10A NCAC 09 .2201 · Violation

Name of Operation: MIDWAY ELEMENTARY SCHOOL Facility ID: 82000303 Consultant: TANYA HERRING Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 33 Completed Date: 2/18/2025 Age: From 4 To 5 Total Minutes: 85 Time In: 01:05 PM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during an Administrative Action follow up visit after a Provisional License was issued to the facility on February 4, 2025. Upon my arrival, I checked into the front office and was greeted by the parent facilitator, T. Higma. Ms. Higma stated that the administrator, J. Willis, was in a meeting. Limited monitoring of the child care requirements occurred during today’s visit. A copy of the Administrative Action and Provisional License was not posted. I was unaccompanied as I conducted a general walk-through of the indoor and outdoor environment. A total of thirty-three (33) children were present during today’s visit. The children were observed resting during naptime. Today’s snack was in compliance with the meal pattern requirements. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. During today’s visit, one staff member’s file was not on-site and available for review. G.S. 110-91(9); .0304(g); .2318 1041 Prior to employment a Criminal Background Check was not completed. One (1) staff member did not complete a Criminal Background Check prior to the first date of employment. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on file and available to review for one staff member. G.S. 110-90.2(b) & (d) & .2703(e) 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19). The administrative action, cover letter, corrective action plan, and accompanying Provisional license, were not posted. 10A NCAC 09 .2201(i)(1-4) COMPLIANCE LETTER: All violations must be corrected immediately. A compliance letter is due to me within two (2) weeks of today’s visit. By March 4, 2025, please send me a letter addressing each violation, how the violations were corrected, and how compliance will be maintained in the future. In your letter, be sure to include your facility name, facility ID number and each item number for the violation cited. You may submit the letter to me electronically at tanya.herring@dhhs.nc.gov. If you elect to mail your letter, please ensure that you allow sufficient time so that the letter reaches me on time. My mailing address is: Tanya Herring 2201 Mail Service Center Raleigh, NC 27699-2200 REVIEW OF THE CORRECTIVE ACTION PLAN: Stipulation 1: The facility shall comply at all times with all applicable rules regarding Sanitation of Child Care Centers, 15A NCAC 18A .2800. The facility received a disapproved sanitation inspection completed on November 5, 2024, and the disapproved classification will remain until the remediation process has been completed. Stipulation 2: Within two (2) weeks after receiving the Administrative Action, the facility must submit a plan for remediating the lead hazards found in the child care facility to the Environmental Health Supervisor of Sampson County Health Department. The facility received the Administrative Action on February 7, 2025; therefore, the remediation plan must be submitted to Environmental Health no later than February 21, 2025. Stipulation 3: No later than thirty (30) days after the approval of the remediation plan, the administrator must send written verification from the Sampson County Health Department that the remediation of potential lead hazards has been completed. Please notify me if you are unable to remediate within that timeframe. In addition, until remediation of the lead hazard can be completed, every reasonable precaution shall be taken to ensure that children do not have access to the areas of the child care facility where lead-bearing substances exist. The administrator shall immediately begin following measures to control the lead dust. Within three (3) days after receipt of this Notice, the administrator shall submit to me the plan of daily measures to be taken to control the lead dust and exposure to potential lead hazards, until remediation is complete. During today’s visit, head custodian, D. Eastman, stated that the children do not have access to any of the areas and rooms identified in the lead exposure report. He stated the rooms were located on the first and second grade hall, and the back side of the kitchen. He also stated that the children do not have access to room 132. Mr. Eastman stated that the exit door frame and flooring have been corrected, and the facility is pending the results from a wipe test that was completed on February 10, 2025. TECHNICAL ASSISTANCE/CONSULTATION: During today's visit, I explained that both the administrative action and the provisional license must remain posted until you receive written notification from the Division of Child Development and Early Education confirming that all stipulations of the Corrective Action Plan (CAP) have been met. Additionally, it is the administrator's responsibility to contact Mark Hammond, Head of Sampson County Schools Plant Operations, to obtain a copy of the remediation plan. The administrator must also ensure that the plan is submitted to the specified individuals within the timeframes outlined in the CAP. CRIMINAL BACKGROUND CHECK: During today’s visit, I observed Julia Reichard working in the licensed classroom. Ms. Reichard has not yet been qualified to work with children and no qualification letter has been issued. Per North Carolina G.S. 110-90.2(b) a criminal record check shall be completed prior to employment. In addition, a valid qualification letter must be on file and available for review at the facility as stated in Child Care Requirement .2703(e). I stated that Ms. Reichard must leave the facility/classroom and may not return until a valid qualification letter is obtained. Please remember to submit a copy to me as part of your corrective action letter. Thank you for your time today. If you have any questions, please contact me at tanya.herring@dhhs.nc.gov or at 910-624-4171. You may also contact Licensing Supervisor, Teraesa Leak at teraesa.leak@dhhs.nc.gov or by phone at 919-971-7765. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: MIDWAY ELEMENTARY SCHOOL Facility ID: 82000303 Consultant: TANYA HERRING Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 33 Completed Date: 2/18/2025 Age: From 4 To 5 Total Minutes: 85 Time In: 01:05 PM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during an Administrative Action follow up visit after a Provisional License was issued to the facility on February 4, 2025. Upon my arrival, I checked into the front office and was greeted by the parent facilitator, T. Higma. Ms. Higma stated that the administrator, J. Willis, was in a meeting. Limited monitoring of the child care requirements occurred during today’s visit. A copy of the Administrative Action and Provisional License was not posted. I was unaccompanied as I conducted a general walk-through of the indoor and outdoor environment. A total of thirty-three (33) children were present during today’s visit. The children were observed resting during naptime. Today’s snack was in compliance with the meal pattern requirements. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. During today’s visit, one staff member’s file was not on-site and available for review. G.S. 110-91(9); .0304(g); .2318 1041 Prior to employment a Criminal Background Check was not completed. One (1) staff member did not complete a Criminal Background Check prior to the first date of employment. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on file and available to review for one staff member. G.S. 110-90.2(b) & (d) & .2703(e) 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19). The administrative action, cover letter, corrective action plan, and accompanying Provisional license, were not posted. 