10A NCAC 09 .0304 · Violation

Name of Operation: Foundation of Life Childcare Center Facility ID: 36000632 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 7/8/2025 Number Present: 86 Completed Date: 7/8/2025 Age: From 0 To 10 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 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 July 18, 2024. Upon arrival you, Melissa Long, Administrator, assisted me with the visit. The North Carolina Secretary of State website was viewed on July 7, 2025, and your business and Foundation of Life Childcare Center LLC 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 five (5) star rated license issued on February 2, 2024, earning seven (7) point in staff education, five points in program standards, and one (1) quality point. The license was posted, and the permit restrictions were in compliance including: 1st shift (daytime care), meets enhanced ratios, and children under two and a half (2 ½) years old in rooms with direct exits only. A walk-through was completed, and all licensed indoor and outdoor spaces were monitored. A checklist was used to note the requirements I monitored. Transportation vehicles were monitored. Staff and children were observed during indoor free play, outdoor gross-motor play, teacher-led group activities, diapering/toileting, lunch and naptime. Inspections/Drills: The last fire inspection was completed on June 6, 2024. The last sanitation inspection was completed on October 21, 2024. A “superior” classification was issued with six (6) demerits noted on the grade card. The last monthly fire drill was completed on June 16, 2025, at 11:00am. The last emergency drill was a lockdown completed on April 30, 2025, at 12:00pm. The last playground inspection was completed on July 2, 2025. The last Emergency Preparedness and Response Plan was completed on February 14, 2025. Lead and Asbestos Testing: The last lead water test was completed on January 31, 2025. Your next lead water test is due by January 31, 2028. The last lead-based paint test was completed on April 4, 2025. The last asbestos test was completed on April 4, 2025. Files Reviewed: Children’s files, staff files, and program files were monitored. Nine (9) children’s files were reviewed. Two (2) existing staff files were reviewed. Five (5) new staff files were reviewed. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The Automated Background Check Management System (ABCMS) was reviewed and verified during the visit. 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 fire inspection on file for review was dated June 6, 2024. 10A NCAC 09 .0304(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 #2, one (1) tube of Boudreaux Butt Paste max strength diaper cream had an expiration date listed October 2024. .0803(12) Technical Assistance regarding the violations observed: Fire Inspection: I suggested creating a calendar reminder to alert you to time-sensitive tasks and calling to schedule your fire inspection at least one (1) month before it is due. During today’s visit you called and scheduled a fire inspection to be completed on July 10, 2025. I provided you with a copy of the current fire inspection report form. The fire inspection report form can also be accessed by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/D/DCD-0303-FIREINSPECTIONFORM.pdf?ver=ZeTzWfIX2xFXUE54-KZtgA%3d%3d Medication: I suggested you remind staff to complete a monthly medication authorization form review to ensure that there are no expired medications, and all authorization forms are current. This was corrected during the visit by discarding the expired diaper cream. 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. -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-five percent (95%) 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 July 22, 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: Foundation of Life Childcare Center Facility ID: 36000632 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 7/8/2025 Number Present: 86 Completed Date: 7/8/2025 Age: From 0 To 10 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 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 July 18, 2024. Upon arrival you, Melissa Long, Administrator, assisted me with the visit. The North Carolina Secretary of State website was viewed on July 7, 2025, and your business and Foundation of Life Childcare Center LLC 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 five (5) star rated license issued on February 2, 2024, earning seven (7) point in staff education, five points in program standards, and one (1) quality point. The license was posted, and the permit restrictions were in compliance including: 1st shift (daytime care), meets enhanced ratios, and children under two and a half (2 ½) years old in rooms with direct exits only. A walk-through was completed, and all licensed indoor and outdoor spaces were monitored. A checklist was used to note the requirements I monitored. Transportation vehicles were monitored. Staff and children were observed during indoor free play, outdoor gross-motor play, teacher-led group activities, diapering/toileting, lunch and naptime. Inspections/Drills: The last fire inspection was completed on June 6, 2024. The last sanitation inspection was completed on October 21, 2024. A “superior” classification was issued with six (6) demerits noted on the grade card. The last monthly fire drill was completed on June 16, 2025, at 11:00am. The last emergency drill was a lockdown completed on April 30, 2025, at 12:00pm. The last playground inspection was completed on July 2, 2025. The last Emergency Preparedness and Response Plan was completed on February 14, 2025. Lead and Asbestos Testing: The last lead water test was completed on January 31, 2025. Your next lead water test is due by January 31, 2028. The last lead-based paint test was completed on April 4, 2025. The last asbestos test was completed on April 4, 2025. Files Reviewed: Children’s files, staff files, and program files were monitored. Nine (9) children’s files were reviewed. Two (2) existing staff files were reviewed. Five (5) new staff files were reviewed. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The Automated Background Check Management System (ABCMS) was reviewed and verified during the visit. 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 fire inspection on file for review was dated June 6, 2024. 10A NCAC 09 .0304(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 #2, one (1) tube of Boudreaux Butt Paste max strength diaper cream had an expiration date listed October 2024. .0803(12) Technical Assistance regarding the violations observed: Fire Inspection: I suggested creating a calendar reminder to alert you to time-sensitive tasks and calling to schedule your fire inspection at least one (1) month before it is due. During today’s visit you called and scheduled a fire inspection to be completed on July 10, 2025. I provided you with a copy of the current fire inspection report form. The fire inspection report form can also be accessed by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/D/DCD-0303-FIREINSPECTIONFORM.pdf?ver=ZeTzWfIX2xFXUE54-KZtgA%3d%3d Medication: I suggested you remind staff to complete a monthly medication authorization form review to ensure that there are no expired medications, and all authorization forms are current. This was corrected during the visit by discarding the expired diaper cream. 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. -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-five percent (95%) 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 July 22, 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

G.S. 110-90 · Violation

Name of Operation: Foundation of Life Childcare Center Facility ID: 36000632 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 2/3/2025 Number Present: 53 Completed Date: 2/3/2025 Age: From 0 To 5 Total Minutes: 262 Time In: 10:20 AM Time Out: 02:42 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 completed on July 18, 2024. Upon arrival you, Melissa Long, Administrator, and Monda Mays, Assistant Administrator, assisted me with the visit. The North Carolina Secretary of State website was viewed on February 3, 2025, and Foundation of Life Childcare Center LLC was listed 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 five (5) star rated license issued on February 2, 2024, earning seven (7) point in staff education, five points in program standards, and one (1) quality point. The permit restrictions were in compliance including: 1st shift (daytime care), meets enhanced ratios, and children under two and a half (2 ½) years old in rooms with direct exits only. A walk-through was completed, and all licensed indoor and outdoor spaces were monitored. Staff and children were observed during indoor free play, diapering/toileting, handwashing, lunch, & naptime. Inspections/Drills: The last fire inspection was completed on June 6, 2024. The last sanitation inspection was completed on October 21, 2024. A “superior” classification was issued with six (6) demerits noted on the grade card. The last monthly fire drill was completed on January 30, 2025, at 11:00am. The last emergency drill was a lockdown completed on January 9, 2025, at 12:45pm. The last playground inspection was completed on January 30, 2025. The Emergency Preparedness Plan on file was completed on February 27, 2024. Lead Testing: The lead water, lead-based paint and asbestos testing is in progress. 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. You stated you have hired four (4) staff members since the last visit. The following violation was observed: Violation Number Comment Rule 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 #2, there was one (1) tube of Aquaphor healing ointment with an expiration date of 11/2024. .0803(12) Technical Assistance: Medication: I discussed with you the requirements for returning expired medications. I suggested teachers check medications weekly to ensure that all medications are in compliance. This was corrected during the visit by the medication being discarded. Consultation: Lead Testing: I reviewed with you the child care rule for lead testing that went into effect on January 1, 2024. I also discussed with you that I had checked the Clean Water for Kids website. Your program completed enrollment on January 14, 2025, and testing is in progress. Reminders & Resources: * 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. * Under rule 15A NCAC 18A .2816, child care centers are required to complete lead water testing every three (3) years. * You must complete on-going health and safety trainings every five years. * 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. * For natural learning environment resources, consider using The Green Desk that is provided by the Natural Learning Initiative. The Green Desk contains numerous resources meant to improve outdoor learning environments and promote health, natural child development, physical activity, and nature-based learning. To access this page, Go to www.naturalearning.org, hover on the link for ‘resources’, click on the link for ‘The Green Desk’. * The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS 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. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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. 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. 110-91 · Violation

Name of Operation: Foundation of Life Childcare Center Facility ID: 36000632 Consultant: JULIA ARMSTRONG Operation Type: Center Case Number: 0125-211A Visit Date: 1/21/2025 Number Present: 26 Completed Date: 1/21/2025 Age: From 0 To 5 Total Minutes: 175 Time In: 11:55 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Melissa Long, administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with James Midgett, owner, and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were confirmed during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member handled two-year-old children in a manner that was not nurturing or appropriate. G.S. 110-91(10) Violations must be corrected immediately. Within one (1) week, January 28, 2025, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Julia Armstrong, Investigations Consultant, 828-228-4614, julia.armstrong@dhhs,nc.gov. You may contact me at Julia Armstrong, Investigations Consultant, 828-228-4614, Julia.armstrong@dhhs.nc.gov or Natosha Lambeth, Western Investigations Supervisor, Natosha.lambeth@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: Foundation of Life Childcare Center Facility ID: 36000632 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 7/18/2024 Number Present: 75 Completed Date: 7/18/2024 Age: From 0 To 6 Total Minutes: 456 Time In: 10:00 AM Time Out: 05:36 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 requirements. Upon arrival you, Melissa Long, Administrator, assisted me with the visit. Jennifer Roberts, Child Care Consultant, accompanied me on the visit. The North Carolina Secretary of State website was viewed on July 15, 2024, and Foundation of Life Childcare Center LLC was listed 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. You had no updates to report. Your program operates with a five (5) star rated license issued on February 2, 2024, earning seven (7) points in staff education, five (5) points in program standards, and one (1) quality point. The permit restrictions were in compliance including: daytime care, meets enhanced ratios, and children under two and a half (2 ½) years old in rooms with direct exits only. A walk-through was completed and all licensed indoor and outdoor spaces were monitored. A checklist was used to note the requirements I monitored. Staff and children were observed during indoor free play, lunch, and naptime. The children in space #8 were at an offsite activity. Inspections/Drills: The last fire inspection was completed on June 6, 2024. The last sanitation inspection was completed on December 19, 2023. A “superior” classification was issued with six (6) demerits noted on the grade card. The last monthly fire drill was completed on June 28, 2024, at 3:15pm. The last emergency drill was a shelter in place completed on May 8, 2024, at 3:00pm. The last playground inspection was completed on June 28, 2024. The Emergency Preparedness Plan on file was completed on February 27, 2024. Files Reviewed: Children’s files, staff files, and program files were monitored. Eight (8) children’s files were reviewed. Twenty-three (23) staff files were reviewed. Seventeen (17) new staff files and six (6) existing were reviewed. The following violations were observed, documented, and corrected during the visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space #2, the medication authorization form for one (1) bottle of Banana Boat Kids Sport roll on sunscreen did not document the date permission was valid and the amount to administer documented on the permission form was “whatever”. In space #5a, medication authorization was not available for review for one (1) jar of Vaseline Baby Healing Jelly. In space #5b, one (1) tube of Eucerin Eczema Relief Cream had medication authorization on file that was valid from May 15, 2024, to June 15, 2024. 10A NCAC 09 .0803(4)(6-9) 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 #2, one (1) tube of Desitin Diaper Rash Cream had an expiration date January 2024. .0803(12) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization record was not available for review for one child with an enrollment date of June 5, 2024. 10A NCAC 09 .0302(d)(2) Technical Assistance regarding the violations observed: Children’s Records I suggested you place a reminder on your calendar to alert you to complete time sensitive documents. This was corrected during the visit by the parent providing immunization exemption documentation. Medication I suggested that you complete monthly medication form review to ensure that there are no expired medications and all authorization forms are current. This was corrected during the visit by the parent completing authorization forms and disposal of expired medication. Consultation: -Lead Testing: I reviewed with you the new child care rule for lead testing that went into effect on January 1, 2024. I also discussed with you that I had checked the Clean Water for Kids website and that your program has not completed the lead water, lead-based paint, and asbestos testing. You stated you visited http://www.cleanwaterforuskids.org/carolina today, and enrolled and registered in the lead water, lead-based paint, and asbestos testing. -Resuming Star Rated License Reassessment Information: You asked questions regarding resuming Star Rated License Reassessment. I discussed with you that hold harmless has been extended until the new QRIS is implemented (Senate Bill 425). Your program is in Cohort 2, and you do not need to start your preparation year unless you elect to complete the preparation year assessment. For more information, please visit the DCDEE website under the providers tab. You will then scroll to Licensing tab, scroll to the Star Rated License tab, and then click on to the Resuming Star Rated License tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License Reminders & Resources: -I remind you that your transportation vehicle inspection is due by August 31, 2024. -You must complete on-going health and safety trainings every five years. -Two (2) unannounced compliance monitoring visits will be completed annually. -Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to maintain at least a 75% compliance history for each 18-month period. Any violation(s) documented may impact the compliance history. Repeated violations or violations left unresolved may lead to an administrative action. -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. -For natural learning environment resources, consider using The Green Desk that is provided by the Natural Learning Initiative. The Green Desk contains numerous resources meant to improve outdoor learning environments and promote health, natural child development, physical activity, and nature-based learning. To access this page, Go to www.naturalearning.org, hover on the link for ‘resources’, click on the link for ‘The Green Desk’. Compliance History: The program’s compliance history was 89 percent (89%) 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. 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 704-594-0300. 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.

10A NCAC 09 .0803 · Violation

Name of Operation: Foundation of Life Childcare Center Facility ID: 36000632 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 7/18/2024 Number Present: 75 Completed Date: 7/18/2024 Age: From 0 To 6 Total Minutes: 456 Time In: 10:00 AM Time Out: 05:36 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 requirements. Upon arrival you, Melissa Long, Administrator, assisted me with the visit. Jennifer Roberts, Child Care Consultant, accompanied me on the visit. The North Carolina Secretary of State website was viewed on July 15, 2024, and Foundation of Life Childcare Center LLC was listed 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. You had no updates to report. Your program operates with a five (5) star rated license issued on February 2, 2024, earning seven (7) points in staff education, five (5) points in program standards, and one (1) quality point. The permit restrictions were in compliance including: daytime care, meets enhanced ratios, and children under two and a half (2 ½) years old in rooms with direct exits only. A walk-through was completed and all licensed indoor and outdoor spaces were monitored. A checklist was used to note the requirements I monitored. Staff and children were observed during indoor free play, lunch, and naptime. The children in space #8 were at an offsite activity. Inspections/Drills: The last fire inspection was completed on June 6, 2024. The last sanitation inspection was completed on December 19, 2023. A “superior” classification was issued with six (6) demerits noted on the grade card. The last monthly fire drill was completed on June 28, 2024, at 3:15pm. The last emergency drill was a shelter in place completed on May 8, 2024, at 3:00pm. The last playground inspection was completed on June 28, 2024. The Emergency Preparedness Plan on file was completed on February 27, 2024. Files Reviewed: Children’s files, staff files, and program files were monitored. Eight (8) children’s files were reviewed. Twenty-three (23) staff files were reviewed. Seventeen (17) new staff files and six (6) existing were reviewed. The following violations were observed, documented, and corrected during the visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space #2, the medication authorization form for one (1) bottle of Banana Boat Kids Sport roll on sunscreen did not document the date permission was valid and the amount to administer documented on the permission form was “whatever”. In space #5a, medication authorization was not available for review for one (1) jar of Vaseline Baby Healing Jelly. In space #5b, one (1) tube of Eucerin Eczema Relief Cream had medication authorization on file that was valid from May 15, 2024, to June 15, 2024. 10A NCAC 09 .0803(4)(6-9) 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 #2, one (1) tube of Desitin Diaper Rash Cream had an expiration date January 2024. .0803(12) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization record was not available for review for one child with an enrollment date of June 5, 2024. 10A NCAC 09 .0302(d)(2) Technical Assistance regarding the violations observed: Children’s Records I suggested you place a reminder on your calendar to alert you to complete time sensitive documents. This was corrected during the visit by the parent providing immunization exemption documentation. Medication I suggested that you complete monthly medication form review to ensure that there are no expired medications and all authorization forms are current. This was corrected during the visit by the parent completing authorization forms and disposal of expired medication. Consultation: -Lead Testing: I reviewed with you the new child care rule for lead testing that went into effect on January 1, 2024. I also discussed with you that I had checked the Clean Water for Kids website and that your program has not completed the lead water, lead-based paint, and asbestos testing. You stated you visited http://www.cleanwaterforuskids.org/carolina today, and enrolled and registered in the lead water, lead-based paint, and asbestos testing. -Resuming Star Rated License Reassessment Information: You asked questions regarding resuming Star Rated License Reassessment. I discussed with you that hold harmless has been extended until the new QRIS is implemented (Senate Bill 425). Your program is in Cohort 2, and you do not need to start your preparation year unless you elect to complete the preparation year assessment. For more information, please visit the DCDEE website under the providers tab. You will then scroll to Licensing tab, scroll to the Star Rated License tab, and then click on to the Resuming Star Rated License tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License Reminders & Resources: -I remind you that your transportation vehicle inspection is due by August 31, 2024. -You must complete on-going health and safety trainings every five years. -Two (2) unannounced compliance monitoring visits will be completed annually. -Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to maintain at least a 75% compliance history for each 18-month period. Any violation(s) documented may impact the compliance history. Repeated violations or violations left unresolved may lead to an administrative action. -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. -For natural learning environment resources, consider using The Green Desk that is provided by the Natural Learning Initiative. The Green Desk contains numerous resources meant to improve outdoor learning environments and promote health, natural child development, physical activity, and nature-based learning. To access this page, Go to www.naturalearning.org, hover on the link for ‘resources’, click on the link for ‘The Green Desk’. Compliance History: The program’s compliance history was 89 percent (89%) 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. 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 704-594-0300. 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

G.S. 110-90 · Violation

Name of Operation: Foundation of Life Childcare Center Facility ID: 36000632 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 7/18/2024 Number Present: 75 Completed Date: 7/18/2024 Age: From 0 To 6 Total Minutes: 456 Time In: 10:00 AM Time Out: 05:36 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 requirements. Upon arrival you, Melissa Long, Administrator, assisted me with the visit. Jennifer Roberts, Child Care Consultant, accompanied me on the visit. The North Carolina Secretary of State website was viewed on July 15, 2024, and Foundation of Life Childcare Center LLC was listed 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. You had no updates to report. Your program operates with a five (5) star rated license issued on February 2, 2024, earning seven (7) points in staff education, five (5) points in program standards, and one (1) quality point. The permit restrictions were in compliance including: daytime care, meets enhanced ratios, and children under two and a half (2 ½) years old in rooms with direct exits only. A walk-through was completed and all licensed indoor and outdoor spaces were monitored. A checklist was used to note the requirements I monitored. Staff and children were observed during indoor free play, lunch, and naptime. The children in space #8 were at an offsite activity. Inspections/Drills: The last fire inspection was completed on June 6, 2024. The last sanitation inspection was completed on December 19, 2023. A “superior” classification was issued with six (6) demerits noted on the grade card. The last monthly fire drill was completed on June 28, 2024, at 3:15pm. The last emergency drill was a shelter in place completed on May 8, 2024, at 3:00pm. The last playground inspection was completed on June 28, 2024. The Emergency Preparedness Plan on file was completed on February 27, 2024. Files Reviewed: Children’s files, staff files, and program files were monitored. Eight (8) children’s files were reviewed. Twenty-three (23) staff files were reviewed. Seventeen (17) new staff files and six (6) existing were reviewed. The following violations were observed, documented, and corrected during the visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space #2, the medication authorization form for one (1) bottle of Banana Boat Kids Sport roll on sunscreen did not document the date permission was valid and the amount to administer documented on the permission form was “whatever”. In space #5a, medication authorization was not available for review for one (1) jar of Vaseline Baby Healing Jelly. In space #5b, one (1) tube of Eucerin Eczema Relief Cream had medication authorization on file that was valid from May 15, 2024, to June 15, 2024. 10A NCAC 09 .0803(4)(6-9) 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 #2, one (1) tube of Desitin Diaper Rash Cream had an expiration date January 2024. .0803(12) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization record was not available for review for one child with an enrollment date of June 5, 2024. 10A NCAC 09 .0302(d)(2) Technical Assistance regarding the violations observed: Children’s Records I suggested you place a reminder on your calendar to alert you to complete time sensitive documents. This was corrected during the visit by the parent providing immunization exemption documentation. Medication I suggested that you complete monthly medication form review to ensure that there are no expired medications and all authorization forms are current. This was corrected during the visit by the parent completing authorization forms and disposal of expired medication. Consultation: -Lead Testing: I reviewed with you the new child care rule for lead testing that went into effect on January 1, 2024. I also discussed with you that I had checked the Clean Water for Kids website and that your program has not completed the lead water, lead-based paint, and asbestos testing. You stated you visited http://www.cleanwaterforuskids.org/carolina today, and enrolled and registered in the lead water, lead-based paint, and asbestos testing. -Resuming Star Rated License Reassessment Information: You asked questions regarding resuming Star Rated License Reassessment. I discussed with you that hold harmless has been extended until the new QRIS is implemented (Senate Bill 425). Your program is in Cohort 2, and you do not need to start your preparation year unless you elect to complete the preparation year assessment. For more information, please visit the DCDEE website under the providers tab. You will then scroll to Licensing tab, scroll to the Star Rated License tab, and then click on to the Resuming Star Rated License tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License Reminders & Resources: -I remind you that your transportation vehicle inspection is due by August 31, 2024. -You must complete on-going health and safety trainings every five years. -Two (2) unannounced compliance monitoring visits will be completed annually. -Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to maintain at least a 75% compliance history for each 18-month period. Any violation(s) documented may impact the compliance history. Repeated violations or violations left unresolved may lead to an administrative action. -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. -For natural learning environment resources, consider using The Green Desk that is provided by the Natural Learning Initiative. The Green Desk contains numerous resources meant to improve outdoor learning environments and promote health, natural child development, physical activity, and nature-based learning. To access this page, Go to www.naturalearning.org, hover on the link for ‘resources’, click on the link for ‘The Green Desk’. Compliance History: The program’s compliance history was 89 percent (89%) 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. 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 704-594-0300. 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

