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Home › NC › Denver › Denver Christian Academy Preschool
2243 North HWY 16, Denver NC 28037 · License #55000170 · Center · Child Care Center
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10A NCAC 09 .0803 · Violation
Name of Operation: DENVER CHRISTIAN ACADEMY PRESCHOOL Facility ID: 55000170 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 5/27/2026 Number Present: 105 Completed Date: 5/27/2026 Age: From 0 To 5 Total Minutes: 430 Time In: 09:35 AM Time Out: 01:05 PM Time In: 01:50 PM Time Out: 05:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. You, Kresta Pedicino, Administrator, and Mia Manicone, Assistant Preschool Director, assisted me with the visit. You provided me with applicable program, staff, and children’s records for review. The most recent annual compliance visit was conducted on June 18, 2025. This program currently operates with a One star rated license effective January 19, 2023, meeting daytime care only. The license was posted, and the restrictions were in compliance. The program’s compliance history was 80 percent prior to today’s visit. The North Carolina Secretary of State website was viewed before the visit and Denver Christian Academy Preschool, Inc. was current/active as of May 27, 2026. A checklist was used to note the requirements monitored today. A walkthrough of the facility was completed today, and all indoor and outdoor areas were monitored. Infants and staff in space #4 were observed during free play activities on the floor and personal care routines. Children and staff throughout the facility were observed during free play activities indoors, personal care routines, and lunch. The most recent approved fire inspection for your facility was conducted on November 21, 2025. The most recent sanitation inspection for your facility was conducted on April 16, 2026. A superior sanitation classification was issued with 0 demerits noted on the grade card. The analysis date for the most recent lead water test was August 22, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This facility is exempt from asbestos and lead-based paint testing. Files for seven new staff members, two existing staff members, and applicable records for all staff were reviewed. All applicable staff were listed on the ABCMS Provider Portal roster for this facility. Fifteen children’s records were reviewed. The most recent monthly fire drill was conducted on April 14, 2026, at 9:20am. The most recent quarterly lockdown/shelter-in-place drill was conducted on February 11, 2026, at 9:45am. You stated the facilities EPR Plan is reviewed with staff every August and individually with each staff member periodically throughout the year, as indicated on your Staff and Training Worksheets. During the visit, you attempted to log in to the Risk Management Portal while troubleshooting access issues with the help desk. You were able to accesses the portal at the end of the visit. The most recent monthly playground inspection was completed on April 7, 2026, by Kresta Pedicino. Violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed: Violation Number Comment Rule 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. On the activity plan posted in space #6 and space #7, the classrooms for children two and three years of age, "sand" was listed as the activity for sand and water activities for each day of the week. .0508(b)(1-5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #3, one spray bottle of Luxury Room Mist indicating "keep out of reach of children and pets" with additional safety warnings was observed on a shelf above the hand washing sink. .2820(b) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. In space #4, a medication permission form was written by the parent for one tube of Equate Athlete's Foot antifungal cream belonging to a child, seven months of age. The manufacturer's instructions on the antifungal cream indicated "do not use on children under 2 years of age unless directed by a doctor." 10A NCAC 09 .0803(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #9, a bucket of several foam sponges were accessible to one child two years of age in the art activity area. .0604(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member, P. Kidwell, employed on October 30, 2025, and one staff member, M. Manicone, employed on November 13, 2025, did not complete First Aid training until May 1, 2026. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member, P. Kidwell, employed on October 30, 2025, and one staff member, M. Manicone, employed on November 13, 2025, did not complete Cardiopulmonary Resuscitation (CPR) training until May 1, 2026. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam for one child enrolled on April 13, 2026, was not completed within 30 days of enrollment. The medical exam for this child was not on file available for review. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization record for one child enrolled on April 13, 2026, was not received within 30 days of enrollment. The immunization record for this child was not on file available for review. 10A NCAC 09 .0302(d)(2) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place emergency drill was completed on February 11, 2026. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member, S. Jones, employed on July 22, 2024, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until January 28, 2025. One staff member, P. Kidwell, employed on October 30, 2025, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until May 4, 2026. One staff member, M. Manicone, employed on November 13, 2025, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until April 29, 2026. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff member, A. Simpson, employed on February 12, 2024, did not complete all required health and safety training until April 3, 2025. One staff member, S. Jones, employed on July 22, 2024, did not complete all required health and safety trainings until May 1, 2026. .1102(a) The violations documented above must be corrected immediately. On or before June 10, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. The email address listed for this facility is kpedicino@denverchristianacademy.com. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance for the violations observed was provided on the following: Activity Plans- -I suggested that you review activity plan requirements with all lead teachers and discuss the intentions for activities to enhance the activity area and stimulate developmental domains. Sand and water activities may include pouring, sifting, measuring, and pretend play activities such as planting and/or watering flowers. We discussed using specific themes each week or month to assist staff with ideas for activities. Additionally, I suggested you contact your local Resource and Referral Agency to request additional technical assistance and training for staff on activity plans. For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Storage of Hazardous Materials- -The room spray was moved to locked storage during the visit. All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled must be stored in a locked storage room or locked cabinet. I suggested that you monitor all areas of the child care facility each day to ensure all hazardous products are stored appropriately. I suggested that you create a safety checklist of items to monitor. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. A product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Medication- -Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. During the visit, you contacted the child’s parent and the parent was able to send you a doctor’s note for the antifungal cream to be administered to the child. I suggested that administrative staff and lead teachers review all medication instructions on the label to ensure correct dosage is administered to the child, or if doctor’s instructions are needed prior to administering to the child. Choking Hazards- -The foam sponges were moved above the refrigerator inaccessible to children. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three years of age. I suggested that administrative staff monitor all classrooms for children under three years of age daily to ensure plastic grocery bags, plastic packaging, small toys, small art supplies, and other potential choking hazards are inaccessible to children or removed from the classroom. I suggested that you review safety requirements with all staff members individually and during an upcoming staff meeting. I suggested that you create a daily safety checklist for staff to utilize each day to ensure a safe environment. Children’s medical records- -Children’s medical exam or health assessment and immunization record must be received and on file within thirty days of the child’s enrollment. I suggested that you request children’s medical exams and immunization records prior to enrollment to ensure compliance with this requirement. I also suggested that you utilize the Children’s File Checklist available on the DCDEE website to refer to prior to each child’s enrollment to ensure all required documentation is on file within the required timeframe. You may also choose to add due dates to a calendar on your phone or computer and set alerts for reminders when these documents are due. First Aid and Cardiopulmonary resuscitation (CPR) training- -Staff must complete First Aid and CPR training within ninety (90) days of employment and must renew certification on or before the expiration date. I suggested that you register staff for CPR and First Aid training as soon as they are hired and at least six months prior to the certification’s expiration date. CPR and First Aid training must be completed in person by an approved agency. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. These are repeated violations. Recognizing and Responding to Suspicions of Child Maltreatment training- -New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that staff complete Recognizing and Responding to Suspicions of Child Maltreatment training during the first two weeks of employment, in conjunction with new staff orientation. Training for Recognizing and Responding to Suspicions of Child Maltreatment training must be completed through https://preventchildabusenc.gov. Health and Safety training- -New staff must complete all required health and safety training within the first year of employment. This includes Recognizing and Responding to Suspicions of Child Maltreatment training, CPR, and First Aid training, however, these trainings must be completed within 90 days of employment. Training for Recognizing and Responding to Suspicions of Child Maltreatment training must be completed through https://preventchildabusenc.gov. CPR and First Aid training must be completed in person by an approved agency. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. Other topics for health and safety training may be completed through Moodle at https://www.dcdee.moodle.nc.gov/. I suggested encouraging staff to complete health and safety trainings within the first six months of employment to ensure completion of this requirement within the timeframe. Emergency Drills- Shelter-in-place or lockdown drills must be practiced within every three months. A shelter-in-place or lockdown drill must be completed by June 10, 2026. I suggested that you make a note on a calendar or set a reminder on your computer to conduct emergency drills at least every three months. Shelter-in-place or lockdown drills are to be conducted within three months of the previous drill rather than once every quarter. Consultation: We discussed the following during the visit: -A reminded you that a fire drill and a playground inspection must be complete by this Friday, May 29, 2026, for the month of May. QRIS Pathways to the Stars: You stated you are not interested in increasing your star rated license at this time. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at 828-782-0718 or Tammy.McGalliard@dhhs.nc.gov. Thank you for your time and assistance today. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Generated from this facility's specific inspection record
Data synced from North Carolina's child care licensing agency on Jul 9, 2026 · Report an error
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0302 · Violation
Name of Operation: DENVER CHRISTIAN ACADEMY PRESCHOOL Facility ID: 55000170 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 5/27/2026 Number Present: 105 Completed Date: 5/27/2026 Age: From 0 To 5 Total Minutes: 430 Time In: 09:35 AM Time Out: 01:05 PM Time In: 01:50 PM Time Out: 05:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. You, Kresta Pedicino, Administrator, and Mia Manicone, Assistant Preschool Director, assisted me with the visit. You provided me with applicable program, staff, and children’s records for review. The most recent annual compliance visit was conducted on June 18, 2025. This program currently operates with a One star rated license effective January 19, 2023, meeting daytime care only. The license was posted, and the restrictions were in compliance. The program’s compliance history was 80 percent prior to today’s visit. The North Carolina Secretary of State website was viewed before the visit and Denver Christian Academy Preschool, Inc. was current/active as of May 27, 2026. A checklist was used to note the requirements monitored today. A walkthrough of the facility was completed today, and all indoor and outdoor areas were monitored. Infants and staff in space #4 were observed during free play activities on the floor and personal care routines. Children and staff throughout the facility were observed during free play activities indoors, personal care routines, and lunch. The most recent approved fire inspection for your facility was conducted on November 21, 2025. The most recent sanitation inspection for your facility was conducted on April 16, 2026. A superior sanitation classification was issued with 0 demerits noted on the grade card. The analysis date for the most recent lead water test was August 22, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This facility is exempt from asbestos and lead-based paint testing. Files for seven new staff members, two existing staff members, and applicable records for all staff were reviewed. All applicable staff were listed on the ABCMS Provider Portal roster for this facility. Fifteen children’s records were reviewed. The most recent monthly fire drill was conducted on April 14, 2026, at 9:20am. The most recent quarterly lockdown/shelter-in-place drill was conducted on February 11, 2026, at 9:45am. You stated the facilities EPR Plan is reviewed with staff every August and individually with each staff member periodically throughout the year, as indicated on your Staff and Training Worksheets. During the visit, you attempted to log in to the Risk Management Portal while troubleshooting access issues with the help desk. You were able to accesses the portal at the end of the visit. The most recent monthly playground inspection was completed on April 7, 2026, by Kresta Pedicino. Violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed: Violation Number Comment Rule 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. On the activity plan posted in space #6 and space #7, the classrooms for children two and three years of age, "sand" was listed as the activity for sand and water activities for each day of the week. .0508(b)(1-5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #3, one spray bottle of Luxury Room Mist indicating "keep out of reach of children and pets" with additional safety warnings was observed on a shelf above the hand washing sink. .2820(b) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. In space #4, a medication permission form was written by the parent for one tube of Equate Athlete's Foot antifungal cream belonging to a child, seven months of age. The manufacturer's instructions on the antifungal cream indicated "do not use on children under 2 years of age unless directed by a doctor." 10A NCAC 09 .0803(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #9, a bucket of several foam sponges were accessible to one child two years of age in the art activity area. .0604(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member, P. Kidwell, employed on October 30, 2025, and one staff member, M. Manicone, employed on November 13, 2025, did not complete First Aid training until May 1, 2026. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member, P. Kidwell, employed on October 30, 2025, and one staff member, M. Manicone, employed on November 13, 2025, did not complete Cardiopulmonary Resuscitation (CPR) training until May 1, 2026. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam for one child enrolled on April 13, 2026, was not completed within 30 days of enrollment. The medical exam for this child was not on file available for review. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization record for one child enrolled on April 13, 2026, was not received within 30 days of enrollment. The immunization record for this child was not on file available for review. 10A NCAC 09 .0302(d)(2) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place emergency drill was completed on February 11, 2026. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member, S. Jones, employed on July 22, 2024, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until January 28, 2025. One staff member, P. Kidwell, employed on October 30, 2025, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until May 4, 2026. One staff member, M. Manicone, employed on November 13, 2025, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until April 29, 2026. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff member, A. Simpson, employed on February 12, 2024, did not complete all required health and safety training until April 3, 2025. One staff member, S. Jones, employed on July 22, 2024, did not complete all required health and safety trainings until May 1, 2026. .1102(a) The violations documented above must be corrected immediately. On or before June 10, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. The email address listed for this facility is kpedicino@denverchristianacademy.com. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance for the violations observed was provided on the following: Activity Plans- -I suggested that you review activity plan requirements with all lead teachers and discuss the intentions for activities to enhance the activity area and stimulate developmental domains. Sand and water activities may include pouring, sifting, measuring, and pretend play activities such as planting and/or watering flowers. We discussed using specific themes each week or month to assist staff with ideas for activities. Additionally, I suggested you contact your local Resource and Referral Agency to request additional technical assistance and training for staff on activity plans. For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Storage of Hazardous Materials- -The room spray was moved to locked storage during the visit. All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled must be stored in a locked storage room or locked cabinet. I suggested that you monitor all areas of the child care facility each day to ensure all hazardous products are stored appropriately. I suggested that you create a safety checklist of items to monitor. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. A product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Medication- -Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. During the visit, you contacted the child’s parent and the parent was able to send you a doctor’s note for the antifungal cream to be administered to the child. I suggested that administrative staff and lead teachers review all medication instructions on the label to ensure correct dosage is administered to the child, or if doctor’s instructions are needed prior to administering to the child. Choking Hazards- -The foam sponges were moved above the refrigerator inaccessible to children. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three years of age. I suggested that administrative staff monitor all classrooms for children under three years of age daily to ensure plastic grocery bags, plastic packaging, small toys, small art supplies, and other potential choking hazards are inaccessible to children or removed from the classroom. I suggested that you review safety requirements with all staff members individually and during an upcoming staff meeting. I suggested that you create a daily safety checklist for staff to utilize each day to ensure a safe environment. Children’s medical records- -Children’s medical exam or health assessment and immunization record must be received and on file within thirty days of the child’s enrollment. I suggested that you request children’s medical exams and immunization records prior to enrollment to ensure compliance with this requirement. I also suggested that you utilize the Children’s File Checklist available on the DCDEE website to refer to prior to each child’s enrollment to ensure all required documentation is on file within the required timeframe. You may also choose to add due dates to a calendar on your phone or computer and set alerts for reminders when these documents are due. First Aid and Cardiopulmonary resuscitation (CPR) training- -Staff must complete First Aid and CPR training within ninety (90) days of employment and must renew certification on or before the expiration date. I suggested that you register staff for CPR and First Aid training as soon as they are hired and at least six months prior to the certification’s expiration date. CPR and First Aid training must be completed in person by an approved agency. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. These are repeated violations. Recognizing and Responding to Suspicions of Child Maltreatment training- -New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that staff complete Recognizing and Responding to Suspicions of Child Maltreatment training during the first two weeks of employment, in conjunction with new staff orientation. Training for Recognizing and Responding to Suspicions of Child Maltreatment training must be completed through https://preventchildabusenc.gov. Health and Safety training- -New staff must complete all required health and safety training within the first year of employment. This includes Recognizing and Responding to Suspicions of Child Maltreatment training, CPR, and First Aid training, however, these trainings must be completed within 90 days of employment. Training for Recognizing and Responding to Suspicions of Child Maltreatment training must be completed through https://preventchildabusenc.gov. CPR and First Aid training must be completed in person by an approved agency. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. Other topics for health and safety training may be completed through Moodle at https://www.dcdee.moodle.nc.gov/. I suggested encouraging staff to complete health and safety trainings within the first six months of employment to ensure completion of this requirement within the timeframe. Emergency Drills- Shelter-in-place or lockdown drills must be practiced within every three months. A shelter-in-place or lockdown drill must be completed by June 10, 2026. I suggested that you make a note on a calendar or set a reminder on your computer to conduct emergency drills at least every three months. Shelter-in-place or lockdown drills are to be conducted within three months of the previous drill rather than once every quarter. Consultation: We discussed the following during the visit: -A reminded you that a fire drill and a playground inspection must be complete by this Friday, May 29, 2026, for the month of May. QRIS Pathways to the Stars: You stated you are not interested in increasing your star rated license at this time. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at 828-782-0718 or Tammy.McGalliard@dhhs.nc.gov. Thank you for your time and assistance today. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
GS110-91 · Violation
Name of Operation: DENVER CHRISTIAN ACADEMY PRESCHOOL Facility ID: 55000170 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 5/27/2026 Number Present: 105 Completed Date: 5/27/2026 Age: From 0 To 5 Total Minutes: 430 Time In: 09:35 AM Time Out: 01:05 PM Time In: 01:50 PM Time Out: 05:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. You, Kresta Pedicino, Administrator, and Mia Manicone, Assistant Preschool Director, assisted me with the visit. You provided me with applicable program, staff, and children’s records for review. The most recent annual compliance visit was conducted on June 18, 2025. This program currently operates with a One star rated license effective January 19, 2023, meeting daytime care only. The license was posted, and the restrictions were in compliance. The program’s compliance history was 80 percent prior to today’s visit. The North Carolina Secretary of State website was viewed before the visit and Denver Christian Academy Preschool, Inc. was current/active as of May 27, 2026. A checklist was used to note the requirements monitored today. A walkthrough of the facility was completed today, and all indoor and outdoor areas were monitored. Infants and staff in space #4 were observed during free play activities on the floor and personal care routines. Children and staff throughout the facility were observed during free play activities indoors, personal care routines, and lunch. The most recent approved fire inspection for your facility was conducted on November 21, 2025. The most recent sanitation inspection for your facility was conducted on April 16, 2026. A superior sanitation classification was issued with 0 demerits noted on the grade card. The analysis date for the most recent lead water test was August 22, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This facility is exempt from asbestos and lead-based paint testing. Files for seven new staff members, two existing staff members, and applicable records for all staff were reviewed. All applicable staff were listed on the ABCMS Provider Portal roster for this facility. Fifteen children’s records were reviewed. The most recent monthly fire drill was conducted on April 14, 2026, at 9:20am. The most recent quarterly lockdown/shelter-in-place drill was conducted on February 11, 2026, at 9:45am. You stated the facilities EPR Plan is reviewed with staff every August and individually with each staff member periodically throughout the year, as indicated on your Staff and Training Worksheets. During the visit, you attempted to log in to the Risk Management Portal while troubleshooting access issues with the help desk. You were able to accesses the portal at the end of the visit. The most recent monthly playground inspection was completed on April 7, 2026, by Kresta Pedicino. Violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed: Violation Number Comment Rule 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. On the activity plan posted in space #6 and space #7, the classrooms for children two and three years of age, "sand" was listed as the activity for sand and water activities for each day of the week. .0508(b)(1-5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #3, one spray bottle of Luxury Room Mist indicating "keep out of reach of children and pets" with additional safety warnings was observed on a shelf above the hand washing sink. .2820(b) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. In space #4, a medication permission form was written by the parent for one tube of Equate Athlete's Foot antifungal cream belonging to a child, seven months of age. The manufacturer's instructions on the antifungal cream indicated "do not use on children under 2 years of age unless directed by a doctor." 10A NCAC 09 .0803(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #9, a bucket of several foam sponges were accessible to one child two years of age in the art activity area. .0604(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member, P. Kidwell, employed on October 30, 2025, and one staff member, M. Manicone, employed on November 13, 2025, did not complete First Aid training until May 1, 2026. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member, P. Kidwell, employed on October 30, 2025, and one staff member, M. Manicone, employed on November 13, 2025, did not complete Cardiopulmonary Resuscitation (CPR) training until May 1, 2026. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam for one child enrolled on April 13, 2026, was not completed within 30 days of enrollment. The medical exam for this child was not on file available for review. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization record for one child enrolled on April 13, 2026, was not received within 30 days of enrollment. The immunization record for this child was not on file available for review. 10A NCAC 09 .0302(d)(2) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place emergency drill was completed on February 11, 2026. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member, S. Jones, employed on July 22, 2024, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until January 28, 2025. One staff member, P. Kidwell, employed on October 30, 2025, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until May 4, 2026. One staff member, M. Manicone, employed on November 13, 2025, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until April 29, 2026. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff member, A. Simpson, employed on February 12, 2024, did not complete all required health and safety training until April 3, 2025. One staff member, S. Jones, employed on July 22, 2024, did not complete all required health and safety trainings until May 1, 2026. .1102(a) The violations documented above must be corrected immediately. On or before June 10, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. The email address listed for this facility is kpedicino@denverchristianacademy.com. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance for the violations observed was provided on the following: Activity Plans- -I suggested that you review activity plan requirements with all lead teachers and discuss the intentions for activities to enhance the activity area and stimulate developmental domains. Sand and water activities may include pouring, sifting, measuring, and pretend play activities such as planting and/or watering flowers. We discussed using specific themes each week or month to assist staff with ideas for activities. Additionally, I suggested you contact your local Resource and Referral Agency to request additional technical assistance and training for staff on activity plans. For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Storage of Hazardous Materials- -The room spray was moved to locked storage during the visit. All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled must be stored in a locked storage room or locked cabinet. I suggested that you monitor all areas of the child care facility each day to ensure all hazardous products are stored appropriately. I suggested that you create a safety checklist of items to monitor. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. A product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Medication- -Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. During the visit, you contacted the child’s parent and the parent was able to send you a doctor’s note for the antifungal cream to be administered to the child. I suggested that administrative staff and lead teachers review all medication instructions on the label to ensure correct dosage is administered to the child, or if doctor’s instructions are needed prior to administering to the child. Choking Hazards- -The foam sponges were moved above the refrigerator inaccessible to children. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three years of age. I suggested that administrative staff monitor all classrooms for children under three years of age daily to ensure plastic grocery bags, plastic packaging, small toys, small art supplies, and other potential choking hazards are inaccessible to children or removed from the classroom. I suggested that you review safety requirements with all staff members individually and during an upcoming staff meeting. I suggested that you create a daily safety checklist for staff to utilize each day to ensure a safe environment. Children’s medical records- -Children’s medical exam or health assessment and immunization record must be received and on file within thirty days of the child’s enrollment. I suggested that you request children’s medical exams and immunization records prior to enrollment to ensure compliance with this requirement. I also suggested that you utilize the Children’s File Checklist available on the DCDEE website to refer to prior to each child’s enrollment to ensure all required documentation is on file within the required timeframe. You may also choose to add due dates to a calendar on your phone or computer and set alerts for reminders when these documents are due. First Aid and Cardiopulmonary resuscitation (CPR) training- -Staff must complete First Aid and CPR training within ninety (90) days of employment and must renew certification on or before the expiration date. I suggested that you register staff for CPR and First Aid training as soon as they are hired and at least six months prior to the certification’s expiration date. CPR and First Aid training must be completed in person by an approved agency. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. These are repeated violations. Recognizing and Responding to Suspicions of Child Maltreatment training- -New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that staff complete Recognizing and Responding to Suspicions of Child Maltreatment training during the first two weeks of employment, in conjunction with new staff orientation. Training for Recognizing and Responding to Suspicions of Child Maltreatment training must be completed through https://preventchildabusenc.gov. Health and Safety training- -New staff must complete all required health and safety training within the first year of employment. This includes Recognizing and Responding to Suspicions of Child Maltreatment training, CPR, and First Aid training, however, these trainings must be completed within 90 days of employment. Training for Recognizing and Responding to Suspicions of Child Maltreatment training must be completed through https://preventchildabusenc.gov. CPR and First Aid training must be completed in person by an approved agency. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. Other topics for health and safety training may be completed through Moodle at https://www.dcdee.moodle.nc.gov/. I suggested encouraging staff to complete health and safety trainings within the first six months of employment to ensure completion of this requirement within the timeframe. Emergency Drills- Shelter-in-place or lockdown drills must be practiced within every three months. A shelter-in-place or lockdown drill must be completed by June 10, 2026. I suggested that you make a note on a calendar or set a reminder on your computer to conduct emergency drills at least every three months. Shelter-in-place or lockdown drills are to be conducted within three months of the previous drill rather than once every quarter. Consultation: We discussed the following during the visit: -A reminded you that a fire drill and a playground inspection must be complete by this Friday, May 29, 2026, for the month of May. QRIS Pathways to the Stars: You stated you are not interested in increasing your star rated license at this time. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at 828-782-0718 or Tammy.McGalliard@dhhs.nc.gov. Thank you for your time and assistance today. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
NC GS 110-90 · Violation
