes, and Lysol disinfectant wipes were observed in an unlocked cabinet on a shelf below five feet from the floor accessible to children. In space #7, one aerosol can of Great Value disinfectant spray was observed in an unlocked cabinet accessible to children. In the unlocked women's bathroom used by children, one aerosol can of Great Value disinfectant spray was observed on a shelf above the paper towel dispenser. In space #12, one aerosol can of Great Value disinfectant spray, one tub of Wipe Out antibacterial wipes, and one tub of Clorox disinfectant wipes were observed in an unlocked cabinet on a shelf below five feet from the floor accessible to children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #5, three aerosol cans of sunscreen, one aerosol can of Zarbees soothing saline nasal mist, five containers of sunscreen, and two tubes of lotion were observed in an unlocked cabinet on a shelf below five feet from the floor accessible to children. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #4, a permission form to administer the following medications was not on file available for review: two tubes of Desitin diaper rash cream and Neutrogena Kids mineral sunscreen. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. Blue Lizard Australian sunscreen and Hello Bello mineral sunscreen administered to children expired on 2/29/2024. Aquaphor Healing Ointment and Boudreaux's Butt Paste diaper rash ointment administered to children expired on April 30, 2024. 10A NCAC 09 .0803(1)(d) 847 Parent's medication authorization did not include required information. In space #4, the permission form for one child's Aveeno Baby Sunscreen did not include instructions for when to apply to the sunscreen. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, children two years of age were observed playing with a foam rubber ball. In space #4, the space for children one year of age, three plastic packages of wipes containing safety warnings were observed in an unlocked cabinet below the diaper changing table accessible to children. In the unlocked women's bathroom used by children two years of age, one plastic package of wipes containing safety warnings was observed in an unlocked drawer accessible to children. .0604(q) 870 Medications including prescription and non-prescription items were stored above food. In space #4, a plastic storage bag of graham crackers was stored in the same tote with a lid containing children's diaper rash cream and sunscreen. 15 A NCAC 18 A.2820(d) 871 Center staff did not comply with the safe sleep policy. The sleep check positions for one infant were not recorded on 6/10/2024 from 9:20am-10:20am. 10A NCAC 09 .0606(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Emergency Information for one staff employed on 6/6/2024 was not on file available for review. .0701(a) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by June 26, 2024. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your compliance letter that corrections have been made when they have not, it may be considered falsification of information. Technical Assistance was provided on the following: Fire Inspections- During the visit, you contacted the fire inspector and scheduled a tentative fire inspection for Monday, June 17, 2024. I suggested that you put a reminder on your calendar, specifically an electronic calendar that can send you an alert, to contact your fire inspector at the beginning of May 2025 to request a fire inspection at your facility. Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Storage of Hazardous Products- -Staff moved all aerosol cans and all hazardous products to locked storage during the visit. I reminded you to keep hazardous products, including aerosol cans, in locked storage at all times during operating hours. Sanitation requirement 15A NCAC 18A .2820(b) states 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 must be stored in a locked room or cabinet. I suggested that administration or designated staff check each classroom at the beginning of the day and throughout the day to ensure all hazardous products are kept in locked storage. Instruct staff to lock hazardous products back in cabinets immediately after use. Storage of Medications- -Staff locked the cabinet containing sunscreen, nasal mist, and lotion during the visit. The plastic storage bag of graham crackers was discarded during the visit. Per sanitation rule 15A NCAC 18A .2820(d), medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use but are not required to be in locked storage. I suggested that administration or designated staff check each classroom at the beginning of the day and throughout the day to ensure all medications are kept in locked storage or on a shelf at or above a vertical distance of five feet from the floor, if applicable. Instruct staff to return medication back to their appropriate storage area immediately after use. Remind staff that food may not be stored with medication. Choking Hazards- -The foam rubber ball was removed from the classroom for children two years of age and replaced with appropriately sized hard plastic balls. The plastic packaging was moved to a shelf above five feet from the floor during the visit. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three years of age. I suggested that you and your staff frequently monitor classrooms to ensure potential choking hazards are not accessible to children under three years of age. Instruct staff to always store wipe and diaper packages sent in from home on a shelf above five feet from the floor. Medications- -The child’s parent recorded “before going outside” on the permission form for Aveeno Baby Sunscreen during the visit. Expired medications and medications without permission forms were discarded during the visit. I suggested administrative and designated staff monitor all medications to ensure the authorization from the parent is on file, has not expired, includes all required information, and that the manufacturer’s instructions on the medication are followed in conjunction with the instructions from the parent. Instruct all staff to review medications and medication permission forms at least monthly to ensure compliance with all medication requirements. Remind staff that food may not be stored with medication. Child care requirements state medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Feeding Plans- -The parent signed the child’s feeding plan during the visit. I suggested that administrative staff thoroughly review each feeding plan to ensure that the parent’s signature has been obtained upon enrollment. Per Child Care Rule 10A NCAC 09 .0902(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. Staff Records- -I recommended that you check off and date all documents received for staff upon employment on the Staff File Checklist available on the DCDEE website and double check the checklist to ensure all documents are received within the required timeframe before the staff member begins work. Infant Sleep Checks- -The visual sleep checks conducted at least every 15 minutes for sleeping infants must include the infants sleep position. I suggested that you review your safe sleep policy and safe sleep requirements with all staff working with infants. Consultation: We discussed the following during the visit: -Administrators or an appropriate representative may visit http://www.cleanwaterforuskids.org/carolina to register for required asbestos and lead paint testing. According to the website, enrollment has been started. -We discussed keeping thermometers in the classrooms for infants to effectively measure the temperature in the classrooms. The temperature in the infant classroom was in compliance during today’s visit. -Sanitation requirements regarding storage in kitchen. 15A NCAC 18A .2820(e) states a locked kitchen is not considered to be a locked storage room or cabinet for the purposes of this Rule. Reminders: - Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0803 · Violation
Name of Operation: BRIDGE OF HOPE DAYCARE Facility ID: 36000611 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 6/12/2024 Number Present: 50 Completed Date: 6/12/2024 Age: From 0 To 4 Total Minutes: 445 Time In: 09:40 AM Time Out: 01:30 PM Time In: 02:25 PM Time Out: 06:00 PM 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 child care requirements for an annual compliance visit, including health and safety. The visit was conducted with you, Tricia Crocker, Operator/Administrator. You provided me with applicable program, staff, and children’s records for review. Farran Rhyne, Child Care Consultant, accompanied me. The NC Secretary of State website was viewed before the visit and Anthony Grove Baptist Church was not listed. The owner of the facility, Anthony Grove Baptist Church, is a non-profit, unincorporated organization. This program currently operates with a Notice of Compliance effective July 22, 2021. The program’s compliance history was 83 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements monitored today. Children and staff were observed during free play activities indoors, screen time activities, lunch, and nap. The most recent sanitation inspection for your facility was conducted on May 29, 2024. A superior sanitation classification was issued with 2 demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted on May 10, 2023. During the visit, you contacted the fire inspector and scheduled a tentative fire inspection for Monday, June 17, 2024. Please send me a copy of the approved fire inspection report once received. The most recent lead water testing results were completed on February 21, 2022. Lead testing must be completed every three years. You may complete this process when due by visiting https://www.cleanwaterforuskids.org/en/carolina/. Violations observed were discussed with you and documented in the handwritten visit summary left with you at the conclusion of the visit. The computer-generated visit summary was emailed to you on June 13, 2024. The following violations were observed: 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. The most recent fire inspection was completed on May 10, 2023. 