G.S. 110-91 · Violation

Name of Operation: Royal 1 Care Facility ID: 96000646 Consultant: RAMIE DOLL Operation Type: Family CC Home Case Number: Visit Date: 12/3/2024 Number Present: 1 Completed Date: 12/3/2024 Age: From 3 To 4 Total Minutes: 115 Time In: 12:50 PM Time Out: 02:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during the first temporary time period visit. You, Glendora Hinton, operator, assisted me with the visit. A temporary license was issued for this program on September 20, 2024, and will expire on March 20, 2025. The temporary license allows a first shift capacity of 4 children, ages 0 to 12 years old. Restrictions on the license include daytime and overnight care, children in care on ground level only, back door entrance used for child care, and the fireplace/woodstove is not used during operating hours. You are also an affiliated provider with the local air force base. During this visit, we walked through the indoor and outdoor environments and completed a full assessment of the licensed space. A variety of age-appropriate learning materials were observed in the child care area. Program records, including fire drills and monthly outdoor area inspections were also monitored. When asked, you have not been completing an outdoor area inspection each month. We referenced the outdoor inspection form today. You printed the form and posted it in the room used to care for children. Both fire drills and outdoor playground inspections must be maintained on file for one year after completion and kept on file for review. Your records and one child’s record were also reviewed. One child is currently enrolled in your program and the child was present today. He was observed sleeping upon arrival. He awoke during the visit and interacted with you. The following violations were documented today: Violation Number Comment Rule 702 Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children. Two grills and a lawn mower were accessible in the back yard area. .1719 (a) (1) 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. Documentation was not on file verifying monthly outdoor inspections have been completed since September 2024. 10A NCAC .1721(e)(5)(A-F) 919 Accurate records were not maintained for all staff and children. The following were not on file for the one (1) child that was enrolled October 18, 2024: neither a hospital nor a physician preference, a copy of a medical exam, receipt of the shaken baby syndrome and abusive head trauma policy, receipt of the summary of NC Child Care law, a completed and signed pet verification form, and a signed written plan of care. G.S. 110-91(9) All violations must be corrected immediately. Item 702 was verified as corrected during the visit. You can still address the correction of the violation in your compliance letter. Please send me a compliance letter stating specifically that the corrections were made and describing in detail how and when they were corrected. The compliance letter must be received no later than December 17, 2024. You can email the compliance letter from the email address on file with the Division as the center’s official email address. Contact me if you have questions regarding correction of the violations documented during today’s visit. If you are unable to correct all violations within the specified timeframe, send a compliance letter regarding violations that were corrected and a specific plan to correct the remaining violations. If an extension is needed to correct any violations, prior approval must be given. You will need to email a request for an extension, if needed. A sample compliance letter will be emailed to you along with the visit summary to see how to create/develop a compliance letter. You should list the item number, specifically stating that the violation has been corrected, explaining when it was corrected, and how it was corrected. Compliance is not considered finalized until all violations have been corrected; therefore, if the compliance letter says an item will be corrected, it should be followed-up with another letter once it actually has been corrected. Please let me know if you have any questions regarding how to complete a compliance letter. TECHNICAL ASSISTANCE & CONSULTATION: OUTDOOR AREA: All licensed child care programs, centers and family child care homes, must have an outdoor play area that can be used by children. The area for outdoor play must remain free of any potentially hazardous items/materials during operating hours. You stated you were not currently using your outdoor play area and would take the child you have enrolled to the park for outdoor play. You showed me a sign you had attached to the door used for child care today regarding not using your outdoor area. You stated you were given permission to not use the outdoor play area from representatives with the local air force base. We reviewed the outdoor play area at your residence must be used for outdoor play and must remain free of potential hazards. You stated you recently used your home for entertaining and things were not properly stored. Your husband was home today, and he put up items such as two grills and a lawn mower. He also removed a four-wheeler and closed the outdoor storage shed. CHILDREN’S RECORDS: Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information, written plan of care, and parental acknowledgements. This information is the basis for meeting each child's physical, emotional, cognitive and social needs. When enrolling children into the facility all forms are needed on the first day with the exception of the medical and immunization reports, which must be received within 30 days of the enrollment date. Best practice is to also receive medical reports prior to enrollment. We discussed having two files containing all required information for the Air Force and one for required licensing documents/forms. This may help you to separate what is required for both agencies. Some of the information may be repeated but having two separate folders may better assist you to ensure all required information is received and on file. A medical exam can be accepted if completed within the last 12 months prior to a child’s enrollment provided the information listed on DCDEE’s medical form is answered. Ensure the parent completes the top section of the Children’s Medical Report form. A Children’s Records Checklist is available to assist with compliance. The form can be printed from the Provider Documents and Forms tab of the Division’s website. We have reviewed the Children’s Records checklist during previous visits. OUTDOOR INSPECTIONS: Outdoor inspections must be completed and documented monthly on the Outdoor Playground Inspection Checklist for Family Child Care Homes form. Documentation of the completion of a monthly outdoor inspection was not on file. The monthly checklist must be maintained for 12 months in your files. Completing your fire drill and monthly playground inspections on the same day is a great way to ensure compliance with this requirement. You can also set reminders with your phone or document when you plan to conduct a drill on a calendar. Ensure drills are conducted at different times each month. ANNUAL LICENSING FEES: An email was sent recently to remind family child care home providers that invoices for the annual license fee are due by December 31, 2024. We also discussed that the Raise NC newsletter is sent via email periodically to share information and updates. I encouraged you to ensure you are receiving the Division’s emails, and to check your spam or junk