Name of Operation: DENVER CHRISTIAN ACADEMY PRESCHOOL Facility ID: 55000170 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 5/27/2026 Number Present: 105 Completed Date: 5/27/2026 Age: From 0 To 5 Total Minutes: 430 Time In: 09:35 AM Time Out: 01:05 PM Time In: 01:50 PM Time Out: 05:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. You, Kresta Pedicino, Administrator, and Mia Manicone, Assistant Preschool Director, assisted me with the visit. You provided me with applicable program, staff, and children’s records for review. The most recent annual compliance visit was conducted on June 18, 2025. This program currently operates with a One star rated license effective January 19, 2023, meeting daytime care only. The license was posted, and the restrictions were in compliance. The program’s compliance history was 80 percent prior to today’s visit. The North Carolina Secretary of State website was viewed before the visit and Denver Christian Academy Preschool, Inc. was current/active as of May 27, 2026. A checklist was used to note the requirements monitored today. A walkthrough of the facility was completed today, and all indoor and outdoor areas were monitored. Infants and staff in space #4 were observed during free play activities on the floor and personal care routines. Children and staff throughout the facility were observed during free play activities indoors, personal care routines, and lunch. The most recent approved fire inspection for your facility was conducted on November 21, 2025. The most recent sanitation inspection for your facility was conducted on April 16, 2026. A superior sanitation classification was issued with 0 demerits noted on the grade card. The analysis date for the most recent lead water test was August 22, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This facility is exempt from asbestos and lead-based paint testing. Files for seven new staff members, two existing staff members, and applicable records for all staff were reviewed. All applicable staff were listed on the ABCMS Provider Portal roster for this facility. Fifteen children’s records were reviewed. The most recent monthly fire drill was conducted on April 14, 2026, at 9:20am. The most recent quarterly lockdown/shelter-in-place drill was conducted on February 11, 2026, at 9:45am. You stated the facilities EPR Plan is reviewed with staff every August and individually with each staff member periodically throughout the year, as indicated on your Staff and Training Worksheets. During the visit, you attempted to log in to the Risk Management Portal while troubleshooting access issues with the help desk. You were able to accesses the portal at the end of the visit. The most recent monthly playground inspection was completed on April 7, 2026, by Kresta Pedicino. Violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed: Violation Number Comment Rule 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. On the activity plan posted in space #6 and space #7, the classrooms for children two and three years of age, "sand" was listed as the activity for sand and water activities for each day of the week. .0508(b)(1-5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #3, one spray bottle of Luxury Room Mist indicating "keep out of reach of children and pets" with additional safety warnings was observed on a shelf above the hand washing sink. .2820(b) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. In space #4, a medication permission form was written by the parent for one tube of Equate Athlete's Foot antifungal cream belonging to a child, seven months of age. The manufacturer's instructions on the antifungal cream indicated "do not use on children under 2 years of age unless directed by a doctor." 10A NCAC 09 .0803(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #9, a bucket of several foam sponges were accessible to one child two years of age in the art activity area. .0604(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member, P. Kidwell, employed on October 30, 2025, and one staff member, M. Manicone, employed on November 13, 2025, did not complete First Aid training until May 1, 2026. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member, P. Kidwell, employed on October 30, 2025, and one staff member, M. Manicone, employed on November 13, 2025, did not complete Cardiopulmonary Resuscitation (CPR) training until May 1, 2026. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam for one child enrolled on April 13, 2026, was not completed within 30 days of enrollment. The medical exam for this child was not on file available for review. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization record for one child enrolled on April 13, 2026, was not received within 30 days of enrollment. The immunization record for this child was not on file available for review. 10A NCAC 09 .0302(d)(2) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place emergency drill was completed on February 11, 2026. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member, S. Jones, employed on July 22, 2024, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until January 28, 2025. One staff member, P. Kidwell, employed on October 30, 2025, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until May 4, 2026. One staff member, M. Manicone, employed on November 13, 2025, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until April 29, 2026. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff member, A. Simpson, employed on February 12, 2024, did not complete all required health and safety training until April 3, 2025. One staff member, S. Jones, employed on July 22, 2024, did not complete all required health and safety trainings until May 1, 2026. .1102(a) The violations documented above must be corrected immediately. On or before June 10, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. The email address listed for this facility is kpedicino@denverchristianacademy.com. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance for the violations observed was provided on the following: Activity Plans- -I suggested that you review activity plan requirements with all lead teachers and discuss the intentions for activities to enhance the activity area and stimulate developmental domains. Sand and water activities may include pouring, sifting, measuring, and pretend play activities such as planting and/or watering flowers. We discussed using specific themes each week or month to assist staff with ideas for activities. Additionally, I suggested you contact your local Resource and Referral Agency to request additional technical assistance and training for staff on activity plans. For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Storage of Hazardous Materials- -The room spray was moved to locked storage during the visit. All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled must be stored in a locked storage room or locked cabinet. I suggested that you monitor all areas of the child care facility each day to ensure all hazardous products are stored appropriately. I suggested that you create a safety checklist of items to monitor. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. A product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Medication- -Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. During the visit, you contacted the child’s parent and the parent was able to send you a doctor’s note for the antifungal cream to be administered to the child. I suggested that administrative staff and lead teachers review all medication instructions on the label to ensure correct dosage is administered to the child, or if doctor’s instructions are needed prior to administering to the child. Choking Hazards- -The foam sponges were moved above the refrigerator inaccessible to children. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three years of age. I suggested that administrative staff monitor all classrooms for children under three years of age daily to ensure plastic grocery bags, plastic packaging, small toys, small art supplies, and other potential choking hazards are inaccessible to children or removed from the classroom. I suggested that you review safety requirements with all staff members individually and during an upcoming staff meeting. I suggested that you create a daily safety checklist for staff to utilize each day to ensure a safe environment. Children’s medical records- -Children’s medical exam or health assessment and immunization record must be received and on file within thirty days of the child’s enrollment. I suggested that you request children’s medical exams and immunization records prior to enrollment to ensure compliance with this requirement. I also suggested that you utilize the Children’s File Checklist available on the DCDEE website to refer to prior to each child’s enrollment to ensure all required documentation is on file within the required timeframe. You may also choose to add due dates to a calendar on your phone or computer and set alerts for reminders when these documents are due. First Aid and Cardiopulmonary resuscitation (CPR) training- -Staff must complete First Aid and CPR training within ninety (90) days of employment and must renew certification on or before the expiration date. I suggested that you register staff for CPR and First Aid training as soon as they are hired and at least six months prior to the certification’s expiration date. CPR and First Aid training must be completed in person by an approved agency. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. These are repeated violations. Recognizing and Responding to Suspicions of Child Maltreatment training- -New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that staff complete Recognizing and Responding to Suspicions of Child Maltreatment training during the first two weeks of employment, in conjunction with new staff orientation. Training for Recognizing and Responding to Suspicions of Child Maltreatment training must be completed through https://preventchildabusenc.gov. Health and Safety training- -New staff must complete all required health and safety training within the first year of employment. This includes Recognizing and Responding to Suspicions of Child Maltreatment training, CPR, and First Aid training, however, these trainings must be completed within 90 days of employment. Training for Recognizing and Responding to Suspicions of Child Maltreatment training must be completed through https://preventchildabusenc.gov. CPR and First Aid training must be completed in person by an approved agency. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. Other topics for health and safety training may be completed through Moodle at https://www.dcdee.moodle.nc.gov/. I suggested encouraging staff to complete health and safety trainings within the first six months of employment to ensure completion of this requirement within the timeframe. Emergency Drills- Shelter-in-place or lockdown drills must be practiced within every three months. A shelter-in-place or lockdown drill must be completed by June 10, 2026. I suggested that you make a note on a calendar or set a reminder on your computer to conduct emergency drills at least every three months. Shelter-in-place or lockdown drills are to be conducted within three months of the previous drill rather than once every quarter. Consultation: We discussed the following during the visit: -A reminded you that a fire drill and a playground inspection must be complete by this Friday, May 29, 2026, for the month of May. QRIS Pathways to the Stars: You stated you are not interested in increasing your star rated license at this time. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at 828-782-0718 or Tammy.McGalliard@dhhs.nc.gov. Thank you for your time and assistance today. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 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 .0510 · Violation
Name of Operation: DENVER CHRISTIAN ACADEMY PRESCHOOL Facility ID: 55000170 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 12/17/2025 Number Present: 117 Completed Date: 12/17/2025 Age: From 0 To 5 Total Minutes: 350 Time In: 09:30 AM Time Out: 01:00 PM Time In: 01:40 PM Time Out: 04:00 PM List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Kresta Pedicino, Administrator, assisted me with the visit. You provided me with applicable program and staff records for review. The most recent annual compliance visit was conducted on June 18, 2025. This program currently operates with a One-star rated license issued on January 19, 2023, meeting daytime care only. The license was posted and the restriction was in compliance. The program’s compliance history was 77% prior to today’s visit. On November 14, 2025, you and assistant director, Mia Manicone, attended a new administrator technical assistance training in an effort to maintain compliance with child care requirements, enhance quality of care, and increase the facilities compliance history during upcoming monitoring visits. During today’s visit, we determined a plan to increase compliance by scheduling a technical assistance visit to review violations that were cited during the most recent annual compliance visit and violations observed today. The technical assistance visit was scheduled for February 6, 2026. The North Carolina Secretary of State website was reviewed on December 17, 2025, and Denver Christian Academy Preschool, Inc. was listed as current/active. Limited monitoring was conducted. A walkthrough of the facility was completed today, and all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free play activities indoors. Infants in space #4 were engaged in bottle feeding and activities on the floor. Sleep checks were monitored. The caregivers were interacting and meeting the developmental needs for each of the children. Records for eight new staff and applicable records for existing staff were reviewed. All staff were listed on the ABCMS Provider Portal roster for this facility. The most recent approved fire inspection for your facility was conducted on November 21, 2025. The most recent sanitation inspection for your facility was conducted on July 24, 2025. A Superior sanitation classification was issued with 4 demerits noted on the grade card. The analysis date for the most recent lead water test was August 22, 2024. Lead testing must be completed every three years. This facility is exempt from required asbestos testing. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “Survey Review by RTI” for required lead-based paint testing. I suggested you or the individual responsible contact RTI to request an update on this facilities’ status with required lead based paint testing. This test must be completed by December 31, 2025. The most recent monthly fire drill was conducted on November 20, 2025, at 4:59pm. The most recent quarterly lockdown/shelter-in-place drill was conducted on November 12, 2025, at 9:45am. The most recent monthly playground inspection was completed on November 20, 2025, by Kresta Pedicino. Violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed: Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. On the playground for preschool children, exposed gravel and a thin layer of dirt was observed at the exit of the large, beige slide of the composite structure. .0605(j) 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 #4, the classroom for infants, plastic diaper packaging and plastic grocery bags with safety warnings were observed in an unlocked cabinet below the diaper changing table accessible to children. .0604(q) 871 Center staff did not comply with the safe sleep policy. In space #4, the classroom for infants, a sleep position was not documented for one infant five months of age at 12:05pm and 12:15pm on December 5, 2025. In space #4, the classroom for infants, a sleep position was not documented for one infant eleven months of age at 10:58am, 11:00am, and 11:15am on December 9, 2025. 10A NCAC 09 .0606(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff member, Lauren Howard, employed on October 20, 2025, had a criminal background check qualification letter that expired on November 6, 2025, and did not receive the five year recheck qualification letter until November 19, 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. A criminal background check qualification letter was not on file for one staff member, Lauren Howard, employed on October 20, 2025, from November 7, 2025, through November 18, 2025. The previous criminal background check qualification letter expired on November 6, 2025, and the staff member did not receive the five year recheck qualification letter until November 19, 2025. G.S. 110-90.2(b) & (d) & .2703(e) The violations documented above must be corrected immediately. On or before December 31, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. Mail or email the information to: Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. The email address listed for this facility is kpedicino@denverchristianacademy.com. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance: Criminal Background Checks- -I suggested you set calendar reminders or create a working document to track the expiration dates of qualifying letters for all staff members to ensure all staff members maintain a current and valid qualifying letter. I suggested you use the ABCMS Provider Portal to keep track of expiration dates of qualifying letters for all staff members. I also suggested you remind staff two (2) months prior to the expiration date of their qualifying letter to complete an application for an updated qualifying letter to begin the process. Additionally, I suggested that you review staff files regularly to ensure no qualifying letters have expired. Fall Zone Surfacing- -Six inches of mulch depth is required in the fall zone area of the composite structure measuring higher than eighteen inches on your playground. Surfacing depth is determined based on the height of your equipment. I suggested that you till the mulch and rake to needed areas and purchase additional mulch needed to maintain compliance with six inches of protective surfacing specifically at the exit of the large, beige slide where gravel was present. Choking Hazards- -The administrator locked the cabinet containing plastic packaging and plastic grocery bags during the visit. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three years of age. I suggested that administrative staff monitor all classrooms for children under three years of age daily to ensure plastic grocery bags, plastic packaging, small toys, small art supplies, and other potential choking hazards are inaccessible to children or removed from the classroom. I suggested that you review safety requirements with all staff members individually and during an upcoming staff meeting. I suggested that you create a daily safety checklist for staff to utilize each day to ensure a safe environment. Safe Sleep Checks- -This is a repeated violation. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, sleeping infants must be visually checked at least once every fifteen (15) minutes and the check, along with the infants’ sleep position, must be documented on a safe sleep log. Visually checking on sleeping infants every fifteen minutes, per your facilities safe sleep policy, is critical in protecting sleeping infants from sudden infant death syndrome. I suggested that you discuss requirements for safe sleep checks as well as sudden infant death syndrome with all staff, especially all staff who work in the classroom for infants. I suggested utilizing the Caring for Our Children resource book for more information pertaining to safe sleep practices and sudden infant death syndrome. I suggested determining how safe sleep checks will be turned in to administrative staff and create a plan to review safe sleep checks prior to filing. Consultation: We discussed the following during the visit: -I suggested that you or the individual responsible contact RTI to request an update on this facilities status with required lead-based paint testing. This test must be completed by December 31, 2025. -We discussed activity plans and the activities listed for sand and water play. 10A NCAC 09 .0510(c) Each center shall provide materials and opportunities for each group of children at least weekly, indoors or outdoors, for the following: (1) music and rhythm; (2) science and nature; and (3) sand and water play. -Paxton Kidwell must receive one additional hour of orientation within the two topic areas that orientation was not received. Ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment on required topics. I suggested that you complete 6 hours of new staff orientation on the staff member’s first day of employment, prior to working in a classroom. If possible, complete the remaining 10 hours of orientation within the first week of employment to ensure each new staff member is aware of policies and procedures and to ensure compliance with this requirement. Keep in mind, it is impossible for staff to complete all orientation within one day as sixteen hours of training is required. -I suggested documenting changes in children’s eating habits on the feeding plan as soon as you or staff have a conversation with the child’s parents. I suggested that administrative staff review feeding plans at least monthly to ensure that updates have been recorded on the child’s feeding plan. QRIS Pathways to the Stars: -You stated you wish to maintain your one star rated license at this time. If you decide to increase your star rating, I suggested that you review the new QRIS Pathway to Stars by visiting https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Reminders and Resources: -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. You may access step by step instructions by visiting https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. 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/. Thank you for your time and assistance today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0606 · Violation
Name of Operation: DENVER CHRISTIAN ACADEMY PRESCHOOL Facility ID: 55000170 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 12/17/2025 Number Present: 117 Completed Date: 12/17/2025 Age: From 0 To 5 Total Minutes: 350 Time In: 09:30 AM Time Out: 01:00 PM Time In: 01:40 PM Time Out: 04:00 PM List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Kresta Pedicino, Administrator, assisted me with the visit. You provided me with applicable program and staff records for review. The most recent annual compliance visit was conducted on June 18, 2025. This program currently operates with a One-star rated license issued on January 19, 2023, meeting daytime care only. The license was posted and the restriction was in compliance. The program’s compliance history was 77% prior to today’s visit. On November 14, 2025, you and assistant director, Mia Manicone, attended a new administrator technical assistance training in an effort to maintain compliance with child care requirements, enhance quality of care, and increase the facilities compliance history during upcoming monitoring visits. During today’s visit, we determined a plan to increase compliance by scheduling a technical assistance visit to review violations that were cited during the most recent annual compliance visit and violations observed today. The technical assistance visit was scheduled for February 6, 2026. The North Carolina Secretary of State website was reviewed on December 17, 2025, and Denver Christian Academy Preschool, Inc. was listed as current/active. Limited monitoring was conducted. A walkthrough of the facility was completed today, and all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free play activities indoors. Infants in space #4 were engaged in bottle feeding and activities on the floor. Sleep checks were monitored. The caregivers were interacting and meeting the developmental needs for each of the children. Records for eight new staff and applicable records for existing staff were reviewed. All staff were listed on the ABCMS Provider Portal roster for this facility. The most recent approved fire inspection for your facility was conducted on November 21, 2025. The most recent sanitation inspection for your facility was conducted on July 24, 2025. A Superior sanitation classification was issued with 4 demerits noted on the grade card. The analysis date for the most recent lead water test was August 22, 2024. Lead testing must be completed every three years. This facility is exempt from required asbestos testing. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “Survey Review by RTI” for required lead-based paint testing. I suggested you or the individual responsible contact RTI to request an update on this facilities’ status with required lead based paint testing. This test must be completed by December 31, 2025. The most recent monthly fire drill was conducted on November 20, 2025, at 4:59pm. The most recent quarterly lockdown/shelter-in-place drill was conducted on November 12, 2025, at 9:45am. The most recent monthly playground inspection was completed on November 20, 2025, by Kresta Pedicino. Violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed: Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. On the playground for preschool children, exposed gravel and a thin layer of dirt was observed at the exit of the large, beige slide of the composite structure. .0605(j) 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 #4, the classroom for infants, plastic diaper packaging and plastic grocery bags with safety warnings were observed in an unlocked cabinet below the diaper changing table accessible to children. .0604(q) 871 Center staff did not comply with the safe sleep policy. In space #4, the classroom for infants, a sleep position was not documented for one infant five months of age at 12:05pm and 12:15pm on December 5, 2025. In space #4, the classroom for infants, a sleep position was not documented for one infant eleven months of age at 10:58am, 11:00am, and 11:15am on December 9, 2025. 10A NCAC 09 .0606(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff member, Lauren Howard, employed on October 20, 2025, had a criminal background check qualification letter that expired on November 6, 2025, and did not receive the five year recheck qualification letter until November 19, 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. A criminal background check qualification letter was not on file for one staff member, Lauren Howard, employed on October 20, 2025, from November 7, 2025, through November 18, 2025. The previous criminal background check qualification letter expired on November 6, 2025, and the staff member did not receive the five year recheck qualification letter until November 19, 2025. G.S. 110-90.2(b) & (d) & .2703(e) The violations documented above must be corrected immediately. On or before December 31, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. Mail or email the information to: Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. The email address listed for this facility is kpedicino@denverchristianacademy.com. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance: Criminal Background Checks- -I suggested you set calendar reminders or create a working document to track the expiration dates of qualifying letters for all staff members to ensure all staff members maintain a current and valid qualifying letter. I suggested you use the ABCMS Provider Portal to keep track of expiration dates of qualifying letters for all staff members. I also suggested you remind staff two (2) months prior to the expiration date of their qualifying letter to complete an application for an updated qualifying letter to begin the process. Additionally, I suggested that you review staff files regularly to ensure no qualifying letters have expired. Fall Zone Surfacing- -Six inches of mulch depth is required in the fall zone area of the composite structure measuring higher than eighteen inches on your playground. Surfacing depth is determined based on the height of your equipment. I suggested that you till the mulch and rake to needed areas and purchase additional mulch needed to maintain compliance with six inches of protective surfacing specifically at the exit of the large, beige slide where gravel was present. Choking Hazards- -The administrator locked the cabinet containing plastic packaging and plastic grocery bags during the visit. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three years of age. I suggested that administrative staff monitor all classrooms for children under three years of age daily to ensure plastic grocery bags, plastic packaging, small toys, small art supplies, and other potential choking hazards are inaccessible to children or removed from the classroom. I suggested that you review safety requirements with all staff members individually and during an upcoming staff meeting. I suggested that you create a daily safety checklist for staff to utilize each day to ensure a safe environment. Safe Sleep Checks- -This is a repeated violation. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, sleeping infants must be visually checked at least once every fifteen (15) minutes and the check, along with the infants’ sleep position, must be documented on a safe sleep log. Visually checking on sleeping infants every fifteen minutes, per your facilities safe sleep policy, is critical in protecting sleeping infants from sudden infant death syndrome. I suggested that you discuss requirements for safe sleep checks as well as sudden infant death syndrome with all staff, especially all staff who work in the classroom for infants. I suggested utilizing the Caring for Our Children resource book for more information pertaining to safe sleep practices and sudden infant death syndrome. I suggested determining how safe sleep checks will be turned in to administrative staff and create a plan to review safe sleep checks prior to filing. Consultation: We discussed the following during the visit: -I suggested that you or the individual responsible contact RTI to request an update on this facilities status with required lead-based paint testing. This test must be completed by December 31, 2025. -We discussed activity plans and the activities listed for sand and water play. 10A NCAC 09 .0510(c) Each center shall provide materials and opportunities for each group of children at least weekly, indoors or outdoors, for the following: (1) music and rhythm; (2) science and nature; and (3) sand and water play. -Paxton Kidwell must receive one additional hour of orientation within the two topic areas that orientation was not received. Ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment on required topics. I suggested that you complete 6 hours of new staff orientation on the staff member’s first day of employment, prior to working in a classroom. If possible, complete the remaining 10 hours of orientation within the first week of employment to ensure each new staff member is aware of policies and procedures and to ensure compliance with this requirement. Keep in mind, it is impossible for staff to complete all orientation within one day as sixteen hours of training is required. -I suggested documenting changes in children’s eating habits on the feeding plan as soon as you or staff have a conversation with the child’s parents. I suggested that administrative staff review feeding plans at least monthly to ensure that updates have been recorded on the child’s feeding plan. QRIS Pathways to the Stars: -You stated you wish to maintain your one star rated license at this time. If you decide to increase your star rating, I suggested that you review the new QRIS Pathway to Stars by visiting https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Reminders and Resources: -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. You may access step by step instructions by visiting https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. 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/. Thank you for your time and assistance today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-90 · Violation