10A NCAC 09 .0304(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #4, the feeding plan for one child enrolled on 6/3/2024 was not signed by the child's parent. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #5, one spray bottle of MicroBan multi-purpose cleaner, one tub of Lysol disinfectant wipes, two aerosol cans of Great Value disinfectant spray, Member’s Mark disinfectant wipes, and Lysol disinfectant wipes were observed in an unlocked cabinet on a shelf below five feet from the floor accessible to children. In space #7, one aerosol can of Great Value disinfectant spray was observed in an unlocked cabinet accessible to children. In the unlocked women's bathroom used by children, one aerosol can of Great Value disinfectant spray was observed on a shelf above the paper towel dispenser. In space #12, one aerosol can of Great Value disinfectant spray, one tub of Wipe Out antibacterial wipes, and one tub of Clorox disinfectant wipes were observed in an unlocked cabinet on a shelf below five feet from the floor accessible to children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #5, three aerosol cans of sunscreen, one aerosol can of Zarbees soothing saline nasal mist, five containers of sunscreen, and two tubes of lotion were observed in an unlocked cabinet on a shelf below five feet from the floor accessible to children. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #4, a permission form to administer the following medications was not on file available for review: two tubes of Desitin diaper rash cream and Neutrogena Kids mineral sunscreen. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. Blue Lizard Australian sunscreen and Hello Bello mineral sunscreen administered to children expired on 2/29/2024. Aquaphor Healing Ointment and Boudreaux's Butt Paste diaper rash ointment administered to children expired on April 30, 2024. 10A NCAC 09 .0803(1)(d) 847 Parent's medication authorization did not include required information. In space #4, the permission form for one child's Aveeno Baby Sunscreen did not include instructions for when to apply to the sunscreen. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, children two years of age were observed playing with a foam rubber ball. In space #4, the space for children one year of age, three plastic packages of wipes containing safety warnings were observed in an unlocked cabinet below the diaper changing table accessible to children. In the unlocked women's bathroom used by children two years of age, one plastic package of wipes containing safety warnings was observed in an unlocked drawer accessible to children. .0604(q) 870 Medications including prescription and non-prescription items were stored above food. In space #4, a plastic storage bag of graham crackers was stored in the same tote with a lid containing children's diaper rash cream and sunscreen. 15 A NCAC 18 A.2820(d) 871 Center staff did not comply with the safe sleep policy. The sleep check positions for one infant were not recorded on 6/10/2024 from 9:20am-10:20am. 10A NCAC 09 .0606(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Emergency Information for one staff employed on 6/6/2024 was not on file available for review. .0701(a) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by June 26, 2024. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your compliance letter that corrections have been made when they have not, it may be considered falsification of information. Technical Assistance was provided on the following: Fire Inspections- During the visit, you contacted the fire inspector and scheduled a tentative fire inspection for Monday, June 17, 2024. I suggested that you put a reminder on your calendar, specifically an electronic calendar that can send you an alert, to contact your fire inspector at the beginning of May 2025 to request a fire inspection at your facility. Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Storage of Hazardous Products- -Staff moved all aerosol cans and all hazardous products to locked storage during the visit. I reminded you to keep hazardous products, including aerosol cans, in locked storage at all times during operating hours. Sanitation requirement 15A NCAC 18A .2820(b) states 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 must be stored in a locked room or cabinet. I suggested that administration or designated staff check each classroom at the beginning of the day and throughout the day to ensure all hazardous products are kept in locked storage. Instruct staff to lock hazardous products back in cabinets immediately after use. Storage of Medications- -Staff locked the cabinet containing sunscreen, nasal mist, and lotion during the visit. The plastic storage bag of graham crackers was discarded during the visit. Per sanitation rule 15A NCAC 18A .2820(d), medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use but are not required to be in locked storage. I suggested that administration or designated staff check each classroom at the beginning of the day and throughout the day to ensure all medications are kept in locked storage or on a shelf at or above a vertical distance of five feet from the floor, if applicable. Instruct staff to return medication back to their appropriate storage area immediately after use. Remind staff that food may not be stored with medication. Choking Hazards- -The foam rubber ball was removed from the classroom for children two years of age and replaced with appropriately sized hard plastic balls. The plastic packaging was moved to a shelf above five feet from the floor during the visit. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three years of age. I suggested that you and your staff frequently monitor classrooms to ensure potential choking hazards are not accessible to children under three years of age. Instruct staff to always store wipe and diaper packages sent in from home on a shelf above five feet from the floor. Medications- -The child’s parent recorded “before going outside” on the permission form for Aveeno Baby Sunscreen during the visit. Expired medications and medications without permission forms were discarded during the visit. I suggested administrative and designated staff monitor all medications to ensure the authorization from the parent is on file, has not expired, includes all required information, and that the manufacturer’s instructions on the medication are followed in conjunction with the instructions from the parent. Instruct all staff to review medications and medication permission forms at least monthly to ensure compliance with all medication requirements. Remind staff that food may not be stored with medication. Child care requirements state medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Feeding Plans- -The parent signed the child’s feeding plan during the visit. I suggested that administrative staff thoroughly review each feeding plan to ensure that the parent’s signature has been obtained upon enrollment. Per Child Care Rule 10A NCAC 09 .0902(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. Staff Records- -I recommended that you check off and date all documents received for staff upon employment on the Staff File Checklist available on the DCDEE website and double check the checklist to ensure all documents are received within the required timeframe before the staff member begins work. Infant Sleep Checks- -The visual sleep checks conducted at least every 15 minutes for sleeping infants must include the infants sleep position. I suggested that you review your safe sleep policy and safe sleep requirements with all staff working with infants. Consultation: We discussed the following during the visit: -Administrators or an appropriate representative may visit http://www.cleanwaterforuskids.org/carolina to register for required asbestos and lead paint testing. According to the website, enrollment has been started. -We discussed keeping thermometers in the classrooms for infants to effectively measure the temperature in the classrooms. The temperature in the infant classroom was in compliance during today’s visit. -Sanitation requirements regarding storage in kitchen. 15A NCAC 18A .2820(e) states a locked kitchen is not considered to be a locked storage room or cabinet for the purposes of this Rule. Reminders: - Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0902 · Violation
Name of Operation: BRIDGE OF HOPE DAYCARE Facility ID: 36000611 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 6/12/2024 Number Present: 50 Completed Date: 6/12/2024 Age: From 0 To 4 Total Minutes: 445 Time In: 09:40 AM Time Out: 01:30 PM Time In: 02:25 PM Time Out: 06:00 PM 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 child care requirements for an annual compliance visit, including health and safety. The visit was conducted with you, Tricia Crocker, Operator/Administrator. You provided me with applicable program, staff, and children’s records for review. Farran Rhyne, Child Care Consultant, accompanied me. The NC Secretary of State website was viewed before the visit and Anthony Grove Baptist Church was not listed. The owner of the facility, Anthony Grove Baptist Church, is a non-profit, unincorporated organization. This program currently operates with a Notice of Compliance effective July 22, 2021. The program’s compliance history was 83 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements monitored today. Children and staff were observed during free play activities indoors, screen time activities, lunch, and nap. The most recent sanitation inspection for your facility was conducted on May 29, 2024. A superior sanitation classification was issued with 2 demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted on May 10, 2023. During the visit, you contacted the fire inspector and scheduled a tentative fire inspection for Monday, June 17, 2024. Please send me a copy of the approved fire inspection report once received. The most recent lead water testing results were completed on February 21, 2022. Lead testing must be completed every three years. You may complete this process when due by visiting https://www.cleanwaterforuskids.org/en/carolina/. Violations observed were discussed with you and documented in the handwritten visit summary left with you at the conclusion of the visit. The computer-generated visit summary was emailed to you on June 13, 2024. The following violations were observed: 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. The most recent fire inspection was completed on May 10, 2023. 