NC GS 110-90 · Violation

Name of Operation: Foundation of Life Childcare Center Facility ID: 36000632 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 7/18/2024 Number Present: 75 Completed Date: 7/18/2024 Age: From 0 To 6 Total Minutes: 456 Time In: 10:00 AM Time Out: 05:36 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 requirements. Upon arrival you, Melissa Long, Administrator, assisted me with the visit. Jennifer Roberts, Child Care Consultant, accompanied me on the visit. The North Carolina Secretary of State website was viewed on July 15, 2024, and Foundation of Life Childcare Center LLC was listed 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. You had no updates to report. Your program operates with a five (5) star rated license issued on February 2, 2024, earning seven (7) points in staff education, five (5) points in program standards, and one (1) quality point. The permit restrictions were in compliance including: daytime care, meets enhanced ratios, and children under two and a half (2 ½) years old in rooms with direct exits only. A walk-through was completed and all licensed indoor and outdoor spaces were monitored. A checklist was used to note the requirements I monitored. Staff and children were observed during indoor free play, lunch, and naptime. The children in space #8 were at an offsite activity. Inspections/Drills: The last fire inspection was completed on June 6, 2024. The last sanitation inspection was completed on December 19, 2023. A “superior” classification was issued with six (6) demerits noted on the grade card. The last monthly fire drill was completed on June 28, 2024, at 3:15pm. The last emergency drill was a shelter in place completed on May 8, 2024, at 3:00pm. The last playground inspection was completed on June 28, 2024. The Emergency Preparedness Plan on file was completed on February 27, 2024. Files Reviewed: Children’s files, staff files, and program files were monitored. Eight (8) children’s files were reviewed. Twenty-three (23) staff files were reviewed. Seventeen (17) new staff files and six (6) existing were reviewed. The following violations were observed, documented, and corrected during the visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space #2, the medication authorization form for one (1) bottle of Banana Boat Kids Sport roll on sunscreen did not document the date permission was valid and the amount to administer documented on the permission form was “whatever”. In space #5a, medication authorization was not available for review for one (1) jar of Vaseline Baby Healing Jelly. In space #5b, one (1) tube of Eucerin Eczema Relief Cream had medication authorization on file that was valid from May 15, 2024, to June 15, 2024. 10A NCAC 09 .0803(4)(6-9) 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 #2, one (1) tube of Desitin Diaper Rash Cream had an expiration date January 2024. .0803(12) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization record was not available for review for one child with an enrollment date of June 5, 2024. 10A NCAC 09 .0302(d)(2) Technical Assistance regarding the violations observed: Children’s Records I suggested you place a reminder on your calendar to alert you to complete time sensitive documents. This was corrected during the visit by the parent providing immunization exemption documentation. Medication I suggested that you complete monthly medication form review to ensure that there are no expired medications and all authorization forms are current. This was corrected during the visit by the parent completing authorization forms and disposal of expired medication. Consultation: -Lead Testing: I reviewed with you the new child care rule for lead testing that went into effect on January 1, 2024. I also discussed with you that I had checked the Clean Water for Kids website and that your program has not completed the lead water, lead-based paint, and asbestos testing. You stated you visited http://www.cleanwaterforuskids.org/carolina today, and enrolled and registered in the lead water, lead-based paint, and asbestos testing. -Resuming Star Rated License Reassessment Information: You asked questions regarding resuming Star Rated License Reassessment. I discussed with you that hold harmless has been extended until the new QRIS is implemented (Senate Bill 425). Your program is in Cohort 2, and you do not need to start your preparation year unless you elect to complete the preparation year assessment. For more information, please visit the DCDEE website under the providers tab. You will then scroll to Licensing tab, scroll to the Star Rated License tab, and then click on to the Resuming Star Rated License tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License Reminders & Resources: -I remind you that your transportation vehicle inspection is due by August 31, 2024. -You must complete on-going health and safety trainings every five years. -Two (2) unannounced compliance monitoring visits will be completed annually. -Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to maintain at least a 75% compliance history for each 18-month period. Any violation(s) documented may impact the compliance history. Repeated violations or violations left unresolved may lead to an administrative action. -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. -For natural learning environment resources, consider using The Green Desk that is provided by the Natural Learning Initiative. The Green Desk contains numerous resources meant to improve outdoor learning environments and promote health, natural child development, physical activity, and nature-based learning. To access this page, Go to www.naturalearning.org, hover on the link for ‘resources’, click on the link for ‘The Green Desk’. Compliance History: The program’s compliance history was 89 percent (89%) 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. 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 704-594-0300. 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 .0606 · Violation

Name of Operation: Foundation of Life Childcare Center Facility ID: 36000632 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: 0424-237L Visit Date: 4/26/2024 Number Present: 60 Completed Date: 4/26/2024 Age: From 0 To 5 Total Minutes: 310 Time In: 10:05 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a report alleging violations of child care requirements. You, Melissa Long, Administrator, assisted with the visit. The Secretary of State website was checked on April 26, 2024, and your business, Foundation of Life Childcare Center LLC., was still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, 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. On April 16, 2024, the following allegations were received. There are concerns regarding staff/child ratio. There are concerns regarding nutrition. The allegations were discussed with you and all applicable staff members. You and applicable staff members had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegations. I reviewed arrival and departure records, children’s records, staff timesheets, and staff work schedules. When I arrived, staff/child ratios were monitored and in compliance for each space. Menus were dated April 22, 2024, through April 26, 2024, and posted. Allergies were posted in the kitchen and classrooms. Six written feeding plans were posted in space #1, six written feeding plans were posted in space #3, and five written feeding plans were posted in space #5b. In space #3, one infant was being fed a bottle by the teacher while the infant was sitting in the high chair. In space #5b, the lead teacher held one infant and fed the infant a bottle. I interviewed you and applicable staff members. It was reported that staff use “walkie-talkies” to communicate personal needs, and when office staff are needed to maintain staff/child ratios. Based on the walk through of the facility, staff interviews, a review of the arrival and departure records, staff timesheets and staff work schedules, staff/child ratios were in compliance; therefore, the allegation for “There are concerns regarding staff/child ratio” was unconfirmed, therefore unsubstantiated. Based on a review of children’s records, the allegation for “There are concerns regarding nutrition” was not confirmed; therefore, unsubstantiated. The following violation unrelated to the allegations was documented based on staff report, and one violation unrelated to the allegation was observed during the visit. Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In space #8, three children, four years of age, were sitting on a child sized couch in book area watching the cartoon, "PJ Masks" on the lead teachers electronic device. .0510(d)(2)(A-C) 871 Center staff did not comply with the safe sleep policy. Per staff report, in space #3, one infant fell asleep in the high chair and was not placed in a crib for sleeping. 10A NCAC 09 .0606(a) Technical assistance: Item #871 Based on staff report, one infant fell asleep in a high chair and was not placed in a crib for sleeping. .0606 Safe Sleep Practices (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (10) specifies that infants aged 12 months or younger are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cot. We discussed reviewing the safe sleep policy with applicable staff and discussing the importance of infants sleeping in a crib and removing them from the high chair as soon as they are finished eating. Item #524 .0510 Activity Areas (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; In space #8, three children, four years of age, were viewing the cartoon, “PJ Masks” on the lead teacher’s tablet. The cartoon was not listed on the activity plan and did not stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development. This was corrected when the lead teacher removed the tablet from the book center, turned it off, and placed it on her desk. We discussed screen time can be offered and it must stimulate a developmental domain and be listed on the activity plan. Consultation: You asked for clarification regarding staff/child ratios and staff tending to personal needs. We discussed adding a clipboard to each space and having staff document the time they arrive to that space, and in case of a staff emergency, they document the time of the emergency. Staff currently use “walkie-talkies” to communicate with office staff when personal needs arise or assistance in a classroom is requested. You requested clarification regarding child care rule .0902 General Nutrition. (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. Special diets for children can be for medical, religious, or cultural reasons, or parental preferences. Staff would need to post the special diets in the eating area and in the meal preparation area. As discussed, not all special diets are prescribed by a health care professional. Reminders: Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by May 10, 2024. Please include in that letter each violation 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 Jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 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. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at Tammy.mcgalliard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2201 · Violation

Name of Operation: Foundation of Life Childcare Center Facility ID: 36000632 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: 0424-237L Visit Date: 4/26/2024 Number Present: 60 Completed Date: 4/26/2024 Age: From 0 To 5 Total Minutes: 310 Time In: 10:05 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a report alleging violations of child care requirements. You, Melissa Long, Administrator, assisted with the visit. The Secretary of State website was checked on April 26, 2024, and your business, Foundation of Life Childcare Center LLC., was still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, 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. On April 16, 2024, the following allegations were received. There are concerns regarding staff/child ratio. There are concerns regarding nutrition. The allegations were discussed with you and all applicable staff members. You and applicable staff members had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegations. I reviewed arrival and departure records, children’s records, staff timesheets, and staff work schedules. When I arrived, staff/child ratios were monitored and in compliance for each space. Menus were dated April 22, 2024, through April 26, 2024, and posted. Allergies were posted in the kitchen and classrooms. Six written feeding plans were posted in space #1, six written feeding plans were posted in space #3, and five written feeding plans were posted in space #5b. In space #3, one infant was being fed a bottle by the teacher while the infant was sitting in the high chair. In space #5b, the lead teacher held one infant and fed the infant a bottle. I interviewed you and applicable staff members. It was reported that staff use “walkie-talkies” to communicate personal needs, and when office staff are needed to maintain staff/child ratios. Based on the walk through of the facility, staff interviews, a review of the arrival and departure records, staff timesheets and staff work schedules, staff/child ratios were in compliance; therefore, the allegation for “There are concerns regarding staff/child ratio” was unconfirmed, therefore unsubstantiated. Based on a review of children’s records, the allegation for “There are concerns regarding nutrition” was not confirmed; therefore, unsubstantiated. The following violation unrelated to the allegations was documented based on staff report, and one violation unrelated to the allegation was observed during the visit. Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In space #8, three children, four years of age, were sitting on a child sized couch in book area watching the cartoon, "PJ Masks" on the lead teachers electronic device. .0510(d)(2)(A-C) 871 Center staff did not comply with the safe sleep policy. Per staff report, in space #3, one infant fell asleep in the high chair and was not placed in a crib for sleeping. 10A NCAC 09 .0606(a) Technical assistance: Item #871 Based on staff report, one infant fell asleep in a high chair and was not placed in a crib for sleeping. .0606 Safe Sleep Practices (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (10) specifies that infants aged 12 months or younger are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cot. We discussed reviewing the safe sleep policy with applicable staff and discussing the importance of infants sleeping in a crib and removing them from the high chair as soon as they are finished eating. Item #524 .0510 Activity Areas (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; In space #8, three children, four years of age, were viewing the cartoon, “PJ Masks” on the lead teacher’s tablet. The cartoon was not listed on the activity plan and did not stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development. This was corrected when the lead teacher removed the tablet from the book center, turned it off, and placed it on her desk. We discussed screen time can be offered and it must stimulate a developmental domain and be listed on the activity plan. Consultation: You asked for clarification regarding staff/child ratios and staff tending to personal needs. We discussed adding a clipboard to each space and having staff document the time they arrive to that space, and in case of a staff emergency, they document the time of the emergency. Staff currently use “walkie-talkies” to communicate with office staff when personal needs arise or assistance in a classroom is requested. You requested clarification regarding child care rule .0902 General Nutrition. (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. Special diets for children can be for medical, religious, or cultural reasons, or parental preferences. Staff would need to post the special diets in the eating area and in the meal preparation area. As discussed, not all special diets are prescribed by a health care professional. Reminders: Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by May 10, 2024. Please include in that letter each violation 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 Jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 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. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at Tammy.mcgalliard@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: Foundation of Life Childcare Center Facility ID: 36000632 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: 0424-237L Visit Date: 4/26/2024 Number Present: 60 Completed Date: 4/26/2024 Age: From 0 To 5 Total Minutes: 310 Time In: 10:05 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a report alleging violations of child care requirements. You, Melissa Long, Administrator, assisted with the visit. The Secretary of State website was checked on April 26, 2024, and your business, Foundation of Life Childcare Center LLC., was still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, 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. On April 16, 2024, the following allegations were received. There are concerns regarding staff/child ratio. There are concerns regarding nutrition. The allegations were discussed with you and all applicable staff members. You and applicable staff members had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegations. I reviewed arrival and departure records, children’s records, staff timesheets, and staff work schedules. When I arrived, staff/child ratios were monitored and in compliance for each space. Menus were dated April 22, 2024, through April 26, 2024, and posted. Allergies were posted in the kitchen and classrooms. Six written feeding plans were posted in space #1, six written feeding plans were posted in space #3, and five written feeding plans were posted in space #5b. In space #3, one infant was being fed a bottle by the teacher while the infant was sitting in the high chair. In space #5b, the lead teacher held one infant and fed the infant a bottle. I interviewed you and applicable staff members. It was reported that staff use “walkie-talkies” to communicate personal needs, and when office staff are needed to maintain staff/child ratios. Based on the walk through of the facility, staff interviews, a review of the arrival and departure records, staff timesheets and staff work schedules, staff/child ratios were in compliance; therefore, the allegation for “There are concerns regarding staff/child ratio” was unconfirmed, therefore unsubstantiated. Based on a review of children’s records, the allegation for “There are concerns regarding nutrition” was not confirmed; therefore, unsubstantiated. The following violation unrelated to the allegations was documented based on staff report, and one violation unrelated to the allegation was observed during the visit. Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In space #8, three children, four years of age, were sitting on a child sized couch in book area watching the cartoon, "PJ Masks" on the lead teachers electronic device. .0510(d)(2)(A-C) 871 Center staff did not comply with the safe sleep policy. Per staff report, in space #3, one infant fell asleep in the high chair and was not placed in a crib for sleeping. 10A NCAC 09 .0606(a) Technical assistance: Item #871 Based on staff report, one infant fell asleep in a high chair and was not placed in a crib for sleeping. .0606 Safe Sleep Practices (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (10) specifies that infants aged 12 months or younger are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cot. We discussed reviewing the safe sleep policy with applicable staff and discussing the importance of infants sleeping in a crib and removing them from the high chair as soon as they are finished eating. Item #524 .0510 Activity Areas (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; In space #8, three children, four years of age, were viewing the cartoon, “PJ Masks” on the lead teacher’s tablet. The cartoon was not listed on the activity plan and did not stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development. This was corrected when the lead teacher removed the tablet from the book center, turned it off, and placed it on her desk. We discussed screen time can be offered and it must stimulate a developmental domain and be listed on the activity plan. Consultation: You asked for clarification regarding staff/child ratios and staff tending to personal needs. We discussed adding a clipboard to each space and having staff document the time they arrive to that space, and in case of a staff emergency, they document the time of the emergency. Staff currently use “walkie-talkies” to communicate with office staff when personal needs arise or assistance in a classroom is requested. You requested clarification regarding child care rule .0902 General Nutrition. (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. Special diets for children can be for medical, religious, or cultural reasons, or parental preferences. Staff would need to post the special diets in the eating area and in the meal preparation area. As discussed, not all special diets are prescribed by a health care professional. Reminders: Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by May 10, 2024. Please include in that letter each violation 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 Jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 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. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at Tammy.mcgalliard@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: Foundation of Life Childcare Center Facility ID: 36000632 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 61 Completed Date: 12/12/2023 Age: From 0 To 5 Total Minutes: 317 Time In: 09:43 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the third temporary time period visit. You, Melissa Long, administrator, assisted me with the visit. The Secretary of State website was checked on December 12, 2023, and your business Foundation of Life Childcare Center LLC, is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, 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. Currently this center operates with a temporary license issued on August 1, 2023, with the following restrictions: First and second shift, children under 2 ½ years old in rooms with direct exits only. The last monthly fire drill was completed on November 30, 2023, at 11 am. I discussed with you that the monthly fire drills must be completed for both buildings and must be recorded on the fire drill log. You will record the time it took to evacuate all children and staff in both buildings. You would not need to conduct two separate fire drills. The last monthly playground inspection was completed on November 6, 2023. I need a copy of the approved building and sanitation inspections no later than January 2, 2024. The fire inspection completed on October 12, 2023, was not completed. The fire inspector did not check the “satisfactory” or “unsatisfactory” box. Please contact the inspector to update the form and send to me no later than January 2, 2023. You reported no new staff have been hired since November 7, 2023. The menu for the week of December 11th through December 15, 2023, was documented with appropriate nutritious meals and snack, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. I requested that menus list the ingredients and not the product. Instead of listing “taco salad” the menu would need to list hamburger meat, tortilla shells, lettuce, cheese, etc. You have requested to assume the star rating of the previous owner. I discussed with you that your facility will be in cohort 2 and your preparation year will begin July 1, 2024. The following violations were observed during the visit. Violation Number Comment Rule 404 All staff did not wash their hands thoroughly after diapering each child. In space #2, the lead teacher did not wash her hands after completing a diaper change. 15A NCAC 18A .2803(a) 405 A child's hands were not washed after each diaper change. In space #2, one toddler, one year of age did not have their hands washed after the lead teacher completed the diaper change. 15A NCAC 18A .2803(c)(2) 871 Center staff did not comply with the safe sleep policy. The safe sleep policy lists infants will initially be placed on their backs for sleeping. In space #1, on December 8, 2023, one infant, eleven months of age, the visual sleep chart lists the infant was initially placed on their tummy for sleeping. 10A NCAC 09 .0606(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #1, on December 11, 2023, one infant, ten months of age, was initially placed on their back at 12:20 for sleeping and the next visual check conducted was recorded at 12:45. .0606(g) Technical assistance was provided on the following: Item #404 After staff change a child’s diaper, they must wash their hands. I suggested that you review handwashing procedures and requirements with all staff and have staff complete training regarding handwashing. In space #2, one staff was completing a diaper changing routine. After the child’s diaper was changed, the staff did not wash her hands. Item #405 After a child’s diaper is changed, the child’s hands must be washed. I suggested you review handwashing procedures with all staff to ensure that staff follow the correct handwashing procedures and know when to require children to wash their hands. For infants and toddlers that need assistance with handwashing, I suggested that you remind staff to assist the infants and toddlers with washing their hands. In space #2, one toddler’s diaper was changed, after the diaper change was completed, the toddler’s hands were not washed. The toddler was placed on the floor surface to continue playing with other toddlers. Item #887 In space #1, one infant, ten months of age was initially placed on their back for sleeping at 12:20 on December 11, 2023, and the next visual sleep check recorded on the sleep chart was 12:45. Infants must be checked at a minimum of every 15 minutes while they are sleeping. I suggested that you review the ITS/SIDS policy with staff caring for infants. Consultation was provided on the following. We discussed completing fire drills monthly for all children and staff in attendance when the fire drill is conducted. You stated that a fire drill was conducted for the upper building you thought and the fire drill log listed a fire drill completed on November 30, 2023, at 11 am, and it listed that 2 children and 12 adults were evacuated. The arrival and departure records for November 30, 2023, listed 27 children present in the upper building at 11 am, and 36 children were present in the lower building at 11 am. We reviewed and discussed requirements for enhanced ratios and enhanced space. Since you have chosen to meet the requirements of the previous owner’s license, you will meet enhanced space, and enhanced ratios. You must maintain compliance with enhanced ratios, and enhanced space, or a violation will be cited once the rated license is issued. Based on today's review you have the following points: Program Standards - 5 points Staff Education – 7 Points Quality Point - 1 point Administrator has at least ten years of documented child care administrative work experience in a licensed program. For a total of thirteen points for a five-star rated license. Reminders: The EPR Plan must be reviewed with all staff and documentation of the review on file. Complete a fire drill this month and accurately document all staff and children in attendance on the fire drill log. The rated license will be mailed to you from our Raleigh office. You must complete your annual fire inspection prior to October 12, 2024. Mail the original completed and approved fire inspection form to your child care consultant within one week after it is completed. Call your licensing consultant with any questions you may have. You can obtain the annual fire inspection form and Staff and Training Worksheet form under the provider tab, then provider documents and forms tab at www.ncchildcare.ncdhhs.gov. Before your annual compliance visit is due, please complete the Staff and Training Worksheet form. All staff must have completed the required applicable Health and Safety Training and/or On-Going Training requirements and have documentation on file for review prior to August 1, 2024. Your compliance history prior to today’s visit was 81%. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after February 1, 2024. Stay updated with changes and new rule updates by visiting the DCDEE website at: https://ncchildcare.ncdhhs.gov COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by December 26, 2023. Please include in that letter each violation number and 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 send the letter to my email address Jennifer.roberts@dhhs.nc.gov or mail to: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 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. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, Jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2201 · Violation