Name of Operation: DENVER CHRISTIAN ACADEMY PRESCHOOL Facility ID: 55000170 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 12/17/2025 Number Present: 117 Completed Date: 12/17/2025 Age: From 0 To 5 Total Minutes: 350 Time In: 09:30 AM Time Out: 01:00 PM Time In: 01:40 PM Time Out: 04:00 PM List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Kresta Pedicino, Administrator, assisted me with the visit. You provided me with applicable program and staff records for review. The most recent annual compliance visit was conducted on June 18, 2025. This program currently operates with a One-star rated license issued on January 19, 2023, meeting daytime care only. The license was posted and the restriction was in compliance. The program’s compliance history was 77% prior to today’s visit. On November 14, 2025, you and assistant director, Mia Manicone, attended a new administrator technical assistance training in an effort to maintain compliance with child care requirements, enhance quality of care, and increase the facilities compliance history during upcoming monitoring visits. During today’s visit, we determined a plan to increase compliance by scheduling a technical assistance visit to review violations that were cited during the most recent annual compliance visit and violations observed today. The technical assistance visit was scheduled for February 6, 2026. The North Carolina Secretary of State website was reviewed on December 17, 2025, and Denver Christian Academy Preschool, Inc. was listed as current/active. Limited monitoring was conducted. A walkthrough of the facility was completed today, and all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free play activities indoors. Infants in space #4 were engaged in bottle feeding and activities on the floor. Sleep checks were monitored. The caregivers were interacting and meeting the developmental needs for each of the children. Records for eight new staff and applicable records for existing staff were reviewed. All staff were listed on the ABCMS Provider Portal roster for this facility. The most recent approved fire inspection for your facility was conducted on November 21, 2025. The most recent sanitation inspection for your facility was conducted on July 24, 2025. A Superior sanitation classification was issued with 4 demerits noted on the grade card. The analysis date for the most recent lead water test was August 22, 2024. Lead testing must be completed every three years. This facility is exempt from required asbestos testing. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “Survey Review by RTI” for required lead-based paint testing. I suggested you or the individual responsible contact RTI to request an update on this facilities’ status with required lead based paint testing. This test must be completed by December 31, 2025. The most recent monthly fire drill was conducted on November 20, 2025, at 4:59pm. The most recent quarterly lockdown/shelter-in-place drill was conducted on November 12, 2025, at 9:45am. The most recent monthly playground inspection was completed on November 20, 2025, by Kresta Pedicino. Violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed: Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. On the playground for preschool children, exposed gravel and a thin layer of dirt was observed at the exit of the large, beige slide of the composite structure. .0605(j) 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 #4, the classroom for infants, plastic diaper packaging and plastic grocery bags with safety warnings were observed in an unlocked cabinet below the diaper changing table accessible to children. .0604(q) 871 Center staff did not comply with the safe sleep policy. In space #4, the classroom for infants, a sleep position was not documented for one infant five months of age at 12:05pm and 12:15pm on December 5, 2025. In space #4, the classroom for infants, a sleep position was not documented for one infant eleven months of age at 10:58am, 11:00am, and 11:15am on December 9, 2025. 10A NCAC 09 .0606(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff member, Lauren Howard, employed on October 20, 2025, had a criminal background check qualification letter that expired on November 6, 2025, and did not receive the five year recheck qualification letter until November 19, 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. A criminal background check qualification letter was not on file for one staff member, Lauren Howard, employed on October 20, 2025, from November 7, 2025, through November 18, 2025. The previous criminal background check qualification letter expired on November 6, 2025, and the staff member did not receive the five year recheck qualification letter until November 19, 2025. G.S. 110-90.2(b) & (d) & .2703(e) The violations documented above must be corrected immediately. On or before December 31, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. Mail or email the information to: Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. The email address listed for this facility is kpedicino@denverchristianacademy.com. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance: Criminal Background Checks- -I suggested you set calendar reminders or create a working document to track the expiration dates of qualifying letters for all staff members to ensure all staff members maintain a current and valid qualifying letter. I suggested you use the ABCMS Provider Portal to keep track of expiration dates of qualifying letters for all staff members. I also suggested you remind staff two (2) months prior to the expiration date of their qualifying letter to complete an application for an updated qualifying letter to begin the process. Additionally, I suggested that you review staff files regularly to ensure no qualifying letters have expired. Fall Zone Surfacing- -Six inches of mulch depth is required in the fall zone area of the composite structure measuring higher than eighteen inches on your playground. Surfacing depth is determined based on the height of your equipment. I suggested that you till the mulch and rake to needed areas and purchase additional mulch needed to maintain compliance with six inches of protective surfacing specifically at the exit of the large, beige slide where gravel was present. Choking Hazards- -The administrator locked the cabinet containing plastic packaging and plastic grocery bags during the visit. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three years of age. I suggested that administrative staff monitor all classrooms for children under three years of age daily to ensure plastic grocery bags, plastic packaging, small toys, small art supplies, and other potential choking hazards are inaccessible to children or removed from the classroom. I suggested that you review safety requirements with all staff members individually and during an upcoming staff meeting. I suggested that you create a daily safety checklist for staff to utilize each day to ensure a safe environment. Safe Sleep Checks- -This is a repeated violation. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, sleeping infants must be visually checked at least once every fifteen (15) minutes and the check, along with the infants’ sleep position, must be documented on a safe sleep log. Visually checking on sleeping infants every fifteen minutes, per your facilities safe sleep policy, is critical in protecting sleeping infants from sudden infant death syndrome. I suggested that you discuss requirements for safe sleep checks as well as sudden infant death syndrome with all staff, especially all staff who work in the classroom for infants. I suggested utilizing the Caring for Our Children resource book for more information pertaining to safe sleep practices and sudden infant death syndrome. I suggested determining how safe sleep checks will be turned in to administrative staff and create a plan to review safe sleep checks prior to filing. Consultation: We discussed the following during the visit: -I suggested that you or the individual responsible contact RTI to request an update on this facilities status with required lead-based paint testing. This test must be completed by December 31, 2025. -We discussed activity plans and the activities listed for sand and water play. 10A NCAC 09 .0510(c) Each center shall provide materials and opportunities for each group of children at least weekly, indoors or outdoors, for the following: (1) music and rhythm; (2) science and nature; and (3) sand and water play. -Paxton Kidwell must receive one additional hour of orientation within the two topic areas that orientation was not received. Ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment on required topics. I suggested that you complete 6 hours of new staff orientation on the staff member’s first day of employment, prior to working in a classroom. If possible, complete the remaining 10 hours of orientation within the first week of employment to ensure each new staff member is aware of policies and procedures and to ensure compliance with this requirement. Keep in mind, it is impossible for staff to complete all orientation within one day as sixteen hours of training is required. -I suggested documenting changes in children’s eating habits on the feeding plan as soon as you or staff have a conversation with the child’s parents. I suggested that administrative staff review feeding plans at least monthly to ensure that updates have been recorded on the child’s feeding plan. QRIS Pathways to the Stars: -You stated you wish to maintain your one star rated license at this time. If you decide to increase your star rating, I suggested that you review the new QRIS Pathway to Stars by visiting https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Reminders and Resources: -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. You may access step by step instructions by visiting https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. 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/. Thank you for your time and assistance today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
NC GS 110-90 · Violation
Name of Operation: DENVER CHRISTIAN ACADEMY PRESCHOOL Facility ID: 55000170 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 12/17/2025 Number Present: 117 Completed Date: 12/17/2025 Age: From 0 To 5 Total Minutes: 350 Time In: 09:30 AM Time Out: 01:00 PM Time In: 01:40 PM Time Out: 04:00 PM List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Kresta Pedicino, Administrator, assisted me with the visit. You provided me with applicable program and staff records for review. The most recent annual compliance visit was conducted on June 18, 2025. This program currently operates with a One-star rated license issued on January 19, 2023, meeting daytime care only. The license was posted and the restriction was in compliance. The program’s compliance history was 77% prior to today’s visit. On November 14, 2025, you and assistant director, Mia Manicone, attended a new administrator technical assistance training in an effort to maintain compliance with child care requirements, enhance quality of care, and increase the facilities compliance history during upcoming monitoring visits. During today’s visit, we determined a plan to increase compliance by scheduling a technical assistance visit to review violations that were cited during the most recent annual compliance visit and violations observed today. The technical assistance visit was scheduled for February 6, 2026. The North Carolina Secretary of State website was reviewed on December 17, 2025, and Denver Christian Academy Preschool, Inc. was listed as current/active. Limited monitoring was conducted. A walkthrough of the facility was completed today, and all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free play activities indoors. Infants in space #4 were engaged in bottle feeding and activities on the floor. Sleep checks were monitored. The caregivers were interacting and meeting the developmental needs for each of the children. Records for eight new staff and applicable records for existing staff were reviewed. All staff were listed on the ABCMS Provider Portal roster for this facility. The most recent approved fire inspection for your facility was conducted on November 21, 2025. The most recent sanitation inspection for your facility was conducted on July 24, 2025. A Superior sanitation classification was issued with 4 demerits noted on the grade card. The analysis date for the most recent lead water test was August 22, 2024. Lead testing must be completed every three years. This facility is exempt from required asbestos testing. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “Survey Review by RTI” for required lead-based paint testing. I suggested you or the individual responsible contact RTI to request an update on this facilities’ status with required lead based paint testing. This test must be completed by December 31, 2025. The most recent monthly fire drill was conducted on November 20, 2025, at 4:59pm. The most recent quarterly lockdown/shelter-in-place drill was conducted on November 12, 2025, at 9:45am. The most recent monthly playground inspection was completed on November 20, 2025, by Kresta Pedicino. Violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed: Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. On the playground for preschool children, exposed gravel and a thin layer of dirt was observed at the exit of the large, beige slide of the composite structure. .0605(j) 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 #4, the classroom for infants, plastic diaper packaging and plastic grocery bags with safety warnings were observed in an unlocked cabinet below the diaper changing table accessible to children. .0604(q) 871 Center staff did not comply with the safe sleep policy. In space #4, the classroom for infants, a sleep position was not documented for one infant five months of age at 12:05pm and 12:15pm on December 5, 2025. In space #4, the classroom for infants, a sleep position was not documented for one infant eleven months of age at 10:58am, 11:00am, and 11:15am on December 9, 2025. 10A NCAC 09 .0606(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff member, Lauren Howard, employed on October 20, 2025, had a criminal background check qualification letter that expired on November 6, 2025, and did not receive the five year recheck qualification letter until November 19, 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. A criminal background check qualification letter was not on file for one staff member, Lauren Howard, employed on October 20, 2025, from November 7, 2025, through November 18, 2025. The previous criminal background check qualification letter expired on November 6, 2025, and the staff member did not receive the five year recheck qualification letter until November 19, 2025. G.S. 110-90.2(b) & (d) & .2703(e) The violations documented above must be corrected immediately. On or before December 31, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. Mail or email the information to: Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. The email address listed for this facility is kpedicino@denverchristianacademy.com. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance: Criminal Background Checks- -I suggested you set calendar reminders or create a working document to track the expiration dates of qualifying letters for all staff members to ensure all staff members maintain a current and valid qualifying letter. I suggested you use the ABCMS Provider Portal to keep track of expiration dates of qualifying letters for all staff members. I also suggested you remind staff two (2) months prior to the expiration date of their qualifying letter to complete an application for an updated qualifying letter to begin the process. Additionally, I suggested that you review staff files regularly to ensure no qualifying letters have expired. Fall Zone Surfacing- -Six inches of mulch depth is required in the fall zone area of the composite structure measuring higher than eighteen inches on your playground. Surfacing depth is determined based on the height of your equipment. I suggested that you till the mulch and rake to needed areas and purchase additional mulch needed to maintain compliance with six inches of protective surfacing specifically at the exit of the large, beige slide where gravel was present. Choking Hazards- -The administrator locked the cabinet containing plastic packaging and plastic grocery bags during the visit. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three years of age. I suggested that administrative staff monitor all classrooms for children under three years of age daily to ensure plastic grocery bags, plastic packaging, small toys, small art supplies, and other potential choking hazards are inaccessible to children or removed from the classroom. I suggested that you review safety requirements with all staff members individually and during an upcoming staff meeting. I suggested that you create a daily safety checklist for staff to utilize each day to ensure a safe environment. Safe Sleep Checks- -This is a repeated violation. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, sleeping infants must be visually checked at least once every fifteen (15) minutes and the check, along with the infants’ sleep position, must be documented on a safe sleep log. Visually checking on sleeping infants every fifteen minutes, per your facilities safe sleep policy, is critical in protecting sleeping infants from sudden infant death syndrome. I suggested that you discuss requirements for safe sleep checks as well as sudden infant death syndrome with all staff, especially all staff who work in the classroom for infants. I suggested utilizing the Caring for Our Children resource book for more information pertaining to safe sleep practices and sudden infant death syndrome. I suggested determining how safe sleep checks will be turned in to administrative staff and create a plan to review safe sleep checks prior to filing. Consultation: We discussed the following during the visit: -I suggested that you or the individual responsible contact RTI to request an update on this facilities status with required lead-based paint testing. This test must be completed by December 31, 2025. -We discussed activity plans and the activities listed for sand and water play. 10A NCAC 09 .0510(c) Each center shall provide materials and opportunities for each group of children at least weekly, indoors or outdoors, for the following: (1) music and rhythm; (2) science and nature; and (3) sand and water play. -Paxton Kidwell must receive one additional hour of orientation within the two topic areas that orientation was not received. Ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment on required topics. I suggested that you complete 6 hours of new staff orientation on the staff member’s first day of employment, prior to working in a classroom. If possible, complete the remaining 10 hours of orientation within the first week of employment to ensure each new staff member is aware of policies and procedures and to ensure compliance with this requirement. Keep in mind, it is impossible for staff to complete all orientation within one day as sixteen hours of training is required. -I suggested documenting changes in children’s eating habits on the feeding plan as soon as you or staff have a conversation with the child’s parents. I suggested that administrative staff review feeding plans at least monthly to ensure that updates have been recorded on the child’s feeding plan. QRIS Pathways to the Stars: -You stated you wish to maintain your one star rated license at this time. If you decide to increase your star rating, I suggested that you review the new QRIS Pathway to Stars by visiting https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Reminders and Resources: -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. You may access step by step instructions by visiting https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. 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/. Thank you for your time and assistance today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0604 · Violation
Name of Operation: DENVER CHRISTIAN ACADEMY PRESCHOOL Facility ID: 55000170 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 6/18/2025 Number Present: 92 Completed Date: 6/18/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 10:45 AM Time Out: 01:15 PM Time In: 02:20 PM Time Out: 06:05 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Kresta Pedicino, Administrator. You provided me with applicable program, staff, and children’s records for review. Tammy McGalliard, Licensing Supervisor, accompanied me on the visit. The North Carolina Secretary of State website was viewed before the visit and Denver Christian Academy Preschool, Inc. was current/active as of June 16, 2025. This program currently operates with a One star rated license effective January 19, 2023. The program’s compliance history was 78 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements monitored today. Infants and staff in space #4 were observed eating lunch in highchairs, bottle feeding, nap, and free play activities on the floor. Children and staff were observed during free play activities indoors, lunch, and nap. The most recent sanitation inspection for your facility was conducted on May 15, 2025. A superior sanitation classification was issued with 0 demerits noted on the grade card. The analysis date for the most recent lead water test was August 22, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “survey review by RTI” for required lead-based paint testing. This facility is exempt from asbestos testing. The most recent approved fire inspection for your facility was conducted on November 26, 2024. Violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. In space #4, one six-month-old infant and one eight-month-old infant's hands were not washed after their diapers were changed. 15A NCAC 18A .2803(c)(2) 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. On the activity plan posted in space #7, "free play" was listed for small group activity and "Play-Doh" was listed as a sand/water activity. On Friday, "free play" was listed for the outdoor activity, manipulative activity, block activity, and "free read" was listed for books. On the activity plan posted in space #8, "play dough" was listed as a gross motor activity on Tuesday and "groceries/food" was listed as a gross motor activity on Friday. On Friday, "play with play dough" was listed for a sand/water activity. On the activity plan posted in space #9, "free expression" was listed for the art activity on Tuesday and Thursday. .0508(b)(1-5) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. In space #4, one staff member, K. Hobbs, fed an infant, nine months of age, a bottle while the infant was sitting in a swing. 10A NCAC 09 .0902(b) 542 The written feeding plan was not modified as the child's needs changed. In space #4, one feeding plan for a child thirteen months of age was not updated to include baby food and table food modifications, as reported by staff as the child's current feeding habits. The feeding plan only listed mother's milk. 10 NCAC 09 .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 #4, three electrical outlets were uncovered and accessible to children in an unlocked cabinet below the sink. 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. An incident log was not maintained for incident reports within the past year. .0802(g)(1-6) 871 Center staff did not comply with the safe sleep policy. In space #4, the space for infants, the consultant entered the room at approximately 11:20am and observed two infants asleep in swings. The staff members present, J. Carbone and K. Hobbs, did not remove the infants from the swing until questioned by the consultant. One infant, eight months of age, was asleep in a swing from approximately 11:08am to 11:25am and one infant, six months of age, was asleep in a swing from approximately 11:13am to 11:25am. In space #4, a visual sleep check was documented for one sleeping infant, eight months of age, on 5/15/2025 at 11:20am and was not checked again until 11:45am. 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 #4, on 5/12/2025, a sleep position was not documented at 1:45pm for one eight-month-old infant. On 5/16/2025, a sleep position was not documented at 9:30am for one three-month-old infant. On 5/19/2025, a sleep position was not documented at 10:30am and 11:15am for one nine-month-old infant. On 6/16/2025, a sleep position was not documented at 9:40am for one six-month-old infant. .0606(g) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member, D. Griffin, employed on 8/5/2024 did not complete First Aid training until 1/29/2025. One staff member, N. Troutman, employed on 9/9/2024 did not complete First Aid training until 1/29/2025. One staff member, B. Gray, employed on 1/30/2025 did not complete First Aid training until 6/2/2025. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member, D. Griffin, employed on 8/5/2024 did not complete Cardiopulmonary Resuscitation (CPR) training until 1/29/2025. One staff member, N. Troutman, employed on 9/9/2024 did not complete CPR training until 1/29/2025. One staff member, B. Gray, employed on 1/30/2025 did not complete CPR training until 6/2/2025. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam for one child enrolled on 8/19/2024, was not completed until 1/21/2025. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization record for one child enrolled on 8/19/2024, was not received until 1/31/2025. 10A NCAC 09 .0302(d)(2) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member, D. Griffin, employed on 8/5/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 3/31/2025. One staff member, N. Troutman, employed on 9/9/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 1/24/2025. One staff member, R. Rondinelli, employed on 1/2/2025 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 5/28/2025. One staff member, B. Gray, employed on 1/30/2025 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 6/4/2025. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff member, A. Behling, employed on 3/13/2023 did not complete all required health and safety training until 7/13/2024. .1102(a) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. One staff member, A. Behling, employed on 3/13/2023, and one staff member, K. Hobbs, employed on 4/23/2024, did not have a staff professional development plan on file for review. .1104(1-5) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by July 2, 2025. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please be aware that any information submitted by you is considered legal documentation. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Safe Sleep Policy- -Your facility’s safe sleep policy must be followed at all times. Per child care rule and your facility’s safe sleep policy, infants are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices must be moved to a crib, bassinet, play pen, mat, or cot. I suggested you review the facility’s safe sleep policy with your infant teachers and all staff members to ensure the policy is followed at all times. Additionally, I suggested you contact your local Resource and Referral Agency to request additional technical assistance regarding safe sleep. Safe Sleep Checks- -Visually checking on sleeping infants every fifteen minutes, per your facilities safe sleep policy, is critical in protecting sleeping infants from sudden infant death syndrome. I suggested that you discuss requirements for safe sleep checks as well as sudden infant death syndrome with all staff, especially all staff who work in the classroom for infants. I suggested utilizing the Caring for Our Children resource book for more information pertaining to safe sleep practices and sudden infant death syndrome. I suggested determining how safe sleep checks will be turned in to administrative staff and create a plan to review safe sleep checks prior to filing. Bottle Feeding- -Each infant must be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child must be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. We discussed requirements for bottle feeding during the visit. I suggested that you review these requirements with all staff members who may care for children who are bottle fed. Swings are not considered an approved seating apparatus for feeding. Feeding plans- -Written feeding plans for children under fifteen months of age must be posted in the child’s classroom for reference and must be modified as the child's needs change. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that staff review feeding plans monthly with parents to request if changes have been made to their feeding habits. I also suggested that you ensure the correct modifications are reflected in the child’s feeding plan prior to moving up to the next classroom. This is a repeated violation. Handwashing- -I reviewed handwashing requirements with you and staff during the visit. I suggested that you review handwashing procedures with all staff during an upcoming staff meeting. You may access resources regarding handwashing routines by visiting www.ncrlap.org. The NC Health and Safety Resource Center designs posters to improve health and safety practices in early care and education programs. Early care and education programs can download posters or order them free of cost at https://healthychildcare.unc.edu/resources/posters/. Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. Electrical Outlets- -The electrical outlets were covered with safety plugs during the visit. I suggested that you monitor each space and areas accessible to children throughout the day to ensure all electrical outlets not in use are covered with a safety plug. Instruct staff to check all electrical outlets at the beginning of the day. This is a repeated violation. Activity Plans- -I suggested to you review activity plan requirements with all lead teachers and discuss the intentions for activities to enhance the activity area and stimulate developmental domains. Instruct staff members not to use “free play,” “free choice,” or “free expression” on the activity plan. We discussed using specific themes each week or month to assist staff with ideas for activities. Additionally, I suggested you contact your local Resource and Referral Agency to request additional technical assistance and training for staff on activity plans. For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Children’s medical records- -Children’s medical exam or health assessment and immunization record must be received and on file within thirty days of the child’s enrollment. I suggested that you request children’s medical exams and immunization records prior to enrollment to ensure compliance with this requirement. I also suggested that you utilize the Children’s File Checklist available on the DCDEE website to refer to prior to each child’s enrollment to ensure all required documentation is on file within the required timeframe. Incident Log- -Multiple office staff worked together and completed the incident logs for all incident reports on file within the past year. I reminded you that each incident report documenting an injury that occurred to a child while at the facility must be recorded on the incident log. You must use the incident log that is provided by the Division and can be found under Provider Documents & Forms on the DCDEE website. The incident log must be available for review by a representative of the Division per child care requirements 10A NCAC 09 .0802 (g). I suggested that you post an incident log in the office or somewhere in the facility and log incidents that occur at the facility on the log as incidents occur. An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/incident_log_i.pdf?ver=2017-05-16-105723-723. First Aid and Cardiopulmonary resuscitation (CPR) training- -Staff must complete First Aid and CPR training within ninety (90) days of employment and must renew certification on or before the expiration date. I suggested that you register staff for CPR and First Aid training as soon as they are hired and at least six months prior to the certification’s expiration date. CPR and First Aid training must be completed in person by an approved agency. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. These are repeated violations. Recognizing and Responding to Suspicions of Child Maltreatment training- New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that staff complete Recognizing and Responding to Suspicions of Child Maltreatment training during the first two weeks of employment, in conjunction with new staff orientation. Training for Recognizing and Responding to Suspicions of Child Maltreatment training must be completed through https://preventchildabusenc.gov. This is a repeated violation. Health and Safety training- -New staff must complete all required health and safety training within the first year of employment. This includes Recognizing and Responding to Suspicions of Child Maltreatment training, CPR, and First Aid training, however, these trainings must be completed within 90 days of employment. Training for Recognizing and Responding to Suspicions of Child Maltreatment training must be completed through https://preventchildabusenc.gov. CPR and First Aid training must be completed in person by an approved agency. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. Other topics for health and safety training may be completed through Moodle at https://www.dcdee.moodle.nc.gov/. I suggested encouraging staff to complete health and safety trainings within the first six months of employment to ensure completion of this requirement within the timeframe. Staff Development Plans- I reminded you to have staff complete a professional development plan within their first year of employment. I suggested that you set alerts on your computer or phone for when a staff member’s first year of employment is approaching to remind you to complete applicable annual documents, including the professional development plan. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual's planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Consultation: We discussed the following during the visit: -Staff information must be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Staff have been added to the roster for this facility. Should you need assistance, please contact the Criminal Background Check Unit at (919) 814-8401. -10A NCAC 09 .0605(s) Inflatables shall be prohibited except when used during a special event such as a celebration, festival, party, or family engagement event. A staff member shall be able to hear and see all children using inflatables at all times. For purposes of this Rule, an inflatable shall mean an air-filled structure designed to allow users to bounce, slide, or climb in. The inflatable device uses air pressure from one or more blowers to maintain its shape. Examples include bounce houses, moon walkers, giant slides, and bouncers. -We discussed cot spacing at 18 inches apart or a partition/solid barrier the full length of the cot separating children while sleeping. Cots may not be placed in front of an emergency exit. -The area has had a lot of heavy rain recently. I suggested that you rake/fluff/till mulch in fall zone areas surrounding the composite play structure on your playground. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support:The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0902 · Violation
Name of Operation: DENVER CHRISTIAN ACADEMY PRESCHOOL Facility ID: 55000170 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 6/18/2025 Number Present: 92 Completed Date: 6/18/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 10:45 AM Time Out: 01:15 PM Time In: 02:20 PM Time Out: 06:05 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Kresta Pedicino, Administrator. You provided me with applicable program, staff, and children’s records for review. Tammy McGalliard, Licensing Supervisor, accompanied me on the visit. The North Carolina Secretary of State website was viewed before the visit and Denver Christian Academy Preschool, Inc. was current/active as of June 16, 2025. This program currently operates with a One star rated license effective January 19, 2023. The program’s compliance history was 78 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements monitored today. Infants and staff in space #4 were observed eating lunch in highchairs, bottle feeding, nap, and free play activities on the floor. Children and staff were observed during free play activities indoors, lunch, and nap. The most recent sanitation inspection for your facility was conducted on May 15, 2025. A superior sanitation classification was issued with 0 demerits noted on the grade card. The analysis date for the most recent lead water test was August 22, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “survey review by RTI” for required lead-based paint testing. This facility is exempt from asbestos testing. The most recent approved fire inspection for your facility was conducted on November 26, 2024. Violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. In space #4, one six-month-old infant and one eight-month-old infant's hands were not washed after their diapers were changed. 15A NCAC 18A .2803(c)(2) 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. On the activity plan posted in space #7, "free play" was listed for small group activity and "Play-Doh" was listed as a sand/water activity. On Friday, "free play" was listed for the outdoor activity, manipulative activity, block activity, and "free read" was listed for books. On the activity plan posted in space #8, "play dough" was listed as a gross motor activity on Tuesday and "groceries/food" was listed as a gross motor activity on Friday. On Friday, "play with play dough" was listed for a sand/water activity. On the activity plan posted in space #9, "free expression" was listed for the art activity on Tuesday and Thursday. .0508(b)(1-5) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. In space #4, one staff member, K. Hobbs, fed an infant, nine months of age, a bottle while the infant was sitting in a swing. 10A NCAC 09 .0902(b) 542 The written feeding plan was not modified as the child's needs changed. In space #4, one feeding plan for a child thirteen months of age was not updated to include baby food and table food modifications, as reported by staff as the child's current feeding habits. The feeding plan only listed mother's milk. 10 NCAC 09 .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 #4, three electrical outlets were uncovered and accessible to children in an unlocked cabinet below the sink. 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. An incident log was not maintained for incident reports within the past year. .0802(g)(1-6) 871 Center staff did not comply with the safe sleep policy. In space #4, the space for infants, the consultant entered the room at approximately 11:20am and observed two infants asleep in swings. The staff members present, J. Carbone and K. Hobbs, did not remove the infants from the swing until questioned by the consultant. One infant, eight months of age, was asleep in a swing from approximately 11:08am to 11:25am and one infant, six months of age, was asleep in a swing from approximately 11:13am to 11:25am. In space #4, a visual sleep check was documented for one sleeping infant, eight months of age, on 5/15/2025 at 11:20am and was not checked again until 11:45am. 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 #4, on 5/12/2025, a sleep position was not documented at 1:45pm for one eight-month-old infant. On 5/16/2025, a sleep position was not documented at 9:30am for one three-month-old infant. On 5/19/2025, a sleep position was not documented at 10:30am and 11:15am for one nine-month-old infant. On 6/16/2025, a sleep position was not documented at 9:40am for one six-month-old infant. .0606(g) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member, D. Griffin, employed on 8/5/2024 did not complete First Aid training until 1/29/2025. One staff member, N. Troutman, employed on 9/9/2024 did not complete First Aid training until 1/29/2025. One staff member, B. Gray, employed on 1/30/2025 did not complete First Aid training until 6/2/2025. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member, D. Griffin, employed on 8/5/2024 did not complete Cardiopulmonary Resuscitation (CPR) training until 1/29/2025. One staff member, N. Troutman, employed on 9/9/2024 did not complete CPR training until 1/29/2025. One staff member, B. Gray, employed on 1/30/2025 did not complete CPR training until 6/2/2025. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam for one child enrolled on 8/19/2024, was not completed until 1/21/2025. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization record for one child enrolled on 8/19/2024, was not received until 1/31/2025. 