10A NCAC 09 .0304(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #4, the feeding plan for one child enrolled on 6/3/2024 was not signed by the child's parent. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #5, one spray bottle of MicroBan multi-purpose cleaner, one tub of Lysol disinfectant wipes, two aerosol cans of Great Value disinfectant spray, Member’s Mark disinfectant wipes, and Lysol disinfectant wipes were observed in an unlocked cabinet on a shelf below five feet from the floor accessible to children. In space #7, one aerosol can of Great Value disinfectant spray was observed in an unlocked cabinet accessible to children. In the unlocked women's bathroom used by children, one aerosol can of Great Value disinfectant spray was observed on a shelf above the paper towel dispenser. In space #12, one aerosol can of Great Value disinfectant spray, one tub of Wipe Out antibacterial wipes, and one tub of Clorox disinfectant wipes were observed in an unlocked cabinet on a shelf below five feet from the floor accessible to children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #5, three aerosol cans of sunscreen, one aerosol can of Zarbees soothing saline nasal mist, five containers of sunscreen, and two tubes of lotion were observed in an unlocked cabinet on a shelf below five feet from the floor accessible to children. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #4, a permission form to administer the following medications was not on file available for review: two tubes of Desitin diaper rash cream and Neutrogena Kids mineral sunscreen. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. Blue Lizard Australian sunscreen and Hello Bello mineral sunscreen administered to children expired on 2/29/2024. Aquaphor Healing Ointment and Boudreaux's Butt Paste diaper rash ointment administered to children expired on April 30, 2024. 10A NCAC 09 .0803(1)(d) 847 Parent's medication authorization did not include required information. In space #4, the permission form for one child's Aveeno Baby Sunscreen did not include instructions for when to apply to the sunscreen. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, children two years of age were observed playing with a foam rubber ball. In space #4, the space for children one year of age, three plastic packages of wipes containing safety warnings were observed in an unlocked cabinet below the diaper changing table accessible to children. In the unlocked women's bathroom used by children two years of age, one plastic package of wipes containing safety warnings was observed in an unlocked drawer accessible to children. .0604(q) 870 Medications including prescription and non-prescription items were stored above food. In space #4, a plastic storage bag of graham crackers was stored in the same tote with a lid containing children's diaper rash cream and sunscreen. 15 A NCAC 18 A.2820(d) 871 Center staff did not comply with the safe sleep policy. The sleep check positions for one infant were not recorded on 6/10/2024 from 9:20am-10:20am. 10A NCAC 09 .0606(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Emergency Information for one staff employed on 6/6/2024 was not on file available for review. .0701(a) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by June 26, 2024. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your compliance letter that corrections have been made when they have not, it may be considered falsification of information. Technical Assistance was provided on the following: Fire Inspections- During the visit, you contacted the fire inspector and scheduled a tentative fire inspection for Monday, June 17, 2024. I suggested that you put a reminder on your calendar, specifically an electronic calendar that can send you an alert, to contact your fire inspector at the beginning of May 2025 to request a fire inspection at your facility. Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Storage of Hazardous Products- -Staff moved all aerosol cans and all hazardous products to locked storage during the visit. I reminded you to keep hazardous products, including aerosol cans, in locked storage at all times during operating hours. Sanitation requirement 15A NCAC 18A .2820(b) states 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 must be stored in a locked room or cabinet. I suggested that administration or designated staff check each classroom at the beginning of the day and throughout the day to ensure all hazardous products are kept in locked storage. Instruct staff to lock hazardous products back in cabinets immediately after use. Storage of Medications- -Staff locked the cabinet containing sunscreen, nasal mist, and lotion during the visit. The plastic storage bag of graham crackers was discarded during the visit. Per sanitation rule 15A NCAC 18A .2820(d), medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use but are not required to be in locked storage. I suggested that administration or designated staff check each classroom at the beginning of the day and throughout the day to ensure all medications are kept in locked storage or on a shelf at or above a vertical distance of five feet from the floor, if applicable. Instruct staff to return medication back to their appropriate storage area immediately after use. Remind staff that food may not be stored with medication. Choking Hazards- -The foam rubber ball was removed from the classroom for children two years of age and replaced with appropriately sized hard plastic balls. The plastic packaging was moved to a shelf above five feet from the floor during the visit. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three years of age. I suggested that you and your staff frequently monitor classrooms to ensure potential choking hazards are not accessible to children under three years of age. Instruct staff to always store wipe and diaper packages sent in from home on a shelf above five feet from the floor. Medications- -The child’s parent recorded “before going outside” on the permission form for Aveeno Baby Sunscreen during the visit. Expired medications and medications without permission forms were discarded during the visit. I suggested administrative and designated staff monitor all medications to ensure the authorization from the parent is on file, has not expired, includes all required information, and that the manufacturer’s instructions on the medication are followed in conjunction with the instructions from the parent. Instruct all staff to review medications and medication permission forms at least monthly to ensure compliance with all medication requirements. Remind staff that food may not be stored with medication. Child care requirements state medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Feeding Plans- -The parent signed the child’s feeding plan during the visit. I suggested that administrative staff thoroughly review each feeding plan to ensure that the parent’s signature has been obtained upon enrollment. Per Child Care Rule 10A NCAC 09 .0902(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. Staff Records- -I recommended that you check off and date all documents received for staff upon employment on the Staff File Checklist available on the DCDEE website and double check the checklist to ensure all documents are received within the required timeframe before the staff member begins work. Infant Sleep Checks- -The visual sleep checks conducted at least every 15 minutes for sleeping infants must include the infants sleep position. I suggested that you review your safe sleep policy and safe sleep requirements with all staff working with infants. Consultation: We discussed the following during the visit: -Administrators or an appropriate representative may visit http://www.cleanwaterforuskids.org/carolina to register for required asbestos and lead paint testing. According to the website, enrollment has been started. -We discussed keeping thermometers in the classrooms for infants to effectively measure the temperature in the classrooms. The temperature in the infant classroom was in compliance during today’s visit. -Sanitation requirements regarding storage in kitchen. 15A NCAC 18A .2820(e) states a locked kitchen is not considered to be a locked storage room or cabinet for the purposes of this Rule. Reminders: - Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
NC GS 110-90 · Violation