Name of Operation: Foundation of Life Childcare Center Facility ID: 36000632 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 61 Completed Date: 12/12/2023 Age: From 0 To 5 Total Minutes: 317 Time In: 09:43 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the third temporary time period visit. You, Melissa Long, administrator, assisted me with the visit. The Secretary of State website was checked on December 12, 2023, and your business Foundation of Life Childcare Center LLC, is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, 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. Currently this center operates with a temporary license issued on August 1, 2023, with the following restrictions: First and second shift, children under 2 ½ years old in rooms with direct exits only. The last monthly fire drill was completed on November 30, 2023, at 11 am. I discussed with you that the monthly fire drills must be completed for both buildings and must be recorded on the fire drill log. You will record the time it took to evacuate all children and staff in both buildings. You would not need to conduct two separate fire drills. The last monthly playground inspection was completed on November 6, 2023. I need a copy of the approved building and sanitation inspections no later than January 2, 2024. The fire inspection completed on October 12, 2023, was not completed. The fire inspector did not check the “satisfactory” or “unsatisfactory” box. Please contact the inspector to update the form and send to me no later than January 2, 2023. You reported no new staff have been hired since November 7, 2023. The menu for the week of December 11th through December 15, 2023, was documented with appropriate nutritious meals and snack, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. I requested that menus list the ingredients and not the product. Instead of listing “taco salad” the menu would need to list hamburger meat, tortilla shells, lettuce, cheese, etc. You have requested to assume the star rating of the previous owner. I discussed with you that your facility will be in cohort 2 and your preparation year will begin July 1, 2024. The following violations were observed during the visit. Violation Number Comment Rule 404 All staff did not wash their hands thoroughly after diapering each child. In space #2, the lead teacher did not wash her hands after completing a diaper change. 15A NCAC 18A .2803(a) 405 A child's hands were not washed after each diaper change. In space #2, one toddler, one year of age did not have their hands washed after the lead teacher completed the diaper change. 15A NCAC 18A .2803(c)(2) 871 Center staff did not comply with the safe sleep policy. The safe sleep policy lists infants will initially be placed on their backs for sleeping. In space #1, on December 8, 2023, one infant, eleven months of age, the visual sleep chart lists the infant was initially placed on their tummy for sleeping. 10A NCAC 09 .0606(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #1, on December 11, 2023, one infant, ten months of age, was initially placed on their back at 12:20 for sleeping and the next visual check conducted was recorded at 12:45. .0606(g) Technical assistance was provided on the following: Item #404 After staff change a child’s diaper, they must wash their hands. I suggested that you review handwashing procedures and requirements with all staff and have staff complete training regarding handwashing. In space #2, one staff was completing a diaper changing routine. After the child’s diaper was changed, the staff did not wash her hands. Item #405 After a child’s diaper is changed, the child’s hands must be washed. I suggested you review handwashing procedures with all staff to ensure that staff follow the correct handwashing procedures and know when to require children to wash their hands. For infants and toddlers that need assistance with handwashing, I suggested that you remind staff to assist the infants and toddlers with washing their hands. In space #2, one toddler’s diaper was changed, after the diaper change was completed, the toddler’s hands were not washed. The toddler was placed on the floor surface to continue playing with other toddlers. Item #887 In space #1, one infant, ten months of age was initially placed on their back for sleeping at 12:20 on December 11, 2023, and the next visual sleep check recorded on the sleep chart was 12:45. Infants must be checked at a minimum of every 15 minutes while they are sleeping. I suggested that you review the ITS/SIDS policy with staff caring for infants. Consultation was provided on the following. We discussed completing fire drills monthly for all children and staff in attendance when the fire drill is conducted. You stated that a fire drill was conducted for the upper building you thought and the fire drill log listed a fire drill completed on November 30, 2023, at 11 am, and it listed that 2 children and 12 adults were evacuated. The arrival and departure records for November 30, 2023, listed 27 children present in the upper building at 11 am, and 36 children were present in the lower building at 11 am. We reviewed and discussed requirements for enhanced ratios and enhanced space. Since you have chosen to meet the requirements of the previous owner’s license, you will meet enhanced space, and enhanced ratios. You must maintain compliance with enhanced ratios, and enhanced space, or a violation will be cited once the rated license is issued. Based on today's review you have the following points: Program Standards - 5 points Staff Education – 7 Points Quality Point - 1 point Administrator has at least ten years of documented child care administrative work experience in a licensed program. For a total of thirteen points for a five-star rated license. Reminders: The EPR Plan must be reviewed with all staff and documentation of the review on file. Complete a fire drill this month and accurately document all staff and children in attendance on the fire drill log. The rated license will be mailed to you from our Raleigh office. You must complete your annual fire inspection prior to October 12, 2024. Mail the original completed and approved fire inspection form to your child care consultant within one week after it is completed. Call your licensing consultant with any questions you may have. You can obtain the annual fire inspection form and Staff and Training Worksheet form under the provider tab, then provider documents and forms tab at www.ncchildcare.ncdhhs.gov. Before your annual compliance visit is due, please complete the Staff and Training Worksheet form. All staff must have completed the required applicable Health and Safety Training and/or On-Going Training requirements and have documentation on file for review prior to August 1, 2024. Your compliance history prior to today’s visit was 81%. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after February 1, 2024. Stay updated with changes and new rule updates by visiting the DCDEE website at: https://ncchildcare.ncdhhs.gov COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by December 26, 2023. Please include in that letter each violation number and 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 send the letter to my email address Jennifer.roberts@dhhs.nc.gov or mail to: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 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. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, Jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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: Foundation of Life Childcare Center Facility ID: 36000632 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 61 Completed Date: 12/12/2023 Age: From 0 To 5 Total Minutes: 317 Time In: 09:43 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the third temporary time period visit. You, Melissa Long, administrator, assisted me with the visit. The Secretary of State website was checked on December 12, 2023, and your business Foundation of Life Childcare Center LLC, is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, 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. Currently this center operates with a temporary license issued on August 1, 2023, with the following restrictions: First and second shift, children under 2 ½ years old in rooms with direct exits only. The last monthly fire drill was completed on November 30, 2023, at 11 am. I discussed with you that the monthly fire drills must be completed for both buildings and must be recorded on the fire drill log. You will record the time it took to evacuate all children and staff in both buildings. You would not need to conduct two separate fire drills. The last monthly playground inspection was completed on November 6, 2023. I need a copy of the approved building and sanitation inspections no later than January 2, 2024. The fire inspection completed on October 12, 2023, was not completed. The fire inspector did not check the “satisfactory” or “unsatisfactory” box. Please contact the inspector to update the form and send to me no later than January 2, 2023. You reported no new staff have been hired since November 7, 2023. The menu for the week of December 11th through December 15, 2023, was documented with appropriate nutritious meals and snack, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. I requested that menus list the ingredients and not the product. Instead of listing “taco salad” the menu would need to list hamburger meat, tortilla shells, lettuce, cheese, etc. You have requested to assume the star rating of the previous owner. I discussed with you that your facility will be in cohort 2 and your preparation year will begin July 1, 2024. The following violations were observed during the visit. Violation Number Comment Rule 404 All staff did not wash their hands thoroughly after diapering each child. In space #2, the lead teacher did not wash her hands after completing a diaper change. 15A NCAC 18A .2803(a) 405 A child's hands were not washed after each diaper change. In space #2, one toddler, one year of age did not have their hands washed after the lead teacher completed the diaper change. 15A NCAC 18A .2803(c)(2) 871 Center staff did not comply with the safe sleep policy. The safe sleep policy lists infants will initially be placed on their backs for sleeping. In space #1, on December 8, 2023, one infant, eleven months of age, the visual sleep chart lists the infant was initially placed on their tummy for sleeping. 10A NCAC 09 .0606(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #1, on December 11, 2023, one infant, ten months of age, was initially placed on their back at 12:20 for sleeping and the next visual check conducted was recorded at 12:45. .0606(g) Technical assistance was provided on the following: Item #404 After staff change a child’s diaper, they must wash their hands. I suggested that you review handwashing procedures and requirements with all staff and have staff complete training regarding handwashing. In space #2, one staff was completing a diaper changing routine. After the child’s diaper was changed, the staff did not wash her hands. Item #405 After a child’s diaper is changed, the child’s hands must be washed. I suggested you review handwashing procedures with all staff to ensure that staff follow the correct handwashing procedures and know when to require children to wash their hands. For infants and toddlers that need assistance with handwashing, I suggested that you remind staff to assist the infants and toddlers with washing their hands. In space #2, one toddler’s diaper was changed, after the diaper change was completed, the toddler’s hands were not washed. The toddler was placed on the floor surface to continue playing with other toddlers. Item #887 In space #1, one infant, ten months of age was initially placed on their back for sleeping at 12:20 on December 11, 2023, and the next visual sleep check recorded on the sleep chart was 12:45. Infants must be checked at a minimum of every 15 minutes while they are sleeping. I suggested that you review the ITS/SIDS policy with staff caring for infants. Consultation was provided on the following. We discussed completing fire drills monthly for all children and staff in attendance when the fire drill is conducted. You stated that a fire drill was conducted for the upper building you thought and the fire drill log listed a fire drill completed on November 30, 2023, at 11 am, and it listed that 2 children and 12 adults were evacuated. The arrival and departure records for November 30, 2023, listed 27 children present in the upper building at 11 am, and 36 children were present in the lower building at 11 am. We reviewed and discussed requirements for enhanced ratios and enhanced space. Since you have chosen to meet the requirements of the previous owner’s license, you will meet enhanced space, and enhanced ratios. You must maintain compliance with enhanced ratios, and enhanced space, or a violation will be cited once the rated license is issued. Based on today's review you have the following points: Program Standards - 5 points Staff Education – 7 Points Quality Point - 1 point Administrator has at least ten years of documented child care administrative work experience in a licensed program. For a total of thirteen points for a five-star rated license. Reminders: The EPR Plan must be reviewed with all staff and documentation of the review on file. Complete a fire drill this month and accurately document all staff and children in attendance on the fire drill log. The rated license will be mailed to you from our Raleigh office. You must complete your annual fire inspection prior to October 12, 2024. Mail the original completed and approved fire inspection form to your child care consultant within one week after it is completed. Call your licensing consultant with any questions you may have. You can obtain the annual fire inspection form and Staff and Training Worksheet form under the provider tab, then provider documents and forms tab at www.ncchildcare.ncdhhs.gov. Before your annual compliance visit is due, please complete the Staff and Training Worksheet form. All staff must have completed the required applicable Health and Safety Training and/or On-Going Training requirements and have documentation on file for review prior to August 1, 2024. Your compliance history prior to today’s visit was 81%. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after February 1, 2024. Stay updated with changes and new rule updates by visiting the DCDEE website at: https://ncchildcare.ncdhhs.gov COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by December 26, 2023. Please include in that letter each violation number and 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 send the letter to my email address Jennifer.roberts@dhhs.nc.gov or mail to: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 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. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, Jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: Foundation of Life Childcare Center Facility ID: 36000632 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 11/7/2023 Number Present: 58 Completed Date: 11/7/2023 Age: From 0 To 5 Total Minutes: 354 Time In: 10:06 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the second temporary time period visit. You, Melissa Long, administrator, assisted me with the visit. Currently this center operates with a temporary license issued on August 1, 2023, with the following restrictions: First and second shift, children under 2 ½ years old in rooms with direct exits only. You currently do not have any children enrolled on second shift. The Secretary of State website was checked on September 19, 2023, and the business, Foundation of Life Childcare Center LLC, is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, 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. The last monthly fire drill completed was on October 17, 2023, at 9:52 am. The last monthly playground inspection was completed on October 30, 2023. A sample of three children’s files were reviewed. Five staff files were reviewed. The menu for the week of November 6, 2023, through November 10, 2023, was posted and listed a variety of foods, and followed the Meal Patterns for Children in Child Care Programs. You said that you plan to apply for the rated license and request to use the points from the previous owner’s license at the conclusion of this six-month temporary time period. I reminded you that programs with less than a three-star license will not be able to receive subsidy funding. All staff must establish a DCDEE WORKS account and have their education evaluations completed by Workforce. Documentation from Workforce on the results of the education evaluation must be on file for review for each staff member. The following violations were observed today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In space #8, the arrival time for nine children was maintained on November 7, 2023, but twelve children were present. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #9, was dated July 3, 2023, to August 4, 2023. GS 110-91(12); .0508(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 #5b, the written feeding plan for two infants, four months of age were not signed by the child's parent/guardian. .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #5a, two electrical outlets were not covered with a safety plug to the right of the stacked-up cots and were accessible to children. 10A NCAC 09 .0604(c) 871 Center staff did not comply with the safe sleep policy. In space #5b, there was not a thermometer in the room with sleeping infants to ensure the temperature of the room was maintained between 68 degrees and 75 degrees F. 10A NCAC 09 .0606(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. K. Walker had a hire date of July 28, 2023, and a medical report on file dated August 7, 2023. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The hire date for K. Walker was reported as July 28, 2023, but the TB test on file was dated August 9, 2023. .0701(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. K. Walker had a hire date of July 28, 2023, and an Emergency Information Form on file dated August 9, 2023. K. Cobb had a hire date of July 31, 2023, and the Emergency Information Form on file was not dated. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Kelly Walker had a hire date of July 28, 2023, and a valid qualifying letter on file dated August 1, 2023. Kellie Cobb had a hire date of July 31, 2023, and a valid qualifying letter on file dated August 3, 2023. Neither employee had previously worked in childcare. Jaylin Smith had a hire date of August 8, 2023, but a qualifying letter on file dated August 10, 2023. G.S. 110-90.2(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. N. Transeau was hired on October 23, 2023, but no orientation was documented within the first two weeks. .1101(a)(b) 1301 Center did not maintain a record of daily attendance. In space #3, the daily attendance was not maintained on November 7, 2023, for six children in attendance. In space #7, the daily attendance was not maintained on November 1, 2023, November 2, 2023, November 3, 2023, November 6, 2023, or November 7, 2023, for the thirteen children enrolled. GS 110-91(9) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. K. Walker had a reported hire date of July 28, 2023. The Shaken Baby Head Trauma Policy was signed on September 27, 2023. K. Cobb had a hire date of July 31, 2023, the Shaken Baby Policy was signed but not dated. .0608(d)(1-4) Technical assistance was provided on the following: Item #871: Per the facility’s safe sleep policy, the room will be maintained with a temperature between 68 degrees F and 75 degrees F. Space #5b did not have a thermometer to ensure the temperature of the room was maintained between 68 degrees and 75 degrees F. I suggested that you add a thermometer to the space where infants sleep to ensure the room temperature is maintained. Item #541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two Infants enrolled in space #5b, did not have a written feeding plan that was signed by their parent. We discussed having staff review forms with parents to ensure all documents are signed. Item #428 In space #9, the activity plan posted was dated July 3, 3023, to August 4, 2023. You stated that space is used for children that are school age and employee’s children. I reminded you that all childcare requirements must be met for children enrolled whether they are an employee’s child or not. The children must have a group leader in the space providing care to them and they may not be left unattended. This is a repeated violation. Item #1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. N. Transeau employed on October 23, 2023, did not have any orientation recorded within the first two weeks of employment. As discussed, several employees have not received the orientation or the documentation of orientation has not been accurately maintained. I discussed how to complete the form and how to document the orientation you provide to new employees. This is a repeated violation. Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. K. Walker had a reported hire date of July 28, 2023. The Shaken Baby Head Trauma Policy was signed on September 27, 2023. K. Cobb had a hire date of July 31, 2023, but the Shaken Baby Policy was signed but not dated. This is a repeated violation. Item #1041 Kelly Walker had a hire date of July 28, 2023, and a valid qualifying letter on file dated August 1, 2023. Kellie Cobb had a hire date of July 31, 2023, and a valid qualifying letter on file dated August 3, 2023. Neither employee had previously worked in childcare. Jaylin Smith had a hire date of August 8, 2023, but a qualifying letter on file dated August 10, 2023. Staff must have a valid qualifying letter on file prior to employment. This is a repeat violation. This is a repeated violation. Item #812: The electrical outlets in space # 8 are not closing when the outlet is not in use. We discussed an alternate method to ensure electrical outlets are covered when not in use. This is a repeated violation. Item #125: The arrival and departure times for children enrolled must be maintained at all times. I suggested that staff record the time the child arrives or have the parent sign the child in and out daily. Item #1033: On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. The hire date for K. Walker was reported as July 28, 2023, but the TB test on file was dated August 9, 2023. I suggested that you use the Staff File Checklist and fill it out to ensure that hire dates are captured on the checklist and staff do not begin employment until requirements are met. Item #1032: Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The hire date for K. Walker was reported as July 28, 2023, but the medical report on file was dated August 7, 2023. I suggested that you use the Staff File Checklist and fill it out to ensure that hire dates are captured on the checklist and staff do not begin employment until requirements are met. This is a repeated violation. Item #1301: Center did not maintain a record of daily attendance. In space #3, daily attendance was not recorded for the six toddlers present on November 7, 2023. In space #7, daily attendance was not recorded for November 1, 2023, November 2, 2023, November 3, 2023, November 6, 2023, or November 7, 2023, for the thirteen children enrolled in space #7. Item #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. K. Cobb’s Emergency Information form on file was not dated. Consultation was provided on the following. • We discussed that you will be in cohort 2, which means that your preparation year will begin July 1, 2024, and will end June 30, 2025. You have opted to assume the star rating of the previous owner; therefore, you will need a rated license reassessment no later than June 30, 2026. • Review children’s applications to ensure all items are answered or “n/a” is listed. Children’s applications must be updated annually. • I suggested that you review DCDEE’s website to ensure that you are using the most current forms. • We discussed the importance of keeping accurate records for staff. I provided you with guidance on how to complete the Orientation for newly hired staff. • Per Sanitation requirement .2806, (h) Raw meats, poultry, fish, shellfish and eggs shall be stored in a refrigerator or freezer on shelving beneath and separate from other foods. Food was stored properly, but we discussed this rule and further guidance was provided. • You requested information about religious exemptions for immunizations, I provided you with the following website for more information. https://immunization.dph.ncdhhs.gov/schools/ncexemptions.htm Reminders: You have completed the EPR training and EPR plan. A lockdown drill was completed on October 20, 2023. Emergency drills must be completed at least every three months. Your facility will need to conduct the next emergency drill no later than January 2024. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after February 1, 2024. Stay updated with changes and new rule updates by visiting the DCDEE website at. COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by November 21, 2023. Please include in that letter each violation number and 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 send the letter to my email address Jennifer.roberts@dhhs.nc.gov or mail to: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 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. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: Foundation of Life Childcare Center Facility ID: 36000632 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 11/7/2023 Number Present: 58 Completed Date: 11/7/2023 Age: From 0 To 5 Total Minutes: 354 Time In: 10:06 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the second temporary time period visit. You, Melissa Long, administrator, assisted me with the visit. Currently this center operates with a temporary license issued on August 1, 2023, with the following restrictions: First and second shift, children under 2 ½ years old in rooms with direct exits only. You currently do not have any children enrolled on second shift. The Secretary of State website was checked on September 19, 2023, and the business, Foundation of Life Childcare Center LLC, is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, 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. The last monthly fire drill completed was on October 17, 2023, at 9:52 am. The last monthly playground inspection was completed on October 30, 2023. A sample of three children’s files were reviewed. Five staff files were reviewed. The menu for the week of November 6, 2023, through November 10, 2023, was posted and listed a variety of foods, and followed the Meal Patterns for Children in Child Care Programs. You said that you plan to apply for the rated license and request to use the points from the previous owner’s license at the conclusion of this six-month temporary time period. I reminded you that programs with less than a three-star license will not be able to receive subsidy funding. All staff must establish a DCDEE WORKS account and have their education evaluations completed by Workforce. Documentation from Workforce on the results of the education evaluation must be on file for review for each staff member. The following violations were observed today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In space #8, the arrival time for nine children was maintained on November 7, 2023, but twelve children were present. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #9, was dated July 3, 2023, to August 4, 2023. GS 110-91(12); .0508(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 #5b, the written feeding plan for two infants, four months of age were not signed by the child's parent/guardian. .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #5a, two electrical outlets were not covered with a safety plug to the right of the stacked-up cots and were accessible to children. 10A NCAC 09 .0604(c) 871 Center staff did not comply with the safe sleep policy. In space #5b, there was not a thermometer in the room with sleeping infants to ensure the temperature of the room was maintained between 68 degrees and 75 degrees F. 10A NCAC 09 .0606(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. K. Walker had a hire date of July 28, 2023, and a medical report on file dated August 7, 2023. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The hire date for K. Walker was reported as July 28, 2023, but the TB test on file was dated August 9, 2023. .0701(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. K. Walker had a hire date of July 28, 2023, and an Emergency Information Form on file dated August 9, 2023. K. Cobb had a hire date of July 31, 2023, and the Emergency Information Form on file was not dated. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Kelly Walker had a hire date of July 28, 2023, and a valid qualifying letter on file dated August 1, 2023. Kellie Cobb had a hire date of July 31, 2023, and a valid qualifying letter on file dated August 3, 2023. Neither employee had previously worked in childcare. Jaylin Smith had a hire date of August 8, 2023, but a qualifying letter on file dated August 10, 2023. G.S. 110-90.2(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. N. Transeau was hired on October 23, 2023, but no orientation was documented within the first two weeks. .1101(a)(b) 1301 Center did not maintain a record of daily attendance. In space #3, the daily attendance was not maintained on November 7, 2023, for six children in attendance. In space #7, the daily attendance was not maintained on November 1, 2023, November 2, 2023, November 3, 2023, November 6, 2023, or November 7, 2023, for the thirteen children enrolled. GS 110-91(9) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. K. Walker had a reported hire date of July 28, 2023. The Shaken Baby Head Trauma Policy was signed on September 27, 2023. K. Cobb had a hire date of July 31, 2023, the Shaken Baby Policy was signed but not dated. .0608(d)(1-4) Technical assistance was provided on the following: Item #871: Per the facility’s safe sleep policy, the room will be maintained with a temperature between 68 degrees F and 75 degrees F. Space #5b did not have a thermometer to ensure the temperature of the room was maintained between 68 degrees and 75 degrees F. I suggested that you add a thermometer to the space where infants sleep to ensure the room temperature is maintained. Item #541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two Infants enrolled in space #5b, did not have a written feeding plan that was signed by their parent. We discussed having staff review forms with parents to ensure all documents are signed. Item #428 In space #9, the activity plan posted was dated July 3, 3023, to August 4, 2023. You stated that space is used for children that are school age and employee’s children. I reminded you that all childcare requirements must be met for children enrolled whether they are an employee’s child or not. The children must have a group leader in the space providing care to them and they may not be left unattended. This is a repeated violation. Item #1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. N. Transeau employed on October 23, 2023, did not have any orientation recorded within the first two weeks of employment. As discussed, several employees have not received the orientation or the documentation of orientation has not been accurately maintained. I discussed how to complete the form and how to document the orientation you provide to new employees. This is a repeated violation. Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. K. Walker had a reported hire date of July 28, 2023. The Shaken Baby Head Trauma Policy was signed on September 27, 2023. K. Cobb had a hire date of July 31, 2023, but the Shaken Baby Policy was signed but not dated. This is a repeated violation. Item #1041 Kelly Walker had a hire date of July 28, 2023, and a valid qualifying letter on file dated August 1, 2023. Kellie Cobb had a hire date of July 31, 2023, and a valid qualifying letter on file dated August 3, 2023. Neither employee had previously worked in childcare. Jaylin Smith had a hire date of August 8, 2023, but a qualifying letter on file dated August 10, 2023. Staff must have a valid qualifying letter on file prior to employment. This is a repeat violation. This is a repeated violation. Item #812: The electrical outlets in space # 8 are not closing when the outlet is not in use. We discussed an alternate method to ensure electrical outlets are covered when not in use. This is a repeated violation. Item #125: The arrival and departure times for children enrolled must be maintained at all times. I suggested that staff record the time the child arrives or have the parent sign the child in and out daily. Item #1033: On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. The hire date for K. Walker was reported as July 28, 2023, but the TB test on file was dated August 9, 2023. I suggested that you use the Staff File Checklist and fill it out to ensure that hire dates are captured on the checklist and staff do not begin employment until requirements are met. Item #1032: Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The hire date for K. Walker was reported as July 28, 2023, but the medical report on file was dated August 7, 2023. I suggested that you use the Staff File Checklist and fill it out to ensure that hire dates are captured on the checklist and staff do not begin employment until requirements are met. This is a repeated violation. Item #1301: Center did not maintain a record of daily attendance. In space #3, daily attendance was not recorded for the six toddlers present on November 7, 2023. In space #7, daily attendance was not recorded for November 1, 2023, November 2, 2023, November 3, 2023, November 6, 2023, or November 7, 2023, for the thirteen children enrolled in space #7. Item #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. K. Cobb’s Emergency Information form on file was not dated. Consultation was provided on the following. • We discussed that you will be in cohort 2, which means that your preparation year will begin July 1, 2024, and will end June 30, 2025. You have opted to assume the star rating of the previous owner; therefore, you will need a rated license reassessment no later than June 30, 2026. • Review children’s applications to ensure all items are answered or “n/a” is listed. Children’s applications must be updated annually. • I suggested that you review DCDEE’s website to ensure that you are using the most current forms. • We discussed the importance of keeping accurate records for staff. I provided you with guidance on how to complete the Orientation for newly hired staff. • Per Sanitation requirement .2806, (h) Raw meats, poultry, fish, shellfish and eggs shall be stored in a refrigerator or freezer on shelving beneath and separate from other foods. Food was stored properly, but we discussed this rule and further guidance was provided. • You requested information about religious exemptions for immunizations, I provided you with the following website for more information. https://immunization.dph.ncdhhs.gov/schools/ncexemptions.htm Reminders: You have completed the EPR training and EPR plan. A lockdown drill was completed on October 20, 2023. Emergency drills must be completed at least every three months. Your facility will need to conduct the next emergency drill no later than January 2024. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after February 1, 2024. Stay updated with changes and new rule updates by visiting the DCDEE website at. COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by November 21, 2023. Please include in that letter each violation number and 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 send the letter to my email address Jennifer.roberts@dhhs.nc.gov or mail to: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 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. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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: Foundation of Life Childcare Center Facility ID: 36000632 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 11/7/2023 Number Present: 58 Completed Date: 11/7/2023 Age: From 0 To 5 Total Minutes: 354 Time In: 10:06 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the second temporary time period visit. You, Melissa Long, administrator, assisted me with the visit. Currently this center operates with a temporary license issued on August 1, 2023, with the following restrictions: First and second shift, children under 2 ½ years old in rooms with direct exits only. You currently do not have any children enrolled on second shift. The Secretary of State website was checked on September 19, 2023, and the business, Foundation of Life Childcare Center LLC, is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, 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. The last monthly fire drill completed was on October 17, 2023, at 9:52 am. The last monthly playground inspection was completed on October 30, 2023. A sample of three children’s files were reviewed. Five staff files were reviewed. The menu for the week of November 6, 2023, through November 10, 2023, was posted and listed a variety of foods, and followed the Meal Patterns for Children in Child Care Programs. You said that you plan to apply for the rated license and request to use the points from the previous owner’s license at the conclusion of this six-month temporary time period. I reminded you that programs with less than a three-star license will not be able to receive subsidy funding. All staff must establish a DCDEE WORKS account and have their education evaluations completed by Workforce. Documentation from Workforce on the results of the education evaluation must be on file for review for each staff member. The following violations were observed today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In space #8, the arrival time for nine children was maintained on November 7, 2023, but twelve children were present. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #9, was dated July 3, 2023, to August 4, 2023. GS 110-91(12); .0508(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 #5b, the written feeding plan for two infants, four months of age were not signed by the child's parent/guardian. .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #5a, two electrical outlets were not covered with a safety plug to the right of the stacked-up cots and were accessible to children. 10A NCAC 09 .0604(c) 871 Center staff did not comply with the safe sleep policy. In space #5b, there was not a thermometer in the room with sleeping infants to ensure the temperature of the room was maintained between 68 degrees and 75 degrees F. 10A NCAC 09 .0606(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. K. Walker had a hire date of July 28, 2023, and a medical report on file dated August 7, 2023. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The hire date for K. Walker was reported as July 28, 2023, but the TB test on file was dated August 9, 2023. .0701(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. K. Walker had a hire date of July 28, 2023, and an Emergency Information Form on file dated August 9, 2023. K. Cobb had a hire date of July 31, 2023, and the Emergency Information Form on file was not dated. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Kelly Walker had a hire date of July 28, 2023, and a valid qualifying letter on file dated August 1, 2023. Kellie Cobb had a hire date of July 31, 2023, and a valid qualifying letter on file dated August 3, 2023. Neither employee had previously worked in childcare. Jaylin Smith had a hire date of August 8, 2023, but a qualifying letter on file dated August 10, 2023. G.S. 110-90.2(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. N. Transeau was hired on October 23, 2023, but no orientation was documented within the first two weeks. .1101(a)(b) 1301 Center did not maintain a record of daily attendance. In space #3, the daily attendance was not maintained on November 7, 2023, for six children in attendance. In space #7, the daily attendance was not maintained on November 1, 2023, November 2, 2023, November 3, 2023, November 6, 2023, or November 7, 2023, for the thirteen children enrolled. GS 110-91(9) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. K. Walker had a reported hire date of July 28, 2023. The Shaken Baby Head Trauma Policy was signed on September 27, 2023. K. Cobb had a hire date of July 31, 2023, the Shaken Baby Policy was signed but not dated. .0608(d)(1-4) Technical assistance was provided on the following: Item #871: Per the facility’s safe sleep policy, the room will be maintained with a temperature between 68 degrees F and 75 degrees F. Space #5b did not have a thermometer to ensure the temperature of the room was maintained between 68 degrees and 75 degrees F. I suggested that you add a thermometer to the space where infants sleep to ensure the room temperature is maintained. Item #541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two Infants enrolled in space #5b, did not have a written feeding plan that was signed by their parent. We discussed having staff review forms with parents to ensure all documents are signed. Item #428 In space #9, the activity plan posted was dated July 3, 3023, to August 4, 2023. You stated that space is used for children that are school age and employee’s children. I reminded you that all childcare requirements must be met for children enrolled whether they are an employee’s child or not. The children must have a group leader in the space providing care to them and they may not be left unattended. This is a repeated violation. Item #1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. N. Transeau employed on October 23, 2023, did not have any orientation recorded within the first two weeks of employment. As discussed, several employees have not received the orientation or the documentation of orientation has not been accurately maintained. I discussed how to complete the form and how to document the orientation you provide to new employees. This is a repeated violation. Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. K. Walker had a reported hire date of July 28, 2023. The Shaken Baby Head Trauma Policy was signed on September 27, 2023. K. Cobb had a hire date of July 31, 2023, but the Shaken Baby Policy was signed but not dated. This is a repeated violation. Item #1041 Kelly Walker had a hire date of July 28, 2023, and a valid qualifying letter on file dated August 1, 2023. Kellie Cobb had a hire date of July 31, 2023, and a valid qualifying letter on file dated August 3, 2023. Neither employee had previously worked in childcare. Jaylin Smith had a hire date of August 8, 2023, but a qualifying letter on file dated August 10, 2023. Staff must have a valid qualifying letter on file prior to employment. This is a repeat violation. This is a repeated violation. Item #812: The electrical outlets in space # 8 are not closing when the outlet is not in use. We discussed an alternate method to ensure electrical outlets are covered when not in use. This is a repeated violation. Item #125: The arrival and departure times for children enrolled must be maintained at all times. I suggested that staff record the time the child arrives or have the parent sign the child in and out daily. Item #1033: On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. The hire date for K. Walker was reported as July 28, 2023, but the TB test on file was dated August 9, 2023. I suggested that you use the Staff File Checklist and fill it out to ensure that hire dates are captured on the checklist and staff do not begin employment until requirements are met. Item #1032: Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The hire date for K. Walker was reported as July 28, 2023, but the medical report on file was dated August 7, 2023. I suggested that you use the Staff File Checklist and fill it out to ensure that hire dates are captured on the checklist and staff do not begin employment until requirements are met. This is a repeated violation. Item #1301: Center did not maintain a record of daily attendance. In space #3, daily attendance was not recorded for the six toddlers present on November 7, 2023. In space #7, daily attendance was not recorded for November 1, 2023, November 2, 2023, November 3, 2023, November 6, 2023, or November 7, 2023, for the thirteen children enrolled in space #7. Item #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. K. Cobb’s Emergency Information form on file was not dated. Consultation was provided on the following. • We discussed that you will be in cohort 2, which means that your preparation year will begin July 1, 2024, and will end June 30, 2025. You have opted to assume the star rating of the previous owner; therefore, you will need a rated license reassessment no later than June 30, 2026. • Review children’s applications to ensure all items are answered or “n/a” is listed. Children’s applications must be updated annually. • I suggested that you review DCDEE’s website to ensure that you are using the most current forms. • We discussed the importance of keeping accurate records for staff. I provided you with guidance on how to complete the Orientation for newly hired staff. • Per Sanitation requirement .2806, (h) Raw meats, poultry, fish, shellfish and eggs shall be stored in a refrigerator or freezer on shelving beneath and separate from other foods. Food was stored properly, but we discussed this rule and further guidance was provided. • You requested information about religious exemptions for immunizations, I provided you with the following website for more information. https://immunization.dph.ncdhhs.gov/schools/ncexemptions.htm Reminders: You have completed the EPR training and EPR plan. A lockdown drill was completed on October 20, 2023. Emergency drills must be completed at least every three months. Your facility will need to conduct the next emergency drill no later than January 2024. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after February 1, 2024. Stay updated with changes and new rule updates by visiting the DCDEE website at. COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by November 21, 2023. Please include in that letter each violation number and 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 send the letter to my email address Jennifer.roberts@dhhs.nc.gov or mail to: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 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. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: Foundation of Life Childcare Center Facility ID: 36000632 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 11/7/2023 Number Present: 58 Completed Date: 11/7/2023 Age: From 0 To 5 Total Minutes: 354 Time In: 10:06 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the second temporary time period visit. You, Melissa Long, administrator, assisted me with the visit. Currently this center operates with a temporary license issued on August 1, 2023, with the following restrictions: First and second shift, children under 2 ½ years old in rooms with direct exits only. You currently do not have any children enrolled on second shift. The Secretary of State website was checked on September 19, 2023, and the business, Foundation of Life Childcare Center LLC, is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, 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. The last monthly fire drill completed was on October 17, 2023, at 9:52 am. The last monthly playground inspection was completed on October 30, 2023. A sample of three children’s files were reviewed. Five staff files were reviewed. The menu for the week of November 6, 2023, through November 10, 2023, was posted and listed a variety of foods, and followed the Meal Patterns for Children in Child Care Programs. You said that you plan to apply for the rated license and request to use the points from the previous owner’s license at the conclusion of this six-month temporary time period. I reminded you that programs with less than a three-star license will not be able to receive subsidy funding. All staff must establish a DCDEE WORKS account and have their education evaluations completed by Workforce. Documentation from Workforce on the results of the education evaluation must be on file for review for each staff member. The following violations were observed today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In space #8, the arrival time for nine children was maintained on November 7, 2023, but twelve children were present. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #9, was dated July 3, 2023, to August 4, 2023. GS 110-91(12); .0508(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 #5b, the written feeding plan for two infants, four months of age were not signed by the child's parent/guardian. .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #5a, two electrical outlets were not covered with a safety plug to the right of the stacked-up cots and were accessible to children. 10A NCAC 09 .0604(c) 871 Center staff did not comply with the safe sleep policy. In space #5b, there was not a thermometer in the room with sleeping infants to ensure the temperature of the room was maintained between 68 degrees and 75 degrees F. 10A NCAC 09 .0606(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. K. Walker had a hire date of July 28, 2023, and a medical report on file dated August 7, 2023. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The hire date for K. Walker was reported as July 28, 2023, but the TB test on file was dated August 9, 2023. .0701(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. K. Walker had a hire date of July 28, 2023, and an Emergency Information Form on file dated August 9, 2023. K. Cobb had a hire date of July 31, 2023, and the Emergency Information Form on file was not dated. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Kelly Walker had a hire date of July 28, 2023, and a valid qualifying letter on file dated August 1, 2023. Kellie Cobb had a hire date of July 31, 2023, and a valid qualifying letter on file dated August 3, 2023. Neither employee had previously worked in childcare. Jaylin Smith had a hire date of August 8, 2023, but a qualifying letter on file dated August 10, 2023. G.S. 110-90.2(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. N. Transeau was hired on October 23, 2023, but no orientation was documented within the first two weeks. .1101(a)(b) 1301 Center did not maintain a record of daily attendance. In space #3, the daily attendance was not maintained on November 7, 2023, for six children in attendance. In space #7, the daily attendance was not maintained on November 1, 2023, November 2, 2023, November 3, 2023, November 6, 2023, or November 7, 2023, for the thirteen children enrolled. GS 110-91(9) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. K. Walker had a reported hire date of July 28, 2023. The Shaken Baby Head Trauma Policy was signed on September 27, 2023. K. Cobb had a hire date of July 31, 2023, the Shaken Baby Policy was signed but not dated. .0608(d)(1-4) Technical assistance was provided on the following: Item #871: Per the facility’s safe sleep policy, the room will be maintained with a temperature between 68 degrees F and 75 degrees F. Space #5b did not have a thermometer to ensure the temperature of the room was maintained between 68 degrees and 75 degrees F. I suggested that you add a thermometer to the space where infants sleep to ensure the room temperature is maintained. Item #541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two Infants enrolled in space #5b, did not have a written feeding plan that was signed by their parent. We discussed having staff review forms with parents to ensure all documents are signed. Item #428 In space #9, the activity plan posted was dated July 3, 3023, to August 4, 2023. You stated that space is used for children that are school age and employee’s children. I reminded you that all childcare requirements must be met for children enrolled whether they are an employee’s child or not. The children must have a group leader in the space providing care to them and they may not be left unattended. This is a repeated violation. Item #1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. N. Transeau employed on October 23, 2023, did not have any orientation recorded within the first two weeks of employment. As discussed, several employees have not received the orientation or the documentation of orientation has not been accurately maintained. I discussed how to complete the form and how to document the orientation you provide to new employees. This is a repeated violation. Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. K. Walker had a reported hire date of July 28, 2023. The Shaken Baby Head Trauma Policy was signed on September 27, 2023. K. Cobb had a hire date of July 31, 2023, but the Shaken Baby Policy was signed but not dated. This is a repeated violation. Item #1041 Kelly Walker had a hire date of July 28, 2023, and a valid qualifying letter on file dated August 1, 2023. Kellie Cobb had a hire date of July 31, 2023, and a valid qualifying letter on file dated August 3, 2023. Neither employee had previously worked in childcare. Jaylin Smith had a hire date of August 8, 2023, but a qualifying letter on file dated August 10, 2023. Staff must have a valid qualifying letter on file prior to employment. This is a repeat violation. This is a repeated violation. Item #812: The electrical outlets in space # 8 are not closing when the outlet is not in use. We discussed an alternate method to ensure electrical outlets are covered when not in use. This is a repeated violation. Item #125: The arrival and departure times for children enrolled must be maintained at all times. I suggested that staff record the time the child arrives or have the parent sign the child in and out daily. Item #1033: On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. The hire date for K. Walker was reported as July 28, 2023, but the TB test on file was dated August 9, 2023. I suggested that you use the Staff File Checklist and fill it out to ensure that hire dates are captured on the checklist and staff do not begin employment until requirements are met. Item #1032: Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The hire date for K. Walker was reported as July 28, 2023, but the medical report on file was dated August 7, 2023. I suggested that you use the Staff File Checklist and fill it out to ensure that hire dates are captured on the checklist and staff do not begin employment until requirements are met. This is a repeated violation. Item #1301: Center did not maintain a record of daily attendance. In space #3, daily attendance was not recorded for the six toddlers present on November 7, 2023. In space #7, daily attendance was not recorded for November 1, 2023, November 2, 2023, November 3, 2023, November 6, 2023, or November 7, 2023, for the thirteen children enrolled in space #7. Item #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. K. Cobb’s Emergency Information form on file was not dated. Consultation was provided on the following. • We discussed that you will be in cohort 2, which means that your preparation year will begin July 1, 2024, and will end June 30, 2025. You have opted to assume the star rating of the previous owner; therefore, you will need a rated license reassessment no later than June 30, 2026. • Review children’s applications to ensure all items are answered or “n/a” is listed. Children’s applications must be updated annually. • I suggested that you review DCDEE’s website to ensure that you are using the most current forms. • We discussed the importance of keeping accurate records for staff. I provided you with guidance on how to complete the Orientation for newly hired staff. • Per Sanitation requirement .2806, (h) Raw meats, poultry, fish, shellfish and eggs shall be stored in a refrigerator or freezer on shelving beneath and separate from other foods. Food was stored properly, but we discussed this rule and further guidance was provided. • You requested information about religious exemptions for immunizations, I provided you with the following website for more information. https://immunization.dph.ncdhhs.gov/schools/ncexemptions.htm Reminders: You have completed the EPR training and EPR plan. A lockdown drill was completed on October 20, 2023. Emergency drills must be completed at least every three months. Your facility will need to conduct the next emergency drill no later than January 2024. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after February 1, 2024. Stay updated with changes and new rule updates by visiting the DCDEE website at. COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by November 21, 2023. Please include in that letter each violation number and 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 send the letter to my email address Jennifer.roberts@dhhs.nc.gov or mail to: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 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. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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 .2201 · Violation