10A NCAC 09 .0302(d)(2) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member, D. Griffin, employed on 8/5/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 3/31/2025. One staff member, N. Troutman, employed on 9/9/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 1/24/2025. One staff member, R. Rondinelli, employed on 1/2/2025 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 5/28/2025. One staff member, B. Gray, employed on 1/30/2025 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 6/4/2025. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff member, A. Behling, employed on 3/13/2023 did not complete all required health and safety training until 7/13/2024. .1102(a) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. One staff member, A. Behling, employed on 3/13/2023, and one staff member, K. Hobbs, employed on 4/23/2024, did not have a staff professional development plan on file for review. .1104(1-5) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by July 2, 2025. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please be aware that any information submitted by you is considered legal documentation. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Safe Sleep Policy- -Your facility’s safe sleep policy must be followed at all times. Per child care rule and your facility’s safe sleep policy, infants are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices must be moved to a crib, bassinet, play pen, mat, or cot. I suggested you review the facility’s safe sleep policy with your infant teachers and all staff members to ensure the policy is followed at all times. Additionally, I suggested you contact your local Resource and Referral Agency to request additional technical assistance regarding safe sleep. Safe Sleep Checks- -Visually checking on sleeping infants every fifteen minutes, per your facilities safe sleep policy, is critical in protecting sleeping infants from sudden infant death syndrome. I suggested that you discuss requirements for safe sleep checks as well as sudden infant death syndrome with all staff, especially all staff who work in the classroom for infants. I suggested utilizing the Caring for Our Children resource book for more information pertaining to safe sleep practices and sudden infant death syndrome. I suggested determining how safe sleep checks will be turned in to administrative staff and create a plan to review safe sleep checks prior to filing. Bottle Feeding- -Each infant must be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child must be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. We discussed requirements for bottle feeding during the visit. I suggested that you review these requirements with all staff members who may care for children who are bottle fed. Swings are not considered an approved seating apparatus for feeding. Feeding plans- -Written feeding plans for children under fifteen months of age must be posted in the child’s classroom for reference and must be modified as the child's needs change. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that staff review feeding plans monthly with parents to request if changes have been made to their feeding habits. I also suggested that you ensure the correct modifications are reflected in the child’s feeding plan prior to moving up to the next classroom. This is a repeated violation. Handwashing- -I reviewed handwashing requirements with you and staff during the visit. I suggested that you review handwashing procedures with all staff during an upcoming staff meeting. You may access resources regarding handwashing routines by visiting www.ncrlap.org. The NC Health and Safety Resource Center designs posters to improve health and safety practices in early care and education programs. Early care and education programs can download posters or order them free of cost at https://healthychildcare.unc.edu/resources/posters/. Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. Electrical Outlets- -The electrical outlets were covered with safety plugs during the visit. I suggested that you monitor each space and areas accessible to children throughout the day to ensure all electrical outlets not in use are covered with a safety plug. Instruct staff to check all electrical outlets at the beginning of the day. This is a repeated violation. Activity Plans- -I suggested to you review activity plan requirements with all lead teachers and discuss the intentions for activities to enhance the activity area and stimulate developmental domains. Instruct staff members not to use “free play,” “free choice,” or “free expression” on the activity plan. We discussed using specific themes each week or month to assist staff with ideas for activities. Additionally, I suggested you contact your local Resource and Referral Agency to request additional technical assistance and training for staff on activity plans. For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Children’s medical records- -Children’s medical exam or health assessment and immunization record must be received and on file within thirty days of the child’s enrollment. I suggested that you request children’s medical exams and immunization records prior to enrollment to ensure compliance with this requirement. I also suggested that you utilize the Children’s File Checklist available on the DCDEE website to refer to prior to each child’s enrollment to ensure all required documentation is on file within the required timeframe. Incident Log- -Multiple office staff worked together and completed the incident logs for all incident reports on file within the past year. I reminded you that each incident report documenting an injury that occurred to a child while at the facility must be recorded on the incident log. You must use the incident log that is provided by the Division and can be found under Provider Documents & Forms on the DCDEE website. The incident log must be available for review by a representative of the Division per child care requirements 10A NCAC 09 .0802 (g). I suggested that you post an incident log in the office or somewhere in the facility and log incidents that occur at the facility on the log as incidents occur. An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/incident_log_i.pdf?ver=2017-05-16-105723-723. First Aid and Cardiopulmonary resuscitation (CPR) training- -Staff must complete First Aid and CPR training within ninety (90) days of employment and must renew certification on or before the expiration date. I suggested that you register staff for CPR and First Aid training as soon as they are hired and at least six months prior to the certification’s expiration date. CPR and First Aid training must be completed in person by an approved agency. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. These are repeated violations. Recognizing and Responding to Suspicions of Child Maltreatment training- New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that staff complete Recognizing and Responding to Suspicions of Child Maltreatment training during the first two weeks of employment, in conjunction with new staff orientation. Training for Recognizing and Responding to Suspicions of Child Maltreatment training must be completed through https://preventchildabusenc.gov. This is a repeated violation. Health and Safety training- -New staff must complete all required health and safety training within the first year of employment. This includes Recognizing and Responding to Suspicions of Child Maltreatment training, CPR, and First Aid training, however, these trainings must be completed within 90 days of employment. Training for Recognizing and Responding to Suspicions of Child Maltreatment training must be completed through https://preventchildabusenc.gov. CPR and First Aid training must be completed in person by an approved agency. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. Other topics for health and safety training may be completed through Moodle at https://www.dcdee.moodle.nc.gov/. I suggested encouraging staff to complete health and safety trainings within the first six months of employment to ensure completion of this requirement within the timeframe. Staff Development Plans- I reminded you to have staff complete a professional development plan within their first year of employment. I suggested that you set alerts on your computer or phone for when a staff member’s first year of employment is approaching to remind you to complete applicable annual documents, including the professional development plan. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual's planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Consultation: We discussed the following during the visit: -Staff information must be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Staff have been added to the roster for this facility. Should you need assistance, please contact the Criminal Background Check Unit at (919) 814-8401. -10A NCAC 09 .0605(s) Inflatables shall be prohibited except when used during a special event such as a celebration, festival, party, or family engagement event. A staff member shall be able to hear and see all children using inflatables at all times. For purposes of this Rule, an inflatable shall mean an air-filled structure designed to allow users to bounce, slide, or climb in. The inflatable device uses air pressure from one or more blowers to maintain its shape. Examples include bounce houses, moon walkers, giant slides, and bouncers. -We discussed cot spacing at 18 inches apart or a partition/solid barrier the full length of the cot separating children while sleeping. Cots may not be placed in front of an emergency exit. -The area has had a lot of heavy rain recently. I suggested that you rake/fluff/till mulch in fall zone areas surrounding the composite play structure on your playground. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support:The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0302 · Violation
Name of Operation: DENVER CHRISTIAN ACADEMY PRESCHOOL Facility ID: 55000170 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 6/18/2025 Number Present: 92 Completed Date: 6/18/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 10:45 AM Time Out: 01:15 PM Time In: 02:20 PM Time Out: 06:05 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Kresta Pedicino, Administrator. You provided me with applicable program, staff, and children’s records for review. Tammy McGalliard, Licensing Supervisor, accompanied me on the visit. The North Carolina Secretary of State website was viewed before the visit and Denver Christian Academy Preschool, Inc. was current/active as of June 16, 2025. This program currently operates with a One star rated license effective January 19, 2023. The program’s compliance history was 78 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements monitored today. Infants and staff in space #4 were observed eating lunch in highchairs, bottle feeding, nap, and free play activities on the floor. Children and staff were observed during free play activities indoors, lunch, and nap. The most recent sanitation inspection for your facility was conducted on May 15, 2025. A superior sanitation classification was issued with 0 demerits noted on the grade card. The analysis date for the most recent lead water test was August 22, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “survey review by RTI” for required lead-based paint testing. This facility is exempt from asbestos testing. The most recent approved fire inspection for your facility was conducted on November 26, 2024. Violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. In space #4, one six-month-old infant and one eight-month-old infant's hands were not washed after their diapers were changed. 15A NCAC 18A .2803(c)(2) 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. On the activity plan posted in space #7, "free play" was listed for small group activity and "Play-Doh" was listed as a sand/water activity. On Friday, "free play" was listed for the outdoor activity, manipulative activity, block activity, and "free read" was listed for books. On the activity plan posted in space #8, "play dough" was listed as a gross motor activity on Tuesday and "groceries/food" was listed as a gross motor activity on Friday. On Friday, "play with play dough" was listed for a sand/water activity. On the activity plan posted in space #9, "free expression" was listed for the art activity on Tuesday and Thursday. .0508(b)(1-5) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. In space #4, one staff member, K. Hobbs, fed an infant, nine months of age, a bottle while the infant was sitting in a swing. 10A NCAC 09 .0902(b) 542 The written feeding plan was not modified as the child's needs changed. In space #4, one feeding plan for a child thirteen months of age was not updated to include baby food and table food modifications, as reported by staff as the child's current feeding habits. The feeding plan only listed mother's milk. 10 NCAC 09 .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 #4, three electrical outlets were uncovered and accessible to children in an unlocked cabinet below the sink. 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. An incident log was not maintained for incident reports within the past year. .0802(g)(1-6) 871 Center staff did not comply with the safe sleep policy. In space #4, the space for infants, the consultant entered the room at approximately 11:20am and observed two infants asleep in swings. The staff members present, J. Carbone and K. Hobbs, did not remove the infants from the swing until questioned by the consultant. One infant, eight months of age, was asleep in a swing from approximately 11:08am to 11:25am and one infant, six months of age, was asleep in a swing from approximately 11:13am to 11:25am. In space #4, a visual sleep check was documented for one sleeping infant, eight months of age, on 5/15/2025 at 11:20am and was not checked again until 11:45am. 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 #4, on 5/12/2025, a sleep position was not documented at 1:45pm for one eight-month-old infant. On 5/16/2025, a sleep position was not documented at 9:30am for one three-month-old infant. On 5/19/2025, a sleep position was not documented at 10:30am and 11:15am for one nine-month-old infant. On 6/16/2025, a sleep position was not documented at 9:40am for one six-month-old infant. .0606(g) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member, D. Griffin, employed on 8/5/2024 did not complete First Aid training until 1/29/2025. One staff member, N. Troutman, employed on 9/9/2024 did not complete First Aid training until 1/29/2025. One staff member, B. Gray, employed on 1/30/2025 did not complete First Aid training until 6/2/2025. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member, D. Griffin, employed on 8/5/2024 did not complete Cardiopulmonary Resuscitation (CPR) training until 1/29/2025. One staff member, N. Troutman, employed on 9/9/2024 did not complete CPR training until 1/29/2025. One staff member, B. Gray, employed on 1/30/2025 did not complete CPR training until 6/2/2025. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam for one child enrolled on 8/19/2024, was not completed until 1/21/2025. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization record for one child enrolled on 8/19/2024, was not received until 1/31/2025. 10A NCAC 09 .0302(d)(2) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member, D. Griffin, employed on 8/5/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 3/31/2025. One staff member, N. Troutman, employed on 9/9/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 1/24/2025. One staff member, R. Rondinelli, employed on 1/2/2025 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 5/28/2025. One staff member, B. Gray, employed on 1/30/2025 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 6/4/2025. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff member, A. Behling, employed on 3/13/2023 did not complete all required health and safety training until 7/13/2024. .1102(a) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. One staff member, A. Behling, employed on 3/13/2023, and one staff member, K. Hobbs, employed on 4/23/2024, did not have a staff professional development plan on file for review. .1104(1-5) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by July 2, 2025. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please be aware that any information submitted by you is considered legal documentation. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Safe Sleep Policy- -Your facility’s safe sleep policy must be followed at all times. Per child care rule and your facility’s safe sleep policy, infants are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices must be moved to a crib, bassinet, play pen, mat, or cot. I suggested you review the facility’s safe sleep policy with your infant teachers and all staff members to ensure the policy is followed at all times. Additionally, I suggested you contact your local Resource and Referral Agency to request additional technical assistance regarding safe sleep. Safe Sleep Checks- -Visually checking on sleeping infants every fifteen minutes, per your facilities safe sleep policy, is critical in protecting sleeping infants from sudden infant death syndrome. I suggested that you discuss requirements for safe sleep checks as well as sudden infant death syndrome with all staff, especially all staff who work in the classroom for infants. I suggested utilizing the Caring for Our Children resource book for more information pertaining to safe sleep practices and sudden infant death syndrome. I suggested determining how safe sleep checks will be turned in to administrative staff and create a plan to review safe sleep checks prior to filing. Bottle Feeding- -Each infant must be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child must be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. We discussed requirements for bottle feeding during the visit. I suggested that you review these requirements with all staff members who may care for children who are bottle fed. Swings are not considered an approved seating apparatus for feeding. Feeding plans- -Written feeding plans for children under fifteen months of age must be posted in the child’s classroom for reference and must be modified as the child's needs change. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that staff review feeding plans monthly with parents to request if changes have been made to their feeding habits. I also suggested that you ensure the correct modifications are reflected in the child’s feeding plan prior to moving up to the next classroom. This is a repeated violation. Handwashing- -I reviewed handwashing requirements with you and staff during the visit. I suggested that you review handwashing procedures with all staff during an upcoming staff meeting. You may access resources regarding handwashing routines by visiting www.ncrlap.org. The NC Health and Safety Resource Center designs posters to improve health and safety practices in early care and education programs. Early care and education programs can download posters or order them free of cost at https://healthychildcare.unc.edu/resources/posters/. Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. Electrical Outlets- -The electrical outlets were covered with safety plugs during the visit. I suggested that you monitor each space and areas accessible to children throughout the day to ensure all electrical outlets not in use are covered with a safety plug. Instruct staff to check all electrical outlets at the beginning of the day. This is a repeated violation. Activity Plans- -I suggested to you review activity plan requirements with all lead teachers and discuss the intentions for activities to enhance the activity area and stimulate developmental domains. Instruct staff members not to use “free play,” “free choice,” or “free expression” on the activity plan. We discussed using specific themes each week or month to assist staff with ideas for activities. Additionally, I suggested you contact your local Resource and Referral Agency to request additional technical assistance and training for staff on activity plans. For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Children’s medical records- -Children’s medical exam or health assessment and immunization record must be received and on file within thirty days of the child’s enrollment. I suggested that you request children’s medical exams and immunization records prior to enrollment to ensure compliance with this requirement. I also suggested that you utilize the Children’s File Checklist available on the DCDEE website to refer to prior to each child’s enrollment to ensure all required documentation is on file within the required timeframe. Incident Log- -Multiple office staff worked together and completed the incident logs for all incident reports on file within the past year. I reminded you that each incident report documenting an injury that occurred to a child while at the facility must be recorded on the incident log. You must use the incident log that is provided by the Division and can be found under Provider Documents & Forms on the DCDEE website. The incident log must be available for review by a representative of the Division per child care requirements 10A NCAC 09 .0802 (g). I suggested that you post an incident log in the office or somewhere in the facility and log incidents that occur at the facility on the log as incidents occur. An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/incident_log_i.pdf?ver=2017-05-16-105723-723. First Aid and Cardiopulmonary resuscitation (CPR) training- -Staff must complete First Aid and CPR training within ninety (90) days of employment and must renew certification on or before the expiration date. I suggested that you register staff for CPR and First Aid training as soon as they are hired and at least six months prior to the certification’s expiration date. CPR and First Aid training must be completed in person by an approved agency. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. These are repeated violations. Recognizing and Responding to Suspicions of Child Maltreatment training- New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that staff complete Recognizing and Responding to Suspicions of Child Maltreatment training during the first two weeks of employment, in conjunction with new staff orientation. Training for Recognizing and Responding to Suspicions of Child Maltreatment training must be completed through https://preventchildabusenc.gov. This is a repeated violation. Health and Safety training- -New staff must complete all required health and safety training within the first year of employment. This includes Recognizing and Responding to Suspicions of Child Maltreatment training, CPR, and First Aid training, however, these trainings must be completed within 90 days of employment. Training for Recognizing and Responding to Suspicions of Child Maltreatment training must be completed through https://preventchildabusenc.gov. CPR and First Aid training must be completed in person by an approved agency. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. Other topics for health and safety training may be completed through Moodle at https://www.dcdee.moodle.nc.gov/. I suggested encouraging staff to complete health and safety trainings within the first six months of employment to ensure completion of this requirement within the timeframe. Staff Development Plans- I reminded you to have staff complete a professional development plan within their first year of employment. I suggested that you set alerts on your computer or phone for when a staff member’s first year of employment is approaching to remind you to complete applicable annual documents, including the professional development plan. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual's planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Consultation: We discussed the following during the visit: -Staff information must be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Staff have been added to the roster for this facility. Should you need assistance, please contact the Criminal Background Check Unit at (919) 814-8401. -10A NCAC 09 .0605(s) Inflatables shall be prohibited except when used during a special event such as a celebration, festival, party, or family engagement event. A staff member shall be able to hear and see all children using inflatables at all times. For purposes of this Rule, an inflatable shall mean an air-filled structure designed to allow users to bounce, slide, or climb in. The inflatable device uses air pressure from one or more blowers to maintain its shape. Examples include bounce houses, moon walkers, giant slides, and bouncers. -We discussed cot spacing at 18 inches apart or a partition/solid barrier the full length of the cot separating children while sleeping. Cots may not be placed in front of an emergency exit. -The area has had a lot of heavy rain recently. I suggested that you rake/fluff/till mulch in fall zone areas surrounding the composite play structure on your playground. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support:The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0605 · Violation
Name of Operation: DENVER CHRISTIAN ACADEMY PRESCHOOL Facility ID: 55000170 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 6/18/2025 Number Present: 92 Completed Date: 6/18/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 10:45 AM Time Out: 01:15 PM Time In: 02:20 PM Time Out: 06:05 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Kresta Pedicino, Administrator. You provided me with applicable program, staff, and children’s records for review. Tammy McGalliard, Licensing Supervisor, accompanied me on the visit. The North Carolina Secretary of State website was viewed before the visit and Denver Christian Academy Preschool, Inc. was current/active as of June 16, 2025. This program currently operates with a One star rated license effective January 19, 2023. The program’s compliance history was 78 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements monitored today. Infants and staff in space #4 were observed eating lunch in highchairs, bottle feeding, nap, and free play activities on the floor. Children and staff were observed during free play activities indoors, lunch, and nap. The most recent sanitation inspection for your facility was conducted on May 15, 2025. A superior sanitation classification was issued with 0 demerits noted on the grade card. The analysis date for the most recent lead water test was August 22, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “survey review by RTI” for required lead-based paint testing. This facility is exempt from asbestos testing. The most recent approved fire inspection for your facility was conducted on November 26, 2024. Violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. In space #4, one six-month-old infant and one eight-month-old infant's hands were not washed after their diapers were changed. 15A NCAC 18A .2803(c)(2) 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. On the activity plan posted in space #7, "free play" was listed for small group activity and "Play-Doh" was listed as a sand/water activity. On Friday, "free play" was listed for the outdoor activity, manipulative activity, block activity, and "free read" was listed for books. On the activity plan posted in space #8, "play dough" was listed as a gross motor activity on Tuesday and "groceries/food" was listed as a gross motor activity on Friday. On Friday, "play with play dough" was listed for a sand/water activity. On the activity plan posted in space #9, "free expression" was listed for the art activity on Tuesday and Thursday. .0508(b)(1-5) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. In space #4, one staff member, K. Hobbs, fed an infant, nine months of age, a bottle while the infant was sitting in a swing. 10A NCAC 09 .0902(b) 542 The written feeding plan was not modified as the child's needs changed. In space #4, one feeding plan for a child thirteen months of age was not updated to include baby food and table food modifications, as reported by staff as the child's current feeding habits. The feeding plan only listed mother's milk. 10 NCAC 09 .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 #4, three electrical outlets were uncovered and accessible to children in an unlocked cabinet below the sink. 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. An incident log was not maintained for incident reports within the past year. .0802(g)(1-6) 871 Center staff did not comply with the safe sleep policy. In space #4, the space for infants, the consultant entered the room at approximately 11:20am and observed two infants asleep in swings. The staff members present, J. Carbone and K. Hobbs, did not remove the infants from the swing until questioned by the consultant. One infant, eight months of age, was asleep in a swing from approximately 11:08am to 11:25am and one infant, six months of age, was asleep in a swing from approximately 11:13am to 11:25am. In space #4, a visual sleep check was documented for one sleeping infant, eight months of age, on 5/15/2025 at 11:20am and was not checked again until 11:45am. 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 #4, on 5/12/2025, a sleep position was not documented at 1:45pm for one eight-month-old infant. On 5/16/2025, a sleep position was not documented at 9:30am for one three-month-old infant. On 5/19/2025, a sleep position was not documented at 10:30am and 11:15am for one nine-month-old infant. On 6/16/2025, a sleep position was not documented at 9:40am for one six-month-old infant. .0606(g) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member, D. Griffin, employed on 8/5/2024 did not complete First Aid training until 1/29/2025. One staff member, N. Troutman, employed on 9/9/2024 did not complete First Aid training until 1/29/2025. One staff member, B. Gray, employed on 1/30/2025 did not complete First Aid training until 6/2/2025. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member, D. Griffin, employed on 8/5/2024 did not complete Cardiopulmonary Resuscitation (CPR) training until 1/29/2025. One staff member, N. Troutman, employed on 9/9/2024 did not complete CPR training until 1/29/2025. One staff member, B. Gray, employed on 1/30/2025 did not complete CPR training until 6/2/2025. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam for one child enrolled on 8/19/2024, was not completed until 1/21/2025. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization record for one child enrolled on 8/19/2024, was not received until 1/31/2025. 10A NCAC 09 .0302(d)(2) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member, D. Griffin, employed on 8/5/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 3/31/2025. One staff member, N. Troutman, employed on 9/9/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 1/24/2025. One staff member, R. Rondinelli, employed on 1/2/2025 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 5/28/2025. One staff member, B. Gray, employed on 1/30/2025 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 6/4/2025. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff member, A. Behling, employed on 3/13/2023 did not complete all required health and safety training until 7/13/2024. .1102(a) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. One staff member, A. Behling, employed on 3/13/2023, and one staff member, K. Hobbs, employed on 4/23/2024, did not have a staff professional development plan on file for review. .1104(1-5) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by July 2, 2025. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please be aware that any information submitted by you is considered legal documentation. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Safe Sleep Policy- -Your facility’s safe sleep policy must be followed at all times. Per child care rule and your facility’s safe sleep policy, infants are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices must be moved to a crib, bassinet, play pen, mat, or cot. I suggested you review the facility’s safe sleep policy with your infant teachers and all staff members to ensure the policy is followed at all times. Additionally, I suggested you contact your local Resource and Referral Agency to request additional technical assistance regarding safe sleep. Safe Sleep Checks- -Visually checking on sleeping infants every fifteen minutes, per your facilities safe sleep policy, is critical in protecting sleeping infants from sudden infant death syndrome. I suggested that you discuss requirements for safe sleep checks as well as sudden infant death syndrome with all staff, especially all staff who work in the classroom for infants. I suggested utilizing the Caring for Our Children resource book for more information pertaining to safe sleep practices and sudden infant death syndrome. I suggested determining how safe sleep checks will be turned in to administrative staff and create a plan to review safe sleep checks prior to filing. Bottle Feeding- -Each infant must be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child must be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. We discussed requirements for bottle feeding during the visit. I suggested that you review these requirements with all staff members who may care for children who are bottle fed. Swings are not considered an approved seating apparatus for feeding. Feeding plans- -Written feeding plans for children under fifteen months of age must be posted in the child’s classroom for reference and must be modified as the child's needs change. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that staff review feeding plans monthly with parents to request if changes have been made to their feeding habits. I also suggested that you ensure the correct modifications are reflected in the child’s feeding plan prior to moving up to the next classroom. This is a repeated violation. Handwashing- -I reviewed handwashing requirements with you and staff during the visit. I suggested that you review handwashing procedures with all staff during an upcoming staff meeting. You may access resources regarding handwashing routines by visiting www.ncrlap.org. The NC Health and Safety Resource Center designs posters to improve health and safety practices in early care and education programs. Early care and education programs can download posters or order them free of cost at https://healthychildcare.unc.edu/resources/posters/. Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. Electrical Outlets- -The electrical outlets were covered with safety plugs during the visit. I suggested that you monitor each space and areas accessible to children throughout the day to ensure all electrical outlets not in use are covered with a safety plug. Instruct staff to check all electrical outlets at the beginning of the day. This is a repeated violation. Activity Plans- -I suggested to you review activity plan requirements with all lead teachers and discuss the intentions for activities to enhance the activity area and stimulate developmental domains. Instruct staff members not to use “free play,” “free choice,” or “free expression” on the activity plan. We discussed using specific themes each week or month to assist staff with ideas for activities. Additionally, I suggested you contact your local Resource and Referral Agency to request additional technical assistance and training for staff on activity plans. For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Children’s medical records- -Children’s medical exam or health assessment and immunization record must be received and on file within thirty days of the child’s enrollment. I suggested that you request children’s medical exams and immunization records prior to enrollment to ensure compliance with this requirement. I also suggested that you utilize the Children’s File Checklist available on the DCDEE website to refer to prior to each child’s enrollment to ensure all required documentation is on file within the required timeframe. Incident Log- -Multiple office staff worked together and completed the incident logs for all incident reports on file within the past year. I reminded you that each incident report documenting an injury that occurred to a child while at the facility must be recorded on the incident log. You must use the incident log that is provided by the Division and can be found under Provider Documents & Forms on the DCDEE website. The incident log must be available for review by a representative of the Division per child care requirements 10A NCAC 09 .0802 (g). I suggested that you post an incident log in the office or somewhere in the facility and log incidents that occur at the facility on the log as incidents occur. An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/incident_log_i.pdf?ver=2017-05-16-105723-723. First Aid and Cardiopulmonary resuscitation (CPR) training- -Staff must complete First Aid and CPR training within ninety (90) days of employment and must renew certification on or before the expiration date. I suggested that you register staff for CPR and First Aid training as soon as they are hired and at least six months prior to the certification’s expiration date. CPR and First Aid training must be completed in person by an approved agency. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. These are repeated violations. Recognizing and Responding to Suspicions of Child Maltreatment training- New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that staff complete Recognizing and Responding to Suspicions of Child Maltreatment training during the first two weeks of employment, in conjunction with new staff orientation. Training for Recognizing and Responding to Suspicions of Child Maltreatment training must be completed through https://preventchildabusenc.gov. This is a repeated violation. Health and Safety training- -New staff must complete all required health and safety training within the first year of employment. This includes Recognizing and Responding to Suspicions of Child Maltreatment training, CPR, and First Aid training, however, these trainings must be completed within 90 days of employment. Training for Recognizing and Responding to Suspicions of Child Maltreatment training must be completed through https://preventchildabusenc.gov. CPR and First Aid training must be completed in person by an approved agency. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. Other topics for health and safety training may be completed through Moodle at https://www.dcdee.moodle.nc.gov/. I suggested encouraging staff to complete health and safety trainings within the first six months of employment to ensure completion of this requirement within the timeframe. Staff Development Plans- I reminded you to have staff complete a professional development plan within their first year of employment. I suggested that you set alerts on your computer or phone for when a staff member’s first year of employment is approaching to remind you to complete applicable annual documents, including the professional development plan. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual's planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Consultation: We discussed the following during the visit: -Staff information must be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Staff have been added to the roster for this facility. Should you need assistance, please contact the Criminal Background Check Unit at (919) 814-8401. -10A NCAC 09 .0605(s) Inflatables shall be prohibited except when used during a special event such as a celebration, festival, party, or family engagement event. A staff member shall be able to hear and see all children using inflatables at all times. For purposes of this Rule, an inflatable shall mean an air-filled structure designed to allow users to bounce, slide, or climb in. The inflatable device uses air pressure from one or more blowers to maintain its shape. Examples include bounce houses, moon walkers, giant slides, and bouncers. -We discussed cot spacing at 18 inches apart or a partition/solid barrier the full length of the cot separating children while sleeping. Cots may not be placed in front of an emergency exit. -The area has had a lot of heavy rain recently. I suggested that you rake/fluff/till mulch in fall zone areas surrounding the composite play structure on your playground. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support:The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 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: DENVER CHRISTIAN ACADEMY PRESCHOOL Facility ID: 55000170 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 6/18/2025 Number Present: 92 Completed Date: 6/18/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 10:45 AM Time Out: 01:15 PM Time In: 02:20 PM Time Out: 06:05 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Kresta Pedicino, Administrator. You provided me with applicable program, staff, and children’s records for review. Tammy McGalliard, Licensing Supervisor, accompanied me on the visit. The North Carolina Secretary of State website was viewed before the visit and Denver Christian Academy Preschool, Inc. was current/active as of June 16, 2025. This program currently operates with a One star rated license effective January 19, 2023. The program’s compliance history was 78 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements monitored today. Infants and staff in space #4 were observed eating lunch in highchairs, bottle feeding, nap, and free play activities on the floor. Children and staff were observed during free play activities indoors, lunch, and nap. The most recent sanitation inspection for your facility was conducted on May 15, 2025. A superior sanitation classification was issued with 0 demerits noted on the grade card. The analysis date for the most recent lead water test was August 22, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “survey review by RTI” for required lead-based paint testing. This facility is exempt from asbestos testing. The most recent approved fire inspection for your facility was conducted on November 26, 2024. Violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. In space #4, one six-month-old infant and one eight-month-old infant's hands were not washed after their diapers were changed. 15A NCAC 18A .2803(c)(2) 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. On the activity plan posted in space #7, "free play" was listed for small group activity and "Play-Doh" was listed as a sand/water activity. On Friday, "free play" was listed for the outdoor activity, manipulative activity, block activity, and "free read" was listed for books. On the activity plan posted in space #8, "play dough" was listed as a gross motor activity on Tuesday and "groceries/food" was listed as a gross motor activity on Friday. On Friday, "play with play dough" was listed for a sand/water activity. On the activity plan posted in space #9, "free expression" was listed for the art activity on Tuesday and Thursday. .0508(b)(1-5) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. In space #4, one staff member, K. Hobbs, fed an infant, nine months of age, a bottle while the infant was sitting in a swing. 10A NCAC 09 .0902(b) 542 The written feeding plan was not modified as the child's needs changed. In space #4, one feeding plan for a child thirteen months of age was not updated to include baby food and table food modifications, as reported by staff as the child's current feeding habits. The feeding plan only listed mother's milk. 10 NCAC 09 .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 #4, three electrical outlets were uncovered and accessible to children in an unlocked cabinet below the sink. 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. An incident log was not maintained for incident reports within the past year. .0802(g)(1-6) 871 Center staff did not comply with the safe sleep policy. In space #4, the space for infants, the consultant entered the room at approximately 11:20am and observed two infants asleep in swings. The staff members present, J. Carbone and K. Hobbs, did not remove the infants from the swing until questioned by the consultant. One infant, eight months of age, was asleep in a swing from approximately 11:08am to 11:25am and one infant, six months of age, was asleep in a swing from approximately 11:13am to 11:25am. In space #4, a visual sleep check was documented for one sleeping infant, eight months of age, on 5/15/2025 at 11:20am and was not checked again until 11:45am. 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 #4, on 5/12/2025, a sleep position was not documented at 1:45pm for one eight-month-old infant. On 5/16/2025, a sleep position was not documented at 9:30am for one three-month-old infant. On 5/19/2025, a sleep position was not documented at 10:30am and 11:15am for one nine-month-old infant. On 6/16/2025, a sleep position was not documented at 9:40am for one six-month-old infant. .0606(g) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member, D. Griffin, employed on 8/5/2024 did not complete First Aid training until 1/29/2025. One staff member, N. Troutman, employed on 9/9/2024 did not complete First Aid training until 1/29/2025. One staff member, B. Gray, employed on 1/30/2025 did not complete First Aid training until 6/2/2025. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member, D. Griffin, employed on 8/5/2024 did not complete Cardiopulmonary Resuscitation (CPR) training until 1/29/2025. One staff member, N. Troutman, employed on 9/9/2024 did not complete CPR training until 1/29/2025. One staff member, B. Gray, employed on 1/30/2025 did not complete CPR training until 6/2/2025. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam for one child enrolled on 8/19/2024, was not completed until 1/21/2025. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization record for one child enrolled on 8/19/2024, was not received until 1/31/2025. 10A NCAC 09 .0302(d)(2) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member, D. Griffin, employed on 8/5/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 3/31/2025. One staff member, N. Troutman, employed on 9/9/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 1/24/2025. One staff member, R. Rondinelli, employed on 1/2/2025 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 5/28/2025. One staff member, B. Gray, employed on 1/30/2025 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 6/4/2025. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff member, A. Behling, employed on 3/13/2023 did not complete all required health and safety training until 7/13/2024. .1102(a) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. One staff member, A. Behling, employed on 3/13/2023, and one staff member, K. Hobbs, employed on 4/23/2024, did not have a staff professional development plan on file for review. .1104(1-5) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by July 2, 2025. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please be aware that any information submitted by you is considered legal documentation. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Safe Sleep Policy- -Your facility’s safe sleep policy must be followed at all times. Per child care rule and your facility’s safe sleep policy, infants are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices must be moved to a crib, bassinet, play pen, mat, or cot. I suggested you review the facility’s safe sleep policy with your infant teachers and all staff members to ensure the policy is followed at all times. Additionally, I suggested you contact your local Resource and Referral Agency to request additional technical assistance regarding safe sleep. Safe Sleep Checks- -Visually checking on sleeping infants every fifteen minutes, per your facilities safe sleep policy, is critical in protecting sleeping infants from sudden infant death syndrome. I suggested that you discuss requirements for safe sleep checks as well as sudden infant death syndrome with all staff, especially all staff who work in the classroom for infants. I suggested utilizing the Caring for Our Children resource book for more information pertaining to safe sleep practices and sudden infant death syndrome. I suggested determining how safe sleep checks will be turned in to administrative staff and create a plan to review safe sleep checks prior to filing. Bottle Feeding- -Each infant must be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child must be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. We discussed requirements for bottle feeding during the visit. I suggested that you review these requirements with all staff members who may care for children who are bottle fed. Swings are not considered an approved seating apparatus for feeding. Feeding plans- -Written feeding plans for children under fifteen months of age must be posted in the child’s classroom for reference and must be modified as the child's needs change. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that staff review feeding plans monthly with parents to request if changes have been made to their feeding habits. I also suggested that you ensure the correct modifications are reflected in the child’s feeding plan prior to moving up to the next classroom. This is a repeated violation. Handwashing- -I reviewed handwashing requirements with you and staff during the visit. I suggested that you review handwashing procedures with all staff during an upcoming staff meeting. You may access resources regarding handwashing routines by visiting www.ncrlap.org. The NC Health and Safety Resource Center designs posters to improve health and safety practices in early care and education programs. Early care and education programs can download posters or order them free of cost at https://healthychildcare.unc.edu/resources/posters/. Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. Electrical Outlets- -The electrical outlets were covered with safety plugs during the visit. I suggested that you monitor each space and areas accessible to children throughout the day to ensure all electrical outlets not in use are covered with a safety plug. Instruct staff to check all electrical outlets at the beginning of the day. This is a repeated violation. Activity Plans- -I suggested to you review activity plan requirements with all lead teachers and discuss the intentions for activities to enhance the activity area and stimulate developmental domains. Instruct staff members not to use “free play,” “free choice,” or “free expression” on the activity plan. We discussed using specific themes each week or month to assist staff with ideas for activities. Additionally, I suggested you contact your local Resource and Referral Agency to request additional technical assistance and training for staff on activity plans. For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Children’s medical records- -Children’s medical exam or health assessment and immunization record must be received and on file within thirty days of the child’s enrollment. I suggested that you request children’s medical exams and immunization records prior to enrollment to ensure compliance with this requirement. I also suggested that you utilize the Children’s File Checklist available on the DCDEE website to refer to prior to each child’s enrollment to ensure all required documentation is on file within the required timeframe. Incident Log- -Multiple office staff worked together and completed the incident logs for all incident reports on file within the past year. I reminded you that each incident report documenting an injury that occurred to a child while at the facility must be recorded on the incident log. You must use the incident log that is provided by the Division and can be found under Provider Documents & Forms on the DCDEE website. The incident log must be available for review by a representative of the Division per child care requirements 10A NCAC 09 .0802 (g). I suggested that you post an incident log in the office or somewhere in the facility and log incidents that occur at the facility on the log as incidents occur. An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/incident_log_i.pdf?ver=2017-05-16-105723-723. First Aid and Cardiopulmonary resuscitation (CPR) training- -Staff must complete First Aid and CPR training within ninety (90) days of employment and must renew certification on or before the expiration date. I suggested that you register staff for CPR and First Aid training as soon as they are hired and at least six months prior to the certification’s expiration date. CPR and First Aid training must be completed in person by an approved agency. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. These are repeated violations. Recognizing and Responding to Suspicions of Child Maltreatment training- New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that staff complete Recognizing and Responding to Suspicions of Child Maltreatment training during the first two weeks of employment, in conjunction with new staff orientation. Training for Recognizing and Responding to Suspicions of Child Maltreatment training must be completed through https://preventchildabusenc.gov. This is a repeated violation. Health and Safety training- -New staff must complete all required health and safety training within the first year of employment. This includes Recognizing and Responding to Suspicions of Child Maltreatment training, CPR, and First Aid training, however, these trainings must be completed within 90 days of employment. Training for Recognizing and Responding to Suspicions of Child Maltreatment training must be completed through https://preventchildabusenc.gov. CPR and First Aid training must be completed in person by an approved agency. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. Other topics for health and safety training may be completed through Moodle at https://www.dcdee.moodle.nc.gov/. I suggested encouraging staff to complete health and safety trainings within the first six months of employment to ensure completion of this requirement within the timeframe. Staff Development Plans- I reminded you to have staff complete a professional development plan within their first year of employment. I suggested that you set alerts on your computer or phone for when a staff member’s first year of employment is approaching to remind you to complete applicable annual documents, including the professional development plan. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual's planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Consultation: We discussed the following during the visit: -Staff information must be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Staff have been added to the roster for this facility. Should you need assistance, please contact the Criminal Background Check Unit at (919) 814-8401. -10A NCAC 09 .0605(s) Inflatables shall be prohibited except when used during a special event such as a celebration, festival, party, or family engagement event. A staff member shall be able to hear and see all children using inflatables at all times. For purposes of this Rule, an inflatable shall mean an air-filled structure designed to allow users to bounce, slide, or climb in. The inflatable device uses air pressure from one or more blowers to maintain its shape. Examples include bounce houses, moon walkers, giant slides, and bouncers. -We discussed cot spacing at 18 inches apart or a partition/solid barrier the full length of the cot separating children while sleeping. Cots may not be placed in front of an emergency exit. -The area has had a lot of heavy rain recently. I suggested that you rake/fluff/till mulch in fall zone areas surrounding the composite play structure on your playground. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support:The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0802 · Violation
Name of Operation: DENVER CHRISTIAN ACADEMY PRESCHOOL Facility ID: 55000170 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 6/18/2025 Number Present: 92 Completed Date: 6/18/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 10:45 AM Time Out: 01:15 PM Time In: 02:20 PM Time Out: 06:05 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Kresta Pedicino, Administrator. You provided me with applicable program, staff, and children’s records for review. Tammy McGalliard, Licensing Supervisor, accompanied me on the visit. The North Carolina Secretary of State website was viewed before the visit and Denver Christian Academy Preschool, Inc. was current/active as of June 16, 2025. This program currently operates with a One star rated license effective January 19, 2023. The program’s compliance history was 78 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements monitored today. Infants and staff in space #4 were observed eating lunch in highchairs, bottle feeding, nap, and free play activities on the floor. Children and staff were observed during free play activities indoors, lunch, and nap. The most recent sanitation inspection for your facility was conducted on May 15, 2025. A superior sanitation classification was issued with 0 demerits noted on the grade card. The analysis date for the most recent lead water test was August 22, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “survey review by RTI” for required lead-based paint testing. This facility is exempt from asbestos testing. The most recent approved fire inspection for your facility was conducted on November 26, 2024. Violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. In space #4, one six-month-old infant and one eight-month-old infant's hands were not washed after their diapers were changed. 15A NCAC 18A .2803(c)(2) 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. On the activity plan posted in space #7, "free play" was listed for small group activity and "Play-Doh" was listed as a sand/water activity. On Friday, "free play" was listed for the outdoor activity, manipulative activity, block activity, and "free read" was listed for books. On the activity plan posted in space #8, "play dough" was listed as a gross motor activity on Tuesday and "groceries/food" was listed as a gross motor activity on Friday. On Friday, "play with play dough" was listed for a sand/water activity. On the activity plan posted in space #9, "free expression" was listed for the art activity on Tuesday and Thursday. .0508(b)(1-5) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. In space #4, one staff member, K. Hobbs, fed an infant, nine months of age, a bottle while the infant was sitting in a swing. 10A NCAC 09 .0902(b) 542 The written feeding plan was not modified as the child's needs changed. In space #4, one feeding plan for a child thirteen months of age was not updated to include baby food and table food modifications, as reported by staff as the child's current feeding habits. The feeding plan only listed mother's milk. 10 NCAC 09 .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 #4, three electrical outlets were uncovered and accessible to children in an unlocked cabinet below the sink. 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. An incident log was not maintained for incident reports within the past year. .0802(g)(1-6) 871 Center staff did not comply with the safe sleep policy. In space #4, the space for infants, the consultant entered the room at approximately 11:20am and observed two infants asleep in swings. The staff members present, J. Carbone and K. Hobbs, did not remove the infants from the swing until questioned by the consultant. One infant, eight months of age, was asleep in a swing from approximately 11:08am to 11:25am and one infant, six months of age, was asleep in a swing from approximately 11:13am to 11:25am. In space #4, a visual sleep check was documented for one sleeping infant, eight months of age, on 5/15/2025 at 11:20am and was not checked again until 11:45am. 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 #4, on 5/12/2025, a sleep position was not documented at 1:45pm for one eight-month-old infant. On 5/16/2025, a sleep position was not documented at 9:30am for one three-month-old infant. On 5/19/2025, a sleep position was not documented at 10:30am and 11:15am for one nine-month-old infant. On 6/16/2025, a sleep position was not documented at 9:40am for one six-month-old infant. .0606(g) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member, D. Griffin, employed on 8/5/2024 did not complete First Aid training until 1/29/2025. One staff member, N. Troutman, employed on 9/9/2024 did not complete First Aid training until 1/29/2025. One staff member, B. Gray, employed on 1/30/2025 did not complete First Aid training until 6/2/2025. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member, D. Griffin, employed on 8/5/2024 did not complete Cardiopulmonary Resuscitation (CPR) training until 1/29/2025. One staff member, N. Troutman, employed on 9/9/2024 did not complete CPR training until 1/29/2025. One staff member, B. Gray, employed on 1/30/2025 did not complete CPR training until 6/2/2025. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam for one child enrolled on 8/19/2024, was not completed until 1/21/2025. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization record for one child enrolled on 8/19/2024, was not received until 1/31/2025. 10A NCAC 09 .0302(d)(2) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member, D. Griffin, employed on 8/5/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 3/31/2025. One staff member, N. Troutman, employed on 9/9/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 1/24/2025. One staff member, R. Rondinelli, employed on 1/2/2025 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 5/28/2025. One staff member, B. Gray, employed on 1/30/2025 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 6/4/2025. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff member, A. Behling, employed on 3/13/2023 did not complete all required health and safety training until 7/13/2024. .1102(a) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. One staff member, A. Behling, employed on 3/13/2023, and one staff member, K. Hobbs, employed on 4/23/2024, did not have a staff professional development plan on file for review. .1104(1-5) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by July 2, 2025. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please be aware that any information submitted by you is considered legal documentation. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Safe Sleep Policy- -Your facility’s safe sleep policy must be followed at all times. Per child care rule and your facility’s safe sleep policy, infants are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices must be moved to a crib, bassinet, play pen, mat, or cot. I suggested you review the facility’s safe sleep policy with your infant teachers and all staff members to ensure the policy is followed at all times. Additionally, I suggested you contact your local Resource and Referral Agency to request additional technical assistance regarding safe sleep. Safe Sleep Checks- -Visually checking on sleeping infants every fifteen minutes, per your facilities safe sleep policy, is critical in protecting sleeping infants from sudden infant death syndrome. I suggested that you discuss requirements for safe sleep checks as well as sudden infant death syndrome with all staff, especially all staff who work in the classroom for infants. I suggested utilizing the Caring for Our Children resource book for more information pertaining to safe sleep practices and sudden infant death syndrome. I suggested determining how safe sleep checks will be turned in to administrative staff and create a plan to review safe sleep checks prior to filing. Bottle Feeding- -Each infant must be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child must be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. We discussed requirements for bottle feeding during the visit. I suggested that you review these requirements with all staff members who may care for children who are bottle fed. Swings are not considered an approved seating apparatus for feeding. Feeding plans- -Written feeding plans for children under fifteen months of age must be posted in the child’s classroom for reference and must be modified as the child's needs change. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that staff review feeding plans monthly with parents to request if changes have been made to their feeding habits. I also suggested that you ensure the correct modifications are reflected in the child’s feeding plan prior to moving up to the next classroom. This is a repeated violation. Handwashing- -I reviewed handwashing requirements with you and staff during the visit. I suggested that you review handwashing procedures with all staff during an upcoming staff meeting. You may access resources regarding handwashing routines by visiting www.ncrlap.org. The NC Health and Safety Resource Center designs posters to improve health and safety practices in early care and education programs. Early care and education programs can download posters or order them free of cost at https://healthychildcare.unc.edu/resources/posters/. Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. Electrical Outlets- -The electrical outlets were covered with safety plugs during the visit. I suggested that you monitor each space and areas accessible to children throughout the day to ensure all electrical outlets not in use are covered with a safety plug. Instruct staff to check all electrical outlets at the beginning of the day. This is a repeated violation. Activity Plans- -I suggested to you review activity plan requirements with all lead teachers and discuss the intentions for activities to enhance the activity area and stimulate developmental domains. Instruct staff members not to use “free play,” “free choice,” or “free expression” on the activity plan. We discussed using specific themes each week or month to assist staff with ideas for activities. Additionally, I suggested you contact your local Resource and Referral Agency to request additional technical assistance and training for staff on activity plans. For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Children’s medical records- -Children’s medical exam or health assessment and immunization record must be received and on file within thirty days of the child’s enrollment. I suggested that you request children’s medical exams and immunization records prior to enrollment to ensure compliance with this requirement. I also suggested that you utilize the Children’s File Checklist available on the DCDEE website to refer to prior to each child’s enrollment to ensure all required documentation is on file within the required timeframe. Incident Log- -Multiple office staff worked together and completed the incident logs for all incident reports on file within the past year. I reminded you that each incident report documenting an injury that occurred to a child while at the facility must be recorded on the incident log. You must use the incident log that is provided by the Division and can be found under Provider Documents & Forms on the DCDEE website. The incident log must be available for review by a representative of the Division per child care requirements 10A NCAC 09 .0802 (g). I suggested that you post an incident log in the office or somewhere in the facility and log incidents that occur at the facility on the log as incidents occur. An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/incident_log_i.pdf?ver=2017-05-16-105723-723. First Aid and Cardiopulmonary resuscitation (CPR) training- -Staff must complete First Aid and CPR training within ninety (90) days of employment and must renew certification on or before the expiration date. I suggested that you register staff for CPR and First Aid training as soon as they are hired and at least six months prior to the certification’s expiration date. CPR and First Aid training must be completed in person by an approved agency. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. These are repeated violations. Recognizing and Responding to Suspicions of Child Maltreatment training- New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that staff complete Recognizing and Responding to Suspicions of Child Maltreatment training during the first two weeks of employment, in conjunction with new staff orientation. Training for Recognizing and Responding to Suspicions of Child Maltreatment training must be completed through https://preventchildabusenc.gov. This is a repeated violation. Health and Safety training- -New staff must complete all required health and safety training within the first year of employment. This includes Recognizing and Responding to Suspicions of Child Maltreatment training, CPR, and First Aid training, however, these trainings must be completed within 90 days of employment. Training for Recognizing and Responding to Suspicions of Child Maltreatment training must be completed through https://preventchildabusenc.gov. CPR and First Aid training must be completed in person by an approved agency. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. Other topics for health and safety training may be completed through Moodle at https://www.dcdee.moodle.nc.gov/. I suggested encouraging staff to complete health and safety trainings within the first six months of employment to ensure completion of this requirement within the timeframe. Staff Development Plans- I reminded you to have staff complete a professional development plan within their first year of employment. I suggested that you set alerts on your computer or phone for when a staff member’s first year of employment is approaching to remind you to complete applicable annual documents, including the professional development plan. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual's planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Consultation: We discussed the following during the visit: -Staff information must be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Staff have been added to the roster for this facility. Should you need assistance, please contact the Criminal Background Check Unit at (919) 814-8401. -10A NCAC 09 .0605(s) Inflatables shall be prohibited except when used during a special event such as a celebration, festival, party, or family engagement event. A staff member shall be able to hear and see all children using inflatables at all times. For purposes of this Rule, an inflatable shall mean an air-filled structure designed to allow users to bounce, slide, or climb in. The inflatable device uses air pressure from one or more blowers to maintain its shape. Examples include bounce houses, moon walkers, giant slides, and bouncers. -We discussed cot spacing at 18 inches apart or a partition/solid barrier the full length of the cot separating children while sleeping. Cots may not be placed in front of an emergency exit. -The area has had a lot of heavy rain recently. I suggested that you rake/fluff/till mulch in fall zone areas surrounding the composite play structure on your playground. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support:The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 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 .1104 · Violation