Name of Operation: BRIDGE OF HOPE DAYCARE Facility ID: 36000611 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 6/12/2024 Number Present: 50 Completed Date: 6/12/2024 Age: From 0 To 4 Total Minutes: 445 Time In: 09:40 AM Time Out: 01:30 PM Time In: 02:25 PM Time Out: 06:00 PM 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 child care requirements for an annual compliance visit, including health and safety. The visit was conducted with you, Tricia Crocker, Operator/Administrator. You provided me with applicable program, staff, and children’s records for review. Farran Rhyne, Child Care Consultant, accompanied me. The NC Secretary of State website was viewed before the visit and Anthony Grove Baptist Church was not listed. The owner of the facility, Anthony Grove Baptist Church, is a non-profit, unincorporated organization. This program currently operates with a Notice of Compliance effective July 22, 2021. The program’s compliance history was 83 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements monitored today. Children and staff were observed during free play activities indoors, screen time activities, lunch, and nap. The most recent sanitation inspection for your facility was conducted on May 29, 2024. A superior sanitation classification was issued with 2 demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted on May 10, 2023. During the visit, you contacted the fire inspector and scheduled a tentative fire inspection for Monday, June 17, 2024. Please send me a copy of the approved fire inspection report once received. The most recent lead water testing results were completed on February 21, 2022. Lead testing must be completed every three years. You may complete this process when due by visiting https://www.cleanwaterforuskids.org/en/carolina/. Violations observed were discussed with you and documented in the handwritten visit summary left with you at the conclusion of the visit. The computer-generated visit summary was emailed to you on June 13, 2024. The following violations were observed: 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. The most recent fire inspection was completed on May 10, 2023. 10A NCAC 09 .0304(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #4, the feeding plan for one child enrolled on 6/3/2024 was not signed by the child's parent. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #5, one spray bottle of MicroBan multi-purpose cleaner, one tub of Lysol disinfectant wipes, two aerosol cans of Great Value disinfectant spray, Member’s Mark disinfectant wipes, and Lysol disinfectant wipes were observed in an unlocked cabinet on a shelf below five feet from the floor accessible to children. In space #7, one aerosol can of Great Value disinfectant spray was observed in an unlocked cabinet accessible to children. In the unlocked women's bathroom used by children, one aerosol can of Great Value disinfectant spray was observed on a shelf above the paper towel dispenser. In space #12, one aerosol can of Great Value disinfectant spray, one tub of Wipe Out antibacterial wipes, and one tub of Clorox disinfectant wipes were observed in an unlocked cabinet on a shelf below five feet from the floor accessible to children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #5, three aerosol cans of sunscreen, one aerosol can of Zarbees soothing saline nasal mist, five containers of sunscreen, and two tubes of lotion were observed in an unlocked cabinet on a shelf below five feet from the floor accessible to children. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #4, a permission form to administer the following medications was not on file available for review: two tubes of Desitin diaper rash cream and Neutrogena Kids mineral sunscreen. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. Blue Lizard Australian sunscreen and Hello Bello mineral sunscreen administered to children expired on 2/29/2024. Aquaphor Healing Ointment and Boudreaux's Butt Paste diaper rash ointment administered to children expired on April 30, 2024. 10A NCAC 09 .0803(1)(d) 847 Parent's medication authorization did not include required information. In space #4, the permission form for one child's Aveeno Baby Sunscreen did not include instructions for when to apply to the sunscreen. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, children two years of age were observed playing with a foam rubber ball. In space #4, the space for children one year of age, three plastic packages of wipes containing safety warnings were observed in an unlocked cabinet below the diaper changing table accessible to children. In the unlocked women's bathroom used by children two years of age, one plastic package of wipes containing safety warnings was observed in an unlocked drawer accessible to children. .0604(q) 870 Medications including prescription and non-prescription items were stored above food. In space #4, a plastic storage bag of graham crackers was stored in the same tote with a lid containing children's diaper rash cream and sunscreen. 15 A NCAC 18 A.2820(d) 871 Center staff did not comply with the safe sleep policy. The sleep check positions for one infant were not recorded on 6/10/2024 from 9:20am-10:20am. 10A NCAC 09 .0606(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Emergency Information for one staff employed on 6/6/2024 was not on file available for review. .0701(a) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by June 26, 2024. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your compliance letter that corrections have been made when they have not, it may be considered falsification of information. Technical Assistance was provided on the following: Fire Inspections- During the visit, you contacted the fire inspector and scheduled a tentative fire inspection for Monday, June 17, 2024. I suggested that you put a reminder on your calendar, specifically an electronic calendar that can send you an alert, to contact your fire inspector at the beginning of May 2025 to request a fire inspection at your facility. Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Storage of Hazardous Products- -Staff moved all aerosol cans and all hazardous products to locked storage during the visit. I reminded you to keep hazardous products, including aerosol cans, in locked storage at all times during operating hours. Sanitation requirement 15A NCAC 18A .2820(b) states 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 must be stored in a locked room or cabinet. I suggested that administration or designated staff check each classroom at the beginning of the day and throughout the day to ensure all hazardous products are kept in locked storage. Instruct staff to lock hazardous products back in cabinets immediately after use. Storage of Medications- -Staff locked the cabinet containing sunscreen, nasal mist, and lotion during the visit. The plastic storage bag of graham crackers was discarded during the visit. Per sanitation rule 15A NCAC 18A .2820(d), medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use but are not required to be in locked storage. I suggested that administration or designated staff check each classroom at the beginning of the day and throughout the day to ensure all medications are kept in locked storage or on a shelf at or above a vertical distance of five feet from the floor, if applicable. Instruct staff to return medication back to their appropriate storage area immediately after use. Remind staff that food may not be stored with medication. Choking Hazards- -The foam rubber ball was removed from the classroom for children two years of age and replaced with appropriately sized hard plastic balls. The plastic packaging was moved to a shelf above five feet from the floor during the visit. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three years of age. I suggested that you and your staff frequently monitor classrooms to ensure potential choking hazards are not accessible to children under three years of age. Instruct staff to always store wipe and diaper packages sent in from home on a shelf above five feet from the floor. Medications- -The child’s parent recorded “before going outside” on the permission form for Aveeno Baby Sunscreen during the visit. Expired medications and medications without permission forms were discarded during the visit. I suggested administrative and designated staff monitor all medications to ensure the authorization from the parent is on file, has not expired, includes all required information, and that the manufacturer’s instructions on the medication are followed in conjunction with the instructions from the parent. Instruct all staff to review medications and medication permission forms at least monthly to ensure compliance with all medication requirements. Remind staff that food may not be stored with medication. Child care requirements state medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Feeding Plans- -The parent signed the child’s feeding plan during the visit. I suggested that administrative staff thoroughly review each feeding plan to ensure that the parent’s signature has been obtained upon enrollment. Per Child Care Rule 10A NCAC 09 .0902(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. Staff Records- -I recommended that you check off and date all documents received for staff upon employment on the Staff File Checklist available on the DCDEE website and double check the checklist to ensure all documents are received within the required timeframe before the staff member begins work. Infant Sleep Checks- -The visual sleep checks conducted at least every 15 minutes for sleeping infants must include the infants sleep position. I suggested that you review your safe sleep policy and safe sleep requirements with all staff working with infants. Consultation: We discussed the following during the visit: -Administrators or an appropriate representative may visit http://www.cleanwaterforuskids.org/carolina to register for required asbestos and lead paint testing. According to the website, enrollment has been started. -We discussed keeping thermometers in the classrooms for infants to effectively measure the temperature in the classrooms. The temperature in the infant classroom was in compliance during today’s visit. -Sanitation requirements regarding storage in kitchen. 15A NCAC 18A .2820(e) states a locked kitchen is not considered to be a locked storage room or cabinet for the purposes of this Rule. Reminders: - Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-90 · Violation