Name of Operation: Foundation of Life Childcare Center Facility ID: 36000632 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 11/7/2023 Number Present: 58 Completed Date: 11/7/2023 Age: From 0 To 5 Total Minutes: 354 Time In: 10:06 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the second temporary time period visit. You, Melissa Long, administrator, assisted me with the visit. Currently this center operates with a temporary license issued on August 1, 2023, with the following restrictions: First and second shift, children under 2 ½ years old in rooms with direct exits only. You currently do not have any children enrolled on second shift. The Secretary of State website was checked on September 19, 2023, and the business, Foundation of Life Childcare Center LLC, is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, 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. The last monthly fire drill completed was on October 17, 2023, at 9:52 am. The last monthly playground inspection was completed on October 30, 2023. A sample of three children’s files were reviewed. Five staff files were reviewed. The menu for the week of November 6, 2023, through November 10, 2023, was posted and listed a variety of foods, and followed the Meal Patterns for Children in Child Care Programs. You said that you plan to apply for the rated license and request to use the points from the previous owner’s license at the conclusion of this six-month temporary time period. I reminded you that programs with less than a three-star license will not be able to receive subsidy funding. All staff must establish a DCDEE WORKS account and have their education evaluations completed by Workforce. Documentation from Workforce on the results of the education evaluation must be on file for review for each staff member. The following violations were observed today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In space #8, the arrival time for nine children was maintained on November 7, 2023, but twelve children were present. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #9, was dated July 3, 2023, to August 4, 2023. GS 110-91(12); .0508(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 #5b, the written feeding plan for two infants, four months of age were not signed by the child's parent/guardian. .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #5a, two electrical outlets were not covered with a safety plug to the right of the stacked-up cots and were accessible to children. 10A NCAC 09 .0604(c) 871 Center staff did not comply with the safe sleep policy. In space #5b, there was not a thermometer in the room with sleeping infants to ensure the temperature of the room was maintained between 68 degrees and 75 degrees F. 10A NCAC 09 .0606(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. K. Walker had a hire date of July 28, 2023, and a medical report on file dated August 7, 2023. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The hire date for K. Walker was reported as July 28, 2023, but the TB test on file was dated August 9, 2023. .0701(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. K. Walker had a hire date of July 28, 2023, and an Emergency Information Form on file dated August 9, 2023. K. Cobb had a hire date of July 31, 2023, and the Emergency Information Form on file was not dated. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Kelly Walker had a hire date of July 28, 2023, and a valid qualifying letter on file dated August 1, 2023. Kellie Cobb had a hire date of July 31, 2023, and a valid qualifying letter on file dated August 3, 2023. Neither employee had previously worked in childcare. Jaylin Smith had a hire date of August 8, 2023, but a qualifying letter on file dated August 10, 2023. G.S. 110-90.2(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. N. Transeau was hired on October 23, 2023, but no orientation was documented within the first two weeks. .1101(a)(b) 1301 Center did not maintain a record of daily attendance. In space #3, the daily attendance was not maintained on November 7, 2023, for six children in attendance. In space #7, the daily attendance was not maintained on November 1, 2023, November 2, 2023, November 3, 2023, November 6, 2023, or November 7, 2023, for the thirteen children enrolled. GS 110-91(9) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. K. Walker had a reported hire date of July 28, 2023. The Shaken Baby Head Trauma Policy was signed on September 27, 2023. K. Cobb had a hire date of July 31, 2023, the Shaken Baby Policy was signed but not dated. .0608(d)(1-4) Technical assistance was provided on the following: Item #871: Per the facility’s safe sleep policy, the room will be maintained with a temperature between 68 degrees F and 75 degrees F. Space #5b did not have a thermometer to ensure the temperature of the room was maintained between 68 degrees and 75 degrees F. I suggested that you add a thermometer to the space where infants sleep to ensure the room temperature is maintained. Item #541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two Infants enrolled in space #5b, did not have a written feeding plan that was signed by their parent. We discussed having staff review forms with parents to ensure all documents are signed. Item #428 In space #9, the activity plan posted was dated July 3, 3023, to August 4, 2023. You stated that space is used for children that are school age and employee’s children. I reminded you that all childcare requirements must be met for children enrolled whether they are an employee’s child or not. The children must have a group leader in the space providing care to them and they may not be left unattended. This is a repeated violation. Item #1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. N. Transeau employed on October 23, 2023, did not have any orientation recorded within the first two weeks of employment. As discussed, several employees have not received the orientation or the documentation of orientation has not been accurately maintained. I discussed how to complete the form and how to document the orientation you provide to new employees. This is a repeated violation. Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. K. Walker had a reported hire date of July 28, 2023. The Shaken Baby Head Trauma Policy was signed on September 27, 2023. K. Cobb had a hire date of July 31, 2023, but the Shaken Baby Policy was signed but not dated. This is a repeated violation. Item #1041 Kelly Walker had a hire date of July 28, 2023, and a valid qualifying letter on file dated August 1, 2023. Kellie Cobb had a hire date of July 31, 2023, and a valid qualifying letter on file dated August 3, 2023. Neither employee had previously worked in childcare. Jaylin Smith had a hire date of August 8, 2023, but a qualifying letter on file dated August 10, 2023. Staff must have a valid qualifying letter on file prior to employment. This is a repeat violation. This is a repeated violation. Item #812: The electrical outlets in space # 8 are not closing when the outlet is not in use. We discussed an alternate method to ensure electrical outlets are covered when not in use. This is a repeated violation. Item #125: The arrival and departure times for children enrolled must be maintained at all times. I suggested that staff record the time the child arrives or have the parent sign the child in and out daily. Item #1033: On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. The hire date for K. Walker was reported as July 28, 2023, but the TB test on file was dated August 9, 2023. I suggested that you use the Staff File Checklist and fill it out to ensure that hire dates are captured on the checklist and staff do not begin employment until requirements are met. Item #1032: Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The hire date for K. Walker was reported as July 28, 2023, but the medical report on file was dated August 7, 2023. I suggested that you use the Staff File Checklist and fill it out to ensure that hire dates are captured on the checklist and staff do not begin employment until requirements are met. This is a repeated violation. Item #1301: Center did not maintain a record of daily attendance. In space #3, daily attendance was not recorded for the six toddlers present on November 7, 2023. In space #7, daily attendance was not recorded for November 1, 2023, November 2, 2023, November 3, 2023, November 6, 2023, or November 7, 2023, for the thirteen children enrolled in space #7. Item #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. K. Cobb’s Emergency Information form on file was not dated. Consultation was provided on the following. • We discussed that you will be in cohort 2, which means that your preparation year will begin July 1, 2024, and will end June 30, 2025. You have opted to assume the star rating of the previous owner; therefore, you will need a rated license reassessment no later than June 30, 2026. • Review children’s applications to ensure all items are answered or “n/a” is listed. Children’s applications must be updated annually. • I suggested that you review DCDEE’s website to ensure that you are using the most current forms. • We discussed the importance of keeping accurate records for staff. I provided you with guidance on how to complete the Orientation for newly hired staff. • Per Sanitation requirement .2806, (h) Raw meats, poultry, fish, shellfish and eggs shall be stored in a refrigerator or freezer on shelving beneath and separate from other foods. Food was stored properly, but we discussed this rule and further guidance was provided. • You requested information about religious exemptions for immunizations, I provided you with the following website for more information. https://immunization.dph.ncdhhs.gov/schools/ncexemptions.htm Reminders: You have completed the EPR training and EPR plan. A lockdown drill was completed on October 20, 2023. Emergency drills must be completed at least every three months. Your facility will need to conduct the next emergency drill no later than January 2024. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after February 1, 2024. Stay updated with changes and new rule updates by visiting the DCDEE website at. COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by November 21, 2023. Please include in that letter each violation number and 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 send the letter to my email address Jennifer.roberts@dhhs.nc.gov or mail to: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 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. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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: Foundation of Life Childcare Center Facility ID: 36000632 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 11/7/2023 Number Present: 58 Completed Date: 11/7/2023 Age: From 0 To 5 Total Minutes: 354 Time In: 10:06 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the second temporary time period visit. You, Melissa Long, administrator, assisted me with the visit. Currently this center operates with a temporary license issued on August 1, 2023, with the following restrictions: First and second shift, children under 2 ½ years old in rooms with direct exits only. You currently do not have any children enrolled on second shift. The Secretary of State website was checked on September 19, 2023, and the business, Foundation of Life Childcare Center LLC, is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, 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. The last monthly fire drill completed was on October 17, 2023, at 9:52 am. The last monthly playground inspection was completed on October 30, 2023. A sample of three children’s files were reviewed. Five staff files were reviewed. The menu for the week of November 6, 2023, through November 10, 2023, was posted and listed a variety of foods, and followed the Meal Patterns for Children in Child Care Programs. You said that you plan to apply for the rated license and request to use the points from the previous owner’s license at the conclusion of this six-month temporary time period. I reminded you that programs with less than a three-star license will not be able to receive subsidy funding. All staff must establish a DCDEE WORKS account and have their education evaluations completed by Workforce. Documentation from Workforce on the results of the education evaluation must be on file for review for each staff member. The following violations were observed today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In space #8, the arrival time for nine children was maintained on November 7, 2023, but twelve children were present. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #9, was dated July 3, 2023, to August 4, 2023. GS 110-91(12); .0508(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 #5b, the written feeding plan for two infants, four months of age were not signed by the child's parent/guardian. .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #5a, two electrical outlets were not covered with a safety plug to the right of the stacked-up cots and were accessible to children. 10A NCAC 09 .0604(c) 871 Center staff did not comply with the safe sleep policy. In space #5b, there was not a thermometer in the room with sleeping infants to ensure the temperature of the room was maintained between 68 degrees and 75 degrees F. 10A NCAC 09 .0606(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. K. Walker had a hire date of July 28, 2023, and a medical report on file dated August 7, 2023. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The hire date for K. Walker was reported as July 28, 2023, but the TB test on file was dated August 9, 2023. .0701(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. K. Walker had a hire date of July 28, 2023, and an Emergency Information Form on file dated August 9, 2023. K. Cobb had a hire date of July 31, 2023, and the Emergency Information Form on file was not dated. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Kelly Walker had a hire date of July 28, 2023, and a valid qualifying letter on file dated August 1, 2023. Kellie Cobb had a hire date of July 31, 2023, and a valid qualifying letter on file dated August 3, 2023. Neither employee had previously worked in childcare. Jaylin Smith had a hire date of August 8, 2023, but a qualifying letter on file dated August 10, 2023. G.S. 110-90.2(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. N. Transeau was hired on October 23, 2023, but no orientation was documented within the first two weeks. .1101(a)(b) 1301 Center did not maintain a record of daily attendance. In space #3, the daily attendance was not maintained on November 7, 2023, for six children in attendance. In space #7, the daily attendance was not maintained on November 1, 2023, November 2, 2023, November 3, 2023, November 6, 2023, or November 7, 2023, for the thirteen children enrolled. GS 110-91(9) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. K. Walker had a reported hire date of July 28, 2023. The Shaken Baby Head Trauma Policy was signed on September 27, 2023. K. Cobb had a hire date of July 31, 2023, the Shaken Baby Policy was signed but not dated. .0608(d)(1-4) Technical assistance was provided on the following: Item #871: Per the facility’s safe sleep policy, the room will be maintained with a temperature between 68 degrees F and 75 degrees F. Space #5b did not have a thermometer to ensure the temperature of the room was maintained between 68 degrees and 75 degrees F. I suggested that you add a thermometer to the space where infants sleep to ensure the room temperature is maintained. Item #541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two Infants enrolled in space #5b, did not have a written feeding plan that was signed by their parent. We discussed having staff review forms with parents to ensure all documents are signed. Item #428 In space #9, the activity plan posted was dated July 3, 3023, to August 4, 2023. You stated that space is used for children that are school age and employee’s children. I reminded you that all childcare requirements must be met for children enrolled whether they are an employee’s child or not. The children must have a group leader in the space providing care to them and they may not be left unattended. This is a repeated violation. Item #1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. N. Transeau employed on October 23, 2023, did not have any orientation recorded within the first two weeks of employment. As discussed, several employees have not received the orientation or the documentation of orientation has not been accurately maintained. I discussed how to complete the form and how to document the orientation you provide to new employees. This is a repeated violation. Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. K. Walker had a reported hire date of July 28, 2023. The Shaken Baby Head Trauma Policy was signed on September 27, 2023. K. Cobb had a hire date of July 31, 2023, but the Shaken Baby Policy was signed but not dated. This is a repeated violation. Item #1041 Kelly Walker had a hire date of July 28, 2023, and a valid qualifying letter on file dated August 1, 2023. Kellie Cobb had a hire date of July 31, 2023, and a valid qualifying letter on file dated August 3, 2023. Neither employee had previously worked in childcare. Jaylin Smith had a hire date of August 8, 2023, but a qualifying letter on file dated August 10, 2023. Staff must have a valid qualifying letter on file prior to employment. This is a repeat violation. This is a repeated violation. Item #812: The electrical outlets in space # 8 are not closing when the outlet is not in use. We discussed an alternate method to ensure electrical outlets are covered when not in use. This is a repeated violation. Item #125: The arrival and departure times for children enrolled must be maintained at all times. I suggested that staff record the time the child arrives or have the parent sign the child in and out daily. Item #1033: On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. The hire date for K. Walker was reported as July 28, 2023, but the TB test on file was dated August 9, 2023. I suggested that you use the Staff File Checklist and fill it out to ensure that hire dates are captured on the checklist and staff do not begin employment until requirements are met. Item #1032: Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The hire date for K. Walker was reported as July 28, 2023, but the medical report on file was dated August 7, 2023. I suggested that you use the Staff File Checklist and fill it out to ensure that hire dates are captured on the checklist and staff do not begin employment until requirements are met. This is a repeated violation. Item #1301: Center did not maintain a record of daily attendance. In space #3, daily attendance was not recorded for the six toddlers present on November 7, 2023. In space #7, daily attendance was not recorded for November 1, 2023, November 2, 2023, November 3, 2023, November 6, 2023, or November 7, 2023, for the thirteen children enrolled in space #7. Item #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. K. Cobb’s Emergency Information form on file was not dated. Consultation was provided on the following. • We discussed that you will be in cohort 2, which means that your preparation year will begin July 1, 2024, and will end June 30, 2025. You have opted to assume the star rating of the previous owner; therefore, you will need a rated license reassessment no later than June 30, 2026. • Review children’s applications to ensure all items are answered or “n/a” is listed. Children’s applications must be updated annually. • I suggested that you review DCDEE’s website to ensure that you are using the most current forms. • We discussed the importance of keeping accurate records for staff. I provided you with guidance on how to complete the Orientation for newly hired staff. • Per Sanitation requirement .2806, (h) Raw meats, poultry, fish, shellfish and eggs shall be stored in a refrigerator or freezer on shelving beneath and separate from other foods. Food was stored properly, but we discussed this rule and further guidance was provided. • You requested information about religious exemptions for immunizations, I provided you with the following website for more information. https://immunization.dph.ncdhhs.gov/schools/ncexemptions.htm Reminders: You have completed the EPR training and EPR plan. A lockdown drill was completed on October 20, 2023. Emergency drills must be completed at least every three months. Your facility will need to conduct the next emergency drill no later than January 2024. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after February 1, 2024. Stay updated with changes and new rule updates by visiting the DCDEE website at. COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by November 21, 2023. Please include in that letter each violation number and 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 send the letter to my email address Jennifer.roberts@dhhs.nc.gov or mail to: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 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. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: Foundation of Life Childcare Center Facility ID: 36000632 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 11/7/2023 Number Present: 58 Completed Date: 11/7/2023 Age: From 0 To 5 Total Minutes: 354 Time In: 10:06 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the second temporary time period visit. You, Melissa Long, administrator, assisted me with the visit. Currently this center operates with a temporary license issued on August 1, 2023, with the following restrictions: First and second shift, children under 2 ½ years old in rooms with direct exits only. You currently do not have any children enrolled on second shift. The Secretary of State website was checked on September 19, 2023, and the business, Foundation of Life Childcare Center LLC, is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, 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. The last monthly fire drill completed was on October 17, 2023, at 9:52 am. The last monthly playground inspection was completed on October 30, 2023. A sample of three children’s files were reviewed. Five staff files were reviewed. The menu for the week of November 6, 2023, through November 10, 2023, was posted and listed a variety of foods, and followed the Meal Patterns for Children in Child Care Programs. You said that you plan to apply for the rated license and request to use the points from the previous owner’s license at the conclusion of this six-month temporary time period. I reminded you that programs with less than a three-star license will not be able to receive subsidy funding. All staff must establish a DCDEE WORKS account and have their education evaluations completed by Workforce. Documentation from Workforce on the results of the education evaluation must be on file for review for each staff member. The following violations were observed today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In space #8, the arrival time for nine children was maintained on November 7, 2023, but twelve children were present. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #9, was dated July 3, 2023, to August 4, 2023. GS 110-91(12); .0508(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 #5b, the written feeding plan for two infants, four months of age were not signed by the child's parent/guardian. .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #5a, two electrical outlets were not covered with a safety plug to the right of the stacked-up cots and were accessible to children. 10A NCAC 09 .0604(c) 871 Center staff did not comply with the safe sleep policy. In space #5b, there was not a thermometer in the room with sleeping infants to ensure the temperature of the room was maintained between 68 degrees and 75 degrees F. 10A NCAC 09 .0606(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. K. Walker had a hire date of July 28, 2023, and a medical report on file dated August 7, 2023. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The hire date for K. Walker was reported as July 28, 2023, but the TB test on file was dated August 9, 2023. .0701(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. K. Walker had a hire date of July 28, 2023, and an Emergency Information Form on file dated August 9, 2023. K. Cobb had a hire date of July 31, 2023, and the Emergency Information Form on file was not dated. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Kelly Walker had a hire date of July 28, 2023, and a valid qualifying letter on file dated August 1, 2023. Kellie Cobb had a hire date of July 31, 2023, and a valid qualifying letter on file dated August 3, 2023. Neither employee had previously worked in childcare. Jaylin Smith had a hire date of August 8, 2023, but a qualifying letter on file dated August 10, 2023. G.S. 110-90.2(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. N. Transeau was hired on October 23, 2023, but no orientation was documented within the first two weeks. .1101(a)(b) 1301 Center did not maintain a record of daily attendance. In space #3, the daily attendance was not maintained on November 7, 2023, for six children in attendance. In space #7, the daily attendance was not maintained on November 1, 2023, November 2, 2023, November 3, 2023, November 6, 2023, or November 7, 2023, for the thirteen children enrolled. GS 110-91(9) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. K. Walker had a reported hire date of July 28, 2023. The Shaken Baby Head Trauma Policy was signed on September 27, 2023. K. Cobb had a hire date of July 31, 2023, the Shaken Baby Policy was signed but not dated. .0608(d)(1-4) Technical assistance was provided on the following: Item #871: Per the facility’s safe sleep policy, the room will be maintained with a temperature between 68 degrees F and 75 degrees F. Space #5b did not have a thermometer to ensure the temperature of the room was maintained between 68 degrees and 75 degrees F. I suggested that you add a thermometer to the space where infants sleep to ensure the room temperature is maintained. Item #541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two Infants enrolled in space #5b, did not have a written feeding plan that was signed by their parent. We discussed having staff review forms with parents to ensure all documents are signed. Item #428 In space #9, the activity plan posted was dated July 3, 3023, to August 4, 2023. You stated that space is used for children that are school age and employee’s children. I reminded you that all childcare requirements must be met for children enrolled whether they are an employee’s child or not. The children must have a group leader in the space providing care to them and they may not be left unattended. This is a repeated violation. Item #1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. N. Transeau employed on October 23, 2023, did not have any orientation recorded within the first two weeks of employment. As discussed, several employees have not received the orientation or the documentation of orientation has not been accurately maintained. I discussed how to complete the form and how to document the orientation you provide to new employees. This is a repeated violation. Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. K. Walker had a reported hire date of July 28, 2023. The Shaken Baby Head Trauma Policy was signed on September 27, 2023. K. Cobb had a hire date of July 31, 2023, but the Shaken Baby Policy was signed but not dated. This is a repeated violation. Item #1041 Kelly Walker had a hire date of July 28, 2023, and a valid qualifying letter on file dated August 1, 2023. Kellie Cobb had a hire date of July 31, 2023, and a valid qualifying letter on file dated August 3, 2023. Neither employee had previously worked in childcare. Jaylin Smith had a hire date of August 8, 2023, but a qualifying letter on file dated August 10, 2023. Staff must have a valid qualifying letter on file prior to employment. This is a repeat violation. This is a repeated violation. Item #812: The electrical outlets in space # 8 are not closing when the outlet is not in use. We discussed an alternate method to ensure electrical outlets are covered when not in use. This is a repeated violation. Item #125: The arrival and departure times for children enrolled must be maintained at all times. I suggested that staff record the time the child arrives or have the parent sign the child in and out daily. Item #1033: On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. The hire date for K. Walker was reported as July 28, 2023, but the TB test on file was dated August 9, 2023. I suggested that you use the Staff File Checklist and fill it out to ensure that hire dates are captured on the checklist and staff do not begin employment until requirements are met. Item #1032: Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The hire date for K. Walker was reported as July 28, 2023, but the medical report on file was dated August 7, 2023. I suggested that you use the Staff File Checklist and fill it out to ensure that hire dates are captured on the checklist and staff do not begin employment until requirements are met. This is a repeated violation. Item #1301: Center did not maintain a record of daily attendance. In space #3, daily attendance was not recorded for the six toddlers present on November 7, 2023. In space #7, daily attendance was not recorded for November 1, 2023, November 2, 2023, November 3, 2023, November 6, 2023, or November 7, 2023, for the thirteen children enrolled in space #7. Item #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. K. Cobb’s Emergency Information form on file was not dated. Consultation was provided on the following. • We discussed that you will be in cohort 2, which means that your preparation year will begin July 1, 2024, and will end June 30, 2025. You have opted to assume the star rating of the previous owner; therefore, you will need a rated license reassessment no later than June 30, 2026. • Review children’s applications to ensure all items are answered or “n/a” is listed. Children’s applications must be updated annually. • I suggested that you review DCDEE’s website to ensure that you are using the most current forms. • We discussed the importance of keeping accurate records for staff. I provided you with guidance on how to complete the Orientation for newly hired staff. • Per Sanitation requirement .2806, (h) Raw meats, poultry, fish, shellfish and eggs shall be stored in a refrigerator or freezer on shelving beneath and separate from other foods. Food was stored properly, but we discussed this rule and further guidance was provided. • You requested information about religious exemptions for immunizations, I provided you with the following website for more information. https://immunization.dph.ncdhhs.gov/schools/ncexemptions.htm Reminders: You have completed the EPR training and EPR plan. A lockdown drill was completed on October 20, 2023. Emergency drills must be completed at least every three months. Your facility will need to conduct the next emergency drill no later than January 2024. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after February 1, 2024. Stay updated with changes and new rule updates by visiting the DCDEE website at. COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by November 21, 2023. Please include in that letter each violation number and 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 send the letter to my email address Jennifer.roberts@dhhs.nc.gov or mail to: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 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. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: Foundation of Life Childcare Center Facility ID: 36000632 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 46 Completed Date: 9/13/2023 Age: From 0 To 5 Total Minutes: 450 Time In: 11:05 AM Time Out: 06:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Melissa Long, Administrator assisted me with the visit. The Secretary of State website was checked today, and your business Foundation of Life Childcare Center LLC., is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Currently this center operates with a temporary license issued on August 1, 2023, with the following restrictions: First and Second Shift; children under 2 ½ years old in rooms with direct exits only. During this first Temporary Time Period visit, the classrooms were monitored as well as the playgrounds, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was completed on September 7, 2023, at 10:05 am. The last monthly playground inspection was completed on August 15, 2023. A sample of three children’s files were reviewed. Seven staff files were reviewed. A current menu was posted for breakfast, lunch and snack and all food listed met the nutrition requirements. The daily schedule was posted. You said that you are going to apply for the rated license and assume the previous owner’s star rating. We discussed the cohort process. We discussed and I gave you a copy of the Initial Application for Assessment for a Two Component Star Rated License form today to complete and return to me. We reviewed and discussed Program Standard points, Staff Education points and Quality point options. I discussed with you that programs with less than a three-star license will not be eligible to receive subsidy funding. All staff must establish a DCDEE WORKS account and have their education evaluations completed by Workforce by February 15, 2023. Documentation from Workforce on the results of the education evaluation must be on file for review for each staff member. The following violations were observed today. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #5a, a current activity plan was not posted. The activity plan was dated September 5, 2023, through September 8, 2023. In space #7, there was not an activity plan posted. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In space #6c, sections of the wall in the dramatic play area and near the cot storage had peeling paint. In space #10, paint was peeling from the ceiling and wall. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #3, two electrical outlets on the surge protector on top of the cubbies to the right as you enter the space, were not covered with a safety plug. In space #6a, two electrical outlets were not covered in the block area. In space #6c, one electrical outlet on the left was not covered as you enter the space. In space #8, three electrical outlets on the surge protector on the floor were not covered with a safety plug to the right of the desk used by the lead teacher. All electrical outlets that were not covered were accessible to children. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, that you are currently using as a resource room for staff, one gallon size can of Valspar Signature Ultra White Interior Paint and Primer was stored on the third shelf of the metal shelving unit to the left as you enter the unlocked space. In space #5a, the metal cabinet was unlocked and contained one gallon size jug of Heavy-Duty Degreaser on the second shelf, one container of Mr. Clean Disinfecting Wipes, one container of Dawn Disinfecting Wipes, M Skin Gel Hand Sanitizer (11.8 oz.), and Germless Hand Sanitizer (8oz) on the fourth shelf and accessible to children. The fourth shelf was less than five feet from the floor surface. In space #8, one .12 oz. tube of Super Glue Gel (with multiple warnings in addition to keep out of reach of children) was stored in the top left unlocked desk drawer used by the lead teacher and accessible to children three, four and five years of age. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #3, one tube of Nystatin diaper cream was stored in a locked container but the original pharmacy label was not accompanied with the tube of prescription diaper cream. .0803(2)(a) 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 #2, one white plastic trash bag was stored in an open red container on the lower cubby shelf 56 inches from ground level. One (1) package of small pom-poms were in the plastic wrapper in an open container on the lower cubby shelf, 56 inches from the floor surface. In space #3, clothes were stored in a yellow Dollar General plastic bag and one pack of Pampers in the plastic wrapper were stored in a child’s cubby less than five feet from the floor surface. .0604(q) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. On playground #1, a large storage container with an attached lid was blocking the end of the exit on the handicap accessible ramp leading out of space #1 and into playground #1. GS 110-91 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff with hire dates of August 22, 2023, and August 23, 2023, did not have a medical statement on file for review. 10A NCAC 09 .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Sobrina Driver began employment on August 23, 2023, but did not have a Criminal Background Check completed. G.S. 110-90.2(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two staff with hire dates of August 22, 2023, and August 23, 2023, did not receive the required six hours of orientation within the first two weeks of employment. .1101(a)(b) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration for the red van used to transport children from school expired August 31, 2023. .1002(b) 1757 A valid qualification letter was not on file and available to review at the facility. Sobrina Driver did not have a valid qualifying letter on file for review. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On playground #4, the red dome climber with a critical height of 4 feet and the red train with a critical height of 3 feet was placed on the ground with less than 1/4 inch of wood mulch as the loose surfacing. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff with a hire date of August 23, 2023, was caring for seven children, three years of age in space #5a, did not have a signed acknowledgement on file that the Shaken Baby Head Trauma Policy had been reviewed. .0608(d)(1-4) 9995 A violation was found for which there is no item number. Per sanitation requirement .2832, Outdoor Learning Environment and Premises, (a) Child care center premises, including the outdoor learning environment, shall be kept clean, drained to minimize standing water, free of litter and hazards, and maintained in a manner which does not create conditions that attract or harbor pests. Debris, glass, dilapidated structures, and broken play equipment shall be removed from areas accessible to children. Wells, grease traps, cisterns, and utility equipment shall be made inaccessible to children. On playground #2, two active fire ant mounds were observed. Technical assistance was provided on the following: Item #1041 Prior to employment a Criminal Background Check was not completed. S. Driver did not complete a Criminal Background Check prior to employment beginning on August 23, 2023. I reminded you that employees may not begin working until a valid CBC is on file at the facility. I reviewed the "ncabcsm" system during the visit, and the status for S. Driver was "Ready for Determination." Having a copy of the fingerprints and receipt that the background check was submitted does not replace the valid qualifying letter. I suggested that you use the Staff File Checklist on DCDEE’s website under provider documents as a guideline for staff requirements and when documents are due. Item #1757 A valid qualification letter was not on file and available for review at the facility. A valid qualification letter was not on file for S. Driver. Again, an employee may not begin employment until a valid qualification letter is received and on file. The Staff File Checklist can be used as a guide for when documents are due. Item # 858 (CDV) In space #2, one white plastic trash bag was stored in an open red container on the lower cubby shelf 56 inches from ground level. One (1) package of small pom-poms were in the plastic wrapper in an open container on the lower cubby shelf, 56 inches from ground level. In space #3, clothes were stored in a yellow Dollar General plastic bag and one pack of Pampers in the plastic wrapper were stored in a child’s cubby less than five feet from ground level. This was corrected in space #2, by removing the items in space #2 from the lower shelf and placing them on the shelf above. This was corrected in space #3, by removing the plastic bag and package of diapers and placing them on a shelf greater than five feet from ground level. Have staff complete daily safety checks before children arrive and remove any safety hazards such as plastic bags, plastic packaging, sponges, foam rubber and small toy parts. Item #428 In space #5a, a current activity plan was not posted. The activity plan was dated September 5, 2023, through September 8, 2023. In space #7, there was not an activity plan posted. I discussed with you that a current activity plan must be completed, dated, and posted and must include age-appropriate activities for the children. Establish a method for reviewing and ensuring that activity plans are completed, dated, and posted as required. As a reminder free choice is not a planned activity and should not be on activity plans. Item #1867 (CDV) The depth of the loose surfacing was not based on the critical height of the equipment. On playground #4, used by school age children, a red dome climber with a critical height of 4 feet from the ground was not anchored in the ground and it was placed over dirt and loose wood mulch ¼ inch deep. The red train with a critical height of 3 feet from the ground was not anchored in the ground and it was placed over dirt and loose wood mulch ¼ inch deep. You removed these items from playground #4 and placed them outside the fenced area to correct this violation. I reminded you that equipment must be installed over the required depth of surfacing for the critical height. Please refer to child care rule .0605(k)(1-4). Item #840 (CDV) In space #4, that you are currently using as a resource room for staff, one gallon size can of Valspar Signature Ultra White Interior Paint and Primer was stored on the third shelf of the metal shelving unit to the left as you enter the unlocked space. You corrected this by locking the door to space #4. In space #5a, the metal cabinet was unlocked and contained one gallon size jug of Heavy-Duty Degreaser on the second shelf, one container of Mr. Clean Disinfecting Wipes, one container of Dawn Disinfecting Wipes, M Skin Gel Hand Sanitizer (11.8 oz), and Germless Hand Sanitizer (8oz) on the fourth shelf. The fourth shelf was less than five feet from ground level. This was corrected when you locked the metal cabinet. In space #8, one .12 oz tube of Super Glue Gel (with multiple warnings in addition to keep out of reach of children) was stored in the top left unlocked desk drawer used by the lead teacher and accessible to children three, four and five years of age. You corrected this by throwing the tube of super glue in the trash. I encourage staff to conduct safety checks throughout the day and immediately lock a cabinet or room when not in use. Item #812 In space #3, two electrical outlets on the surge protector on top of the cubbies to the right as you enter the space, were not covered with a safety plug. In space #6a, two electrical outlets were not covered in the block area. These outlets act as safety outlets and are supposed to close when an electrical plug is removed, but as we discussed, the electrical outlets were not functioning and were not closed. I suggested that you place safety covers in the outlets as a precaution and ensure the electrical outlets are not accessible to children using the space. In space #6c, one electrical outlet on the left was not covered as you enter the space. In space #8, three outlets in the surge protector were not covered with a safety plug to the right of the desk used by the lead teacher. I suggested that staff complete safety checks throughout the day to ensure outlets are covered when not in use. Item #899 On playground #1, a large storage container with attached lid was blocking the exit on the handicap accessible ramp leading out of space #1. The storage container extended the length of the bottom ramp and would have prohibited the evacuation cribs from safely exiting the building if an emergency had occurred. You corrected this by removing the storage container and placing it in a different location on playground #1. The container stored mats, umbrellas, and blankets. On playground #2, I observed two active fire ant mounds. Currently, this playground is under construction and not in use. We discussed that the fire ants must be treated and removed immediately, and safety maintained on the playground. Do not let children play on the playground until the fire ants are gone. Complete daily safety checks on the playground before children go outside daily. 15A NCAC 18A 2831(b) Effective measures shall be taken to keep uncontained insects, rodents, and other vermin out of the child care centers and to prevent their breeding or presence on the premises. Traps shall only be placed in areas inaccessible to children. Item #1110 The registration for the red van used to transport children from school expired August 31, 2023. Vans used to transport children to and from school must be maintained as required by law. Inspections and registration must be current. I suggested that you plan so that the vehicles used to transport children are maintained adequately. Item #620 In space #6c, sections of the wall in the dramatic play area and near the cot storage had peeling paint. In space #10, paint was peeling from the ceiling and wall. As a reminder, walls and ceilings must be in good repair. I suggested that you repair and repaint the ceilings and walls as they become damaged. Item #1067 Two staff with hire dates of August 22, 2023, and August 23, 2023, did not receive the required six hours of orientation within the first two weeks of employment. They did not have documentation of orientation in their personnel file. I suggested that you create new hire packets with all the required documents and as you hire new staff, review the orientation checklist so that you review and discuss the required topics within the timeframes. Item #1032 Two staff with hire dates of August 22, 2023, and August 23, 2023, did not have a medical statement on file for review. The Staff File Checklist can be used as a guide and tool to ensure all documents are received within the required timeframes. I suggested that you review DCDEE’s website frequently to ensure that you have the most current forms and documents. Item #1874 One staff with a hire date of August 23, 2023, was caring for children three years of age in space #5a, did not have a signed acknowledgment on file that the Shaken Baby Head Trauma Policy had been reviewed. Prior to staff caring for children under five years of age, you must review the Shaken Baby Head Trauma Policy with them and they must sign that they acknowledge receipt of the policy. I suggested that you review all policies and procedures with staff during orientation. Item #844 In space #3, one tube of Nystatin diaper cream was stored in a locked container but the original pharmacy label was not accompanied with the tube of prescription diaper cream. I reminded you that any medication that is prescribed must be in the original container with the pharmacy label attached. We discussed the proper permission form to use with prescription strength diaper creams and logging when the prescription ointment is administered. Consultation was provided on the following. • We discussed activity plan forms and information required to be documented on the activity plans. I suggested that you update the schedule in the spaces used by school age children to reflect mornings only, afternoons only and full days. The current schedule posted did not offer times for outdoor play for school-age children. • The slats on the railing on the ramp around the upper building are not secure. We discussed that you have a maintenance crew coming to repair and secure the ramp. • The metal railing on the ramp on playground #1 does not have caps on either end. Please place caps on each end of the metal railing. • I encouraged you to add sand and water tables to the playgrounds. • During your daily playground checks before children go outside to play make sure to remove plastic popsicle wrappers and broken pieces of hard plastic. • You stated that all employees at the facility were completing CPR and First Aid on September 14, 2023. T. Petty’s CPR and First Aid verification was not on file-please send me her verification that she is current with CPR and First Aid. • You have 5 playgrounds. Playground #1 was the playground currently in use for infants/toddlers, and children two and three years of age. Playground #2 was not in use and under construction but had two active fire ant mounds. The fire ant mounds will need to be treated and removed prior to children using playground #2. Playground #3 was in the process of being renovated. We discussed natural playgrounds and I suggested that you research materials that will enhance your outdoor learning environments. As materials become worn out and serve no purpose (i.e., broken hula hoops, balls with holes, etc.) I reminded you to remove them from the outdoor learning environment. • To ensure that children are supervised at all times, staff must know the whereabouts of all children enrolled in the space and in attendance for the day. As children learn to potty-train independently, the caregiver must know they are in the bathroom and for preschool age children, staff should offer assistance as needed and bathroom doors should not be closed all the way so that a child may not be able to get out of the bathroom. • Monthly attendance needs to be maintained in each classroom not in the office. Lead Teachers and/or Teachers in each space must maintain their attendance. Please provide each classroom with a monthly attendance record. • As children are moved from one space to another to ensure that staff/child ratios are maintained, please adjust the arrival and departure records accordingly. If a child arrives in space #5a, but needs to be moved into space #6c, then the child would be signed out of space #5a and signed into space #6c. This could ensure accurate arrival and departure records are maintained. We discussed that staff must have a DCDEE WORKS account and their education must be evaluated. If you have any questions about establishing a WORKS account, submitting education, and requesting an education evaluation, please let me know. On the DCDEE website choose the Provider tab, DCDEE WORKS, and review the DCDEE WORKS Training Simulator Step-by-Step Instructions. Let me know if you have any questions or problems getting this task completed. You have completed the EPR Plan. I reminded you to complete the emergency drills (shelter-in-place, lockdown) every three months. The following is general information for you to review to prepare for the Environment Rating Scale Assessment if you choose to have the assessment conducted or as a guide to enhance materials in the classrooms. ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. I suggested that books that portray violence be removed. A variety of books that portray real animal pictures, families, disabilities, and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. I suggested that you have or purchase hats; boys dress shirts, ties, jerseys and dress coats from a consignment shop, yard sale or dollar store to enhance the dramatic play center. Other items that enhance dramatic play are telephone books, cooking aprons, restaurant menus, calculators, cash registers, cookbooks, and baby doll accessories. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Review your daily schedule and free play allotted times. Free play times need to be listed separate from all other activities such as hand washing, preparing to go home etc. All centers/materials should be accessible to children during free play. Water must be available to children throughout the day. Always have a pitcher of water and cups for children available. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan, and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. SACERS-U Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible, during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g., sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g., wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space, and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, write letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departing - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. Since you want to have the Environment Rating Scale completed in the near future, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Reminders: The approved building, fire and sanitation inspections must be completed and submitted to me no later than February 1, 2024. I suggested that you have these inspections completed soon. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after February 1, 2024. Stay updated with changes and new rule updates by visiting the DCDEE website at: https://ncchildcare.ncdhhs.gov COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by September 27, 2023. Please include in that letter each violation 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 jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 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. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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 .0701 · Violation