Name of Operation: DENVER CHRISTIAN ACADEMY PRESCHOOL Facility ID: 55000170 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 6/18/2025 Number Present: 92 Completed Date: 6/18/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 10:45 AM Time Out: 01:15 PM Time In: 02:20 PM Time Out: 06:05 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Kresta Pedicino, Administrator. You provided me with applicable program, staff, and children’s records for review. Tammy McGalliard, Licensing Supervisor, accompanied me on the visit. The North Carolina Secretary of State website was viewed before the visit and Denver Christian Academy Preschool, Inc. was current/active as of June 16, 2025. This program currently operates with a One star rated license effective January 19, 2023. The program’s compliance history was 78 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements monitored today. Infants and staff in space #4 were observed eating lunch in highchairs, bottle feeding, nap, and free play activities on the floor. Children and staff were observed during free play activities indoors, lunch, and nap. The most recent sanitation inspection for your facility was conducted on May 15, 2025. A superior sanitation classification was issued with 0 demerits noted on the grade card. The analysis date for the most recent lead water test was August 22, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “survey review by RTI” for required lead-based paint testing. This facility is exempt from asbestos testing. The most recent approved fire inspection for your facility was conducted on November 26, 2024. Violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. In space #4, one six-month-old infant and one eight-month-old infant's hands were not washed after their diapers were changed. 15A NCAC 18A .2803(c)(2) 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. On the activity plan posted in space #7, "free play" was listed for small group activity and "Play-Doh" was listed as a sand/water activity. On Friday, "free play" was listed for the outdoor activity, manipulative activity, block activity, and "free read" was listed for books. On the activity plan posted in space #8, "play dough" was listed as a gross motor activity on Tuesday and "groceries/food" was listed as a gross motor activity on Friday. On Friday, "play with play dough" was listed for a sand/water activity. On the activity plan posted in space #9, "free expression" was listed for the art activity on Tuesday and Thursday. .0508(b)(1-5) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. In space #4, one staff member, K. Hobbs, fed an infant, nine months of age, a bottle while the infant was sitting in a swing. 10A NCAC 09 .0902(b) 542 The written feeding plan was not modified as the child's needs changed. In space #4, one feeding plan for a child thirteen months of age was not updated to include baby food and table food modifications, as reported by staff as the child's current feeding habits. The feeding plan only listed mother's milk. 10 NCAC 09 .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 #4, three electrical outlets were uncovered and accessible to children in an unlocked cabinet below the sink. 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. An incident log was not maintained for incident reports within the past year. .0802(g)(1-6) 871 Center staff did not comply with the safe sleep policy. In space #4, the space for infants, the consultant entered the room at approximately 11:20am and observed two infants asleep in swings. The staff members present, J. Carbone and K. Hobbs, did not remove the infants from the swing until questioned by the consultant. One infant, eight months of age, was asleep in a swing from approximately 11:08am to 11:25am and one infant, six months of age, was asleep in a swing from approximately 11:13am to 11:25am. In space #4, a visual sleep check was documented for one sleeping infant, eight months of age, on 5/15/2025 at 11:20am and was not checked again until 11:45am. 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 #4, on 5/12/2025, a sleep position was not documented at 1:45pm for one eight-month-old infant. On 5/16/2025, a sleep position was not documented at 9:30am for one three-month-old infant. On 5/19/2025, a sleep position was not documented at 10:30am and 11:15am for one nine-month-old infant. On 6/16/2025, a sleep position was not documented at 9:40am for one six-month-old infant. .0606(g) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member, D. Griffin, employed on 8/5/2024 did not complete First Aid training until 1/29/2025. One staff member, N. Troutman, employed on 9/9/2024 did not complete First Aid training until 1/29/2025. One staff member, B. Gray, employed on 1/30/2025 did not complete First Aid training until 6/2/2025. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member, D. Griffin, employed on 8/5/2024 did not complete Cardiopulmonary Resuscitation (CPR) training until 1/29/2025. One staff member, N. Troutman, employed on 9/9/2024 did not complete CPR training until 1/29/2025. One staff member, B. Gray, employed on 1/30/2025 did not complete CPR training until 6/2/2025. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam for one child enrolled on 8/19/2024, was not completed until 1/21/2025. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization record for one child enrolled on 8/19/2024, was not received until 1/31/2025. 10A NCAC 09 .0302(d)(2) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member, D. Griffin, employed on 8/5/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 3/31/2025. One staff member, N. Troutman, employed on 9/9/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 1/24/2025. One staff member, R. Rondinelli, employed on 1/2/2025 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 5/28/2025. One staff member, B. Gray, employed on 1/30/2025 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 6/4/2025. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff member, A. Behling, employed on 3/13/2023 did not complete all required health and safety training until 7/13/2024. .1102(a) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. One staff member, A. Behling, employed on 3/13/2023, and one staff member, K. Hobbs, employed on 4/23/2024, did not have a staff professional development plan on file for review. .1104(1-5) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by July 2, 2025. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please be aware that any information submitted by you is considered legal documentation. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Safe Sleep Policy- -Your facility’s safe sleep policy must be followed at all times. Per child care rule and your facility’s safe sleep policy, infants are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices must be moved to a crib, bassinet, play pen, mat, or cot. I suggested you review the facility’s safe sleep policy with your infant teachers and all staff members to ensure the policy is followed at all times. Additionally, I suggested you contact your local Resource and Referral Agency to request additional technical assistance regarding safe sleep. Safe Sleep Checks- -Visually checking on sleeping infants every fifteen minutes, per your facilities safe sleep policy, is critical in protecting sleeping infants from sudden infant death syndrome. I suggested that you discuss requirements for safe sleep checks as well as sudden infant death syndrome with all staff, especially all staff who work in the classroom for infants. I suggested utilizing the Caring for Our Children resource book for more information pertaining to safe sleep practices and sudden infant death syndrome. I suggested determining how safe sleep checks will be turned in to administrative staff and create a plan to review safe sleep checks prior to filing. Bottle Feeding- -Each infant must be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child must be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. We discussed requirements for bottle feeding during the visit. I suggested that you review these requirements with all staff members who may care for children who are bottle fed. Swings are not considered an approved seating apparatus for feeding. Feeding plans- -Written feeding plans for children under fifteen months of age must be posted in the child’s classroom for reference and must be modified as the child's needs change. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that staff review feeding plans monthly with parents to request if changes have been made to their feeding habits. I also suggested that you ensure the correct modifications are reflected in the child’s feeding plan prior to moving up to the next classroom. This is a repeated violation. Handwashing- -I reviewed handwashing requirements with you and staff during the visit. I suggested that you review handwashing procedures with all staff during an upcoming staff meeting. You may access resources regarding handwashing routines by visiting www.ncrlap.org. The NC Health and Safety Resource Center designs posters to improve health and safety practices in early care and education programs. Early care and education programs can download posters or order them free of cost at https://healthychildcare.unc.edu/resources/posters/. Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. Electrical Outlets- -The electrical outlets were covered with safety plugs during the visit. I suggested that you monitor each space and areas accessible to children throughout the day to ensure all electrical outlets not in use are covered with a safety plug. Instruct staff to check all electrical outlets at the beginning of the day. This is a repeated violation. Activity Plans- -I suggested to you review activity plan requirements with all lead teachers and discuss the intentions for activities to enhance the activity area and stimulate developmental domains. Instruct staff members not to use “free play,” “free choice,” or “free expression” on the activity plan. We discussed using specific themes each week or month to assist staff with ideas for activities. Additionally, I suggested you contact your local Resource and Referral Agency to request additional technical assistance and training for staff on activity plans. For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Children’s medical records- -Children’s medical exam or health assessment and immunization record must be received and on file within thirty days of the child’s enrollment. I suggested that you request children’s medical exams and immunization records prior to enrollment to ensure compliance with this requirement. I also suggested that you utilize the Children’s File Checklist available on the DCDEE website to refer to prior to each child’s enrollment to ensure all required documentation is on file within the required timeframe. Incident Log- -Multiple office staff worked together and completed the incident logs for all incident reports on file within the past year. I reminded you that each incident report documenting an injury that occurred to a child while at the facility must be recorded on the incident log. You must use the incident log that is provided by the Division and can be found under Provider Documents & Forms on the DCDEE website. The incident log must be available for review by a representative of the Division per child care requirements 10A NCAC 09 .0802 (g). I suggested that you post an incident log in the office or somewhere in the facility and log incidents that occur at the facility on the log as incidents occur. An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/incident_log_i.pdf?ver=2017-05-16-105723-723. First Aid and Cardiopulmonary resuscitation (CPR) training- -Staff must complete First Aid and CPR training within ninety (90) days of employment and must renew certification on or before the expiration date. I suggested that you register staff for CPR and First Aid training as soon as they are hired and at least six months prior to the certification’s expiration date. CPR and First Aid training must be completed in person by an approved agency. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. These are repeated violations. Recognizing and Responding to Suspicions of Child Maltreatment training- New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that staff complete Recognizing and Responding to Suspicions of Child Maltreatment training during the first two weeks of employment, in conjunction with new staff orientation. Training for Recognizing and Responding to Suspicions of Child Maltreatment training must be completed through https://preventchildabusenc.gov. This is a repeated violation. Health and Safety training- -New staff must complete all required health and safety training within the first year of employment. This includes Recognizing and Responding to Suspicions of Child Maltreatment training, CPR, and First Aid training, however, these trainings must be completed within 90 days of employment. Training for Recognizing and Responding to Suspicions of Child Maltreatment training must be completed through https://preventchildabusenc.gov. CPR and First Aid training must be completed in person by an approved agency. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. Other topics for health and safety training may be completed through Moodle at https://www.dcdee.moodle.nc.gov/. I suggested encouraging staff to complete health and safety trainings within the first six months of employment to ensure completion of this requirement within the timeframe. Staff Development Plans- I reminded you to have staff complete a professional development plan within their first year of employment. I suggested that you set alerts on your computer or phone for when a staff member’s first year of employment is approaching to remind you to complete applicable annual documents, including the professional development plan. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual's planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Consultation: We discussed the following during the visit: -Staff information must be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Staff have been added to the roster for this facility. Should you need assistance, please contact the Criminal Background Check Unit at (919) 814-8401. -10A NCAC 09 .0605(s) Inflatables shall be prohibited except when used during a special event such as a celebration, festival, party, or family engagement event. A staff member shall be able to hear and see all children using inflatables at all times. For purposes of this Rule, an inflatable shall mean an air-filled structure designed to allow users to bounce, slide, or climb in. The inflatable device uses air pressure from one or more blowers to maintain its shape. Examples include bounce houses, moon walkers, giant slides, and bouncers. -We discussed cot spacing at 18 inches apart or a partition/solid barrier the full length of the cot separating children while sleeping. Cots may not be placed in front of an emergency exit. -The area has had a lot of heavy rain recently. I suggested that you rake/fluff/till mulch in fall zone areas surrounding the composite play structure on your playground. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support:The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
GS110-91 · Violation
Name of Operation: DENVER CHRISTIAN ACADEMY PRESCHOOL Facility ID: 55000170 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 6/18/2025 Number Present: 92 Completed Date: 6/18/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 10:45 AM Time Out: 01:15 PM Time In: 02:20 PM Time Out: 06:05 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Kresta Pedicino, Administrator. You provided me with applicable program, staff, and children’s records for review. Tammy McGalliard, Licensing Supervisor, accompanied me on the visit. The North Carolina Secretary of State website was viewed before the visit and Denver Christian Academy Preschool, Inc. was current/active as of June 16, 2025. This program currently operates with a One star rated license effective January 19, 2023. The program’s compliance history was 78 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements monitored today. Infants and staff in space #4 were observed eating lunch in highchairs, bottle feeding, nap, and free play activities on the floor. Children and staff were observed during free play activities indoors, lunch, and nap. The most recent sanitation inspection for your facility was conducted on May 15, 2025. A superior sanitation classification was issued with 0 demerits noted on the grade card. The analysis date for the most recent lead water test was August 22, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “survey review by RTI” for required lead-based paint testing. This facility is exempt from asbestos testing. The most recent approved fire inspection for your facility was conducted on November 26, 2024. Violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. In space #4, one six-month-old infant and one eight-month-old infant's hands were not washed after their diapers were changed. 15A NCAC 18A .2803(c)(2) 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. On the activity plan posted in space #7, "free play" was listed for small group activity and "Play-Doh" was listed as a sand/water activity. On Friday, "free play" was listed for the outdoor activity, manipulative activity, block activity, and "free read" was listed for books. On the activity plan posted in space #8, "play dough" was listed as a gross motor activity on Tuesday and "groceries/food" was listed as a gross motor activity on Friday. On Friday, "play with play dough" was listed for a sand/water activity. On the activity plan posted in space #9, "free expression" was listed for the art activity on Tuesday and Thursday. .0508(b)(1-5) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. In space #4, one staff member, K. Hobbs, fed an infant, nine months of age, a bottle while the infant was sitting in a swing. 10A NCAC 09 .0902(b) 542 The written feeding plan was not modified as the child's needs changed. In space #4, one feeding plan for a child thirteen months of age was not updated to include baby food and table food modifications, as reported by staff as the child's current feeding habits. The feeding plan only listed mother's milk. 10 NCAC 09 .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 #4, three electrical outlets were uncovered and accessible to children in an unlocked cabinet below the sink. 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. An incident log was not maintained for incident reports within the past year. .0802(g)(1-6) 871 Center staff did not comply with the safe sleep policy. In space #4, the space for infants, the consultant entered the room at approximately 11:20am and observed two infants asleep in swings. The staff members present, J. Carbone and K. Hobbs, did not remove the infants from the swing until questioned by the consultant. One infant, eight months of age, was asleep in a swing from approximately 11:08am to 11:25am and one infant, six months of age, was asleep in a swing from approximately 11:13am to 11:25am. In space #4, a visual sleep check was documented for one sleeping infant, eight months of age, on 5/15/2025 at 11:20am and was not checked again until 11:45am. 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 #4, on 5/12/2025, a sleep position was not documented at 1:45pm for one eight-month-old infant. On 5/16/2025, a sleep position was not documented at 9:30am for one three-month-old infant. On 5/19/2025, a sleep position was not documented at 10:30am and 11:15am for one nine-month-old infant. On 6/16/2025, a sleep position was not documented at 9:40am for one six-month-old infant. .0606(g) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member, D. Griffin, employed on 8/5/2024 did not complete First Aid training until 1/29/2025. One staff member, N. Troutman, employed on 9/9/2024 did not complete First Aid training until 1/29/2025. One staff member, B. Gray, employed on 1/30/2025 did not complete First Aid training until 6/2/2025. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member, D. Griffin, employed on 8/5/2024 did not complete Cardiopulmonary Resuscitation (CPR) training until 1/29/2025. One staff member, N. Troutman, employed on 9/9/2024 did not complete CPR training until 1/29/2025. One staff member, B. Gray, employed on 1/30/2025 did not complete CPR training until 6/2/2025. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam for one child enrolled on 8/19/2024, was not completed until 1/21/2025. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization record for one child enrolled on 8/19/2024, was not received until 1/31/2025. 10A NCAC 09 .0302(d)(2) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member, D. Griffin, employed on 8/5/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 3/31/2025. One staff member, N. Troutman, employed on 9/9/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 1/24/2025. One staff member, R. Rondinelli, employed on 1/2/2025 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 5/28/2025. One staff member, B. Gray, employed on 1/30/2025 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 6/4/2025. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff member, A. Behling, employed on 3/13/2023 did not complete all required health and safety training until 7/13/2024. .1102(a) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. One staff member, A. Behling, employed on 3/13/2023, and one staff member, K. Hobbs, employed on 4/23/2024, did not have a staff professional development plan on file for review. .1104(1-5) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by July 2, 2025. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please be aware that any information submitted by you is considered legal documentation. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Safe Sleep Policy- -Your facility’s safe sleep policy must be followed at all times. Per child care rule and your facility’s safe sleep policy, infants are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices must be moved to a crib, bassinet, play pen, mat, or cot. I suggested you review the facility’s safe sleep policy with your infant teachers and all staff members to ensure the policy is followed at all times. Additionally, I suggested you contact your local Resource and Referral Agency to request additional technical assistance regarding safe sleep. Safe Sleep Checks- -Visually checking on sleeping infants every fifteen minutes, per your facilities safe sleep policy, is critical in protecting sleeping infants from sudden infant death syndrome. I suggested that you discuss requirements for safe sleep checks as well as sudden infant death syndrome with all staff, especially all staff who work in the classroom for infants. I suggested utilizing the Caring for Our Children resource book for more information pertaining to safe sleep practices and sudden infant death syndrome. I suggested determining how safe sleep checks will be turned in to administrative staff and create a plan to review safe sleep checks prior to filing. Bottle Feeding- -Each infant must be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child must be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. We discussed requirements for bottle feeding during the visit. I suggested that you review these requirements with all staff members who may care for children who are bottle fed. Swings are not considered an approved seating apparatus for feeding. Feeding plans- -Written feeding plans for children under fifteen months of age must be posted in the child’s classroom for reference and must be modified as the child's needs change. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that staff review feeding plans monthly with parents to request if changes have been made to their feeding habits. I also suggested that you ensure the correct modifications are reflected in the child’s feeding plan prior to moving up to the next classroom. This is a repeated violation. Handwashing- -I reviewed handwashing requirements with you and staff during the visit. I suggested that you review handwashing procedures with all staff during an upcoming staff meeting. You may access resources regarding handwashing routines by visiting www.ncrlap.org. The NC Health and Safety Resource Center designs posters to improve health and safety practices in early care and education programs. Early care and education programs can download posters or order them free of cost at https://healthychildcare.unc.edu/resources/posters/. Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. Electrical Outlets- -The electrical outlets were covered with safety plugs during the visit. I suggested that you monitor each space and areas accessible to children throughout the day to ensure all electrical outlets not in use are covered with a safety plug. Instruct staff to check all electrical outlets at the beginning of the day. This is a repeated violation. Activity Plans- -I suggested to you review activity plan requirements with all lead teachers and discuss the intentions for activities to enhance the activity area and stimulate developmental domains. Instruct staff members not to use “free play,” “free choice,” or “free expression” on the activity plan. We discussed using specific themes each week or month to assist staff with ideas for activities. Additionally, I suggested you contact your local Resource and Referral Agency to request additional technical assistance and training for staff on activity plans. For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Children’s medical records- -Children’s medical exam or health assessment and immunization record must be received and on file within thirty days of the child’s enrollment. I suggested that you request children’s medical exams and immunization records prior to enrollment to ensure compliance with this requirement. I also suggested that you utilize the Children’s File Checklist available on the DCDEE website to refer to prior to each child’s enrollment to ensure all required documentation is on file within the required timeframe. Incident Log- -Multiple office staff worked together and completed the incident logs for all incident reports on file within the past year. I reminded you that each incident report documenting an injury that occurred to a child while at the facility must be recorded on the incident log. You must use the incident log that is provided by the Division and can be found under Provider Documents & Forms on the DCDEE website. The incident log must be available for review by a representative of the Division per child care requirements 10A NCAC 09 .0802 (g). I suggested that you post an incident log in the office or somewhere in the facility and log incidents that occur at the facility on the log as incidents occur. An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/incident_log_i.pdf?ver=2017-05-16-105723-723. First Aid and Cardiopulmonary resuscitation (CPR) training- -Staff must complete First Aid and CPR training within ninety (90) days of employment and must renew certification on or before the expiration date. I suggested that you register staff for CPR and First Aid training as soon as they are hired and at least six months prior to the certification’s expiration date. CPR and First Aid training must be completed in person by an approved agency. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. These are repeated violations. Recognizing and Responding to Suspicions of Child Maltreatment training- New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that staff complete Recognizing and Responding to Suspicions of Child Maltreatment training during the first two weeks of employment, in conjunction with new staff orientation. Training for Recognizing and Responding to Suspicions of Child Maltreatment training must be completed through https://preventchildabusenc.gov. This is a repeated violation. Health and Safety training- -New staff must complete all required health and safety training within the first year of employment. This includes Recognizing and Responding to Suspicions of Child Maltreatment training, CPR, and First Aid training, however, these trainings must be completed within 90 days of employment. Training for Recognizing and Responding to Suspicions of Child Maltreatment training must be completed through https://preventchildabusenc.gov. CPR and First Aid training must be completed in person by an approved agency. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. Other topics for health and safety training may be completed through Moodle at https://www.dcdee.moodle.nc.gov/. I suggested encouraging staff to complete health and safety trainings within the first six months of employment to ensure completion of this requirement within the timeframe. Staff Development Plans- I reminded you to have staff complete a professional development plan within their first year of employment. I suggested that you set alerts on your computer or phone for when a staff member’s first year of employment is approaching to remind you to complete applicable annual documents, including the professional development plan. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual's planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Consultation: We discussed the following during the visit: -Staff information must be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Staff have been added to the roster for this facility. Should you need assistance, please contact the Criminal Background Check Unit at (919) 814-8401. -10A NCAC 09 .0605(s) Inflatables shall be prohibited except when used during a special event such as a celebration, festival, party, or family engagement event. A staff member shall be able to hear and see all children using inflatables at all times. For purposes of this Rule, an inflatable shall mean an air-filled structure designed to allow users to bounce, slide, or climb in. The inflatable device uses air pressure from one or more blowers to maintain its shape. Examples include bounce houses, moon walkers, giant slides, and bouncers. -We discussed cot spacing at 18 inches apart or a partition/solid barrier the full length of the cot separating children while sleeping. Cots may not be placed in front of an emergency exit. -The area has had a lot of heavy rain recently. I suggested that you rake/fluff/till mulch in fall zone areas surrounding the composite play structure on your playground. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support:The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 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: DENVER CHRISTIAN ACADEMY PRESCHOOL Facility ID: 55000170 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 6/18/2025 Number Present: 92 Completed Date: 6/18/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 10:45 AM Time Out: 01:15 PM Time In: 02:20 PM Time Out: 06:05 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Kresta Pedicino, Administrator. You provided me with applicable program, staff, and children’s records for review. Tammy McGalliard, Licensing Supervisor, accompanied me on the visit. The North Carolina Secretary of State website was viewed before the visit and Denver Christian Academy Preschool, Inc. was current/active as of June 16, 2025. This program currently operates with a One star rated license effective January 19, 2023. The program’s compliance history was 78 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements monitored today. Infants and staff in space #4 were observed eating lunch in highchairs, bottle feeding, nap, and free play activities on the floor. Children and staff were observed during free play activities indoors, lunch, and nap. The most recent sanitation inspection for your facility was conducted on May 15, 2025. A superior sanitation classification was issued with 0 demerits noted on the grade card. The analysis date for the most recent lead water test was August 22, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “survey review by RTI” for required lead-based paint testing. This facility is exempt from asbestos testing. The most recent approved fire inspection for your facility was conducted on November 26, 2024. Violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. In space #4, one six-month-old infant and one eight-month-old infant's hands were not washed after their diapers were changed. 15A NCAC 18A .2803(c)(2) 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. On the activity plan posted in space #7, "free play" was listed for small group activity and "Play-Doh" was listed as a sand/water activity. On Friday, "free play" was listed for the outdoor activity, manipulative activity, block activity, and "free read" was listed for books. On the activity plan posted in space #8, "play dough" was listed as a gross motor activity on Tuesday and "groceries/food" was listed as a gross motor activity on Friday. On Friday, "play with play dough" was listed for a sand/water activity. On the activity plan posted in space #9, "free expression" was listed for the art activity on Tuesday and Thursday. .0508(b)(1-5) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. In space #4, one staff member, K. Hobbs, fed an infant, nine months of age, a bottle while the infant was sitting in a swing. 10A NCAC 09 .0902(b) 542 The written feeding plan was not modified as the child's needs changed. In space #4, one feeding plan for a child thirteen months of age was not updated to include baby food and table food modifications, as reported by staff as the child's current feeding habits. The feeding plan only listed mother's milk. 10 NCAC 09 .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 #4, three electrical outlets were uncovered and accessible to children in an unlocked cabinet below the sink. 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. An incident log was not maintained for incident reports within the past year. .0802(g)(1-6) 871 Center staff did not comply with the safe sleep policy. In space #4, the space for infants, the consultant entered the room at approximately 11:20am and observed two infants asleep in swings. The staff members present, J. Carbone and K. Hobbs, did not remove the infants from the swing until questioned by the consultant. One infant, eight months of age, was asleep in a swing from approximately 11:08am to 11:25am and one infant, six months of age, was asleep in a swing from approximately 11:13am to 11:25am. In space #4, a visual sleep check was documented for one sleeping infant, eight months of age, on 5/15/2025 at 11:20am and was not checked again until 11:45am. 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 #4, on 5/12/2025, a sleep position was not documented at 1:45pm for one eight-month-old infant. On 5/16/2025, a sleep position was not documented at 9:30am for one three-month-old infant. On 5/19/2025, a sleep position was not documented at 10:30am and 11:15am for one nine-month-old infant. On 6/16/2025, a sleep position was not documented at 9:40am for one six-month-old infant. .0606(g) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member, D. Griffin, employed on 8/5/2024 did not complete First Aid training until 1/29/2025. One staff member, N. Troutman, employed on 9/9/2024 did not complete First Aid training until 1/29/2025. One staff member, B. Gray, employed on 1/30/2025 did not complete First Aid training until 6/2/2025. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member, D. Griffin, employed on 8/5/2024 did not complete Cardiopulmonary Resuscitation (CPR) training until 1/29/2025. One staff member, N. Troutman, employed on 9/9/2024 did not complete CPR training until 1/29/2025. One staff member, B. Gray, employed on 1/30/2025 did not complete CPR training until 6/2/2025. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam for one child enrolled on 8/19/2024, was not completed until 1/21/2025. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization record for one child enrolled on 8/19/2024, was not received until 1/31/2025. 10A NCAC 09 .0302(d)(2) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member, D. Griffin, employed on 8/5/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 3/31/2025. One staff member, N. Troutman, employed on 9/9/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 1/24/2025. One staff member, R. Rondinelli, employed on 1/2/2025 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 5/28/2025. One staff member, B. Gray, employed on 1/30/2025 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 6/4/2025. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff member, A. Behling, employed on 3/13/2023 did not complete all required health and safety training until 7/13/2024. .1102(a) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. One staff member, A. Behling, employed on 3/13/2023, and one staff member, K. Hobbs, employed on 4/23/2024, did not have a staff professional development plan on file for review. .1104(1-5) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by July 2, 2025. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please be aware that any information submitted by you is considered legal documentation. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Safe Sleep Policy- -Your facility’s safe sleep policy must be followed at all times. Per child care rule and your facility’s safe sleep policy, infants are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices must be moved to a crib, bassinet, play pen, mat, or cot. I suggested you review the facility’s safe sleep policy with your infant teachers and all staff members to ensure the policy is followed at all times. Additionally, I suggested you contact your local Resource and Referral Agency to request additional technical assistance regarding safe sleep. Safe Sleep Checks- -Visually checking on sleeping infants every fifteen minutes, per your facilities safe sleep policy, is critical in protecting sleeping infants from sudden infant death syndrome. I suggested that you discuss requirements for safe sleep checks as well as sudden infant death syndrome with all staff, especially all staff who work in the classroom for infants. I suggested utilizing the Caring for Our Children resource book for more information pertaining to safe sleep practices and sudden infant death syndrome. I suggested determining how safe sleep checks will be turned in to administrative staff and create a plan to review safe sleep checks prior to filing. Bottle Feeding- -Each infant must be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child must be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. We discussed requirements for bottle feeding during the visit. I suggested that you review these requirements with all staff members who may care for children who are bottle fed. Swings are not considered an approved seating apparatus for feeding. Feeding plans- -Written feeding plans for children under fifteen months of age must be posted in the child’s classroom for reference and must be modified as the child's needs change. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that staff review feeding plans monthly with parents to request if changes have been made to their feeding habits. I also suggested that you ensure the correct modifications are reflected in the child’s feeding plan prior to moving up to the next classroom. This is a repeated violation. Handwashing- -I reviewed handwashing requirements with you and staff during the visit. I suggested that you review handwashing procedures with all staff during an upcoming staff meeting. You may access resources regarding handwashing routines by visiting www.ncrlap.org. The NC Health and Safety Resource Center designs posters to improve health and safety practices in early care and education programs. Early care and education programs can download posters or order them free of cost at https://healthychildcare.unc.edu/resources/posters/. Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. Electrical Outlets- -The electrical outlets were covered with safety plugs during the visit. I suggested that you monitor each space and areas accessible to children throughout the day to ensure all electrical outlets not in use are covered with a safety plug. Instruct staff to check all electrical outlets at the beginning of the day. This is a repeated violation. Activity Plans- -I suggested to you review activity plan requirements with all lead teachers and discuss the intentions for activities to enhance the activity area and stimulate developmental domains. Instruct staff members not to use “free play,” “free choice,” or “free expression” on the activity plan. We discussed using specific themes each week or month to assist staff with ideas for activities. Additionally, I suggested you contact your local Resource and Referral Agency to request additional technical assistance and training for staff on activity plans. For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Children’s medical records- -Children’s medical exam or health assessment and immunization record must be received and on file within thirty days of the child’s enrollment. I suggested that you request children’s medical exams and immunization records prior to enrollment to ensure compliance with this requirement. I also suggested that you utilize the Children’s File Checklist available on the DCDEE website to refer to prior to each child’s enrollment to ensure all required documentation is on file within the required timeframe. Incident Log- -Multiple office staff worked together and completed the incident logs for all incident reports on file within the past year. I reminded you that each incident report documenting an injury that occurred to a child while at the facility must be recorded on the incident log. You must use the incident log that is provided by the Division and can be found under Provider Documents & Forms on the DCDEE website. The incident log must be available for review by a representative of the Division per child care requirements 10A NCAC 09 .0802 (g). I suggested that you post an incident log in the office or somewhere in the facility and log incidents that occur at the facility on the log as incidents occur. An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/incident_log_i.pdf?ver=2017-05-16-105723-723. First Aid and Cardiopulmonary resuscitation (CPR) training- -Staff must complete First Aid and CPR training within ninety (90) days of employment and must renew certification on or before the expiration date. I suggested that you register staff for CPR and First Aid training as soon as they are hired and at least six months prior to the certification’s expiration date. CPR and First Aid training must be completed in person by an approved agency. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. These are repeated violations. Recognizing and Responding to Suspicions of Child Maltreatment training- New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that staff complete Recognizing and Responding to Suspicions of Child Maltreatment training during the first two weeks of employment, in conjunction with new staff orientation. Training for Recognizing and Responding to Suspicions of Child Maltreatment training must be completed through https://preventchildabusenc.gov. This is a repeated violation. Health and Safety training- -New staff must complete all required health and safety training within the first year of employment. This includes Recognizing and Responding to Suspicions of Child Maltreatment training, CPR, and First Aid training, however, these trainings must be completed within 90 days of employment. Training for Recognizing and Responding to Suspicions of Child Maltreatment training must be completed through https://preventchildabusenc.gov. CPR and First Aid training must be completed in person by an approved agency. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. Other topics for health and safety training may be completed through Moodle at https://www.dcdee.moodle.nc.gov/. I suggested encouraging staff to complete health and safety trainings within the first six months of employment to ensure completion of this requirement within the timeframe. Staff Development Plans- I reminded you to have staff complete a professional development plan within their first year of employment. I suggested that you set alerts on your computer or phone for when a staff member’s first year of employment is approaching to remind you to complete applicable annual documents, including the professional development plan. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual's planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Consultation: We discussed the following during the visit: -Staff information must be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Staff have been added to the roster for this facility. Should you need assistance, please contact the Criminal Background Check Unit at (919) 814-8401. -10A NCAC 09 .0605(s) Inflatables shall be prohibited except when used during a special event such as a celebration, festival, party, or family engagement event. A staff member shall be able to hear and see all children using inflatables at all times. For purposes of this Rule, an inflatable shall mean an air-filled structure designed to allow users to bounce, slide, or climb in. The inflatable device uses air pressure from one or more blowers to maintain its shape. Examples include bounce houses, moon walkers, giant slides, and bouncers. -We discussed cot spacing at 18 inches apart or a partition/solid barrier the full length of the cot separating children while sleeping. Cots may not be placed in front of an emergency exit. -The area has had a lot of heavy rain recently. I suggested that you rake/fluff/till mulch in fall zone areas surrounding the composite play structure on your playground. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support:The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 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: DENVER CHRISTIAN ACADEMY PRESCHOOL Facility ID: 55000170 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 7/11/2024 Number Present: 102 Completed Date: 7/11/2024 Age: From 0 To 6 Total Minutes: 403 Time In: 09:37 AM Time Out: 12:45 PM Time In: 01:35 PM Time Out: 05:10 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. The visit was conducted with you, Kresta Pedicino, Administrator. You provided me with applicable program, staff, and children’s records for review. The North Carolina Secretary of State website was viewed before the visit and Denver Christian Academy Preschool, Inc. was current/active as of July 11, 2024. This program currently operates with a One star rated license effective January 19, 2023. The program’s compliance history was 81 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You completed a Legal Designee Information form during the visit to include Carlee Chung, Assistant Director, as an individual designated to sign DCDEE visit summary and complaint forms in the future. A checklist was used to note the requirements monitored today. Infants and staff in space #4 were observed during bottle feeding and free play activities on the floor. Children and staff were observed during free play activities indoors, water play and gross motor play activities outdoors, diapering routines, handwashing routines, and lunch. Handwashing sinks were installed in space #8 and space #9. The new sinks and cabinets were measured during the visit and the space calculation and floor plan diagrams will be updated and sent to you once completed. The most recent sanitation inspection for your facility was conducted on July 1, 2024. A superior sanitation classification was issued with 0 demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted on November 27, 2023. The most recent lead water testing results were completed on March 29, 2021. The lead water test kit has been ordered for your facility on June 25, 2024, after receiving a provisional sanitation score for overdue lead in water testing. Lead testing must be completed every three years. You may review your progress by visiting https://www.cleanwaterforuskids.org/en/carolina/. Violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed: Violation Number Comment Rule 542 The written feeding plan was not modified as the child's needs changed. In space #1, one feeding plan for a child enrolled on 9/5/2023 was not updated to include baby food and table food modifications. The most recent update was completed on 12/1/2023. 10 NCAC 09 .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 #7, one electrical outlet was uncovered and accessible to children beside the cots. Typically, when the cots are stacked the electrical outlet was behind the furniture, however, during the visit the electrical outlet was exposed. 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 #9, two tubs of Lysol disinfectant wipes, two tubs of Clorox disinfectant wipes, one bottle of BIC correction fluid, and one tube of Dr. Teal's body lotion was observed in an unlocked cabinet below a vertical distance of five feet from the floor. The key was stored in the lock and the cabinet door was broken. .2820(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed on 1/24/2024 did not complete First Aid training until 6/11/2024. One staff member employed on 2/12/2024 did not complete First Aid training until 6/11/2024. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed on 1/24/2024 did not complete Cardiopulmonary resuscitation (CPR) training until 6/11/2024. One staff member employed on 2/12/2024 did not complete Cardiopulmonary resuscitation (CPR) training until 6/11/2024. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on 11/27/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 5/27/2024. One staff member employed on 1/24/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 6/2/2024. One staff member employed on 2/12/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 6/10/2024. One staff member employed on 5/3/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 7/8/2024. .1102(g) 1915 Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water. During water play outdoors, children three and four years of age were observed playing in a sprinkler pad with a pool of water containing two inches of water. .1403(b)(1-5) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by July 25, 2024. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Feeding plans- -Written feeding plans must be modified as the child's needs change. I suggested that staff review infant feeding plans monthly with parents to request if changes have been made to their feeding habits. I also suggested that before moving a child up to the next classroom, consult with the child’s parent to update the feeding plan if needed. This is a repeated violation. Electrical Outlets- -The electrical outlet was covered with a safety plug during the visit. I suggested that you cover all electrical outlets with safety plugs, even outlets that are behind furniture in case the furniture is moved. This is a repeated violation. Storage of Hazardous Products- -The Administrator removed the lotion from the classroom, discarded the BIC correction fluid, and moved the disinfectant wipes to storage above five feet from the floor during the visit. I suggested that you remind staff to not store the lock in the key to cabinets or closets containing hazardous products or materials required to be kept in locked storage or on a shelf above five feet from the floor. I also suggested that you check all storage cabinets and closets to ensure the lock is operating properly. Aquatics activities- -The sprinkler pad with a pool of water was removed during the visit. I reviewed child care requirements regarding aquatic activities with you during the visit. I suggested that you review these requirements with staff. We discussed water play items that can be used. First Aid and Cardiopulmonary resuscitation (CPR) training- New staff must complete First Aid and Cardiopulmonary resuscitation (CPR) training within 90 days of employment. I suggested that you register new staff for First Aid and Cardiopulmonary resuscitation (CPR) training as soon as they are hired. This is a repeated violation. Recognizing and Responding to Suspicions of Child Maltreatment training- New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that staff complete Recognizing and Responding to Suspicions of Child Maltreatment training during the first two weeks of employment, in conjunction with new staff orientation. This is a repeated violation. Consultation: We discussed the following during the visit: -You may visit http://www.cleanwaterforuskids.org/carolina to check the status of required asbestos and lead paint testing. During today’s visit, the website indicated “survey review by RTI.” -I suggested that you rake and fluff the mulch in high traffic areas around the composite structure in fall zone areas. I suggested this occur at least once per month. Reminders and Resources: -Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
NC GS 110-90 · Violation
Name of Operation: DENVER CHRISTIAN ACADEMY PRESCHOOL Facility ID: 55000170 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 7/11/2024 Number Present: 102 Completed Date: 7/11/2024 Age: From 0 To 6 Total Minutes: 403 Time In: 09:37 AM Time Out: 12:45 PM Time In: 01:35 PM Time Out: 05:10 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. The visit was conducted with you, Kresta Pedicino, Administrator. You provided me with applicable program, staff, and children’s records for review. The North Carolina Secretary of State website was viewed before the visit and Denver Christian Academy Preschool, Inc. was current/active as of July 11, 2024. This program currently operates with a One star rated license effective January 19, 2023. The program’s compliance history was 81 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You completed a Legal Designee Information form during the visit to include Carlee Chung, Assistant Director, as an individual designated to sign DCDEE visit summary and complaint forms in the future. A checklist was used to note the requirements monitored today. Infants and staff in space #4 were observed during bottle feeding and free play activities on the floor. Children and staff were observed during free play activities indoors, water play and gross motor play activities outdoors, diapering routines, handwashing routines, and lunch. Handwashing sinks were installed in space #8 and space #9. The new sinks and cabinets were measured during the visit and the space calculation and floor plan diagrams will be updated and sent to you once completed. The most recent sanitation inspection for your facility was conducted on July 1, 2024. A superior sanitation classification was issued with 0 demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted on November 27, 2023. The most recent lead water testing results were completed on March 29, 2021. The lead water test kit has been ordered for your facility on June 25, 2024, after receiving a provisional sanitation score for overdue lead in water testing. Lead testing must be completed every three years. You may review your progress by visiting https://www.cleanwaterforuskids.org/en/carolina/. Violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed: Violation Number Comment Rule 542 The written feeding plan was not modified as the child's needs changed. In space #1, one feeding plan for a child enrolled on 9/5/2023 was not updated to include baby food and table food modifications. The most recent update was completed on 12/1/2023. 10 NCAC 09 .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 #7, one electrical outlet was uncovered and accessible to children beside the cots. Typically, when the cots are stacked the electrical outlet was behind the furniture, however, during the visit the electrical outlet was exposed. 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 #9, two tubs of Lysol disinfectant wipes, two tubs of Clorox disinfectant wipes, one bottle of BIC correction fluid, and one tube of Dr. Teal's body lotion was observed in an unlocked cabinet below a vertical distance of five feet from the floor. The key was stored in the lock and the cabinet door was broken. .2820(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed on 1/24/2024 did not complete First Aid training until 6/11/2024. One staff member employed on 2/12/2024 did not complete First Aid training until 6/11/2024. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed on 1/24/2024 did not complete Cardiopulmonary resuscitation (CPR) training until 6/11/2024. One staff member employed on 2/12/2024 did not complete Cardiopulmonary resuscitation (CPR) training until 6/11/2024. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on 11/27/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 5/27/2024. One staff member employed on 1/24/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 6/2/2024. One staff member employed on 2/12/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 6/10/2024. One staff member employed on 5/3/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 7/8/2024. .1102(g) 1915 Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water. During water play outdoors, children three and four years of age were observed playing in a sprinkler pad with a pool of water containing two inches of water. .1403(b)(1-5) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by July 25, 2024. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Feeding plans- -Written feeding plans must be modified as the child's needs change. I suggested that staff review infant feeding plans monthly with parents to request if changes have been made to their feeding habits. I also suggested that before moving a child up to the next classroom, consult with the child’s parent to update the feeding plan if needed. This is a repeated violation. Electrical Outlets- -The electrical outlet was covered with a safety plug during the visit. I suggested that you cover all electrical outlets with safety plugs, even outlets that are behind furniture in case the furniture is moved. This is a repeated violation. Storage of Hazardous Products- -The Administrator removed the lotion from the classroom, discarded the BIC correction fluid, and moved the disinfectant wipes to storage above five feet from the floor during the visit. I suggested that you remind staff to not store the lock in the key to cabinets or closets containing hazardous products or materials required to be kept in locked storage or on a shelf above five feet from the floor. I also suggested that you check all storage cabinets and closets to ensure the lock is operating properly. Aquatics activities- -The sprinkler pad with a pool of water was removed during the visit. I reviewed child care requirements regarding aquatic activities with you during the visit. I suggested that you review these requirements with staff. We discussed water play items that can be used. First Aid and Cardiopulmonary resuscitation (CPR) training- New staff must complete First Aid and Cardiopulmonary resuscitation (CPR) training within 90 days of employment. I suggested that you register new staff for First Aid and Cardiopulmonary resuscitation (CPR) training as soon as they are hired. This is a repeated violation. Recognizing and Responding to Suspicions of Child Maltreatment training- New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that staff complete Recognizing and Responding to Suspicions of Child Maltreatment training during the first two weeks of employment, in conjunction with new staff orientation. This is a repeated violation. Consultation: We discussed the following during the visit: -You may visit http://www.cleanwaterforuskids.org/carolina to check the status of required asbestos and lead paint testing. During today’s visit, the website indicated “survey review by RTI.” -I suggested that you rake and fluff the mulch in high traffic areas around the composite structure in fall zone areas. I suggested this occur at least once per month. Reminders and Resources: -Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0604 · Violation
Name of Operation: DENVER CHRISTIAN ACADEMY PRESCHOOL Facility ID: 55000170 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 1/31/2024 Number Present: 104 Completed Date: 1/31/2024 Age: From 0 To 5 Total Minutes: 315 Time In: 09:40 AM Time Out: 12:55 PM Time In: 01:35 PM Time Out: 03:35 PM List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor your program for compliance with applicable child care requirements. The following areas were monitored during the visit: supervision, staff/child ratio, CPR, first aid, special training, criminal background checks, ITS-SIDS training, Emergency Medical Care Plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, and permit restrictions. Upon arrival, the purpose of today’s visit was reviewed with you, Kresta Pedicino, Administrator. You provided me with applicable program and staff records for review. This program currently operates with a One Star License effective January 19, 2023. The program’s compliance history was 82% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed prior to the visit and Denver Christian Academy Preschool, Inc. was listed as current/active effective January 29, 2024. A walk-through of the facility was completed during the visit. Staff and children were observed during a fire drill, free play activities indoors, and lunch. Infants were observed in space #4 playing on the floor with toys with the lead teacher. The most recent sanitation inspection for your facility was conducted on July 19, 2023. A Superior sanitation classification was issued with 0 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on November 27, 2023. Ten new staff have been hired since the most recent annual compliance visit conducted on July 20, 2023. Ten new staff files were thoroughly reviewed during the visit. The following violations of child care requirements were observed and documented during today’s visit. The violations and technical assistance were thoroughly reviewed with you and documented in the Visit Summary given to you at the conclusion of the visit. Violation Number Comment Rule 542 The written feeding plan was not modified as the child's needs changed. Feedings plans for three children enrolled in space #1 were not updated since 4/24/2023, 6/14/2023, and 1/5/2024 to reflect changes in each child's eating habits, including table food. 10 NCAC 09 .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 #6, one electrical outlet not in use was observed uncovered and accessible to children beside the shelf labeled "table toys." In space #8, one electrical outlet not in use was observed uncovered and accessible to children below the radio. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff employed on 8/21/2023 did not have a TB screening or TB results until 10/26/2023. One staff employed on 9/11/2023 had a TB screening on file dated 10/30/2023 that was not signed by a healthcare professional. One staff employed on 8/7/2023 did not have a TB screening or TB results until 11/14/2023. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff employed on 8/21/2023 did not have a medical statement completed until 10/26/2023. One staff employed on 9/11/2023 did not have a medical statement completed until 10/30/2023. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff employed on 8/21/2023 did not complete First Aid training within 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff employed on 8/21/2023 did not complete CPR training within 90 days of employment. .1102(d) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space #3, a clear plastic cup with a lid and straw containing a staff member's protein shake was observed on a shelf accessible to children. .0901(i) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff employed on 8/7/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 1/23/2024. One staff employed on 9/18/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 1/23/2024. One staff employed on 9/11/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 1/25/2024. .1102(g) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by February 14, 2024. Please send your compliance letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance: Electrical Outlets- -Staff plugged in the radio and covered the electrical outlet not in use with a safety plug during the visit. I recommended that you monitor all spaces throughout the day to ensure all electrical outlets not in use are covered with a safety plug. Instruct staff to check all electrical outlets at the beginning of the day. Nutrition- -Two of the three feeding plans were updated to reflect the child’s eating habits including the parent’s initials during the visit. I recommended documenting changes in children’s eating habits on the feeding plan as soon as you have a conversation with the child’s parents. Per child care requirement 10A NCAC 09 .0902(a), the parent or health care provider of each child under 15 months of age shall provide the center with an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. -Staff moved the protein shake to the freezer during the visit. Staff must model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. We discussed options for staff beverages in the classroom. Staff Records/Training- -M. Bullock must complete First Aid and CPR training by 2/14/2024. Staff must complete First Aid and CPR training within 90 days of employment and must renew certification on or before the expiration date. I recommended registering new staff for CPR and First Aid training as soon as they are hired. -One staff employed on 9/11/2023 will need to obtain a healthcare professional’s signature for her TB screening. Medical statements and TB screenings/results for new staff must be received and on file prior to employment. Prior to allowing new staff to begin working, utilize the Staff File Checklist to ensure all documents required prior to employment have been received and are on file for review, including medical statements and TB results. -New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I recommended that staff complete this training within 2 weeks of employment in conjunction with orientation training on this topic. Consultation (the following items reviewed were in compliance today): -We discussed specifications on medication permission forms versus “as needed.” -We discussed Moodle and NCID challenges. You stated staff have been unable to access Moodle training since December. One existing staff was able to log in to Moodle during the visit. One new staff was still unable to log in to Moodle and NCID during the visit. I instructed this staff to contact NCID for guidance. -Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time and assistance during today’s visit. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0701 · Violation
Name of Operation: DENVER CHRISTIAN ACADEMY PRESCHOOL Facility ID: 55000170 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 1/31/2024 Number Present: 104 Completed Date: 1/31/2024 Age: From 0 To 5 Total Minutes: 315 Time In: 09:40 AM Time Out: 12:55 PM Time In: 01:35 PM Time Out: 03:35 PM List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor your program for compliance with applicable child care requirements. The following areas were monitored during the visit: supervision, staff/child ratio, CPR, first aid, special training, criminal background checks, ITS-SIDS training, Emergency Medical Care Plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, and permit restrictions. Upon arrival, the purpose of today’s visit was reviewed with you, Kresta Pedicino, Administrator. You provided me with applicable program and staff records for review. This program currently operates with a One Star License effective January 19, 2023. The program’s compliance history was 82% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed prior to the visit and Denver Christian Academy Preschool, Inc. was listed as current/active effective January 29, 2024. A walk-through of the facility was completed during the visit. Staff and children were observed during a fire drill, free play activities indoors, and lunch. Infants were observed in space #4 playing on the floor with toys with the lead teacher. The most recent sanitation inspection for your facility was conducted on July 19, 2023. A Superior sanitation classification was issued with 0 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on November 27, 2023. Ten new staff have been hired since the most recent annual compliance visit conducted on July 20, 2023. Ten new staff files were thoroughly reviewed during the visit. The following violations of child care requirements were observed and documented during today’s visit. The violations and technical assistance were thoroughly reviewed with you and documented in the Visit Summary given to you at the conclusion of the visit. Violation Number Comment Rule 542 The written feeding plan was not modified as the child's needs changed. Feedings plans for three children enrolled in space #1 were not updated since 4/24/2023, 6/14/2023, and 1/5/2024 to reflect changes in each child's eating habits, including table food. 10 NCAC 09 .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 #6, one electrical outlet not in use was observed uncovered and accessible to children beside the shelf labeled "table toys." In space #8, one electrical outlet not in use was observed uncovered and accessible to children below the radio. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff employed on 8/21/2023 did not have a TB screening or TB results until 10/26/2023. One staff employed on 9/11/2023 had a TB screening on file dated 10/30/2023 that was not signed by a healthcare professional. One staff employed on 8/7/2023 did not have a TB screening or TB results until 11/14/2023. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff employed on 8/21/2023 did not have a medical statement completed until 10/26/2023. One staff employed on 9/11/2023 did not have a medical statement completed until 10/30/2023. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff employed on 8/21/2023 did not complete First Aid training within 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff employed on 8/21/2023 did not complete CPR training within 90 days of employment. .1102(d) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space #3, a clear plastic cup with a lid and straw containing a staff member's protein shake was observed on a shelf accessible to children. .0901(i) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff employed on 8/7/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 1/23/2024. One staff employed on 9/18/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 1/23/2024. One staff employed on 9/11/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 1/25/2024. .1102(g) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by February 14, 2024. Please send your compliance letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance: Electrical Outlets- -Staff plugged in the radio and covered the electrical outlet not in use with a safety plug during the visit. I recommended that you monitor all spaces throughout the day to ensure all electrical outlets not in use are covered with a safety plug. Instruct staff to check all electrical outlets at the beginning of the day. Nutrition- -Two of the three feeding plans were updated to reflect the child’s eating habits including the parent’s initials during the visit. I recommended documenting changes in children’s eating habits on the feeding plan as soon as you have a conversation with the child’s parents. Per child care requirement 10A NCAC 09 .0902(a), the parent or health care provider of each child under 15 months of age shall provide the center with an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. -Staff moved the protein shake to the freezer during the visit. Staff must model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. We discussed options for staff beverages in the classroom. Staff Records/Training- -M. Bullock must complete First Aid and CPR training by 2/14/2024. Staff must complete First Aid and CPR training within 90 days of employment and must renew certification on or before the expiration date. I recommended registering new staff for CPR and First Aid training as soon as they are hired. -One staff employed on 9/11/2023 will need to obtain a healthcare professional’s signature for her TB screening. Medical statements and TB screenings/results for new staff must be received and on file prior to employment. Prior to allowing new staff to begin working, utilize the Staff File Checklist to ensure all documents required prior to employment have been received and are on file for review, including medical statements and TB results. -New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I recommended that staff complete this training within 2 weeks of employment in conjunction with orientation training on this topic. Consultation (the following items reviewed were in compliance today): -We discussed specifications on medication permission forms versus “as needed.” -We discussed Moodle and NCID challenges. You stated staff have been unable to access Moodle training since December. One existing staff was able to log in to Moodle during the visit. One new staff was still unable to log in to Moodle and NCID during the visit. I instructed this staff to contact NCID for guidance. -Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time and assistance during today’s visit. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0902 · Violation