Name of Operation: BRIDGE OF HOPE DAYCARE Facility ID: 36000611 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 1/11/2024 Number Present: 52 Completed Date: 1/11/2024 Age: From 0 To 5 Total Minutes: 144 Time In: 03:06 PM Time Out: 05:30 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 unannounced visit was to monitor for compliance with the Notice of Administrative Action: Written Warning and the Corrective Action Plan issued on November 14, 2023. The visit was conducted with you, Shandel Flowers, Assitant Director, and Tricia Crocker, Administrator. The North Carolina Secretary of State website was viewed before the visit and Anthony Grove Baptist Church was not listed. Documentation is on file regarding the church’s religious organization status. If any changes to the church business need to be made or you decide to sell the business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Limited monitoring was conducted. Staff and children were observed during snack and free play activities indoors. The facility was closed on January 9, 2024 due to inclement weather and closed on January 10, 2024 due to plumbing issues. Corrective Action Plan Status: The Notice of Administrative Action, cover letter and Corrective Action Plan were posted on the parent information bulletin board located in the room as you enter the facility. As a reminder, the Notice of Administrative Action, cover letter, and Corrective Action Plan must be posted for three months and until receipt of a closure letter stating the Corrective Action Plan has been completed. I reviewed The Notice of Administrative Action and Corrective Action Plan with you during today’s visit. Item #1: During today’s visit, one violation of child care requirements was observed. No new staff have been employed since your last monitoring visit on November 29, 2023. Four new children’s files were reviewed during today’s visit and were in compliance. I reminded you that you must remain in compliance, at all times, with all applicable child care requirements including, but not limited to, criminal background checks, staff qualifications, administering of medication, CPR training, First Aid training, general safety, ITS-SIDS training, nutrition/infant feeding, staff records, children’s records, storage of hazardous substances, and storage of medications. Item #2: The mandatory rules review was completed on January 5, 2024. Twenty staff members were present. Documentation of the rules review was on file and reviewed during the visit. Item #3: The staff meeting was conducted on January 5, 2024, from 2:35pm to 3:43pm. Documentation of the staff meeting reviewing each staff person’s responsibilities and expectations with compliance of child care requirements was on file available for review during the visit. These documents were sent to me via email on January 5, 2024, following the meeting and a copy of the documents were provided to me during today’s visit. An Administrative Action follow-up visit will be conducted in the near future. The violation observed was discussed with you and documented in the Visit Summary given to you at the conclusion of this visit. The following violation was observed: Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #3, one plastic package of Pampers wipes with suffocation warnings on the label was observed in a hard plastic pencil case located in an unlocked cabinet below the diaper changing table accessible to children one years of age. .0604(q) The violation observed was corrected during the visit. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 80%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance regarding the violations observed: Plastic packaging/choking hazards- -Staff discarded the plastic packaging during the visit. We discussed the intent of utilizing the hard plastic pencil case was to remove and discard the plastic wipe packaging so that it is no longer accessible to children under three years of age. I recommended that you request parents to drop off supplies including diapers, wipes, medications, etc. with administrative staff in the front room at the entrance to the facility to ensure proper storage of potential choking hazards. I reminded you to check all spaces used by children under three years of age at the beginning of each day to ensure proper storage of potential choking hazards. Remind staff to check their classrooms for potential safety hazards prior to accepting children into the classroom. Consultation: -We discussed choking hazards accessible to children under three years of age in rooms that may occupy children under three years of age at any time throughout the day. For example, if a classroom for children three years of age has a two year old transitioning for the day, all choking hazards must be inaccessible Or if a two year old child occupies the classroom for three year old children during the early morning hours at drop off or during the late afternoon hours at pick up, all choking hazards must be inaccessible. Choking hazards include, but are not limited to, small, broken pieces of crayon or chalk, small blocks or toys that would fit through a choking tube (a paper towel roll may also be used to test this), plastic packaging, foam blocks and toys, and any material containing foam. Potential choking hazards must be inaccessible to children under three years of age (at or above a vertical distance of five feet from the finished floor) or kept in locked storage. We specifically discussed Bingo dotters/Dot Art with warnings stating, “choking hazard- small parts not for children under three.” -I reminded you to keep a thermometer in each refrigerator to monitor the temperature at 45 degrees Fahrenheit or lower. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time and assistance today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
NC GS 110-90 · Violation
Name of Operation: BRIDGE OF HOPE DAYCARE Facility ID: 36000611 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 10/19/2023 Number Present: 57 Completed Date: 10/19/2023 Age: From 0 To 5 Total Minutes: 140 Time In: 09:25 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for compliance with applicable child care requirements during an unannounced follow-up visit. Upon arrival, the purpose of today’s visit was reviewed with Shandel Neal, Assistant Director. The visit was conducted with you, Ava Boyd, Compliance Director, and Tricia Crocker, Administrator. You provided me with applicable staff and children’s records for review. The North Carolina Secretary of State website was viewed before the visit and Anthony Grove Baptist Church was not listed. Documentation is on file regarding the church’s religious organization status. If any changes to the church business need to be made or you decide to sell the business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Limited monitoring was conducted. Children and staff were observed during free play activities indoors, nap, and gross motor activities outdoors. The following child care requirements that were observed as violations during the complaint visit conducted on May 8, 2023, the Annual Compliance visit conducted on June 22, 2023, and the Annual Compliance follow-up visit conducted on June 29, 2023 were monitored today: staff qualifications, criminal background checks, administering of medication, storage of hazardous substances, storage of medication, CPR, First Aid, general safety, ITS-SIDS training, nutrition/infant feeding, staff records, and children’s records, and nutrition/infant feeding. The violations observed during the visit were thoroughly reviewed with you and documented in the handwritten visit summary given to you at the conclusion of the visit. Due to technical difficulties, the computer-generated visit summary was sent to you on October 20, 2023. The following violations of child care requirements were observed. Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #13, one plastic grocery bag with safety warnings, containing a clean set of clothes, was observed in a cubby accessible to children two years of age. .0604(q) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. The file for one child enrolled on 10/2/2023 did not include the signed acknowledgement form for the facilities discipline policy. .1804(c) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by November 2, 2023. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. The program’s compliance history was 76 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Based on a substantiated complaint and three violations observed on May 8, 2023, twenty-one violations observed on June 22, 2023, including two repeated violations, and three violations observed on June 29, 2023, including two repeated violations, an administrative action may be recommended. Technical Assistance was provided on the following: General Safety- -The compliance director removed the plastic grocery bag from space #13 and discarded the bag during the visit. I recommended that you and staff monitor all spaces used by children under three years of age to ensure plastic packaging and any choking hazards are stored appropriately. Children’s Records- -I recommended that you request children’s documents from the parent prior to the child’s first day of attendance to ensure all required documents are received. Utilize the Children’s File Checklist available on the DCDEE website under provider documents and forms to assist you with ensuring all required forms have been received prior to a child’s enrollment. Consultation: We discussed- -safe sleep visual checks of sleeping infants and documentation -electrical outlets -labeling water bottles Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0803 · Violation