10A NCAC 09 .2201(i)(1-4) COMPLIANCE LETTER: All violations must be corrected immediately. A compliance letter is due to me within two (2) weeks of today’s visit. By March 4, 2025, please send me a letter addressing each violation, how the violations were corrected, and how compliance will be maintained in the future. In your letter, be sure to include your facility name, facility ID number and each item number for the violation cited. You may submit the letter to me electronically at tanya.herring@dhhs.nc.gov. If you elect to mail your letter, please ensure that you allow sufficient time so that the letter reaches me on time. My mailing address is: Tanya Herring 2201 Mail Service Center Raleigh, NC 27699-2200 REVIEW OF THE CORRECTIVE ACTION PLAN: Stipulation 1: The facility shall comply at all times with all applicable rules regarding Sanitation of Child Care Centers, 15A NCAC 18A .2800. The facility received a disapproved sanitation inspection completed on November 5, 2024, and the disapproved classification will remain until the remediation process has been completed. Stipulation 2: Within two (2) weeks after receiving the Administrative Action, the facility must submit a plan for remediating the lead hazards found in the child care facility to the Environmental Health Supervisor of Sampson County Health Department. The facility received the Administrative Action on February 7, 2025; therefore, the remediation plan must be submitted to Environmental Health no later than February 21, 2025. Stipulation 3: No later than thirty (30) days after the approval of the remediation plan, the administrator must send written verification from the Sampson County Health Department that the remediation of potential lead hazards has been completed. Please notify me if you are unable to remediate within that timeframe. In addition, until remediation of the lead hazard can be completed, every reasonable precaution shall be taken to ensure that children do not have access to the areas of the child care facility where lead-bearing substances exist. The administrator shall immediately begin following measures to control the lead dust. Within three (3) days after receipt of this Notice, the administrator shall submit to me the plan of daily measures to be taken to control the lead dust and exposure to potential lead hazards, until remediation is complete. During today’s visit, head custodian, D. Eastman, stated that the children do not have access to any of the areas and rooms identified in the lead exposure report. He stated the rooms were located on the first and second grade hall, and the back side of the kitchen. He also stated that the children do not have access to room 132. Mr. Eastman stated that the exit door frame and flooring have been corrected, and the facility is pending the results from a wipe test that was completed on February 10, 2025. TECHNICAL ASSISTANCE/CONSULTATION: During today's visit, I explained that both the administrative action and the provisional license must remain posted until you receive written notification from the Division of Child Development and Early Education confirming that all stipulations of the Corrective Action Plan (CAP) have been met. Additionally, it is the administrator's responsibility to contact Mark Hammond, Head of Sampson County Schools Plant Operations, to obtain a copy of the remediation plan. The administrator must also ensure that the plan is submitted to the specified individuals within the timeframes outlined in the CAP. CRIMINAL BACKGROUND CHECK: During today’s visit, I observed Julia Reichard working in the licensed classroom. Ms. Reichard has not yet been qualified to work with children and no qualification letter has been issued. Per North Carolina G.S. 110-90.2(b) a criminal record check shall be completed prior to employment. In addition, a valid qualification letter must be on file and available for review at the facility as stated in Child Care Requirement .2703(e). I stated that Ms. Reichard must leave the facility/classroom and may not return until a valid qualification letter is obtained. Please remember to submit a copy to me as part of your corrective action letter. Thank you for your time today. If you have any questions, please contact me at tanya.herring@dhhs.nc.gov or at 910-624-4171. You may also contact Licensing Supervisor, Teraesa Leak at teraesa.leak@dhhs.nc.gov or by phone at 919-971-7765. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: MIDWAY ELEMENTARY SCHOOL Facility ID: 82000303 Consultant: TANYA HERRING Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 33 Completed Date: 2/18/2025 Age: From 4 To 5 Total Minutes: 85 Time In: 01:05 PM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during an Administrative Action follow up visit after a Provisional License was issued to the facility on February 4, 2025. Upon my arrival, I checked into the front office and was greeted by the parent facilitator, T. Higma. Ms. Higma stated that the administrator, J. Willis, was in a meeting. Limited monitoring of the child care requirements occurred during today’s visit. A copy of the Administrative Action and Provisional License was not posted. I was unaccompanied as I conducted a general walk-through of the indoor and outdoor environment. A total of thirty-three (33) children were present during today’s visit. The children were observed resting during naptime. Today’s snack was in compliance with the meal pattern requirements. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. During today’s visit, one staff member’s file was not on-site and available for review. G.S. 110-91(9); .0304(g); .2318 1041 Prior to employment a Criminal Background Check was not completed. One (1) staff member did not complete a Criminal Background Check prior to the first date of employment. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on file and available to review for one staff member. G.S. 110-90.2(b) & (d) & .2703(e) 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19). The administrative action, cover letter, corrective action plan, and accompanying Provisional license, were not posted. 10A NCAC 09 .2201(i)(1-4) COMPLIANCE LETTER: All violations must be corrected immediately. A compliance letter is due to me within two (2) weeks of today’s visit. By March 4, 2025, please send me a letter addressing each violation, how the violations were corrected, and how compliance will be maintained in the future. In your letter, be sure to include your facility name, facility ID number and each item number for the violation cited. You may submit the letter to me electronically at tanya.herring@dhhs.nc.gov. If you elect to mail your letter, please ensure that you allow sufficient time so that the letter reaches me on time. My mailing address is: Tanya Herring 2201 Mail Service Center Raleigh, NC 27699-2200 REVIEW OF THE CORRECTIVE ACTION PLAN: Stipulation 1: The facility shall comply at all times with all applicable rules regarding Sanitation of Child Care Centers, 15A NCAC 18A .2800. The facility received a disapproved sanitation inspection completed on November 5, 2024, and the disapproved classification will remain until the remediation process has been completed. Stipulation 2: Within two (2) weeks after receiving the Administrative Action, the facility must submit a plan for remediating the lead hazards found in the child care facility to the Environmental Health Supervisor of Sampson County Health Department. The facility received the Administrative Action on February 7, 2025; therefore, the remediation plan must be submitted to Environmental Health no later than February 21, 2025. Stipulation 3: No later than thirty (30) days after the approval of the remediation plan, the administrator must send written verification from the Sampson County Health Department that the remediation of potential lead hazards has been completed. Please notify me if you are unable to remediate within that timeframe. In addition, until remediation of the lead hazard can be completed, every reasonable precaution shall be taken to ensure that children do not have access to the areas of the child care facility where lead-bearing substances exist. The administrator shall immediately begin following measures to control the lead dust. Within three (3) days after receipt of this Notice, the administrator shall submit to me the plan of daily measures to be taken to control the lead dust and exposure to potential lead hazards, until remediation is complete. During today’s visit, head custodian, D. Eastman, stated that the children do not have access to any of the areas and rooms identified in the lead exposure report. He stated the rooms were located on the first and second grade hall, and the back side of the kitchen. He also stated that the children do not have access to room 132. Mr. Eastman stated that the exit door frame and flooring have been corrected, and the facility is pending the results from a wipe test that was completed on February 10, 2025. TECHNICAL ASSISTANCE/CONSULTATION: During today's visit, I explained that both the administrative action and the provisional license must remain posted until you receive written notification from the Division of Child Development and Early Education confirming that all stipulations of the Corrective Action Plan (CAP) have been met. Additionally, it is the administrator's responsibility to contact Mark Hammond, Head of Sampson County Schools Plant Operations, to obtain a copy of the remediation plan. The administrator must also ensure that the plan is submitted to the specified individuals within the timeframes outlined in the CAP. CRIMINAL BACKGROUND CHECK: During today’s visit, I observed Julia Reichard working in the licensed classroom. Ms. Reichard has not yet been qualified to work with children and no qualification letter has been issued. Per North Carolina G.S. 110-90.2(b) a criminal record check shall be completed prior to employment. In addition, a valid qualification letter must be on file and available for review at the facility as stated in Child Care Requirement .2703(e). I stated that Ms. Reichard must leave the facility/classroom and may not return until a valid qualification letter is obtained. Please remember to submit a copy to me as part of your corrective action letter. Thank you for your time today. If you have any questions, please contact me at tanya.herring@dhhs.nc.gov or at 910-624-4171. You may also contact Licensing Supervisor, Teraesa Leak at teraesa.leak@dhhs.nc.gov or by phone at 919-971-7765. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: MIDWAY ELEMENTARY SCHOOL Facility ID: 82000303 Consultant: TANYA HERRING Operation Type: Center Case Number: Visit Date: 10/25/2024 Number Present: 30 Completed Date: 10/25/2024 Age: From 4 To 5 Total Minutes: 200 Time In: 10:30 AM Time Out: 01:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during your routine unannounced visit. Upon my arrival, I checked in at the front office and was greeted by the front office clerk, T. Hijma. The administrator was not on site today. I was unaccompanied as I completed a general walk- through of the facility which consisted of two (2) classrooms and an outdoor play area. A total of thirty (30) children were present during today’s visit. The children were observed participating in story time and having lunch. Today’s lunch was in compliance with the Meal Pattern requirements. LICENSE STATUS: This facility currently operates with a five (5) star rated license issued on November 4, 2023. REQUIRED INSPECTIONS/DRILLS: The last annual compliance visit was conducted on April 8,2024. The last annual fire inspection was completed on October 10, 2023, and the last annual sanitation inspection was completed on October 16, 2023, and received a “Superior” classification. The last documented monthly fire drill was conducted on September 30, 2024, the last documented quarterly lockdown/shelter-in-place drill was conducted on August 30, 2024, and the last documented monthly playground inspection was completed on September 27, 2024. During today’s visit, a partial assessment of Child Care Requirements was conducted. I observed all required postings and attendance logs. I monitored the program records, equipment and furnishings, staff/child ratios & supervision, medications, outdoor area, and equipment. I also monitored the staff file for one (1) new staff member. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was completed on 10-10-23. 10A NCAC 09 .0304(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member with a hire date of 08-12-24 did not complete a review of the SBS/AHT policy prior to the first day of providing care for children. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Four (4) staff members had a complete health questionnaire in their individual personnel file. .0701(d) 9999 A violation was found for which there is no item number. The facility has not had an unannounced sanitation inspection at least once each 6-month period. The last sanitation inspection was on October 16, 2023. This is a violation Sanitation Rule 15A NCAC 18A .2834(b). COMMENTS: COMPLIANCE HISTORY: Prior to today’s visit, the 18-month compliance history for this facility was 90%. COMPLIANCE LETTER: All violations must be corrected immediately. A compliance letter is due to me within two (2) weeks of today’s visit. By November 8, 2024, please send me a letter addressing each violation, how the violations were corrected, and how compliance will be maintained in the future. In your letter, be sure to include your facility name, facility ID number and each item number for the violation cited. You may submit the letter to me electronically at tanya.herring@dhhs.nc.gov. If you elect to mail your letter, please ensure that you allow sufficient time so that the letter reaches me on time. My mailing address is: Tanya Herring 2201 Mail Service Center Raleigh, NC 27699-2200 TECHNICAL ASSISTANCE/CONSULTATION: Fire and sanitation inspections are required to be completed annually prior to the 12-month expiration date of the last inspection. Providers must contact their local Environmental Health Specialist and their local Fire Marshall at least 30 days prior to the expiration date of your last annual inspection to schedule these services. CRIMINAL BACKGROUND CHECKS: North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. ABCMS allows administrators to see the real-time background check status of staff members, run printable report of the staff roster to assist with compliance visits, and see new background check applicants and add to the staff roster. To get started, complete the ABCMS Child Care Provider Portal training in Moodle. It is a video tutorial followed by a few questions. Thank you for your time today. If you have any questions, please contact me at tanya.herring@dhhs.nc.gov or at 910-624-4171. You may also contact Licensing Supervisor, Teraesa Leak at teraesa.leak@dhhs.nc.gov or by phone at 919-971-7765. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: MIDWAY ELEMENTARY SCHOOL Facility ID: 82000303 Consultant: TAMEKA JOHNSON Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 30 Completed Date: 4/8/2024 Age: From 4 To 5 Total Minutes: 157 Time In: 09:38 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during your annual compliance visit. A checklist was used to note the requirements that I monitored today. During today’s visit I monitored two classrooms, spaces 130 and 131. The two (2) NC Pre-K classrooms are designated for 4 and 5 year old children. The lead teachers in each classroom assisted me during today’s visit. I observed a total of thirty (30) children present between both classrooms. Ratio, group size, supervision, capacity and approved space were in compliance. The children were observed in free choice activities and doing teacher directed activities. ** License Status: Currently this center operates with a five-star rated licensed issued November 4, 2023. ** Annual Inspections: The last sanitation inspection was completed October 16, 2023, and received a ‘Superior’ classification with 6 demerits. The last fire inspection was completed on October 10, 2023. The last documented fire drill was conducted on March 21, 2024, the last documented lockdown drill was completed on January 23, 2024, and the last documented playground inspection was completed on March 27, 2024. During today’s visit, a full assessment of Child Care Requirements was conducted. I observed all required postings, attendance logs, and NC Pre K requirements. I reviewed a sample of children’s records, staff files and all applicable program records. The following violations were observed, documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space 131. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill was not documented during today's visit. .0604(t); .0302(d)(5) 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. Outlet covers were missing on one outlet and on a powerstrip. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. a aerosol can of Lysol was not locked in a room or cabinet. .2820(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan review was not on file for one employee. 10A NCAC 09 .0802(a) 1041 Prior to employment a Criminal Background Check was not completed. A criminal Background check qualifying letter was not complete for a substitute teacher. G.S. 110-90.2(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. Four (4) staff did not have a current first aid training on file. .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. Four (4) staff did not have a current CPR training on file. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for two employees. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. One staff did not have the EPR plan review on documented on file. .0607(e) 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. Two (2) staff did not complete the Recognizing and Responding to Suspicions within 90 days of employment. .1102(g) The compliance letter must address each violation and explain how it has been corrected and how it will be maintained in the future, If the compliance letter is not received by April 22, 2024, a return visit will be made to the child care center. Please send this to tameka.b.johnson@dhhs.nc.gov and include the following: Facility name Facility ID number Each item number Prior to today’s visit, the 18 month compliance history for this facility was 98%. Technical Assistance/ Consultation: During today’s visit, the assistant principal, M. Stonerock, stated that a substitute, Erica Batts, was providing care in space 131 and did not have a Criminal Background Check (CBC) qualification letter. Ms. Stonerock stated that from her understanding an email sent from the Partnership for Children of Sampson County substitutes did not have to have a CBC qualification letter if providing care for fewer than 15 days. I stated that substitutes need to have a current (CBC) qualifying letter on file prior to employment. I told Ms. Stonerock that Ms. Batts needed to leave the licensed classroom until she had a Criminal Background Check (CBC) qualification letter. Please refer to Section .2700 regarding Criminal Background Checks. As a reminder, checklists are made available to you on the Division’s website (https://ncchildcare.ncdhhs.gov/) to ensure that the appropriate documentation is maintained for staff, substitutes, and volunteers. During today’s visit, several violations were cited regarding staff files. The staff file checklist is a tool provided to assist programs with creating and organizing staff files. The checklist can also be used as a resource for tracking and monitoring when specific items are due and should be renewed if applicable. You can place a copy of the most up to date checklist in front of the staff file and reference it each time the file is reviewed. This is a great way to ensure all items are included in the binder. Also, organizing the file according to the checklist allows for an efficient review of all staff files during monitoring visits. The staff (operator) file checklist and program file checklist can be accessed through the Division’s website under provider documents and forms. North Carolina General Statute 110- 91 (9) provides that accurate records must be available for each staff member, or any other person delegated responsibility for the care of children. One binder can be used to add all staff working in the licensed classroom and program records. Finally, staff and training worksheets need to be completed annually. Completing and reviewing this document will help you identify due dates and prevent violations. Keeping it updated will let you see at a glance when items are due. A good rule of thumb is to update the worksheet quarterly or when staff changes or change positions. Please continue to visit the DCDEE website for the latest information and updates. If I can be of any assistance, I can be reached at 252-326-1867 or by email tameka.b.johnson@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 .0802 · Violation

Name of Operation: MIDWAY ELEMENTARY SCHOOL Facility ID: 82000303 Consultant: TAMEKA JOHNSON Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 30 Completed Date: 4/8/2024 Age: From 4 To 5 Total Minutes: 157 Time In: 09:38 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during your annual compliance visit. A checklist was used to note the requirements that I monitored today. During today’s visit I monitored two classrooms, spaces 130 and 131. The two (2) NC Pre-K classrooms are designated for 4 and 5 year old children. The lead teachers in each classroom assisted me during today’s visit. I observed a total of thirty (30) children present between both classrooms. Ratio, group size, supervision, capacity and approved space were in compliance. The children were observed in free choice activities and doing teacher directed activities. ** License Status: Currently this center operates with a five-star rated licensed issued November 4, 2023. ** Annual Inspections: The last sanitation inspection was completed October 16, 2023, and received a ‘Superior’ classification with 6 demerits. The last fire inspection was completed on October 10, 2023. The last documented fire drill was conducted on March 21, 2024, the last documented lockdown drill was completed on January 23, 2024, and the last documented playground inspection was completed on March 27, 2024. During today’s visit, a full assessment of Child Care Requirements was conducted. I observed all required postings, attendance logs, and NC Pre K requirements. I reviewed a sample of children’s records, staff files and all applicable program records. The following violations were observed, documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space 131. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill was not documented during today's visit. .0604(t); .0302(d)(5) 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. Outlet covers were missing on one outlet and on a powerstrip. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. a aerosol can of Lysol was not locked in a room or cabinet. .2820(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan review was not on file for one employee. 10A NCAC 09 .0802(a) 1041 Prior to employment a Criminal Background Check was not completed. A criminal Background check qualifying letter was not complete for a substitute teacher. G.S. 110-90.2(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. Four (4) staff did not have a current first aid training on file. .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. Four (4) staff did not have a current CPR training on file. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for two employees. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. One staff did not have the EPR plan review on documented on file. .0607(e) 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. Two (2) staff did not complete the Recognizing and Responding to Suspicions within 90 days of employment. .1102(g) The compliance letter must address each violation and explain how it has been corrected and how it will be maintained in the future, If the compliance letter is not received by April 22, 2024, a return visit will be made to the child care center. Please send this to tameka.b.johnson@dhhs.nc.gov and include the following: Facility name Facility ID number Each item number Prior to today’s visit, the 18 month compliance history for this facility was 98%. Technical Assistance/ Consultation: During today’s visit, the assistant principal, M. Stonerock, stated that a substitute, Erica Batts, was providing care in space 131 and did not have a Criminal Background Check (CBC) qualification letter. Ms. Stonerock stated that from her understanding an email sent from the Partnership for Children of Sampson County substitutes did not have to have a CBC qualification letter if providing care for fewer than 15 days. I stated that substitutes need to have a current (CBC) qualifying letter on file prior to employment. I told Ms. Stonerock that Ms. Batts needed to leave the licensed classroom until she had a Criminal Background Check (CBC) qualification letter. Please refer to Section .2700 regarding Criminal Background Checks. As a reminder, checklists are made available to you on the Division’s website (https://ncchildcare.ncdhhs.gov/) to ensure that the appropriate documentation is maintained for staff, substitutes, and volunteers. During today’s visit, several violations were cited regarding staff files. The staff file checklist is a tool provided to assist programs with creating and organizing staff files. The checklist can also be used as a resource for tracking and monitoring when specific items are due and should be renewed if applicable. You can place a copy of the most up to date checklist in front of the staff file and reference it each time the file is reviewed. This is a great way to ensure all items are included in the binder. Also, organizing the file according to the checklist allows for an efficient review of all staff files during monitoring visits. The staff (operator) file checklist and program file checklist can be accessed through the Division’s website under provider documents and forms. North Carolina General Statute 110- 91 (9) provides that accurate records must be available for each staff member, or any other person delegated responsibility for the care of children. One binder can be used to add all staff working in the licensed classroom and program records. Finally, staff and training worksheets need to be completed annually. Completing and reviewing this document will help you identify due dates and prevent violations. Keeping it updated will let you see at a glance when items are due. A good rule of thumb is to update the worksheet quarterly or when staff changes or change positions. Please continue to visit the DCDEE website for the latest information and updates. If I can be of any assistance, I can be reached at 252-326-1867 or by email tameka.b.johnson@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: MIDWAY ELEMENTARY SCHOOL Facility ID: 82000303 Consultant: TAMEKA JOHNSON Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 30 Completed Date: 4/8/2024 Age: From 4 To 5 Total Minutes: 157 Time In: 09:38 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during your annual compliance visit. A checklist was used to note the requirements that I monitored today. During today’s visit I monitored two classrooms, spaces 130 and 131. The two (2) NC Pre-K classrooms are designated for 4 and 5 year old children. The lead teachers in each classroom assisted me during today’s visit. I observed a total of thirty (30) children present between both classrooms. Ratio, group size, supervision, capacity and approved space were in compliance. The children were observed in free choice activities and doing teacher directed activities. ** License Status: Currently this center operates with a five-star rated licensed issued November 4, 2023. ** Annual Inspections: The last sanitation inspection was completed October 16, 2023, and received a ‘Superior’ classification with 6 demerits. The last fire inspection was completed on October 10, 2023. The last documented fire drill was conducted on March 21, 2024, the last documented lockdown drill was completed on January 23, 2024, and the last documented playground inspection was completed on March 27, 2024. During today’s visit, a full assessment of Child Care Requirements was conducted. I observed all required postings, attendance logs, and NC Pre K requirements. I reviewed a sample of children’s records, staff files and all applicable program records. The following violations were observed, documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space 131. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill was not documented during today's visit. .0604(t); .0302(d)(5) 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. Outlet covers were missing on one outlet and on a powerstrip. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. a aerosol can of Lysol was not locked in a room or cabinet. .2820(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan review was not on file for one employee. 10A NCAC 09 .0802(a) 1041 Prior to employment a Criminal Background Check was not completed. A criminal Background check qualifying letter was not complete for a substitute teacher. G.S. 110-90.2(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. Four (4) staff did not have a current first aid training on file. .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. Four (4) staff did not have a current CPR training on file. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for two employees. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. One staff did not have the EPR plan review on documented on file. .0607(e) 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. Two (2) staff did not complete the Recognizing and Responding to Suspicions within 90 days of employment. .1102(g) The compliance letter must address each violation and explain how it has been corrected and how it will be maintained in the future, If the compliance letter is not received by April 22, 2024, a return visit will be made to the child care center. Please send this to tameka.b.johnson@dhhs.nc.gov and include the following: Facility name Facility ID number Each item number Prior to today’s visit, the 18 month compliance history for this facility was 98%. Technical Assistance/ Consultation: During today’s visit, the assistant principal, M. Stonerock, stated that a substitute, Erica Batts, was providing care in space 131 and did not have a Criminal Background Check (CBC) qualification letter. Ms. Stonerock stated that from her understanding an email sent from the Partnership for Children of Sampson County substitutes did not have to have a CBC qualification letter if providing care for fewer than 15 days. I stated that substitutes need to have a current (CBC) qualifying letter on file prior to employment. I told Ms. Stonerock that Ms. Batts needed to leave the licensed classroom until she had a Criminal Background Check (CBC) qualification letter. Please refer to Section .2700 regarding Criminal Background Checks. As a reminder, checklists are made available to you on the Division’s website (https://ncchildcare.ncdhhs.gov/) to ensure that the appropriate documentation is maintained for staff, substitutes, and volunteers. During today’s visit, several violations were cited regarding staff files. The staff file checklist is a tool provided to assist programs with creating and organizing staff files. The checklist can also be used as a resource for tracking and monitoring when specific items are due and should be renewed if applicable. You can place a copy of the most up to date checklist in front of the staff file and reference it each time the file is reviewed. This is a great way to ensure all items are included in the binder. Also, organizing the file according to the checklist allows for an efficient review of all staff files during monitoring visits. The staff (operator) file checklist and program file checklist can be accessed through the Division’s website under provider documents and forms. North Carolina General Statute 110- 91 (9) provides that accurate records must be available for each staff member, or any other person delegated responsibility for the care of children. One binder can be used to add all staff working in the licensed classroom and program records. Finally, staff and training worksheets need to be completed annually. Completing and reviewing this document will help you identify due dates and prevent violations. Keeping it updated will let you see at a glance when items are due. A good rule of thumb is to update the worksheet quarterly or when staff changes or change positions. Please continue to visit the DCDEE website for the latest information and updates. If I can be of any assistance, I can be reached at 252-326-1867 or by email tameka.b.johnson@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: MIDWAY ELEMENTARY SCHOOL Facility ID: 82000303 Consultant: TAMEKA JOHNSON Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 30 Completed Date: 4/8/2024 Age: From 4 To 5 Total Minutes: 157 Time In: 09:38 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during your annual compliance visit. A checklist was used to note the requirements that I monitored today. During today’s visit I monitored two classrooms, spaces 130 and 131. The two (2) NC Pre-K classrooms are designated for 4 and 5 year old children. The lead teachers in each classroom assisted me during today’s visit. I observed a total of thirty (30) children present between both classrooms. Ratio, group size, supervision, capacity and approved space were in compliance. The children were observed in free choice activities and doing teacher directed activities. ** License Status: Currently this center operates with a five-star rated licensed issued November 4, 2023. ** Annual Inspections: The last sanitation inspection was completed October 16, 2023, and received a ‘Superior’ classification with 6 demerits. The last fire inspection was completed on October 10, 2023. The last documented fire drill was conducted on March 21, 2024, the last documented lockdown drill was completed on January 23, 2024, and the last documented playground inspection was completed on March 27, 2024. During today’s visit, a full assessment of Child Care Requirements was conducted. I observed all required postings, attendance logs, and NC Pre K requirements. I reviewed a sample of children’s records, staff files and all applicable program records. The following violations were observed, documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space 131. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill was not documented during today's visit. .0604(t); .0302(d)(5) 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. Outlet covers were missing on one outlet and on a powerstrip. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. a aerosol can of Lysol was not locked in a room or cabinet. .2820(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan review was not on file for one employee. 10A NCAC 09 .0802(a) 1041 Prior to employment a Criminal Background Check was not completed. A criminal Background check qualifying letter was not complete for a substitute teacher. G.S. 110-90.2(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. Four (4) staff did not have a current first aid training on file. .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. Four (4) staff did not have a current CPR training on file. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for two employees. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. One staff did not have the EPR plan review on documented on file. .0607(e) 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. Two (2) staff did not complete the Recognizing and Responding to Suspicions within 90 days of employment. .1102(g) The compliance letter must address each violation and explain how it has been corrected and how it will be maintained in the future, If the compliance letter is not received by April 22, 2024, a return visit will be made to the child care center. Please send this to tameka.b.johnson@dhhs.nc.gov and include the following: Facility name Facility ID number Each item number Prior to today’s visit, the 18 month compliance history for this facility was 98%. Technical Assistance/ Consultation: During today’s visit, the assistant principal, M. Stonerock, stated that a substitute, Erica Batts, was providing care in space 131 and did not have a Criminal Background Check (CBC) qualification letter. Ms. Stonerock stated that from her understanding an email sent from the Partnership for Children of Sampson County substitutes did not have to have a CBC qualification letter if providing care for fewer than 15 days. I stated that substitutes need to have a current (CBC) qualifying letter on file prior to employment. I told Ms. Stonerock that Ms. Batts needed to leave the licensed classroom until she had a Criminal Background Check (CBC) qualification letter. Please refer to Section .2700 regarding Criminal Background Checks. As a reminder, checklists are made available to you on the Division’s website (https://ncchildcare.ncdhhs.gov/) to ensure that the appropriate documentation is maintained for staff, substitutes, and volunteers. During today’s visit, several violations were cited regarding staff files. The staff file checklist is a tool provided to assist programs with creating and organizing staff files. The checklist can also be used as a resource for tracking and monitoring when specific items are due and should be renewed if applicable. You can place a copy of the most up to date checklist in front of the staff file and reference it each time the file is reviewed. This is a great way to ensure all items are included in the binder. Also, organizing the file according to the checklist allows for an efficient review of all staff files during monitoring visits. The staff (operator) file checklist and program file checklist can be accessed through the Division’s website under provider documents and forms. North Carolina General Statute 110- 91 (9) provides that accurate records must be available for each staff member, or any other person delegated responsibility for the care of children. One binder can be used to add all staff working in the licensed classroom and program records. Finally, staff and training worksheets need to be completed annually. Completing and reviewing this document will help you identify due dates and prevent violations. Keeping it updated will let you see at a glance when items are due. A good rule of thumb is to update the worksheet quarterly or when staff changes or change positions. Please continue to visit the DCDEE website for the latest information and updates. If I can be of any assistance, I can be reached at 252-326-1867 or by email tameka.b.johnson@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 .0302 · Violation

Name of Operation: MIDWAY ELEMENTARY SCHOOL Facility ID: 82000303 Consultant: BECKY WILLIAMS Operation Type: Center Case Number: Visit Date: 10/3/2023 Number Present: 34 Completed Date: 10/3/2023 Age: From 4 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with the Corrective Action Plan attached to this facility’s Provisional Child Care License. A full assessment was conducted today. This facility is a DPI Operated preschool program. The entrance interview was conducted with the Principal/Administrator. He was unavailable for the exit interview. Therefore, it was conducted with the Assistant Principal. I monitored the indoor and outdoor environments for compliance with child care requirements. Staff/child ratios, supervision, use of space and capacity were monitored for compliance. The permit, sanitation, evacuation, safe arrival and departure procedures, first aid chart, menus, activity plans, daily schedules, staff/child ratios, emergency medical care plan, emergency telephone numbers, and a summary of NC Child Care Law were all were all monitored during the visit. The storage of medication and hazardous products was also monitored for compliance. Staff and Children records were also reviewed today. Files for staff were monitored and the staff/training worksheets were completed. Your signature on these forms will serve as verification the information provided is accurate and complete. A random selection of children’s records were reviewed, and the children record worksheet was shared with you and discussed today. I observed the children playing outdoors and engaged in free play. Your last sanitation inspection was completed on April 18, 2023 with 16 demerits and a provisional classification. This facility has an on-going lead investigation which lead to the Provisional License being issued. The last fire drill was documented as conducted on September 29, 2023 at 1:00pm. The most recent lockdown drill was conducted on September 8, 2023 at 10:00am. The last outdoor inspection was documented as completed on September 18, 2023. Your last fire inspection was completed on September 12, 2022. Any violations observed during today's visit were discussed with you even though the handwritten visit summary was used. The following violations were documented during today's visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was conducted on September 12, 2022. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The time of arrival was not documented for any of the sixteen children present in Space #130. 10A NCAC 09 .0302(d)(4) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Signed documentation of this review within the last year was not available for any of the five staff members. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A health questionnaire was not on file for one staff member. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Emergency information was not on file for one staff member. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Criminal Background Check was not available for one staff member. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. A staff file was not available for the substitute observed providing care today. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Valid criminal background qualification letters were not on file for two staff members. G.S. 110-90.2(b) & (d) & .2703(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Signed documentation of this review within the last year was not available for any of the five staff members. .0607(f) 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. This signed acknowledgment was not file for two staff members. .0608(d)(1-4) Child care licensing requirements were 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 explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommended that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. All violations must be corrected immediately. Please send me a compliance letter (written statement) describing how and when the above violations were corrected. The compliance letter must be received no later than October 17, 2023. The compliance letter may be sent to me via email, if you do not have access to email, please ensure that your compliance letter is mailed in a timely manner and that you allow for delays with the mail service. If your compliance letter is mailed, a handwritten signature must be included. 