Name of Operation: Foundation of Life Childcare Center Facility ID: 36000632 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 46 Completed Date: 9/13/2023 Age: From 0 To 5 Total Minutes: 450 Time In: 11:05 AM Time Out: 06:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Melissa Long, Administrator assisted me with the visit. The Secretary of State website was checked today, and your business Foundation of Life Childcare Center LLC., is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Currently this center operates with a temporary license issued on August 1, 2023, with the following restrictions: First and Second Shift; children under 2 ½ years old in rooms with direct exits only. During this first Temporary Time Period visit, the classrooms were monitored as well as the playgrounds, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was completed on September 7, 2023, at 10:05 am. The last monthly playground inspection was completed on August 15, 2023. A sample of three children’s files were reviewed. Seven staff files were reviewed. A current menu was posted for breakfast, lunch and snack and all food listed met the nutrition requirements. The daily schedule was posted. You said that you are going to apply for the rated license and assume the previous owner’s star rating. We discussed the cohort process. We discussed and I gave you a copy of the Initial Application for Assessment for a Two Component Star Rated License form today to complete and return to me. We reviewed and discussed Program Standard points, Staff Education points and Quality point options. I discussed with you that programs with less than a three-star license will not be eligible to receive subsidy funding. All staff must establish a DCDEE WORKS account and have their education evaluations completed by Workforce by February 15, 2023. Documentation from Workforce on the results of the education evaluation must be on file for review for each staff member. The following violations were observed today. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #5a, a current activity plan was not posted. The activity plan was dated September 5, 2023, through September 8, 2023. In space #7, there was not an activity plan posted. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In space #6c, sections of the wall in the dramatic play area and near the cot storage had peeling paint. In space #10, paint was peeling from the ceiling and wall. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #3, two electrical outlets on the surge protector on top of the cubbies to the right as you enter the space, were not covered with a safety plug. In space #6a, two electrical outlets were not covered in the block area. In space #6c, one electrical outlet on the left was not covered as you enter the space. In space #8, three electrical outlets on the surge protector on the floor were not covered with a safety plug to the right of the desk used by the lead teacher. All electrical outlets that were not covered were accessible to children. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, that you are currently using as a resource room for staff, one gallon size can of Valspar Signature Ultra White Interior Paint and Primer was stored on the third shelf of the metal shelving unit to the left as you enter the unlocked space. In space #5a, the metal cabinet was unlocked and contained one gallon size jug of Heavy-Duty Degreaser on the second shelf, one container of Mr. Clean Disinfecting Wipes, one container of Dawn Disinfecting Wipes, M Skin Gel Hand Sanitizer (11.8 oz.), and Germless Hand Sanitizer (8oz) on the fourth shelf and accessible to children. The fourth shelf was less than five feet from the floor surface. In space #8, one .12 oz. tube of Super Glue Gel (with multiple warnings in addition to keep out of reach of children) was stored in the top left unlocked desk drawer used by the lead teacher and accessible to children three, four and five years of age. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #3, one tube of Nystatin diaper cream was stored in a locked container but the original pharmacy label was not accompanied with the tube of prescription diaper cream. .0803(2)(a) 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 #2, one white plastic trash bag was stored in an open red container on the lower cubby shelf 56 inches from ground level. One (1) package of small pom-poms were in the plastic wrapper in an open container on the lower cubby shelf, 56 inches from the floor surface. In space #3, clothes were stored in a yellow Dollar General plastic bag and one pack of Pampers in the plastic wrapper were stored in a child’s cubby less than five feet from the floor surface. .0604(q) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. On playground #1, a large storage container with an attached lid was blocking the end of the exit on the handicap accessible ramp leading out of space #1 and into playground #1. GS 110-91 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff with hire dates of August 22, 2023, and August 23, 2023, did not have a medical statement on file for review. 10A NCAC 09 .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Sobrina Driver began employment on August 23, 2023, but did not have a Criminal Background Check completed. G.S. 110-90.2(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two staff with hire dates of August 22, 2023, and August 23, 2023, did not receive the required six hours of orientation within the first two weeks of employment. .1101(a)(b) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration for the red van used to transport children from school expired August 31, 2023. .1002(b) 1757 A valid qualification letter was not on file and available to review at the facility. Sobrina Driver did not have a valid qualifying letter on file for review. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On playground #4, the red dome climber with a critical height of 4 feet and the red train with a critical height of 3 feet was placed on the ground with less than 1/4 inch of wood mulch as the loose surfacing. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff with a hire date of August 23, 2023, was caring for seven children, three years of age in space #5a, did not have a signed acknowledgement on file that the Shaken Baby Head Trauma Policy had been reviewed. .0608(d)(1-4) 9995 A violation was found for which there is no item number. Per sanitation requirement .2832, Outdoor Learning Environment and Premises, (a) Child care center premises, including the outdoor learning environment, shall be kept clean, drained to minimize standing water, free of litter and hazards, and maintained in a manner which does not create conditions that attract or harbor pests. Debris, glass, dilapidated structures, and broken play equipment shall be removed from areas accessible to children. Wells, grease traps, cisterns, and utility equipment shall be made inaccessible to children. On playground #2, two active fire ant mounds were observed. Technical assistance was provided on the following: Item #1041 Prior to employment a Criminal Background Check was not completed. S. Driver did not complete a Criminal Background Check prior to employment beginning on August 23, 2023. I reminded you that employees may not begin working until a valid CBC is on file at the facility. I reviewed the "ncabcsm" system during the visit, and the status for S. Driver was "Ready for Determination." Having a copy of the fingerprints and receipt that the background check was submitted does not replace the valid qualifying letter. I suggested that you use the Staff File Checklist on DCDEE’s website under provider documents as a guideline for staff requirements and when documents are due. Item #1757 A valid qualification letter was not on file and available for review at the facility. A valid qualification letter was not on file for S. Driver. Again, an employee may not begin employment until a valid qualification letter is received and on file. The Staff File Checklist can be used as a guide for when documents are due. Item # 858 (CDV) In space #2, one white plastic trash bag was stored in an open red container on the lower cubby shelf 56 inches from ground level. One (1) package of small pom-poms were in the plastic wrapper in an open container on the lower cubby shelf, 56 inches from ground level. In space #3, clothes were stored in a yellow Dollar General plastic bag and one pack of Pampers in the plastic wrapper were stored in a child’s cubby less than five feet from ground level. This was corrected in space #2, by removing the items in space #2 from the lower shelf and placing them on the shelf above. This was corrected in space #3, by removing the plastic bag and package of diapers and placing them on a shelf greater than five feet from ground level. Have staff complete daily safety checks before children arrive and remove any safety hazards such as plastic bags, plastic packaging, sponges, foam rubber and small toy parts. Item #428 In space #5a, a current activity plan was not posted. The activity plan was dated September 5, 2023, through September 8, 2023. In space #7, there was not an activity plan posted. I discussed with you that a current activity plan must be completed, dated, and posted and must include age-appropriate activities for the children. Establish a method for reviewing and ensuring that activity plans are completed, dated, and posted as required. As a reminder free choice is not a planned activity and should not be on activity plans. Item #1867 (CDV) The depth of the loose surfacing was not based on the critical height of the equipment. On playground #4, used by school age children, a red dome climber with a critical height of 4 feet from the ground was not anchored in the ground and it was placed over dirt and loose wood mulch ¼ inch deep. The red train with a critical height of 3 feet from the ground was not anchored in the ground and it was placed over dirt and loose wood mulch ¼ inch deep. You removed these items from playground #4 and placed them outside the fenced area to correct this violation. I reminded you that equipment must be installed over the required depth of surfacing for the critical height. Please refer to child care rule .0605(k)(1-4). Item #840 (CDV) In space #4, that you are currently using as a resource room for staff, one gallon size can of Valspar Signature Ultra White Interior Paint and Primer was stored on the third shelf of the metal shelving unit to the left as you enter the unlocked space. You corrected this by locking the door to space #4. In space #5a, the metal cabinet was unlocked and contained one gallon size jug of Heavy-Duty Degreaser on the second shelf, one container of Mr. Clean Disinfecting Wipes, one container of Dawn Disinfecting Wipes, M Skin Gel Hand Sanitizer (11.8 oz), and Germless Hand Sanitizer (8oz) on the fourth shelf. The fourth shelf was less than five feet from ground level. This was corrected when you locked the metal cabinet. In space #8, one .12 oz tube of Super Glue Gel (with multiple warnings in addition to keep out of reach of children) was stored in the top left unlocked desk drawer used by the lead teacher and accessible to children three, four and five years of age. You corrected this by throwing the tube of super glue in the trash. I encourage staff to conduct safety checks throughout the day and immediately lock a cabinet or room when not in use. Item #812 In space #3, two electrical outlets on the surge protector on top of the cubbies to the right as you enter the space, were not covered with a safety plug. In space #6a, two electrical outlets were not covered in the block area. These outlets act as safety outlets and are supposed to close when an electrical plug is removed, but as we discussed, the electrical outlets were not functioning and were not closed. I suggested that you place safety covers in the outlets as a precaution and ensure the electrical outlets are not accessible to children using the space. In space #6c, one electrical outlet on the left was not covered as you enter the space. In space #8, three outlets in the surge protector were not covered with a safety plug to the right of the desk used by the lead teacher. I suggested that staff complete safety checks throughout the day to ensure outlets are covered when not in use. Item #899 On playground #1, a large storage container with attached lid was blocking the exit on the handicap accessible ramp leading out of space #1. The storage container extended the length of the bottom ramp and would have prohibited the evacuation cribs from safely exiting the building if an emergency had occurred. You corrected this by removing the storage container and placing it in a different location on playground #1. The container stored mats, umbrellas, and blankets. On playground #2, I observed two active fire ant mounds. Currently, this playground is under construction and not in use. We discussed that the fire ants must be treated and removed immediately, and safety maintained on the playground. Do not let children play on the playground until the fire ants are gone. Complete daily safety checks on the playground before children go outside daily. 15A NCAC 18A 2831(b) Effective measures shall be taken to keep uncontained insects, rodents, and other vermin out of the child care centers and to prevent their breeding or presence on the premises. Traps shall only be placed in areas inaccessible to children. Item #1110 The registration for the red van used to transport children from school expired August 31, 2023. Vans used to transport children to and from school must be maintained as required by law. Inspections and registration must be current. I suggested that you plan so that the vehicles used to transport children are maintained adequately. Item #620 In space #6c, sections of the wall in the dramatic play area and near the cot storage had peeling paint. In space #10, paint was peeling from the ceiling and wall. As a reminder, walls and ceilings must be in good repair. I suggested that you repair and repaint the ceilings and walls as they become damaged. Item #1067 Two staff with hire dates of August 22, 2023, and August 23, 2023, did not receive the required six hours of orientation within the first two weeks of employment. They did not have documentation of orientation in their personnel file. I suggested that you create new hire packets with all the required documents and as you hire new staff, review the orientation checklist so that you review and discuss the required topics within the timeframes. Item #1032 Two staff with hire dates of August 22, 2023, and August 23, 2023, did not have a medical statement on file for review. The Staff File Checklist can be used as a guide and tool to ensure all documents are received within the required timeframes. I suggested that you review DCDEE’s website frequently to ensure that you have the most current forms and documents. Item #1874 One staff with a hire date of August 23, 2023, was caring for children three years of age in space #5a, did not have a signed acknowledgment on file that the Shaken Baby Head Trauma Policy had been reviewed. Prior to staff caring for children under five years of age, you must review the Shaken Baby Head Trauma Policy with them and they must sign that they acknowledge receipt of the policy. I suggested that you review all policies and procedures with staff during orientation. Item #844 In space #3, one tube of Nystatin diaper cream was stored in a locked container but the original pharmacy label was not accompanied with the tube of prescription diaper cream. I reminded you that any medication that is prescribed must be in the original container with the pharmacy label attached. We discussed the proper permission form to use with prescription strength diaper creams and logging when the prescription ointment is administered. Consultation was provided on the following. • We discussed activity plan forms and information required to be documented on the activity plans. I suggested that you update the schedule in the spaces used by school age children to reflect mornings only, afternoons only and full days. The current schedule posted did not offer times for outdoor play for school-age children. • The slats on the railing on the ramp around the upper building are not secure. We discussed that you have a maintenance crew coming to repair and secure the ramp. • The metal railing on the ramp on playground #1 does not have caps on either end. Please place caps on each end of the metal railing. • I encouraged you to add sand and water tables to the playgrounds. • During your daily playground checks before children go outside to play make sure to remove plastic popsicle wrappers and broken pieces of hard plastic. • You stated that all employees at the facility were completing CPR and First Aid on September 14, 2023. T. Petty’s CPR and First Aid verification was not on file-please send me her verification that she is current with CPR and First Aid. • You have 5 playgrounds. Playground #1 was the playground currently in use for infants/toddlers, and children two and three years of age. Playground #2 was not in use and under construction but had two active fire ant mounds. The fire ant mounds will need to be treated and removed prior to children using playground #2. Playground #3 was in the process of being renovated. We discussed natural playgrounds and I suggested that you research materials that will enhance your outdoor learning environments. As materials become worn out and serve no purpose (i.e., broken hula hoops, balls with holes, etc.) I reminded you to remove them from the outdoor learning environment. • To ensure that children are supervised at all times, staff must know the whereabouts of all children enrolled in the space and in attendance for the day. As children learn to potty-train independently, the caregiver must know they are in the bathroom and for preschool age children, staff should offer assistance as needed and bathroom doors should not be closed all the way so that a child may not be able to get out of the bathroom. • Monthly attendance needs to be maintained in each classroom not in the office. Lead Teachers and/or Teachers in each space must maintain their attendance. Please provide each classroom with a monthly attendance record. • As children are moved from one space to another to ensure that staff/child ratios are maintained, please adjust the arrival and departure records accordingly. If a child arrives in space #5a, but needs to be moved into space #6c, then the child would be signed out of space #5a and signed into space #6c. This could ensure accurate arrival and departure records are maintained. We discussed that staff must have a DCDEE WORKS account and their education must be evaluated. If you have any questions about establishing a WORKS account, submitting education, and requesting an education evaluation, please let me know. On the DCDEE website choose the Provider tab, DCDEE WORKS, and review the DCDEE WORKS Training Simulator Step-by-Step Instructions. Let me know if you have any questions or problems getting this task completed. You have completed the EPR Plan. I reminded you to complete the emergency drills (shelter-in-place, lockdown) every three months. The following is general information for you to review to prepare for the Environment Rating Scale Assessment if you choose to have the assessment conducted or as a guide to enhance materials in the classrooms. ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. I suggested that books that portray violence be removed. A variety of books that portray real animal pictures, families, disabilities, and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. I suggested that you have or purchase hats; boys dress shirts, ties, jerseys and dress coats from a consignment shop, yard sale or dollar store to enhance the dramatic play center. Other items that enhance dramatic play are telephone books, cooking aprons, restaurant menus, calculators, cash registers, cookbooks, and baby doll accessories. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Review your daily schedule and free play allotted times. Free play times need to be listed separate from all other activities such as hand washing, preparing to go home etc. All centers/materials should be accessible to children during free play. Water must be available to children throughout the day. Always have a pitcher of water and cups for children available. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan, and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. SACERS-U Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible, during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g., sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g., wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space, and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, write letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departing - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. Since you want to have the Environment Rating Scale completed in the near future, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Reminders: The approved building, fire and sanitation inspections must be completed and submitted to me no later than February 1, 2024. I suggested that you have these inspections completed soon. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after February 1, 2024. Stay updated with changes and new rule updates by visiting the DCDEE website at: https://ncchildcare.ncdhhs.gov COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by September 27, 2023. Please include in that letter each violation 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 jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 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. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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 .2201 · Violation