Name of Operation: BRIDGE OF HOPE DAYCARE Facility ID: 36000611 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 9/14/2023 Number Present: 44 Completed Date: 9/14/2023 Age: From 0 To 5 Total Minutes: 237 Time In: 01:33 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for compliance with applicable child care requirements during an unannounced follow-up visit. Upon arrival, the purpose of today’s visit was reviewed with you, Ava Boyd, Compliance Director. Tricia Crocker, Administrator, was also present. The visit was conducted with Ava Boyd and Tricia Crocker. You provided me with applicable staff and children’s records for review. The North Carolina Secretary of State website was viewed before the visit and Anthony Grove Baptist Church was not listed. Documentation is on file regarding the church’s religious organization status. If any changes to the church business need to be made or you decide to sell the business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Limited monitoring was conducted. Children and staff were observed during snack and free play activities indoors. The following child care requirements that were observed as violations during the complaint visit conducted on May 8, 2023, the Annual Compliance visit conducted on June 22, 2023, and the Annual Compliance follow-up visit conducted on June 29, 2023 were monitored today: staff qualifications, criminal background checks, administering of medication, storage of hazardous substances, storage of medication, CPR, First Aid, general safety, ITS-SIDS training, nutrition/infant feeding, staff records, and children’s records, and nutrition/infant feeding. The violations observed during the visit were thoroughly reviewed with you and documented on the visit summary given to you at the conclusion of the visit. The following violations of child care requirements were observed. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) In space #7, one infant's feeding plan was not posted. 10A NCAC 09 .0902(a) 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 feeding plan for one infant enrolled on 8/8/2023 was not signed by the parent. .0902(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the bathroom connecting space #7 and space #8, one bottle of equate liquid Antacid was observed below the diaper changing table and was not kept in locked storage. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A permission form to administer one child's Aquaphor healing ointment was not on file available for review. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. The permission form for one child's Parent's Choice diaper rash ointment did not include when to apply the diaper rash ointment. 10A NCAC 09 .0803(4)(6-9) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. Instructions to administer liquid Antacid for an infant's diaper rash were followed without instructions from a physician. The equate liquid Antacid manufacturer's instructions on the bottle stated "children under 12: ask a doctor." 10A NCAC 09 .0803(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #3, one plastic package for wipes, with a safety warning stating "keep out of reach of children; to avoid choking and suffocation, keep wipes and plastic bags away from babies, children, and pets," was observed below the diaper changing table accessible to children under three years of age. .0604(q) 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 employed on 5/1/2023 admitted to working in the infant classroom without being supervised by an ITS-SIDS trained staff. This staff completed the Moodle training titled "Prevention of Sudden Infant Death Syndrome and the Use of Safe Sleep Practices" on 12/20/2022, however, this staff did not have current ITS-SIDS training required to work in a classroom. .1102(f) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by September 28, 2023. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. The program’s compliance history was 79 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Based on a substantiated complaint and three violations observed on May 8, 2023, twenty-one violations observed on June 22, 2023, including two repeated violations, and three violations observed on June 29, 2023, including two repeated violations, an administrative action may be recommended. Technical Assistance was provided on the following: Infant Feeding Plan- -I recommended that you check both infant classrooms to ensure each child’s feeding plan is posted for reference daily. I reminded you that only the second page of the feeding plan is required to be posted. Upon enrollment, review the feeding plan for children 15 months of age and younger to ensure the parent has included all required information including the signature. The violations regarding feeding plans were repeated from June 22, 2023 and June 29, 2023. Medication- -Staff moved the Antacid to locked storage during the visit. I recommended that you review all medications brought to the facility by parents to ensure the medication permission forms include all required information prior to sending the medication and permission form to the classroom. Remind staff that medications must be kept in locked storage with the exception of emergency medication. Diaper rash creams and sunscreen may be kept inaccessible to children five feet or higher from the floor. This violations regarding medications were repeated from June 22, 2023. General Safety- -Staff removed the plastic packaging and placed the wipes in a hard plastic container during the visit. I recommended that you and staff monitor all spaces used by children under three years of age to ensure plastic packaging and any choking hazards are stored appropriately. This violation was repeated from June 22, 2023, and June 29, 2023. ITS-SIDS Training- -A. Boyd must complete ITS-SIDS training by 9/28/2023. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. This violation was repeated from June 22, 2023. Consultation: -We discussed meal pattern requirements. Two meal components are required for snack. 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. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0902 · Violation
Name of Operation: BRIDGE OF HOPE DAYCARE Facility ID: 36000611 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 9/14/2023 Number Present: 44 Completed Date: 9/14/2023 Age: From 0 To 5 Total Minutes: 237 Time In: 01:33 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for compliance with applicable child care requirements during an unannounced follow-up visit. Upon arrival, the purpose of today’s visit was reviewed with you, Ava Boyd, Compliance Director. Tricia Crocker, Administrator, was also present. The visit was conducted with Ava Boyd and Tricia Crocker. You provided me with applicable staff and children’s records for review. The North Carolina Secretary of State website was viewed before the visit and Anthony Grove Baptist Church was not listed. Documentation is on file regarding the church’s religious organization status. If any changes to the church business need to be made or you decide to sell the business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Limited monitoring was conducted. Children and staff were observed during snack and free play activities indoors. The following child care requirements that were observed as violations during the complaint visit conducted on May 8, 2023, the Annual Compliance visit conducted on June 22, 2023, and the Annual Compliance follow-up visit conducted on June 29, 2023 were monitored today: staff qualifications, criminal background checks, administering of medication, storage of hazardous substances, storage of medication, CPR, First Aid, general safety, ITS-SIDS training, nutrition/infant feeding, staff records, and children’s records, and nutrition/infant feeding. The violations observed during the visit were thoroughly reviewed with you and documented on the visit summary given to you at the conclusion of the visit. The following violations of child care requirements were observed. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) In space #7, one infant's feeding plan was not posted. 10A NCAC 09 .0902(a) 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 feeding plan for one infant enrolled on 8/8/2023 was not signed by the parent. .0902(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the bathroom connecting space #7 and space #8, one bottle of equate liquid Antacid was observed below the diaper changing table and was not kept in locked storage. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A permission form to administer one child's Aquaphor healing ointment was not on file available for review. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. The permission form for one child's Parent's Choice diaper rash ointment did not include when to apply the diaper rash ointment. 10A NCAC 09 .0803(4)(6-9) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. Instructions to administer liquid Antacid for an infant's diaper rash were followed without instructions from a physician. The equate liquid Antacid manufacturer's instructions on the bottle stated "children under 12: ask a doctor." 10A NCAC 09 .0803(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #3, one plastic package for wipes, with a safety warning stating "keep out of reach of children; to avoid choking and suffocation, keep wipes and plastic bags away from babies, children, and pets," was observed below the diaper changing table accessible to children under three years of age. .0604(q) 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 employed on 5/1/2023 admitted to working in the infant classroom without being supervised by an ITS-SIDS trained staff. This staff completed the Moodle training titled "Prevention of Sudden Infant Death Syndrome and the Use of Safe Sleep Practices" on 12/20/2022, however, this staff did not have current ITS-SIDS training required to work in a classroom. .1102(f) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by September 28, 2023. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. The program’s compliance history was 79 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Based on a substantiated complaint and three violations observed on May 8, 2023, twenty-one violations observed on June 22, 2023, including two repeated violations, and three violations observed on June 29, 2023, including two repeated violations, an administrative action may be recommended. Technical Assistance was provided on the following: Infant Feeding Plan- -I recommended that you check both infant classrooms to ensure each child’s feeding plan is posted for reference daily. I reminded you that only the second page of the feeding plan is required to be posted. Upon enrollment, review the feeding plan for children 15 months of age and younger to ensure the parent has included all required information including the signature. The violations regarding feeding plans were repeated from June 22, 2023 and June 29, 2023. Medication- -Staff moved the Antacid to locked storage during the visit. I recommended that you review all medications brought to the facility by parents to ensure the medication permission forms include all required information prior to sending the medication and permission form to the classroom. Remind staff that medications must be kept in locked storage with the exception of emergency medication. Diaper rash creams and sunscreen may be kept inaccessible to children five feet or higher from the floor. This violations regarding medications were repeated from June 22, 2023. General Safety- -Staff removed the plastic packaging and placed the wipes in a hard plastic container during the visit. I recommended that you and staff monitor all spaces used by children under three years of age to ensure plastic packaging and any choking hazards are stored appropriately. This violation was repeated from June 22, 2023, and June 29, 2023. ITS-SIDS Training- -A. Boyd must complete ITS-SIDS training by 9/28/2023. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. This violation was repeated from June 22, 2023. Consultation: -We discussed meal pattern requirements. Two meal components are required for snack. 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. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0803 · Violation
Name of Operation: BRIDGE OF HOPE DAYCARE Facility ID: 36000611 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 9/14/2023 Number Present: 44 Completed Date: 9/14/2023 Age: From 0 To 5 Total Minutes: 237 Time In: 01:33 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for compliance with applicable child care requirements during an unannounced follow-up visit. Upon arrival, the purpose of today’s visit was reviewed with you, Ava Boyd, Compliance Director. Tricia Crocker, Administrator, was also present. The visit was conducted with Ava Boyd and Tricia Crocker. You provided me with applicable staff and children’s records for review. The North Carolina Secretary of State website was viewed before the visit and Anthony Grove Baptist Church was not listed. Documentation is on file regarding the church’s religious organization status. If any changes to the church business need to be made or you decide to sell the business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Limited monitoring was conducted. Children and staff were observed during snack and free play activities indoors. The following child care requirements that were observed as violations during the complaint visit conducted on May 8, 2023, the Annual Compliance visit conducted on June 22, 2023, and the Annual Compliance follow-up visit conducted on June 29, 2023 were monitored today: staff qualifications, criminal background checks, administering of medication, storage of hazardous substances, storage of medication, CPR, First Aid, general safety, ITS-SIDS training, nutrition/infant feeding, staff records, and children’s records, and nutrition/infant feeding. The violations observed during the visit were thoroughly reviewed with you and documented on the visit summary given to you at the conclusion of the visit. The following violations of child care requirements were observed. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) In space #7, one infant's feeding plan was not posted. 10A NCAC 09 .0902(a) 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 feeding plan for one infant enrolled on 8/8/2023 was not signed by the parent. .0902(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the bathroom connecting space #7 and space #8, one bottle of equate liquid Antacid was observed below the diaper changing table and was not kept in locked storage. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A permission form to administer one child's Aquaphor healing ointment was not on file available for review. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. The permission form for one child's Parent's Choice diaper rash ointment did not include when to apply the diaper rash ointment. 10A NCAC 09 .0803(4)(6-9) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. Instructions to administer liquid Antacid for an infant's diaper rash were followed without instructions from a physician. The equate liquid Antacid manufacturer's instructions on the bottle stated "children under 12: ask a doctor." 10A NCAC 09 .0803(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #3, one plastic package for wipes, with a safety warning stating "keep out of reach of children; to avoid choking and suffocation, keep wipes and plastic bags away from babies, children, and pets," was observed below the diaper changing table accessible to children under three years of age. .0604(q) 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 employed on 5/1/2023 admitted to working in the infant classroom without being supervised by an ITS-SIDS trained staff. This staff completed the Moodle training titled "Prevention of Sudden Infant Death Syndrome and the Use of Safe Sleep Practices" on 12/20/2022, however, this staff did not have current ITS-SIDS training required to work in a classroom. .1102(f) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by September 28, 2023. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. The program’s compliance history was 79 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Based on a substantiated complaint and three violations observed on May 8, 2023, twenty-one violations observed on June 22, 2023, including two repeated violations, and three violations observed on June 29, 2023, including two repeated violations, an administrative action may be recommended. Technical Assistance was provided on the following: Infant Feeding Plan- -I recommended that you check both infant classrooms to ensure each child’s feeding plan is posted for reference daily. I reminded you that only the second page of the feeding plan is required to be posted. Upon enrollment, review the feeding plan for children 15 months of age and younger to ensure the parent has included all required information including the signature. The violations regarding feeding plans were repeated from June 22, 2023 and June 29, 2023. Medication- -Staff moved the Antacid to locked storage during the visit. I recommended that you review all medications brought to the facility by parents to ensure the medication permission forms include all required information prior to sending the medication and permission form to the classroom. Remind staff that medications must be kept in locked storage with the exception of emergency medication. Diaper rash creams and sunscreen may be kept inaccessible to children five feet or higher from the floor. This violations regarding medications were repeated from June 22, 2023. General Safety- -Staff removed the plastic packaging and placed the wipes in a hard plastic container during the visit. I recommended that you and staff monitor all spaces used by children under three years of age to ensure plastic packaging and any choking hazards are stored appropriately. This violation was repeated from June 22, 2023, and June 29, 2023. ITS-SIDS Training- -A. Boyd must complete ITS-SIDS training by 9/28/2023. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. This violation was repeated from June 22, 2023. Consultation: -We discussed meal pattern requirements. Two meal components are required for snack. 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. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0901 · Violation
Name of Operation: BRIDGE OF HOPE DAYCARE Facility ID: 36000611 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 9/14/2023 Number Present: 44 Completed Date: 9/14/2023 Age: From 0 To 5 Total Minutes: 237 Time In: 01:33 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for compliance with applicable child care requirements during an unannounced follow-up visit. Upon arrival, the purpose of today’s visit was reviewed with you, Ava Boyd, Compliance Director. Tricia Crocker, Administrator, was also present. The visit was conducted with Ava Boyd and Tricia Crocker. You provided me with applicable staff and children’s records for review. The North Carolina Secretary of State website was viewed before the visit and Anthony Grove Baptist Church was not listed. Documentation is on file regarding the church’s religious organization status. If any changes to the church business need to be made or you decide to sell the business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Limited monitoring was conducted. Children and staff were observed during snack and free play activities indoors. The following child care requirements that were observed as violations during the complaint visit conducted on May 8, 2023, the Annual Compliance visit conducted on June 22, 2023, and the Annual Compliance follow-up visit conducted on June 29, 2023 were monitored today: staff qualifications, criminal background checks, administering of medication, storage of hazardous substances, storage of medication, CPR, First Aid, general safety, ITS-SIDS training, nutrition/infant feeding, staff records, and children’s records, and nutrition/infant feeding. The violations observed during the visit were thoroughly reviewed with you and documented on the visit summary given to you at the conclusion of the visit. The following violations of child care requirements were observed. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) In space #7, one infant's feeding plan was not posted. 10A NCAC 09 .0902(a) 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 feeding plan for one infant enrolled on 8/8/2023 was not signed by the parent. .0902(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the bathroom connecting space #7 and space #8, one bottle of equate liquid Antacid was observed below the diaper changing table and was not kept in locked storage. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A permission form to administer one child's Aquaphor healing ointment was not on file available for review. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. The permission form for one child's Parent's Choice diaper rash ointment did not include when to apply the diaper rash ointment. 10A NCAC 09 .0803(4)(6-9) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. Instructions to administer liquid Antacid for an infant's diaper rash were followed without instructions from a physician. The equate liquid Antacid manufacturer's instructions on the bottle stated "children under 12: ask a doctor." 10A NCAC 09 .0803(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #3, one plastic package for wipes, with a safety warning stating "keep out of reach of children; to avoid choking and suffocation, keep wipes and plastic bags away from babies, children, and pets," was observed below the diaper changing table accessible to children under three years of age. .0604(q) 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 employed on 5/1/2023 admitted to working in the infant classroom without being supervised by an ITS-SIDS trained staff. This staff completed the Moodle training titled "Prevention of Sudden Infant Death Syndrome and the Use of Safe Sleep Practices" on 12/20/2022, however, this staff did not have current ITS-SIDS training required to work in a classroom. .1102(f) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by September 28, 2023. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. The program’s compliance history was 79 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Based on a substantiated complaint and three violations observed on May 8, 2023, twenty-one violations observed on June 22, 2023, including two repeated violations, and three violations observed on June 29, 2023, including two repeated violations, an administrative action may be recommended. Technical Assistance was provided on the following: Infant Feeding Plan- -I recommended that you check both infant classrooms to ensure each child’s feeding plan is posted for reference daily. I reminded you that only the second page of the feeding plan is required to be posted. Upon enrollment, review the feeding plan for children 15 months of age and younger to ensure the parent has included all required information including the signature. The violations regarding feeding plans were repeated from June 22, 2023 and June 29, 2023. Medication- -Staff moved the Antacid to locked storage during the visit. I recommended that you review all medications brought to the facility by parents to ensure the medication permission forms include all required information prior to sending the medication and permission form to the classroom. Remind staff that medications must be kept in locked storage with the exception of emergency medication. Diaper rash creams and sunscreen may be kept inaccessible to children five feet or higher from the floor. This violations regarding medications were repeated from June 22, 2023. General Safety- -Staff removed the plastic packaging and placed the wipes in a hard plastic container during the visit. I recommended that you and staff monitor all spaces used by children under three years of age to ensure plastic packaging and any choking hazards are stored appropriately. This violation was repeated from June 22, 2023, and June 29, 2023. ITS-SIDS Training- -A. Boyd must complete ITS-SIDS training by 9/28/2023. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. This violation was repeated from June 22, 2023. Consultation: -We discussed meal pattern requirements. Two meal components are required for snack. 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. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
NC GS 110-90 · Violation
Name of Operation: BRIDGE OF HOPE DAYCARE Facility ID: 36000611 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 9/14/2023 Number Present: 44 Completed Date: 9/14/2023 Age: From 0 To 5 Total Minutes: 237 Time In: 01:33 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for compliance with applicable child care requirements during an unannounced follow-up visit. Upon arrival, the purpose of today’s visit was reviewed with you, Ava Boyd, Compliance Director. Tricia Crocker, Administrator, was also present. The visit was conducted with Ava Boyd and Tricia Crocker. You provided me with applicable staff and children’s records for review. The North Carolina Secretary of State website was viewed before the visit and Anthony Grove Baptist Church was not listed. Documentation is on file regarding the church’s religious organization status. If any changes to the church business need to be made or you decide to sell the business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Limited monitoring was conducted. Children and staff were observed during snack and free play activities indoors. The following child care requirements that were observed as violations during the complaint visit conducted on May 8, 2023, the Annual Compliance visit conducted on June 22, 2023, and the Annual Compliance follow-up visit conducted on June 29, 2023 were monitored today: staff qualifications, criminal background checks, administering of medication, storage of hazardous substances, storage of medication, CPR, First Aid, general safety, ITS-SIDS training, nutrition/infant feeding, staff records, and children’s records, and nutrition/infant feeding. The violations observed during the visit were thoroughly reviewed with you and documented on the visit summary given to you at the conclusion of the visit. The following violations of child care requirements were observed. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) In space #7, one infant's feeding plan was not posted. 10A NCAC 09 .0902(a) 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 feeding plan for one infant enrolled on 8/8/2023 was not signed by the parent. .0902(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the bathroom connecting space #7 and space #8, one bottle of equate liquid Antacid was observed below the diaper changing table and was not kept in locked storage. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A permission form to administer one child's Aquaphor healing ointment was not on file available for review. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. The permission form for one child's Parent's Choice diaper rash ointment did not include when to apply the diaper rash ointment. 10A NCAC 09 .0803(4)(6-9) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. Instructions to administer liquid Antacid for an infant's diaper rash were followed without instructions from a physician. The equate liquid Antacid manufacturer's instructions on the bottle stated "children under 12: ask a doctor." 10A NCAC 09 .0803(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #3, one plastic package for wipes, with a safety warning stating "keep out of reach of children; to avoid choking and suffocation, keep wipes and plastic bags away from babies, children, and pets," was observed below the diaper changing table accessible to children under three years of age. .0604(q) 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 employed on 5/1/2023 admitted to working in the infant classroom without being supervised by an ITS-SIDS trained staff. This staff completed the Moodle training titled "Prevention of Sudden Infant Death Syndrome and the Use of Safe Sleep Practices" on 12/20/2022, however, this staff did not have current ITS-SIDS training required to work in a classroom. .1102(f) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by September 28, 2023. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. The program’s compliance history was 79 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Based on a substantiated complaint and three violations observed on May 8, 2023, twenty-one violations observed on June 22, 2023, including two repeated violations, and three violations observed on June 29, 2023, including two repeated violations, an administrative action may be recommended. Technical Assistance was provided on the following: Infant Feeding Plan- -I recommended that you check both infant classrooms to ensure each child’s feeding plan is posted for reference daily. I reminded you that only the second page of the feeding plan is required to be posted. Upon enrollment, review the feeding plan for children 15 months of age and younger to ensure the parent has included all required information including the signature. The violations regarding feeding plans were repeated from June 22, 2023 and June 29, 2023. Medication- -Staff moved the Antacid to locked storage during the visit. I recommended that you review all medications brought to the facility by parents to ensure the medication permission forms include all required information prior to sending the medication and permission form to the classroom. Remind staff that medications must be kept in locked storage with the exception of emergency medication. Diaper rash creams and sunscreen may be kept inaccessible to children five feet or higher from the floor. This violations regarding medications were repeated from June 22, 2023. General Safety- -Staff removed the plastic packaging and placed the wipes in a hard plastic container during the visit. I recommended that you and staff monitor all spaces used by children under three years of age to ensure plastic packaging and any choking hazards are stored appropriately. This violation was repeated from June 22, 2023, and June 29, 2023. ITS-SIDS Training- -A. Boyd must complete ITS-SIDS training by 9/28/2023. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. This violation was repeated from June 22, 2023. Consultation: -We discussed meal pattern requirements. Two meal components are required for snack. 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. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.