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 please submit a request for an extension as soon as you determine you will not meet the imposed timeframe. This request should include a specific plan to correct the remaining violations and any time frames needed. This request will need to be approved by DCDEE management. We discussed that Criminal Background Qualification was not on file for Jennifer Jones or for Misty Stancil. Ms. Stancil was determined to be qualified. I was unable to determine if Ms. Jones was qualified. She was not on campus during the visit. I reminded you that she may not return until her qualification letter is on file. A copy of the qualification letter for Ms. Stancil should also be obtained and placed in her file. We also discussed that the fire inspection was completed more than one year ago. I asked that you contact the fire marshal and request the inspection immediately. ADMINISTRATIVE ACTION DISCUSSION We discussed that the Division has issued a Provisional License to this facility on November 17, 2022 due to lead hazards. We discussed that the license has been extended until November 17, 2023 to allow additional time for lead hazards to be addressed. I reminded you that a Provisional License may not be issued for more than 12 months, therefore if the facility is not able to comply with the Corrective Action Plan by this date more stringent action, including revocation of the child care license, may be taken. Item 1: This item requires that the center comply at all times with the Sanitation Rules. We discussed that this facility currently operates with a Provisional Classification. A Superior or Approved classification is required. Item 2: This item requires that Mr. Wilson submit a plan for remediating the lad hazards. We discussed that this plan was submitted on November 30, 2022. The plan was returned for modifications on January 12, 2023. The plan was revised and resubmitted to the local Environmental Health department. A second modification request was issued on June 6, 2023. The plan was resubmitted on June 19, 2023 with modification being requested on July 5, 2023. The plan was resubmitted on July 12, 2023. Additional modifications were requested on July 19, 2023. The plan was resubmitted for approval on July 20, 2023, and final approval was received on the same day. This item has been completed. Item #3: This item requires that Mr. Wilson submit written verification from the Sampson County health Department that remediation has been completed. You stated the work had been completed and clearance testing had been done. We discussed that the Verification of Lead Poisoning Hazard Remediation document was issued September 14, 2023. The document was provided to me by Pam Lindsay, Environmental Health Specialist via email on that same day. This item has been completed. I asked that you contact me immediately if you are unable to meet any of the timeframes outlined in the Administrative Action. I also ask that you ensure I am copied on all inspections and communications with the Environmental Health Specialists. Additional monitoring visits may occur during the Provisional License timeframe. Technical Assistance and General Discussion We discussed that at least one staff member must have attended the Emergency Preparedness and Response in Child Care training. For DPI operated preschool programs, the Critical Incident Training is accepted as an equivalent. Documentation must be on file for one of the two options. When turnover occurs in the staff member who has taken this training, a replacement must be made within four months of the vacancy. We discussed the gate on the outdoor play area. The gate was observed to be easily opened and did not close securely. I asked that you have maintenance check the gate and ensure it closes securely when in use. We also discussed that the bolts in the retaining boarder for the mulch around the composite structure are beginning to protrude above the top of the boarder. These should be hammered back into the border pieces so they do not become protrusion hazards. All staff personal belongings (purses, lunch bags, tote bags, etc) should be kept inaccessible to children. If they contain medication they should be kept in locked storage. I asked that staff move pocketbooks to a minimum of five feet off the floor during today’s visit. A follow up visit may be conducted in the near future to verify compliance with violations documented during the visit. Please contact me at (910) 824-0123 or at becky.j.williams@dhhs.nc.gov if I can be of assistance. My mailing address is PO Box 2186, Clinton, NC 28329. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: MIDWAY ELEMENTARY SCHOOL Facility ID: 82000303 Consultant: BECKY WILLIAMS Operation Type: Center Case Number: Visit Date: 10/3/2023 Number Present: 34 Completed Date: 10/3/2023 Age: From 4 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with the Corrective Action Plan attached to this facility’s Provisional Child Care License. A full assessment was conducted today. This facility is a DPI Operated preschool program. The entrance interview was conducted with the Principal/Administrator. He was unavailable for the exit interview. Therefore, it was conducted with the Assistant Principal. I monitored the indoor and outdoor environments for compliance with child care requirements. Staff/child ratios, supervision, use of space and capacity were monitored for compliance. The permit, sanitation, evacuation, safe arrival and departure procedures, first aid chart, menus, activity plans, daily schedules, staff/child ratios, emergency medical care plan, emergency telephone numbers, and a summary of NC Child Care Law were all were all monitored during the visit. The storage of medication and hazardous products was also monitored for compliance. Staff and Children records were also reviewed today. Files for staff were monitored and the staff/training worksheets were completed. Your signature on these forms will serve as verification the information provided is accurate and complete. A random selection of children’s records were reviewed, and the children record worksheet was shared with you and discussed today. I observed the children playing outdoors and engaged in free play. Your last sanitation inspection was completed on April 18, 2023 with 16 demerits and a provisional classification. This facility has an on-going lead investigation which lead to the Provisional License being issued. The last fire drill was documented as conducted on September 29, 2023 at 1:00pm. The most recent lockdown drill was conducted on September 8, 2023 at 10:00am. The last outdoor inspection was documented as completed on September 18, 2023. Your last fire inspection was completed on September 12, 2022. Any violations observed during today's visit were discussed with you even though the handwritten visit summary was used. The following violations were documented during today's visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was conducted on September 12, 2022. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The time of arrival was not documented for any of the sixteen children present in Space #130. 10A NCAC 09 .0302(d)(4) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Signed documentation of this review within the last year was not available for any of the five staff members. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A health questionnaire was not on file for one staff member. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Emergency information was not on file for one staff member. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Criminal Background Check was not available for one staff member. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. A staff file was not available for the substitute observed providing care today. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Valid criminal background qualification letters were not on file for two staff members. G.S. 110-90.2(b) & (d) & .2703(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Signed documentation of this review within the last year was not available for any of the five staff members. .0607(f) 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. This signed acknowledgment was not file for two staff members. .0608(d)(1-4) Child care licensing requirements were 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 explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommended that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. All violations must be corrected immediately. Please send me a compliance letter (written statement) describing how and when the above violations were corrected. The compliance letter must be received no later than October 17, 2023. The compliance letter may be sent to me via email, if you do not have access to email, please ensure that your compliance letter is mailed in a timely manner and that you allow for delays with the mail service. If your compliance letter is mailed, a handwritten signature must be included. 