Name of Operation: Foundation of Life Childcare Center Facility ID: 36000632 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 46 Completed Date: 9/13/2023 Age: From 0 To 5 Total Minutes: 450 Time In: 11:05 AM Time Out: 06:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Melissa Long, Administrator assisted me with the visit. The Secretary of State website was checked today, and your business Foundation of Life Childcare Center LLC., is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Currently this center operates with a temporary license issued on August 1, 2023, with the following restrictions: First and Second Shift; children under 2 ½ years old in rooms with direct exits only. During this first Temporary Time Period visit, the classrooms were monitored as well as the playgrounds, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was completed on September 7, 2023, at 10:05 am. The last monthly playground inspection was completed on August 15, 2023. A sample of three children’s files were reviewed. Seven staff files were reviewed. A current menu was posted for breakfast, lunch and snack and all food listed met the nutrition requirements. The daily schedule was posted. You said that you are going to apply for the rated license and assume the previous owner’s star rating. We discussed the cohort process. We discussed and I gave you a copy of the Initial Application for Assessment for a Two Component Star Rated License form today to complete and return to me. We reviewed and discussed Program Standard points, Staff Education points and Quality point options. I discussed with you that programs with less than a three-star license will not be eligible to receive subsidy funding. All staff must establish a DCDEE WORKS account and have their education evaluations completed by Workforce by February 15, 2023. Documentation from Workforce on the results of the education evaluation must be on file for review for each staff member. The following violations were observed today. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #5a, a current activity plan was not posted. The activity plan was dated September 5, 2023, through September 8, 2023. In space #7, there was not an activity plan posted. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In space #6c, sections of the wall in the dramatic play area and near the cot storage had peeling paint. In space #10, paint was peeling from the ceiling and wall. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #3, two electrical outlets on the surge protector on top of the cubbies to the right as you enter the space, were not covered with a safety plug. In space #6a, two electrical outlets were not covered in the block area. In space #6c, one electrical outlet on the left was not covered as you enter the space. In space #8, three electrical outlets on the surge protector on the floor were not covered with a safety plug to the right of the desk used by the lead teacher. All electrical outlets that were not covered were accessible to children. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, that you are currently using as a resource room for staff, one gallon size can of Valspar Signature Ultra White Interior Paint and Primer was stored on the third shelf of the metal shelving unit to the left as you enter the unlocked space. In space #5a, the metal cabinet was unlocked and contained one gallon size jug of Heavy-Duty Degreaser on the second shelf, one container of Mr. Clean Disinfecting Wipes, one container of Dawn Disinfecting Wipes, M Skin Gel Hand Sanitizer (11.8 oz.), and Germless Hand Sanitizer (8oz) on the fourth shelf and accessible to children. The fourth shelf was less than five feet from the floor surface. In space #8, one .12 oz. tube of Super Glue Gel (with multiple warnings in addition to keep out of reach of children) was stored in the top left unlocked desk drawer used by the lead teacher and accessible to children three, four and five years of age. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #3, one tube of Nystatin diaper cream was stored in a locked container but the original pharmacy label was not accompanied with the tube of prescription diaper cream. .0803(2)(a) 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 #2, one white plastic trash bag was stored in an open red container on the lower cubby shelf 56 inches from ground level. One (1) package of small pom-poms were in the plastic wrapper in an open container on the lower cubby shelf, 56 inches from the floor surface. In space #3, clothes were stored in a yellow Dollar General plastic bag and one pack of Pampers in the plastic wrapper were stored in a child’s cubby less than five feet from the floor surface. .0604(q) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. On playground #1, a large storage container with an attached lid was blocking the end of the exit on the handicap accessible ramp leading out of space #1 and into playground #1. GS 110-91 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff with hire dates of August 22, 2023, and August 23, 2023, did not have a medical statement on file for review. 10A NCAC 09 .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Sobrina Driver began employment on August 23, 2023, but did not have a Criminal Background Check completed. G.S. 110-90.2(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two staff with hire dates of August 22, 2023, and August 23, 2023, did not receive the required six hours of orientation within the first two weeks of employment. .1101(a)(b) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration for the red van used to transport children from school expired August 31, 2023. .1002(b) 1757 A valid qualification letter was not on file and available to review at the facility. Sobrina Driver did not have a valid qualifying letter on file for review. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On playground #4, the red dome climber with a critical height of 4 feet and the red train with a critical height of 3 feet was placed on the ground with less than 1/4 inch of wood mulch as the loose surfacing. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff with a hire date of August 23, 2023, was caring for seven children, three years of age in space #5a, did not have a signed acknowledgement on file that the Shaken Baby Head Trauma Policy had been reviewed. .0608(d)(1-4) 9995 A violation was found for which there is no item number. Per sanitation requirement .2832, Outdoor Learning Environment and Premises, (a) Child care center premises, including the outdoor learning environment, shall be kept clean, drained to minimize standing water, free of litter and hazards, and maintained in a manner which does not create conditions that attract or harbor pests. Debris, glass, dilapidated structures, and broken play equipment shall be removed from areas accessible to children. Wells, grease traps, cisterns, and utility equipment shall be made inaccessible to children. On playground #2, two active fire ant mounds were observed. Technical assistance was provided on the following: Item #1041 Prior to employment a Criminal Background Check was not completed. S. Driver did not complete a Criminal Background Check prior to employment beginning on August 23, 2023. I reminded you that employees may not begin working until a valid CBC is on file at the facility. I reviewed the "ncabcsm" system during the visit, and the status for S. Driver was "Ready for Determination." Having a copy of the fingerprints and receipt that the background check was submitted does not replace the valid qualifying letter. I suggested that you use the Staff File Checklist on DCDEE’s website under provider documents as a guideline for staff requirements and when documents are due. Item #1757 A valid qualification letter was not on file and available for review at the facility. A valid qualification letter was not on file for S. Driver. Again, an employee may not begin employment until a valid qualification letter is received and on file. The Staff File Checklist can be used as a guide for when documents are due. Item # 858 (CDV) In space #2, one white plastic trash bag was stored in an open red container on the lower cubby shelf 56 inches from ground level. One (1) package of small pom-poms were in the plastic wrapper in an open container on the lower cubby shelf, 56 inches from ground level. In space #3, clothes were stored in a yellow Dollar General plastic bag and one pack of Pampers in the plastic wrapper were stored in a child’s cubby less than five feet from ground level. This was corrected in space #2, by removing the items in space #2 from the lower shelf and placing them on the shelf above. This was corrected in space #3, by removing the plastic bag and package of diapers and placing them on a shelf greater than five feet from ground level. Have staff complete daily safety checks before children arrive and remove any safety hazards such as plastic bags, plastic packaging, sponges, foam rubber and small toy parts. Item #428 In space #5a, a current activity plan was not posted. The activity plan was dated September 5, 2023, through September 8, 2023. In space #7, there was not an activity plan posted. I discussed with you that a current activity plan must be completed, dated, and posted and must include age-appropriate activities for the children. Establish a method for reviewing and ensuring that activity plans are completed, dated, and posted as required. As a reminder free choice is not a planned activity and should not be on activity plans. Item #1867 (CDV) The depth of the loose surfacing was not based on the critical height of the equipment. On playground #4, used by school age children, a red dome climber with a critical height of 4 feet from the ground was not anchored in the ground and it was placed over dirt and loose wood mulch ¼ inch deep. The red train with a critical height of 3 feet from the ground was not anchored in the ground and it was placed over dirt and loose wood mulch ¼ inch deep. You removed these items from playground #4 and placed them outside the fenced area to correct this violation. I reminded you that equipment must be installed over the required depth of surfacing for the critical height. Please refer to child care rule .0605(k)(1-4). Item #840 (CDV) In space #4, that you are currently using as a resource room for staff, one gallon size can of Valspar Signature Ultra White Interior Paint and Primer was stored on the third shelf of the metal shelving unit to the left as you enter the unlocked space. You corrected this by locking the door to space #4. In space #5a, the metal cabinet was unlocked and contained one gallon size jug of Heavy-Duty Degreaser on the second shelf, one container of Mr. Clean Disinfecting Wipes, one container of Dawn Disinfecting Wipes, M Skin Gel Hand Sanitizer (11.8 oz), and Germless Hand Sanitizer (8oz) on the fourth shelf. The fourth shelf was less than five feet from ground level. This was corrected when you locked the metal cabinet. In space #8, one .12 oz tube of Super Glue Gel (with multiple warnings in addition to keep out of reach of children) was stored in the top left unlocked desk drawer used by the lead teacher and accessible to children three, four and five years of age. You corrected this by throwing the tube of super glue in the trash. I encourage staff to conduct safety checks throughout the day and immediately lock a cabinet or room when not in use. Item #812 In space #3, two electrical outlets on the surge protector on top of the cubbies to the right as you enter the space, were not covered with a safety plug. In space #6a, two electrical outlets were not covered in the block area. These outlets act as safety outlets and are supposed to close when an electrical plug is removed, but as we discussed, the electrical outlets were not functioning and were not closed. I suggested that you place safety covers in the outlets as a precaution and ensure the electrical outlets are not accessible to children using the space. In space #6c, one electrical outlet on the left was not covered as you enter the space. In space #8, three outlets in the surge protector were not covered with a safety plug to the right of the desk used by the lead teacher. I suggested that staff complete safety checks throughout the day to ensure outlets are covered when not in use. Item #899 On playground #1, a large storage container with attached lid was blocking the exit on the handicap accessible ramp leading out of space #1. The storage container extended the length of the bottom ramp and would have prohibited the evacuation cribs from safely exiting the building if an emergency had occurred. You corrected this by removing the storage container and placing it in a different location on playground #1. The container stored mats, umbrellas, and blankets. On playground #2, I observed two active fire ant mounds. Currently, this playground is under construction and not in use. We discussed that the fire ants must be treated and removed immediately, and safety maintained on the playground. Do not let children play on the playground until the fire ants are gone. Complete daily safety checks on the playground before children go outside daily. 15A NCAC 18A 2831(b) Effective measures shall be taken to keep uncontained insects, rodents, and other vermin out of the child care centers and to prevent their breeding or presence on the premises. Traps shall only be placed in areas inaccessible to children. Item #1110 The registration for the red van used to transport children from school expired August 31, 2023. Vans used to transport children to and from school must be maintained as required by law. Inspections and registration must be current. I suggested that you plan so that the vehicles used to transport children are maintained adequately. Item #620 In space #6c, sections of the wall in the dramatic play area and near the cot storage had peeling paint. In space #10, paint was peeling from the ceiling and wall. As a reminder, walls and ceilings must be in good repair. I suggested that you repair and repaint the ceilings and walls as they become damaged. Item #1067 Two staff with hire dates of August 22, 2023, and August 23, 2023, did not receive the required six hours of orientation within the first two weeks of employment. They did not have documentation of orientation in their personnel file. I suggested that you create new hire packets with all the required documents and as you hire new staff, review the orientation checklist so that you review and discuss the required topics within the timeframes. Item #1032 Two staff with hire dates of August 22, 2023, and August 23, 2023, did not have a medical statement on file for review. The Staff File Checklist can be used as a guide and tool to ensure all documents are received within the required timeframes. I suggested that you review DCDEE’s website frequently to ensure that you have the most current forms and documents. Item #1874 One staff with a hire date of August 23, 2023, was caring for children three years of age in space #5a, did not have a signed acknowledgment on file that the Shaken Baby Head Trauma Policy had been reviewed. Prior to staff caring for children under five years of age, you must review the Shaken Baby Head Trauma Policy with them and they must sign that they acknowledge receipt of the policy. I suggested that you review all policies and procedures with staff during orientation. Item #844 In space #3, one tube of Nystatin diaper cream was stored in a locked container but the original pharmacy label was not accompanied with the tube of prescription diaper cream. I reminded you that any medication that is prescribed must be in the original container with the pharmacy label attached. We discussed the proper permission form to use with prescription strength diaper creams and logging when the prescription ointment is administered. Consultation was provided on the following. • We discussed activity plan forms and information required to be documented on the activity plans. I suggested that you update the schedule in the spaces used by school age children to reflect mornings only, afternoons only and full days. The current schedule posted did not offer times for outdoor play for school-age children. • The slats on the railing on the ramp around the upper building are not secure. We discussed that you have a maintenance crew coming to repair and secure the ramp. • The metal railing on the ramp on playground #1 does not have caps on either end. Please place caps on each end of the metal railing. • I encouraged you to add sand and water tables to the playgrounds. • During your daily playground checks before children go outside to play make sure to remove plastic popsicle wrappers and broken pieces of hard plastic. • You stated that all employees at the facility were completing CPR and First Aid on September 14, 2023. T. Petty’s CPR and First Aid verification was not on file-please send me her verification that she is current with CPR and First Aid. • You have 5 playgrounds. Playground #1 was the playground currently in use for infants/toddlers, and children two and three years of age. Playground #2 was not in use and under construction but had two active fire ant mounds. The fire ant mounds will need to be treated and removed prior to children using playground #2. Playground #3 was in the process of being renovated. We discussed natural playgrounds and I suggested that you research materials that will enhance your outdoor learning environments. As materials become worn out and serve no purpose (i.e., broken hula hoops, balls with holes, etc.) I reminded you to remove them from the outdoor learning environment. • To ensure that children are supervised at all times, staff must know the whereabouts of all children enrolled in the space and in attendance for the day. As children learn to potty-train independently, the caregiver must know they are in the bathroom and for preschool age children, staff should offer assistance as needed and bathroom doors should not be closed all the way so that a child may not be able to get out of the bathroom. • Monthly attendance needs to be maintained in each classroom not in the office. Lead Teachers and/or Teachers in each space must maintain their attendance. Please provide each classroom with a monthly attendance record. • As children are moved from one space to another to ensure that staff/child ratios are maintained, please adjust the arrival and departure records accordingly. If a child arrives in space #5a, but needs to be moved into space #6c, then the child would be signed out of space #5a and signed into space #6c. This could ensure accurate arrival and departure records are maintained. We discussed that staff must have a DCDEE WORKS account and their education must be evaluated. If you have any questions about establishing a WORKS account, submitting education, and requesting an education evaluation, please let me know. On the DCDEE website choose the Provider tab, DCDEE WORKS, and review the DCDEE WORKS Training Simulator Step-by-Step Instructions. Let me know if you have any questions or problems getting this task completed. You have completed the EPR Plan. I reminded you to complete the emergency drills (shelter-in-place, lockdown) every three months. The following is general information for you to review to prepare for the Environment Rating Scale Assessment if you choose to have the assessment conducted or as a guide to enhance materials in the classrooms. ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. I suggested that books that portray violence be removed. A variety of books that portray real animal pictures, families, disabilities, and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. I suggested that you have or purchase hats; boys dress shirts, ties, jerseys and dress coats from a consignment shop, yard sale or dollar store to enhance the dramatic play center. Other items that enhance dramatic play are telephone books, cooking aprons, restaurant menus, calculators, cash registers, cookbooks, and baby doll accessories. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Review your daily schedule and free play allotted times. Free play times need to be listed separate from all other activities such as hand washing, preparing to go home etc. All centers/materials should be accessible to children during free play. Water must be available to children throughout the day. Always have a pitcher of water and cups for children available. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan, and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. SACERS-U Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible, during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g., sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g., wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space, and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, write letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departing - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. Since you want to have the Environment Rating Scale completed in the near future, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Reminders: The approved building, fire and sanitation inspections must be completed and submitted to me no later than February 1, 2024. I suggested that you have these inspections completed soon. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after February 1, 2024. Stay updated with changes and new rule updates by visiting the DCDEE website at: https://ncchildcare.ncdhhs.gov COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by September 27, 2023. Please include in that letter each violation 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 jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 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. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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: Foundation of Life Childcare Center Facility ID: 36000632 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 46 Completed Date: 9/13/2023 Age: From 0 To 5 Total Minutes: 450 Time In: 11:05 AM Time Out: 06:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Melissa Long, Administrator assisted me with the visit. The Secretary of State website was checked today, and your business Foundation of Life Childcare Center LLC., is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Currently this center operates with a temporary license issued on August 1, 2023, with the following restrictions: First and Second Shift; children under 2 ½ years old in rooms with direct exits only. During this first Temporary Time Period visit, the classrooms were monitored as well as the playgrounds, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was completed on September 7, 2023, at 10:05 am. The last monthly playground inspection was completed on August 15, 2023. A sample of three children’s files were reviewed. Seven staff files were reviewed. A current menu was posted for breakfast, lunch and snack and all food listed met the nutrition requirements. The daily schedule was posted. You said that you are going to apply for the rated license and assume the previous owner’s star rating. We discussed the cohort process. We discussed and I gave you a copy of the Initial Application for Assessment for a Two Component Star Rated License form today to complete and return to me. We reviewed and discussed Program Standard points, Staff Education points and Quality point options. I discussed with you that programs with less than a three-star license will not be eligible to receive subsidy funding. All staff must establish a DCDEE WORKS account and have their education evaluations completed by Workforce by February 15, 2023. Documentation from Workforce on the results of the education evaluation must be on file for review for each staff member. The following violations were observed today. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #5a, a current activity plan was not posted. The activity plan was dated September 5, 2023, through September 8, 2023. In space #7, there was not an activity plan posted. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In space #6c, sections of the wall in the dramatic play area and near the cot storage had peeling paint. In space #10, paint was peeling from the ceiling and wall. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #3, two electrical outlets on the surge protector on top of the cubbies to the right as you enter the space, were not covered with a safety plug. In space #6a, two electrical outlets were not covered in the block area. In space #6c, one electrical outlet on the left was not covered as you enter the space. In space #8, three electrical outlets on the surge protector on the floor were not covered with a safety plug to the right of the desk used by the lead teacher. All electrical outlets that were not covered were accessible to children. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, that you are currently using as a resource room for staff, one gallon size can of Valspar Signature Ultra White Interior Paint and Primer was stored on the third shelf of the metal shelving unit to the left as you enter the unlocked space. In space #5a, the metal cabinet was unlocked and contained one gallon size jug of Heavy-Duty Degreaser on the second shelf, one container of Mr. Clean Disinfecting Wipes, one container of Dawn Disinfecting Wipes, M Skin Gel Hand Sanitizer (11.8 oz.), and Germless Hand Sanitizer (8oz) on the fourth shelf and accessible to children. The fourth shelf was less than five feet from the floor surface. In space #8, one .12 oz. tube of Super Glue Gel (with multiple warnings in addition to keep out of reach of children) was stored in the top left unlocked desk drawer used by the lead teacher and accessible to children three, four and five years of age. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #3, one tube of Nystatin diaper cream was stored in a locked container but the original pharmacy label was not accompanied with the tube of prescription diaper cream. .0803(2)(a) 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 #2, one white plastic trash bag was stored in an open red container on the lower cubby shelf 56 inches from ground level. One (1) package of small pom-poms were in the plastic wrapper in an open container on the lower cubby shelf, 56 inches from the floor surface. In space #3, clothes were stored in a yellow Dollar General plastic bag and one pack of Pampers in the plastic wrapper were stored in a child’s cubby less than five feet from the floor surface. .0604(q) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. On playground #1, a large storage container with an attached lid was blocking the end of the exit on the handicap accessible ramp leading out of space #1 and into playground #1. GS 110-91 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff with hire dates of August 22, 2023, and August 23, 2023, did not have a medical statement on file for review. 10A NCAC 09 .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Sobrina Driver began employment on August 23, 2023, but did not have a Criminal Background Check completed. G.S. 110-90.2(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two staff with hire dates of August 22, 2023, and August 23, 2023, did not receive the required six hours of orientation within the first two weeks of employment. .1101(a)(b) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration for the red van used to transport children from school expired August 31, 2023. .1002(b) 1757 A valid qualification letter was not on file and available to review at the facility. Sobrina Driver did not have a valid qualifying letter on file for review. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On playground #4, the red dome climber with a critical height of 4 feet and the red train with a critical height of 3 feet was placed on the ground with less than 1/4 inch of wood mulch as the loose surfacing. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff with a hire date of August 23, 2023, was caring for seven children, three years of age in space #5a, did not have a signed acknowledgement on file that the Shaken Baby Head Trauma Policy had been reviewed. .0608(d)(1-4) 9995 A violation was found for which there is no item number. Per sanitation requirement .2832, Outdoor Learning Environment and Premises, (a) Child care center premises, including the outdoor learning environment, shall be kept clean, drained to minimize standing water, free of litter and hazards, and maintained in a manner which does not create conditions that attract or harbor pests. Debris, glass, dilapidated structures, and broken play equipment shall be removed from areas accessible to children. Wells, grease traps, cisterns, and utility equipment shall be made inaccessible to children. On playground #2, two active fire ant mounds were observed. Technical assistance was provided on the following: Item #1041 Prior to employment a Criminal Background Check was not completed. S. Driver did not complete a Criminal Background Check prior to employment beginning on August 23, 2023. I reminded you that employees may not begin working until a valid CBC is on file at the facility. I reviewed the "ncabcsm" system during the visit, and the status for S. Driver was "Ready for Determination." Having a copy of the fingerprints and receipt that the background check was submitted does not replace the valid qualifying letter. I suggested that you use the Staff File Checklist on DCDEE’s website under provider documents as a guideline for staff requirements and when documents are due. Item #1757 A valid qualification letter was not on file and available for review at the facility. A valid qualification letter was not on file for S. Driver. Again, an employee may not begin employment until a valid qualification letter is received and on file. The Staff File Checklist can be used as a guide for when documents are due. Item # 858 (CDV) In space #2, one white plastic trash bag was stored in an open red container on the lower cubby shelf 56 inches from ground level. One (1) package of small pom-poms were in the plastic wrapper in an open container on the lower cubby shelf, 56 inches from ground level. In space #3, clothes were stored in a yellow Dollar General plastic bag and one pack of Pampers in the plastic wrapper were stored in a child’s cubby less than five feet from ground level. This was corrected in space #2, by removing the items in space #2 from the lower shelf and placing them on the shelf above. This was corrected in space #3, by removing the plastic bag and package of diapers and placing them on a shelf greater than five feet from ground level. Have staff complete daily safety checks before children arrive and remove any safety hazards such as plastic bags, plastic packaging, sponges, foam rubber and small toy parts. Item #428 In space #5a, a current activity plan was not posted. The activity plan was dated September 5, 2023, through September 8, 2023. In space #7, there was not an activity plan posted. I discussed with you that a current activity plan must be completed, dated, and posted and must include age-appropriate activities for the children. Establish a method for reviewing and ensuring that activity plans are completed, dated, and posted as required. As a reminder free choice is not a planned activity and should not be on activity plans. Item #1867 (CDV) The depth of the loose surfacing was not based on the critical height of the equipment. On playground #4, used by school age children, a red dome climber with a critical height of 4 feet from the ground was not anchored in the ground and it was placed over dirt and loose wood mulch ¼ inch deep. The red train with a critical height of 3 feet from the ground was not anchored in the ground and it was placed over dirt and loose wood mulch ¼ inch deep. You removed these items from playground #4 and placed them outside the fenced area to correct this violation. I reminded you that equipment must be installed over the required depth of surfacing for the critical height. Please refer to child care rule .0605(k)(1-4). Item #840 (CDV) In space #4, that you are currently using as a resource room for staff, one gallon size can of Valspar Signature Ultra White Interior Paint and Primer was stored on the third shelf of the metal shelving unit to the left as you enter the unlocked space. You corrected this by locking the door to space #4. In space #5a, the metal cabinet was unlocked and contained one gallon size jug of Heavy-Duty Degreaser on the second shelf, one container of Mr. Clean Disinfecting Wipes, one container of Dawn Disinfecting Wipes, M Skin Gel Hand Sanitizer (11.8 oz), and Germless Hand Sanitizer (8oz) on the fourth shelf. The fourth shelf was less than five feet from ground level. This was corrected when you locked the metal cabinet. In space #8, one .12 oz tube of Super Glue Gel (with multiple warnings in addition to keep out of reach of children) was stored in the top left unlocked desk drawer used by the lead teacher and accessible to children three, four and five years of age. You corrected this by throwing the tube of super glue in the trash. I encourage staff to conduct safety checks throughout the day and immediately lock a cabinet or room when not in use. Item #812 In space #3, two electrical outlets on the surge protector on top of the cubbies to the right as you enter the space, were not covered with a safety plug. In space #6a, two electrical outlets were not covered in the block area. These outlets act as safety outlets and are supposed to close when an electrical plug is removed, but as we discussed, the electrical outlets were not functioning and were not closed. I suggested that you place safety covers in the outlets as a precaution and ensure the electrical outlets are not accessible to children using the space. In space #6c, one electrical outlet on the left was not covered as you enter the space. In space #8, three outlets in the surge protector were not covered with a safety plug to the right of the desk used by the lead teacher. I suggested that staff complete safety checks throughout the day to ensure outlets are covered when not in use. Item #899 On playground #1, a large storage container with attached lid was blocking the exit on the handicap accessible ramp leading out of space #1. The storage container extended the length of the bottom ramp and would have prohibited the evacuation cribs from safely exiting the building if an emergency had occurred. You corrected this by removing the storage container and placing it in a different location on playground #1. The container stored mats, umbrellas, and blankets. On playground #2, I observed two active fire ant mounds. Currently, this playground is under construction and not in use. We discussed that the fire ants must be treated and removed immediately, and safety maintained on the playground. Do not let children play on the playground until the fire ants are gone. Complete daily safety checks on the playground before children go outside daily. 