Name of Operation: DENVER CHRISTIAN ACADEMY PRESCHOOL Facility ID: 55000170 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 1/31/2024 Number Present: 104 Completed Date: 1/31/2024 Age: From 0 To 5 Total Minutes: 315 Time In: 09:40 AM Time Out: 12:55 PM Time In: 01:35 PM Time Out: 03:35 PM List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor your program for compliance with applicable child care requirements. The following areas were monitored during the visit: supervision, staff/child ratio, CPR, first aid, special training, criminal background checks, ITS-SIDS training, Emergency Medical Care Plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, and permit restrictions. Upon arrival, the purpose of today’s visit was reviewed with you, Kresta Pedicino, Administrator. You provided me with applicable program and staff records for review. This program currently operates with a One Star License effective January 19, 2023. The program’s compliance history was 82% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed prior to the visit and Denver Christian Academy Preschool, Inc. was listed as current/active effective January 29, 2024. A walk-through of the facility was completed during the visit. Staff and children were observed during a fire drill, free play activities indoors, and lunch. Infants were observed in space #4 playing on the floor with toys with the lead teacher. The most recent sanitation inspection for your facility was conducted on July 19, 2023. A Superior sanitation classification was issued with 0 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on November 27, 2023. Ten new staff have been hired since the most recent annual compliance visit conducted on July 20, 2023. Ten new staff files were thoroughly reviewed during the visit. The following violations of child care requirements were observed and documented during today’s visit. The violations and technical assistance were thoroughly reviewed with you and documented in the Visit Summary given to you at the conclusion of the visit. Violation Number Comment Rule 542 The written feeding plan was not modified as the child's needs changed. Feedings plans for three children enrolled in space #1 were not updated since 4/24/2023, 6/14/2023, and 1/5/2024 to reflect changes in each child's eating habits, including table food. 10 NCAC 09 .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 #6, one electrical outlet not in use was observed uncovered and accessible to children beside the shelf labeled "table toys." In space #8, one electrical outlet not in use was observed uncovered and accessible to children below the radio. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff employed on 8/21/2023 did not have a TB screening or TB results until 10/26/2023. One staff employed on 9/11/2023 had a TB screening on file dated 10/30/2023 that was not signed by a healthcare professional. One staff employed on 8/7/2023 did not have a TB screening or TB results until 11/14/2023. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff employed on 8/21/2023 did not have a medical statement completed until 10/26/2023. One staff employed on 9/11/2023 did not have a medical statement completed until 10/30/2023. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff employed on 8/21/2023 did not complete First Aid training within 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff employed on 8/21/2023 did not complete CPR training within 90 days of employment. .1102(d) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space #3, a clear plastic cup with a lid and straw containing a staff member's protein shake was observed on a shelf accessible to children. .0901(i) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff employed on 8/7/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 1/23/2024. One staff employed on 9/18/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 1/23/2024. One staff employed on 9/11/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 1/25/2024. .1102(g) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by February 14, 2024. Please send your compliance letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance: Electrical Outlets- -Staff plugged in the radio and covered the electrical outlet not in use with a safety plug during the visit. I recommended that you monitor all spaces throughout the day to ensure all electrical outlets not in use are covered with a safety plug. Instruct staff to check all electrical outlets at the beginning of the day. Nutrition- -Two of the three feeding plans were updated to reflect the child’s eating habits including the parent’s initials during the visit. I recommended documenting changes in children’s eating habits on the feeding plan as soon as you have a conversation with the child’s parents. Per child care requirement 10A NCAC 09 .0902(a), the parent or health care provider of each child under 15 months of age shall provide the center with an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. -Staff moved the protein shake to the freezer during the visit. Staff must model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. We discussed options for staff beverages in the classroom. Staff Records/Training- -M. Bullock must complete First Aid and CPR training by 2/14/2024. Staff must complete First Aid and CPR training within 90 days of employment and must renew certification on or before the expiration date. I recommended registering new staff for CPR and First Aid training as soon as they are hired. -One staff employed on 9/11/2023 will need to obtain a healthcare professional’s signature for her TB screening. Medical statements and TB screenings/results for new staff must be received and on file prior to employment. Prior to allowing new staff to begin working, utilize the Staff File Checklist to ensure all documents required prior to employment have been received and are on file for review, including medical statements and TB results. -New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I recommended that staff complete this training within 2 weeks of employment in conjunction with orientation training on this topic. Consultation (the following items reviewed were in compliance today): -We discussed specifications on medication permission forms versus “as needed.” -We discussed Moodle and NCID challenges. You stated staff have been unable to access Moodle training since December. One existing staff was able to log in to Moodle during the visit. One new staff was still unable to log in to Moodle and NCID during the visit. I instructed this staff to contact NCID for guidance. -Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time and assistance during today’s visit. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
NC GS 110-90 · Violation
Name of Operation: DENVER CHRISTIAN ACADEMY PRESCHOOL Facility ID: 55000170 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 1/31/2024 Number Present: 104 Completed Date: 1/31/2024 Age: From 0 To 5 Total Minutes: 315 Time In: 09:40 AM Time Out: 12:55 PM Time In: 01:35 PM Time Out: 03:35 PM List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor your program for compliance with applicable child care requirements. The following areas were monitored during the visit: supervision, staff/child ratio, CPR, first aid, special training, criminal background checks, ITS-SIDS training, Emergency Medical Care Plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, and permit restrictions. Upon arrival, the purpose of today’s visit was reviewed with you, Kresta Pedicino, Administrator. You provided me with applicable program and staff records for review. This program currently operates with a One Star License effective January 19, 2023. The program’s compliance history was 82% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed prior to the visit and Denver Christian Academy Preschool, Inc. was listed as current/active effective January 29, 2024. A walk-through of the facility was completed during the visit. Staff and children were observed during a fire drill, free play activities indoors, and lunch. Infants were observed in space #4 playing on the floor with toys with the lead teacher. The most recent sanitation inspection for your facility was conducted on July 19, 2023. A Superior sanitation classification was issued with 0 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on November 27, 2023. Ten new staff have been hired since the most recent annual compliance visit conducted on July 20, 2023. Ten new staff files were thoroughly reviewed during the visit. The following violations of child care requirements were observed and documented during today’s visit. The violations and technical assistance were thoroughly reviewed with you and documented in the Visit Summary given to you at the conclusion of the visit. Violation Number Comment Rule 542 The written feeding plan was not modified as the child's needs changed. Feedings plans for three children enrolled in space #1 were not updated since 4/24/2023, 6/14/2023, and 1/5/2024 to reflect changes in each child's eating habits, including table food. 10 NCAC 09 .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 #6, one electrical outlet not in use was observed uncovered and accessible to children beside the shelf labeled "table toys." In space #8, one electrical outlet not in use was observed uncovered and accessible to children below the radio. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff employed on 8/21/2023 did not have a TB screening or TB results until 10/26/2023. One staff employed on 9/11/2023 had a TB screening on file dated 10/30/2023 that was not signed by a healthcare professional. One staff employed on 8/7/2023 did not have a TB screening or TB results until 11/14/2023. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff employed on 8/21/2023 did not have a medical statement completed until 10/26/2023. One staff employed on 9/11/2023 did not have a medical statement completed until 10/30/2023. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff employed on 8/21/2023 did not complete First Aid training within 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff employed on 8/21/2023 did not complete CPR training within 90 days of employment. .1102(d) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space #3, a clear plastic cup with a lid and straw containing a staff member's protein shake was observed on a shelf accessible to children. .0901(i) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff employed on 8/7/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 1/23/2024. One staff employed on 9/18/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 1/23/2024. One staff employed on 9/11/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 1/25/2024. .1102(g) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by February 14, 2024. Please send your compliance letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance: Electrical Outlets- -Staff plugged in the radio and covered the electrical outlet not in use with a safety plug during the visit. I recommended that you monitor all spaces throughout the day to ensure all electrical outlets not in use are covered with a safety plug. Instruct staff to check all electrical outlets at the beginning of the day. Nutrition- -Two of the three feeding plans were updated to reflect the child’s eating habits including the parent’s initials during the visit. I recommended documenting changes in children’s eating habits on the feeding plan as soon as you have a conversation with the child’s parents. Per child care requirement 10A NCAC 09 .0902(a), the parent or health care provider of each child under 15 months of age shall provide the center with an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. -Staff moved the protein shake to the freezer during the visit. Staff must model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. We discussed options for staff beverages in the classroom. Staff Records/Training- -M. Bullock must complete First Aid and CPR training by 2/14/2024. Staff must complete First Aid and CPR training within 90 days of employment and must renew certification on or before the expiration date. I recommended registering new staff for CPR and First Aid training as soon as they are hired. -One staff employed on 9/11/2023 will need to obtain a healthcare professional’s signature for her TB screening. Medical statements and TB screenings/results for new staff must be received and on file prior to employment. Prior to allowing new staff to begin working, utilize the Staff File Checklist to ensure all documents required prior to employment have been received and are on file for review, including medical statements and TB results. -New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I recommended that staff complete this training within 2 weeks of employment in conjunction with orientation training on this topic. Consultation (the following items reviewed were in compliance today): -We discussed specifications on medication permission forms versus “as needed.” -We discussed Moodle and NCID challenges. You stated staff have been unable to access Moodle training since December. One existing staff was able to log in to Moodle during the visit. One new staff was still unable to log in to Moodle and NCID during the visit. I instructed this staff to contact NCID for guidance. -Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time and assistance during today’s visit. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0606 · Violation
Name of Operation: DENVER CHRISTIAN ACADEMY PRESCHOOL Facility ID: 55000170 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 7/20/2023 Number Present: 79 Completed Date: 7/20/2023 Age: From 0 To 5 Total Minutes: 420 Time In: 09:00 AM Time Out: 12:45 PM Time In: 01:20 PM Time Out: 04:35 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements, including health and safety trainings. The visit was conducted with you, Kresta Pedicino, Administrator. You provided me with applicable program, staff, and children’s records for review. The North Carolina Secretary of State website was viewed before the visit and Denver Christian Academy Preschool, Inc. was current/active as of July 20, 2023. This program currently operates with a One star rated license effective January 19, 2023. The program’s compliance history was 86 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play activities indoors, art activities, gross motor activities, and water play activities outdoors. Infants in space #4 were observed sleeping in their crib and playing on the floor with toys with staff actively involved. The most recent sanitation inspection for your facility was conducted on July 19, 2023. A superior sanitation classification was issued with 0 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on March 29, 2023. The violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed: Violation Number Comment Rule 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In space #8, the art materials accessible to children consisted of crayons, paintbrushes, cookie cutters, and rulers. Paper and other art materials were not accessible to children during the visit. .0510(d)(1) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. On the playground for preschool children, playground space #3, three inches or less of mulch was observed in the fall zone areas surrounding the large composite structure. .0605(j) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report dated 4/5/2023 for one child enrolled on 11/1/2022 did not include steps taken to prevent reoccurrence nor the time the parent was notified of the incident and by whom. An incident report dated 5/8/2023 for one child enrolled on 8/24/2020 did not include steps taken to prevent reoccurrence, the time the parent was notified of the incident and by whom, nor the medical treatment received. .0802 (e) 871 Center staff did not comply with the safe sleep policy. In space #4, the classroom for infants, staff did not follow the facilities safe sleep policy stating, "we remove the pacifier from the crib once it has fallen from the infants mouth." One infant was asleep in a crib with the pacifier and pacifier attachment left on the crib mattress. 10A NCAC 09 .0606(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. Negative TB results for one staff employed on 2/2/2023 were not received until 2/4/23. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed on 2/2/2023 did not receive First Aid certification until 7/12/2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed on 2/2/2023 did not receive CPR certification until 7/12/2023. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam for one child enrolled on 8/9/2022 was not completed until 9/26/2022. GS110-91(1) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with one new staff employed on 3/13/2023 until 3/31/2023. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff employed on 2/2/2023 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training until 7/6/2023. One staff employed on 3/13/2023 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training until 7/12/2023. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff employed on 2/1/2022 did not complete health and safety trainings until 7/3/2023. .1102(a) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by August 3, 2023. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance regarding the violations observed: Safe Sleep Policy- -Staff removed the pacifier and pacifier attachment from the crib with the sleeping infant during the visit. We reviewed your safe sleep policy during the visit. I recommended that you review your safe sleep policy with all staff. Surfacing- -The mulch has compacted on playground space #3 in fall zone areas and needs to be tilled and additional mulch added to obtain at least six inches of surfacing depth. I recommended that you till mulch in fall zone areas at least monthly to maintain compliance with surfacing requirements, Art Activity Area- -Staff added paper and paint to the art activity area during the visit. I recommended that you add sufficient quantity of art materials in each classroom to allow for at least three children to use a variety of materials. I recommended that you remind staff to replenish materials throughout the day as needed. Incident Reports- -We reviewed information that is required to be included on incident reports. The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. Children's Records- -Medical exams must be on file before or within thirty days of the child’s enrollment. I recommended that you request medical exams and immunization records prior to enrolling the child to ensure compliance with this requirement. Staff Records- -Tuberculin (TB) Test or Screening completed by a healthcare professional must be received on or before the staff members first day of employment. Results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. If the TB Screening questions are all answered no and signed by a health care professional, then a TB test is not required. I recommended that you utilize the Staff File Checklist to ensure all applicable documents are on file prior to the staff member beginning work. -Staff must complete First Aid and CPR training within ninety (90) days of employment and must renew certification on or before the expiration date. I recommended registering new staff for CPR and First Aid as soon as they are hired. -The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care with children. -New staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I encouraged you to have staff complete this training within the first two weeks of employment, in conjunction with orientation, to ensure compliance with this requirement. -Staff must complete all required health and safety trainings within the first year of employment. I recommended encouraging staff to complete health and safety trainings within the first six months of employment to ensure completion of this requirement within the timeframe. Consultation: We discussed the following during the visit: -We discussed shelter-in-place and lockdown drill requirements. Drills are to be conducted within three months of the previous drill rather than once every quarter. -We discussed new sanitation rule changes. You stated you were not able to attend one of the trainings offered. I recommended that you visit the following website for more information: https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm -We reviewed requirements for nutrition opt-out, per Child Care Rule .0901(d)(1-4). The center shall not provide any food or drink so long as the child's parent or guardian provides all meals, snacks, and drinks scheduled to be served at the center's designated times. The ability to opt out of specific meals or days based on menu options is not available. If a child requests specific foods being served to other children, but the parent has opted out, the center shall not serve supplemental food. If the child's parent or guardian has opted out but does not provide all meals and snacks for the child, the center shall replace the missing meal or snack as if the child's parent or guardian had not opted out of the supplemental food program. -We reviewed preservice requirements for lead teachers. We discussed Early Childhood Credentials and the test out option. -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
GS110-91 · Violation
Name of Operation: DENVER CHRISTIAN ACADEMY PRESCHOOL Facility ID: 55000170 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 7/20/2023 Number Present: 79 Completed Date: 7/20/2023 Age: From 0 To 5 Total Minutes: 420 Time In: 09:00 AM Time Out: 12:45 PM Time In: 01:20 PM Time Out: 04:35 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements, including health and safety trainings. The visit was conducted with you, Kresta Pedicino, Administrator. You provided me with applicable program, staff, and children’s records for review. The North Carolina Secretary of State website was viewed before the visit and Denver Christian Academy Preschool, Inc. was current/active as of July 20, 2023. This program currently operates with a One star rated license effective January 19, 2023. The program’s compliance history was 86 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play activities indoors, art activities, gross motor activities, and water play activities outdoors. Infants in space #4 were observed sleeping in their crib and playing on the floor with toys with staff actively involved. The most recent sanitation inspection for your facility was conducted on July 19, 2023. A superior sanitation classification was issued with 0 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on March 29, 2023. The violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed: Violation Number Comment Rule 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In space #8, the art materials accessible to children consisted of crayons, paintbrushes, cookie cutters, and rulers. Paper and other art materials were not accessible to children during the visit. .0510(d)(1) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. On the playground for preschool children, playground space #3, three inches or less of mulch was observed in the fall zone areas surrounding the large composite structure. .0605(j) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report dated 4/5/2023 for one child enrolled on 11/1/2022 did not include steps taken to prevent reoccurrence nor the time the parent was notified of the incident and by whom. An incident report dated 5/8/2023 for one child enrolled on 8/24/2020 did not include steps taken to prevent reoccurrence, the time the parent was notified of the incident and by whom, nor the medical treatment received. .0802 (e) 871 Center staff did not comply with the safe sleep policy. In space #4, the classroom for infants, staff did not follow the facilities safe sleep policy stating, "we remove the pacifier from the crib once it has fallen from the infants mouth." One infant was asleep in a crib with the pacifier and pacifier attachment left on the crib mattress. 10A NCAC 09 .0606(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. Negative TB results for one staff employed on 2/2/2023 were not received until 2/4/23. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed on 2/2/2023 did not receive First Aid certification until 7/12/2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed on 2/2/2023 did not receive CPR certification until 7/12/2023. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam for one child enrolled on 8/9/2022 was not completed until 9/26/2022. GS110-91(1) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with one new staff employed on 3/13/2023 until 3/31/2023. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff employed on 2/2/2023 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training until 7/6/2023. One staff employed on 3/13/2023 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training until 7/12/2023. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff employed on 2/1/2022 did not complete health and safety trainings until 7/3/2023. .1102(a) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by August 3, 2023. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance regarding the violations observed: Safe Sleep Policy- -Staff removed the pacifier and pacifier attachment from the crib with the sleeping infant during the visit. We reviewed your safe sleep policy during the visit. I recommended that you review your safe sleep policy with all staff. Surfacing- -The mulch has compacted on playground space #3 in fall zone areas and needs to be tilled and additional mulch added to obtain at least six inches of surfacing depth. I recommended that you till mulch in fall zone areas at least monthly to maintain compliance with surfacing requirements, Art Activity Area- -Staff added paper and paint to the art activity area during the visit. I recommended that you add sufficient quantity of art materials in each classroom to allow for at least three children to use a variety of materials. I recommended that you remind staff to replenish materials throughout the day as needed. Incident Reports- -We reviewed information that is required to be included on incident reports. The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. Children's Records- -Medical exams must be on file before or within thirty days of the child’s enrollment. I recommended that you request medical exams and immunization records prior to enrolling the child to ensure compliance with this requirement. Staff Records- -Tuberculin (TB) Test or Screening completed by a healthcare professional must be received on or before the staff members first day of employment. Results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. If the TB Screening questions are all answered no and signed by a health care professional, then a TB test is not required. I recommended that you utilize the Staff File Checklist to ensure all applicable documents are on file prior to the staff member beginning work. -Staff must complete First Aid and CPR training within ninety (90) days of employment and must renew certification on or before the expiration date. I recommended registering new staff for CPR and First Aid as soon as they are hired. -The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care with children. -New staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I encouraged you to have staff complete this training within the first two weeks of employment, in conjunction with orientation, to ensure compliance with this requirement. -Staff must complete all required health and safety trainings within the first year of employment. I recommended encouraging staff to complete health and safety trainings within the first six months of employment to ensure completion of this requirement within the timeframe. Consultation: We discussed the following during the visit: -We discussed shelter-in-place and lockdown drill requirements. Drills are to be conducted within three months of the previous drill rather than once every quarter. -We discussed new sanitation rule changes. You stated you were not able to attend one of the trainings offered. I recommended that you visit the following website for more information: https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm -We reviewed requirements for nutrition opt-out, per Child Care Rule .0901(d)(1-4). The center shall not provide any food or drink so long as the child's parent or guardian provides all meals, snacks, and drinks scheduled to be served at the center's designated times. The ability to opt out of specific meals or days based on menu options is not available. If a child requests specific foods being served to other children, but the parent has opted out, the center shall not serve supplemental food. If the child's parent or guardian has opted out but does not provide all meals and snacks for the child, the center shall replace the missing meal or snack as if the child's parent or guardian had not opted out of the supplemental food program. -We reviewed preservice requirements for lead teachers. We discussed Early Childhood Credentials and the test out option. -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
NC GS 110-90 · Violation
Name of Operation: DENVER CHRISTIAN ACADEMY PRESCHOOL Facility ID: 55000170 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 7/20/2023 Number Present: 79 Completed Date: 7/20/2023 Age: From 0 To 5 Total Minutes: 420 Time In: 09:00 AM Time Out: 12:45 PM Time In: 01:20 PM Time Out: 04:35 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements, including health and safety trainings. The visit was conducted with you, Kresta Pedicino, Administrator. You provided me with applicable program, staff, and children’s records for review. The North Carolina Secretary of State website was viewed before the visit and Denver Christian Academy Preschool, Inc. was current/active as of July 20, 2023. This program currently operates with a One star rated license effective January 19, 2023. The program’s compliance history was 86 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play activities indoors, art activities, gross motor activities, and water play activities outdoors. Infants in space #4 were observed sleeping in their crib and playing on the floor with toys with staff actively involved. The most recent sanitation inspection for your facility was conducted on July 19, 2023. A superior sanitation classification was issued with 0 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on March 29, 2023. The violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed: Violation Number Comment Rule 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In space #8, the art materials accessible to children consisted of crayons, paintbrushes, cookie cutters, and rulers. Paper and other art materials were not accessible to children during the visit. .0510(d)(1) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. On the playground for preschool children, playground space #3, three inches or less of mulch was observed in the fall zone areas surrounding the large composite structure. .0605(j) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report dated 4/5/2023 for one child enrolled on 11/1/2022 did not include steps taken to prevent reoccurrence nor the time the parent was notified of the incident and by whom. An incident report dated 5/8/2023 for one child enrolled on 8/24/2020 did not include steps taken to prevent reoccurrence, the time the parent was notified of the incident and by whom, nor the medical treatment received. .0802 (e) 871 Center staff did not comply with the safe sleep policy. In space #4, the classroom for infants, staff did not follow the facilities safe sleep policy stating, "we remove the pacifier from the crib once it has fallen from the infants mouth." One infant was asleep in a crib with the pacifier and pacifier attachment left on the crib mattress. 10A NCAC 09 .0606(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. Negative TB results for one staff employed on 2/2/2023 were not received until 2/4/23. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed on 2/2/2023 did not receive First Aid certification until 7/12/2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed on 2/2/2023 did not receive CPR certification until 7/12/2023. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam for one child enrolled on 8/9/2022 was not completed until 9/26/2022. GS110-91(1) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with one new staff employed on 3/13/2023 until 3/31/2023. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff employed on 2/2/2023 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training until 7/6/2023. One staff employed on 3/13/2023 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training until 7/12/2023. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff employed on 2/1/2022 did not complete health and safety trainings until 7/3/2023. .1102(a) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by August 3, 2023. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance regarding the violations observed: Safe Sleep Policy- -Staff removed the pacifier and pacifier attachment from the crib with the sleeping infant during the visit. We reviewed your safe sleep policy during the visit. I recommended that you review your safe sleep policy with all staff. Surfacing- -The mulch has compacted on playground space #3 in fall zone areas and needs to be tilled and additional mulch added to obtain at least six inches of surfacing depth. I recommended that you till mulch in fall zone areas at least monthly to maintain compliance with surfacing requirements, Art Activity Area- -Staff added paper and paint to the art activity area during the visit. I recommended that you add sufficient quantity of art materials in each classroom to allow for at least three children to use a variety of materials. I recommended that you remind staff to replenish materials throughout the day as needed. Incident Reports- -We reviewed information that is required to be included on incident reports. The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. Children's Records- -Medical exams must be on file before or within thirty days of the child’s enrollment. I recommended that you request medical exams and immunization records prior to enrolling the child to ensure compliance with this requirement. Staff Records- -Tuberculin (TB) Test or Screening completed by a healthcare professional must be received on or before the staff members first day of employment. Results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. If the TB Screening questions are all answered no and signed by a health care professional, then a TB test is not required. I recommended that you utilize the Staff File Checklist to ensure all applicable documents are on file prior to the staff member beginning work. -Staff must complete First Aid and CPR training within ninety (90) days of employment and must renew certification on or before the expiration date. I recommended registering new staff for CPR and First Aid as soon as they are hired. -The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care with children. -New staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I encouraged you to have staff complete this training within the first two weeks of employment, in conjunction with orientation, to ensure compliance with this requirement. -Staff must complete all required health and safety trainings within the first year of employment. I recommended encouraging staff to complete health and safety trainings within the first six months of employment to ensure completion of this requirement within the timeframe. Consultation: We discussed the following during the visit: -We discussed shelter-in-place and lockdown drill requirements. Drills are to be conducted within three months of the previous drill rather than once every quarter. -We discussed new sanitation rule changes. You stated you were not able to attend one of the trainings offered. I recommended that you visit the following website for more information: https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm -We reviewed requirements for nutrition opt-out, per Child Care Rule .0901(d)(1-4). The center shall not provide any food or drink so long as the child's parent or guardian provides all meals, snacks, and drinks scheduled to be served at the center's designated times. The ability to opt out of specific meals or days based on menu options is not available. If a child requests specific foods being served to other children, but the parent has opted out, the center shall not serve supplemental food. If the child's parent or guardian has opted out but does not provide all meals and snacks for the child, the center shall replace the missing meal or snack as if the child's parent or guardian had not opted out of the supplemental food program. -We reviewed preservice requirements for lead teachers. We discussed Early Childhood Credentials and the test out option. -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
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