folder to ensure these emails are being properly delivered. Adding the Division’s emails to your contact list may also assist in ensuring properly delivery. Please notify me immediately of any changes to your email address. CHILD CARE RULES: You can access the NC Child Care rules from the Division of Child Development and Early Education’s website: https://ncchildcare.ncdhhs.gov, click on the “provider” tab, then “child care rules” tab. Download a copy of the NC Child Care rules onto your computer so you have access to the rules and can reference them as needed. HEALTH AND SAFETY TRAINING: Health & Safety (Moodle): The Child Care Development Fund Health and Safety in Child Care Trainings, developed by the North Carolina Child Care Health and Safety Resource Center, are FREE and are located on the MOODLE training platform. You will need to have an NCID - the same NCID that is used to log in to WORKS and/or the CBC Portal. These modules can be found by using the "all courses" function or searching for CCDF - Health and Safety in Child Care in the search box at the bottom of the main Moodle page. This series of trainings include 10 topic areas. CPR, First Aid, and Recognizing and Responding to Suspicions of Child Maltreatment must be completed within 90 days of licensure. The remaining topic areas must be completed within your first year of licensure, and every five years thereafter. I encourage you to use the Health and Safety training log to ensure all topic areas are covered. Once you complete the health and safety trainings, print your certificate and maintain on file for review. When asked, you have not yet completed Recognizing and Responding to Suspicions of Child Maltreatment. This training must be completed via the Prevent Child Abuse NC’s website: www.preventchildabusenc.org. This training is due within the first 90 days of licensure. We reviewed this training must be completed for your on or before December 20, 2024. Once completed, maintain a copy of the certificate on file for review. You completed CPR and First Aid on March 14, 2023. The remaining Health and Safety trainings will need to be completed by September 20, 2025. Health and Safety trainings are required to be completed so that topics are covered every five years. EMERGENCY PREPAREDNESS AND RESPONSE TRAINING: (EPR) Training: When asked, you have not yet completed the EPR training. The EPR training is required to be completed within the first year of licensure, on or before September 20, 2025. Once completed, you will need to create an EPR plan in the Emergency Management portal within four months after completion of the training. Once completed, you should print it and have it available for review at your facility. You will need to continue to complete and document shelter in place or lockdown emergency drills every three months. ON-GOING TRAINING: The ongoing training hours (in-service) will be monitored at your first annual compliance visit based on when you were initially licensed. No training hours were monitored today. The requirements are based on education and experience. You are required to complete twenty (20) hours of training annually. You may count the health and safety trainings toward this requirement. Maintain copies of your training certificates on file for verification. You can also use the On-Going Training Record Log to document the trainings you complete and attach your certificates to the log. Rated License: We discussed that you may voluntarily request to apply for a Two through Five Star Rated License at the end of the Temporary Time Period. A Three to Five Star license is required to participate in the Subsidized Child Care Program. We discussed that the Star Rated License is composed of the Program Standards Component, the Staff Education Component, and a quality point. An accumulation of points will determine how many Stars will be earned. I will bring you a copy of the Family Child Care Home Initial Rated License application during the next temporary time period visit. Staff Education: Points in this component will be determined by the Early Childhood courses you have completed at the college level. WORKS is a self-service applicant portal that will be used by an individual applicant to register and maintain their information to support education requirements. The WORKS portal is available on the DCDEE website and requires that the user maintain an individual North Carolina Identity Management (NCID) username and password. At this time, you have not created a WORKS account, therefore no education information has been submitted. When asked, you have not completed the North Carolina Early Childhood Credential. You stated you are currently enrolled at James Sprunt Community College but had some technical difficulties. You are unsure how the rest of the semester will be. Your license will not be delayed due to education information not being processed when education information is submitted to the Workforce Education Unit at DCDEE. It typically takes WORKS 4-6 weeks to complete an evaluation. We reviewed points you may be eligible for during today’s visit without the completion of the North Carolina Early Childhood Credential. Program Standards: Once the facility is in compliance with applicable child care requirements, no additional action is needed to meet one point in this component. In order to earn two or more points, you will need to complete the 3-month long self-study and self-assessment using the FCCERS-R rating scale tool. In order to earn three or more points, you must have the FCCERS completed by the North Carolina Rated License Assessment Project and score a minimum of 4 points. I referred you to the NCRLAP website, (www.ncrlap.org), for technical assistance and information regarding the 3-month self-study and self-assessment. Maintain documentation of completion of the three-month self-study on file for review and include dates when information is documented if you choose to complete the self-study. I am going to email you information regarding the three-month self-study. You can contact Wayne County’s Partnership for Children to request any on-site technical assistance and assistance with a self-study. We discussed the FCCERS is voluntary and if not completed during your initial Rated License assessment you can request it later. Quality Point: The various options for earning a quality point will be discussed during the next visit. COMPLIANCE HISTORY: It is very important that you maintain compliance with all applicable requirements at all times since you will be building a compliance history. In order to move to a star rated license at the end of the Temporary Time Period, you must have at least a 75% compliance history. Programs whose compliance history is below 75% could be issued an administrative action including denial of a license at the end of the Temporary License period. The violations documented today may affect your compliance history score. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I encourage you to visit the DCDEE website and click on the “What’s New” tab to stay abreast of all updates. FUTURE MONITORING VISITS: I will conduct at least one additional unannounced temporary time period visit prior to completing/processing the rated license. Please contact me at (252)373-3074 or via email at ramie.doll@dhhs.nc.gov if I can be of assistance to you or if you have any questions. You can also contact Licensing Supervisor, Susan Fuller, at (252)373-9809 or via email at susan.fuller@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.