15A NCAC 18A 2831(b) Effective measures shall be taken to keep uncontained insects, rodents, and other vermin out of the child care centers and to prevent their breeding or presence on the premises. Traps shall only be placed in areas inaccessible to children. Item #1110 The registration for the red van used to transport children from school expired August 31, 2023. Vans used to transport children to and from school must be maintained as required by law. Inspections and registration must be current. I suggested that you plan so that the vehicles used to transport children are maintained adequately. Item #620 In space #6c, sections of the wall in the dramatic play area and near the cot storage had peeling paint. In space #10, paint was peeling from the ceiling and wall. As a reminder, walls and ceilings must be in good repair. I suggested that you repair and repaint the ceilings and walls as they become damaged. Item #1067 Two staff with hire dates of August 22, 2023, and August 23, 2023, did not receive the required six hours of orientation within the first two weeks of employment. They did not have documentation of orientation in their personnel file. I suggested that you create new hire packets with all the required documents and as you hire new staff, review the orientation checklist so that you review and discuss the required topics within the timeframes. Item #1032 Two staff with hire dates of August 22, 2023, and August 23, 2023, did not have a medical statement on file for review. The Staff File Checklist can be used as a guide and tool to ensure all documents are received within the required timeframes. I suggested that you review DCDEE’s website frequently to ensure that you have the most current forms and documents. Item #1874 One staff with a hire date of August 23, 2023, was caring for children three years of age in space #5a, did not have a signed acknowledgment on file that the Shaken Baby Head Trauma Policy had been reviewed. Prior to staff caring for children under five years of age, you must review the Shaken Baby Head Trauma Policy with them and they must sign that they acknowledge receipt of the policy. I suggested that you review all policies and procedures with staff during orientation. Item #844 In space #3, one tube of Nystatin diaper cream was stored in a locked container but the original pharmacy label was not accompanied with the tube of prescription diaper cream. I reminded you that any medication that is prescribed must be in the original container with the pharmacy label attached. We discussed the proper permission form to use with prescription strength diaper creams and logging when the prescription ointment is administered. Consultation was provided on the following. • We discussed activity plan forms and information required to be documented on the activity plans. I suggested that you update the schedule in the spaces used by school age children to reflect mornings only, afternoons only and full days. The current schedule posted did not offer times for outdoor play for school-age children. • The slats on the railing on the ramp around the upper building are not secure. We discussed that you have a maintenance crew coming to repair and secure the ramp. • The metal railing on the ramp on playground #1 does not have caps on either end. Please place caps on each end of the metal railing. • I encouraged you to add sand and water tables to the playgrounds. • During your daily playground checks before children go outside to play make sure to remove plastic popsicle wrappers and broken pieces of hard plastic. • You stated that all employees at the facility were completing CPR and First Aid on September 14, 2023. T. Petty’s CPR and First Aid verification was not on file-please send me her verification that she is current with CPR and First Aid. • You have 5 playgrounds. Playground #1 was the playground currently in use for infants/toddlers, and children two and three years of age. Playground #2 was not in use and under construction but had two active fire ant mounds. The fire ant mounds will need to be treated and removed prior to children using playground #2. Playground #3 was in the process of being renovated. We discussed natural playgrounds and I suggested that you research materials that will enhance your outdoor learning environments. As materials become worn out and serve no purpose (i.e., broken hula hoops, balls with holes, etc.) I reminded you to remove them from the outdoor learning environment. • To ensure that children are supervised at all times, staff must know the whereabouts of all children enrolled in the space and in attendance for the day. As children learn to potty-train independently, the caregiver must know they are in the bathroom and for preschool age children, staff should offer assistance as needed and bathroom doors should not be closed all the way so that a child may not be able to get out of the bathroom. • Monthly attendance needs to be maintained in each classroom not in the office. Lead Teachers and/or Teachers in each space must maintain their attendance. Please provide each classroom with a monthly attendance record. • As children are moved from one space to another to ensure that staff/child ratios are maintained, please adjust the arrival and departure records accordingly. If a child arrives in space #5a, but needs to be moved into space #6c, then the child would be signed out of space #5a and signed into space #6c. This could ensure accurate arrival and departure records are maintained. We discussed that staff must have a DCDEE WORKS account and their education must be evaluated. If you have any questions about establishing a WORKS account, submitting education, and requesting an education evaluation, please let me know. On the DCDEE website choose the Provider tab, DCDEE WORKS, and review the DCDEE WORKS Training Simulator Step-by-Step Instructions. Let me know if you have any questions or problems getting this task completed. You have completed the EPR Plan. I reminded you to complete the emergency drills (shelter-in-place, lockdown) every three months. The following is general information for you to review to prepare for the Environment Rating Scale Assessment if you choose to have the assessment conducted or as a guide to enhance materials in the classrooms. ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. I suggested that books that portray violence be removed. A variety of books that portray real animal pictures, families, disabilities, and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. I suggested that you have or purchase hats; boys dress shirts, ties, jerseys and dress coats from a consignment shop, yard sale or dollar store to enhance the dramatic play center. Other items that enhance dramatic play are telephone books, cooking aprons, restaurant menus, calculators, cash registers, cookbooks, and baby doll accessories. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Review your daily schedule and free play allotted times. Free play times need to be listed separate from all other activities such as hand washing, preparing to go home etc. All centers/materials should be accessible to children during free play. Water must be available to children throughout the day. Always have a pitcher of water and cups for children available. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan, and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. SACERS-U Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible, during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g., sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g., wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space, and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, write letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departing - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. Since you want to have the Environment Rating Scale completed in the near future, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Reminders: The approved building, fire and sanitation inspections must be completed and submitted to me no later than February 1, 2024. I suggested that you have these inspections completed soon. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after February 1, 2024. Stay updated with changes and new rule updates by visiting the DCDEE website at: https://ncchildcare.ncdhhs.gov COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by September 27, 2023. Please include in that letter each violation 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 jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 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. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: Foundation of Life Childcare Center Facility ID: 36000632 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 46 Completed Date: 9/13/2023 Age: From 0 To 5 Total Minutes: 450 Time In: 11:05 AM Time Out: 06:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Melissa Long, Administrator assisted me with the visit. The Secretary of State website was checked today, and your business Foundation of Life Childcare Center LLC., is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Currently this center operates with a temporary license issued on August 1, 2023, with the following restrictions: First and Second Shift; children under 2 ½ years old in rooms with direct exits only. During this first Temporary Time Period visit, the classrooms were monitored as well as the playgrounds, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was completed on September 7, 2023, at 10:05 am. The last monthly playground inspection was completed on August 15, 2023. A sample of three children’s files were reviewed. Seven staff files were reviewed. A current menu was posted for breakfast, lunch and snack and all food listed met the nutrition requirements. The daily schedule was posted. You said that you are going to apply for the rated license and assume the previous owner’s star rating. We discussed the cohort process. We discussed and I gave you a copy of the Initial Application for Assessment for a Two Component Star Rated License form today to complete and return to me. We reviewed and discussed Program Standard points, Staff Education points and Quality point options. I discussed with you that programs with less than a three-star license will not be eligible to receive subsidy funding. All staff must establish a DCDEE WORKS account and have their education evaluations completed by Workforce by February 15, 2023. Documentation from Workforce on the results of the education evaluation must be on file for review for each staff member. The following violations were observed today. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #5a, a current activity plan was not posted. The activity plan was dated September 5, 2023, through September 8, 2023. In space #7, there was not an activity plan posted. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In space #6c, sections of the wall in the dramatic play area and near the cot storage had peeling paint. In space #10, paint was peeling from the ceiling and wall. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #3, two electrical outlets on the surge protector on top of the cubbies to the right as you enter the space, were not covered with a safety plug. In space #6a, two electrical outlets were not covered in the block area. In space #6c, one electrical outlet on the left was not covered as you enter the space. In space #8, three electrical outlets on the surge protector on the floor were not covered with a safety plug to the right of the desk used by the lead teacher. All electrical outlets that were not covered were accessible to children. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, that you are currently using as a resource room for staff, one gallon size can of Valspar Signature Ultra White Interior Paint and Primer was stored on the third shelf of the metal shelving unit to the left as you enter the unlocked space. In space #5a, the metal cabinet was unlocked and contained one gallon size jug of Heavy-Duty Degreaser on the second shelf, one container of Mr. Clean Disinfecting Wipes, one container of Dawn Disinfecting Wipes, M Skin Gel Hand Sanitizer (11.8 oz.), and Germless Hand Sanitizer (8oz) on the fourth shelf and accessible to children. The fourth shelf was less than five feet from the floor surface. In space #8, one .12 oz. tube of Super Glue Gel (with multiple warnings in addition to keep out of reach of children) was stored in the top left unlocked desk drawer used by the lead teacher and accessible to children three, four and five years of age. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #3, one tube of Nystatin diaper cream was stored in a locked container but the original pharmacy label was not accompanied with the tube of prescription diaper cream. .0803(2)(a) 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 #2, one white plastic trash bag was stored in an open red container on the lower cubby shelf 56 inches from ground level. One (1) package of small pom-poms were in the plastic wrapper in an open container on the lower cubby shelf, 56 inches from the floor surface. In space #3, clothes were stored in a yellow Dollar General plastic bag and one pack of Pampers in the plastic wrapper were stored in a child’s cubby less than five feet from the floor surface. .0604(q) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. On playground #1, a large storage container with an attached lid was blocking the end of the exit on the handicap accessible ramp leading out of space #1 and into playground #1. GS 110-91 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff with hire dates of August 22, 2023, and August 23, 2023, did not have a medical statement on file for review. 10A NCAC 09 .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Sobrina Driver began employment on August 23, 2023, but did not have a Criminal Background Check completed. G.S. 110-90.2(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two staff with hire dates of August 22, 2023, and August 23, 2023, did not receive the required six hours of orientation within the first two weeks of employment. .1101(a)(b) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration for the red van used to transport children from school expired August 31, 2023. .1002(b) 1757 A valid qualification letter was not on file and available to review at the facility. Sobrina Driver did not have a valid qualifying letter on file for review. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On playground #4, the red dome climber with a critical height of 4 feet and the red train with a critical height of 3 feet was placed on the ground with less than 1/4 inch of wood mulch as the loose surfacing. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff with a hire date of August 23, 2023, was caring for seven children, three years of age in space #5a, did not have a signed acknowledgement on file that the Shaken Baby Head Trauma Policy had been reviewed. .0608(d)(1-4) 9995 A violation was found for which there is no item number. Per sanitation requirement .2832, Outdoor Learning Environment and Premises, (a) Child care center premises, including the outdoor learning environment, shall be kept clean, drained to minimize standing water, free of litter and hazards, and maintained in a manner which does not create conditions that attract or harbor pests. Debris, glass, dilapidated structures, and broken play equipment shall be removed from areas accessible to children. Wells, grease traps, cisterns, and utility equipment shall be made inaccessible to children. On playground #2, two active fire ant mounds were observed. Technical assistance was provided on the following: Item #1041 Prior to employment a Criminal Background Check was not completed. S. Driver did not complete a Criminal Background Check prior to employment beginning on August 23, 2023. I reminded you that employees may not begin working until a valid CBC is on file at the facility. I reviewed the "ncabcsm" system during the visit, and the status for S. Driver was "Ready for Determination." Having a copy of the fingerprints and receipt that the background check was submitted does not replace the valid qualifying letter. I suggested that you use the Staff File Checklist on DCDEE’s website under provider documents as a guideline for staff requirements and when documents are due. Item #1757 A valid qualification letter was not on file and available for review at the facility. A valid qualification letter was not on file for S. Driver. Again, an employee may not begin employment until a valid qualification letter is received and on file. The Staff File Checklist can be used as a guide for when documents are due. Item # 858 (CDV) In space #2, one white plastic trash bag was stored in an open red container on the lower cubby shelf 56 inches from ground level. One (1) package of small pom-poms were in the plastic wrapper in an open container on the lower cubby shelf, 56 inches from ground level. In space #3, clothes were stored in a yellow Dollar General plastic bag and one pack of Pampers in the plastic wrapper were stored in a child’s cubby less than five feet from ground level. This was corrected in space #2, by removing the items in space #2 from the lower shelf and placing them on the shelf above. This was corrected in space #3, by removing the plastic bag and package of diapers and placing them on a shelf greater than five feet from ground level. Have staff complete daily safety checks before children arrive and remove any safety hazards such as plastic bags, plastic packaging, sponges, foam rubber and small toy parts. Item #428 In space #5a, a current activity plan was not posted. The activity plan was dated September 5, 2023, through September 8, 2023. In space #7, there was not an activity plan posted. I discussed with you that a current activity plan must be completed, dated, and posted and must include age-appropriate activities for the children. Establish a method for reviewing and ensuring that activity plans are completed, dated, and posted as required. As a reminder free choice is not a planned activity and should not be on activity plans. Item #1867 (CDV) The depth of the loose surfacing was not based on the critical height of the equipment. On playground #4, used by school age children, a red dome climber with a critical height of 4 feet from the ground was not anchored in the ground and it was placed over dirt and loose wood mulch ¼ inch deep. The red train with a critical height of 3 feet from the ground was not anchored in the ground and it was placed over dirt and loose wood mulch ¼ inch deep. You removed these items from playground #4 and placed them outside the fenced area to correct this violation. I reminded you that equipment must be installed over the required depth of surfacing for the critical height. Please refer to child care rule .0605(k)(1-4). Item #840 (CDV) In space #4, that you are currently using as a resource room for staff, one gallon size can of Valspar Signature Ultra White Interior Paint and Primer was stored on the third shelf of the metal shelving unit to the left as you enter the unlocked space. You corrected this by locking the door to space #4. In space #5a, the metal cabinet was unlocked and contained one gallon size jug of Heavy-Duty Degreaser on the second shelf, one container of Mr. Clean Disinfecting Wipes, one container of Dawn Disinfecting Wipes, M Skin Gel Hand Sanitizer (11.8 oz), and Germless Hand Sanitizer (8oz) on the fourth shelf. The fourth shelf was less than five feet from ground level. This was corrected when you locked the metal cabinet. In space #8, one .12 oz tube of Super Glue Gel (with multiple warnings in addition to keep out of reach of children) was stored in the top left unlocked desk drawer used by the lead teacher and accessible to children three, four and five years of age. You corrected this by throwing the tube of super glue in the trash. I encourage staff to conduct safety checks throughout the day and immediately lock a cabinet or room when not in use. Item #812 In space #3, two electrical outlets on the surge protector on top of the cubbies to the right as you enter the space, were not covered with a safety plug. In space #6a, two electrical outlets were not covered in the block area. These outlets act as safety outlets and are supposed to close when an electrical plug is removed, but as we discussed, the electrical outlets were not functioning and were not closed. I suggested that you place safety covers in the outlets as a precaution and ensure the electrical outlets are not accessible to children using the space. In space #6c, one electrical outlet on the left was not covered as you enter the space. In space #8, three outlets in the surge protector were not covered with a safety plug to the right of the desk used by the lead teacher. I suggested that staff complete safety checks throughout the day to ensure outlets are covered when not in use. Item #899 On playground #1, a large storage container with attached lid was blocking the exit on the handicap accessible ramp leading out of space #1. The storage container extended the length of the bottom ramp and would have prohibited the evacuation cribs from safely exiting the building if an emergency had occurred. You corrected this by removing the storage container and placing it in a different location on playground #1. The container stored mats, umbrellas, and blankets. On playground #2, I observed two active fire ant mounds. Currently, this playground is under construction and not in use. We discussed that the fire ants must be treated and removed immediately, and safety maintained on the playground. Do not let children play on the playground until the fire ants are gone. Complete daily safety checks on the playground before children go outside daily. 15A NCAC 18A 2831(b) Effective measures shall be taken to keep uncontained insects, rodents, and other vermin out of the child care centers and to prevent their breeding or presence on the premises. Traps shall only be placed in areas inaccessible to children. Item #1110 The registration for the red van used to transport children from school expired August 31, 2023. Vans used to transport children to and from school must be maintained as required by law. Inspections and registration must be current. I suggested that you plan so that the vehicles used to transport children are maintained adequately. Item #620 In space #6c, sections of the wall in the dramatic play area and near the cot storage had peeling paint. In space #10, paint was peeling from the ceiling and wall. As a reminder, walls and ceilings must be in good repair. I suggested that you repair and repaint the ceilings and walls as they become damaged. Item #1067 Two staff with hire dates of August 22, 2023, and August 23, 2023, did not receive the required six hours of orientation within the first two weeks of employment. They did not have documentation of orientation in their personnel file. I suggested that you create new hire packets with all the required documents and as you hire new staff, review the orientation checklist so that you review and discuss the required topics within the timeframes. Item #1032 Two staff with hire dates of August 22, 2023, and August 23, 2023, did not have a medical statement on file for review. The Staff File Checklist can be used as a guide and tool to ensure all documents are received within the required timeframes. I suggested that you review DCDEE’s website frequently to ensure that you have the most current forms and documents. Item #1874 One staff with a hire date of August 23, 2023, was caring for children three years of age in space #5a, did not have a signed acknowledgment on file that the Shaken Baby Head Trauma Policy had been reviewed. Prior to staff caring for children under five years of age, you must review the Shaken Baby Head Trauma Policy with them and they must sign that they acknowledge receipt of the policy. I suggested that you review all policies and procedures with staff during orientation. Item #844 In space #3, one tube of Nystatin diaper cream was stored in a locked container but the original pharmacy label was not accompanied with the tube of prescription diaper cream. I reminded you that any medication that is prescribed must be in the original container with the pharmacy label attached. We discussed the proper permission form to use with prescription strength diaper creams and logging when the prescription ointment is administered. Consultation was provided on the following. • We discussed activity plan forms and information required to be documented on the activity plans. I suggested that you update the schedule in the spaces used by school age children to reflect mornings only, afternoons only and full days. The current schedule posted did not offer times for outdoor play for school-age children. • The slats on the railing on the ramp around the upper building are not secure. We discussed that you have a maintenance crew coming to repair and secure the ramp. • The metal railing on the ramp on playground #1 does not have caps on either end. Please place caps on each end of the metal railing. • I encouraged you to add sand and water tables to the playgrounds. • During your daily playground checks before children go outside to play make sure to remove plastic popsicle wrappers and broken pieces of hard plastic. • You stated that all employees at the facility were completing CPR and First Aid on September 14, 2023. T. Petty’s CPR and First Aid verification was not on file-please send me her verification that she is current with CPR and First Aid. • You have 5 playgrounds. Playground #1 was the playground currently in use for infants/toddlers, and children two and three years of age. Playground #2 was not in use and under construction but had two active fire ant mounds. The fire ant mounds will need to be treated and removed prior to children using playground #2. Playground #3 was in the process of being renovated. We discussed natural playgrounds and I suggested that you research materials that will enhance your outdoor learning environments. As materials become worn out and serve no purpose (i.e., broken hula hoops, balls with holes, etc.) I reminded you to remove them from the outdoor learning environment. • To ensure that children are supervised at all times, staff must know the whereabouts of all children enrolled in the space and in attendance for the day. As children learn to potty-train independently, the caregiver must know they are in the bathroom and for preschool age children, staff should offer assistance as needed and bathroom doors should not be closed all the way so that a child may not be able to get out of the bathroom. • Monthly attendance needs to be maintained in each classroom not in the office. Lead Teachers and/or Teachers in each space must maintain their attendance. Please provide each classroom with a monthly attendance record. • As children are moved from one space to another to ensure that staff/child ratios are maintained, please adjust the arrival and departure records accordingly. If a child arrives in space #5a, but needs to be moved into space #6c, then the child would be signed out of space #5a and signed into space #6c. This could ensure accurate arrival and departure records are maintained. We discussed that staff must have a DCDEE WORKS account and their education must be evaluated. If you have any questions about establishing a WORKS account, submitting education, and requesting an education evaluation, please let me know. On the DCDEE website choose the Provider tab, DCDEE WORKS, and review the DCDEE WORKS Training Simulator Step-by-Step Instructions. Let me know if you have any questions or problems getting this task completed. You have completed the EPR Plan. I reminded you to complete the emergency drills (shelter-in-place, lockdown) every three months. The following is general information for you to review to prepare for the Environment Rating Scale Assessment if you choose to have the assessment conducted or as a guide to enhance materials in the classrooms. ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. I suggested that books that portray violence be removed. A variety of books that portray real animal pictures, families, disabilities, and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. I suggested that you have or purchase hats; boys dress shirts, ties, jerseys and dress coats from a consignment shop, yard sale or dollar store to enhance the dramatic play center. Other items that enhance dramatic play are telephone books, cooking aprons, restaurant menus, calculators, cash registers, cookbooks, and baby doll accessories. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Review your daily schedule and free play allotted times. Free play times need to be listed separate from all other activities such as hand washing, preparing to go home etc. All centers/materials should be accessible to children during free play. Water must be available to children throughout the day. Always have a pitcher of water and cups for children available. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan, and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. SACERS-U Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible, during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g., sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g., wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space, and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, write letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departing - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. Since you want to have the Environment Rating Scale completed in the near future, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Reminders: The approved building, fire and sanitation inspections must be completed and submitted to me no later than February 1, 2024. I suggested that you have these inspections completed soon. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after February 1, 2024. Stay updated with changes and new rule updates by visiting the DCDEE website at: https://ncchildcare.ncdhhs.gov COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by September 27, 2023. Please include in that letter each violation 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 jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 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. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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