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 please submit a request for an extension as soon as you determine you will not meet the imposed timeframe. This request should include a specific plan to correct the remaining violations and any time frames needed. This request will need to be approved by DCDEE management. We discussed that Criminal Background Qualification was not on file for Jennifer Jones or for Misty Stancil. Ms. Stancil was determined to be qualified. I was unable to determine if Ms. Jones was qualified. She was not on campus during the visit. I reminded you that she may not return until her qualification letter is on file. A copy of the qualification letter for Ms. Stancil should also be obtained and placed in her file. We also discussed that the fire inspection was completed more than one year ago. I asked that you contact the fire marshal and request the inspection immediately. ADMINISTRATIVE ACTION DISCUSSION We discussed that the Division has issued a Provisional License to this facility on November 17, 2022 due to lead hazards. We discussed that the license has been extended until November 17, 2023 to allow additional time for lead hazards to be addressed. I reminded you that a Provisional License may not be issued for more than 12 months, therefore if the facility is not able to comply with the Corrective Action Plan by this date more stringent action, including revocation of the child care license, may be taken. Item 1: This item requires that the center comply at all times with the Sanitation Rules. We discussed that this facility currently operates with a Provisional Classification. A Superior or Approved classification is required. Item 2: This item requires that Mr. Wilson submit a plan for remediating the lad hazards. We discussed that this plan was submitted on November 30, 2022. The plan was returned for modifications on January 12, 2023. The plan was revised and resubmitted to the local Environmental Health department. A second modification request was issued on June 6, 2023. The plan was resubmitted on June 19, 2023 with modification being requested on July 5, 2023. The plan was resubmitted on July 12, 2023. Additional modifications were requested on July 19, 2023. The plan was resubmitted for approval on July 20, 2023, and final approval was received on the same day. This item has been completed. Item #3: This item requires that Mr. Wilson submit written verification from the Sampson County health Department that remediation has been completed. You stated the work had been completed and clearance testing had been done. We discussed that the Verification of Lead Poisoning Hazard Remediation document was issued September 14, 2023. The document was provided to me by Pam Lindsay, Environmental Health Specialist via email on that same day. This item has been completed. I asked that you contact me immediately if you are unable to meet any of the timeframes outlined in the Administrative Action. I also ask that you ensure I am copied on all inspections and communications with the Environmental Health Specialists. Additional monitoring visits may occur during the Provisional License timeframe. Technical Assistance and General Discussion We discussed that at least one staff member must have attended the Emergency Preparedness and Response in Child Care training. For DPI operated preschool programs, the Critical Incident Training is accepted as an equivalent. Documentation must be on file for one of the two options. When turnover occurs in the staff member who has taken this training, a replacement must be made within four months of the vacancy. We discussed the gate on the outdoor play area. The gate was observed to be easily opened and did not close securely. I asked that you have maintenance check the gate and ensure it closes securely when in use. We also discussed that the bolts in the retaining boarder for the mulch around the composite structure are beginning to protrude above the top of the boarder. These should be hammered back into the border pieces so they do not become protrusion hazards. All staff personal belongings (purses, lunch bags, tote bags, etc) should be kept inaccessible to children. If they contain medication they should be kept in locked storage. I asked that staff move pocketbooks to a minimum of five feet off the floor during today’s visit. A follow up visit may be conducted in the near future to verify compliance with violations documented during the visit. Please contact me at (910) 824-0123 or at becky.j.williams@dhhs.nc.gov if I can be of assistance. My mailing address is PO Box 2186, Clinton, NC 28329. 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: MIDWAY ELEMENTARY SCHOOL Facility ID: 82000303 Consultant: BECKY WILLIAMS Operation Type: Center Case Number: Visit Date: 10/3/2023 Number Present: 34 Completed Date: 10/3/2023 Age: From 4 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with the Corrective Action Plan attached to this facility’s Provisional Child Care License. A full assessment was conducted today. This facility is a DPI Operated preschool program. The entrance interview was conducted with the Principal/Administrator. He was unavailable for the exit interview. Therefore, it was conducted with the Assistant Principal. I monitored the indoor and outdoor environments for compliance with child care requirements. Staff/child ratios, supervision, use of space and capacity were monitored for compliance. The permit, sanitation, evacuation, safe arrival and departure procedures, first aid chart, menus, activity plans, daily schedules, staff/child ratios, emergency medical care plan, emergency telephone numbers, and a summary of NC Child Care Law were all were all monitored during the visit. The storage of medication and hazardous products was also monitored for compliance. Staff and Children records were also reviewed today. Files for staff were monitored and the staff/training worksheets were completed. Your signature on these forms will serve as verification the information provided is accurate and complete. A random selection of children’s records were reviewed, and the children record worksheet was shared with you and discussed today. I observed the children playing outdoors and engaged in free play. Your last sanitation inspection was completed on April 18, 2023 with 16 demerits and a provisional classification. This facility has an on-going lead investigation which lead to the Provisional License being issued. The last fire drill was documented as conducted on September 29, 2023 at 1:00pm. The most recent lockdown drill was conducted on September 8, 2023 at 10:00am. The last outdoor inspection was documented as completed on September 18, 2023. Your last fire inspection was completed on September 12, 2022. Any violations observed during today's visit were discussed with you even though the handwritten visit summary was used. The following violations were documented during today's visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was conducted on September 12, 2022. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The time of arrival was not documented for any of the sixteen children present in Space #130. 10A NCAC 09 .0302(d)(4) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Signed documentation of this review within the last year was not available for any of the five staff members. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A health questionnaire was not on file for one staff member. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Emergency information was not on file for one staff member. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Criminal Background Check was not available for one staff member. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. A staff file was not available for the substitute observed providing care today. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Valid criminal background qualification letters were not on file for two staff members. G.S. 110-90.2(b) & (d) & .2703(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Signed documentation of this review within the last year was not available for any of the five staff members. .0607(f) 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. This signed acknowledgment was not file for two staff members. .0608(d)(1-4) Child care licensing requirements were 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 explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommended that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. All violations must be corrected immediately. Please send me a compliance letter (written statement) describing how and when the above violations were corrected. The compliance letter must be received no later than October 17, 2023. The compliance letter may be sent to me via email, if you do not have access to email, please ensure that your compliance letter is mailed in a timely manner and that you allow for delays with the mail service. If your compliance letter is mailed, a handwritten signature must be included. 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 please submit a request for an extension as soon as you determine you will not meet the imposed timeframe. This request should include a specific plan to correct the remaining violations and any time frames needed. This request will need to be approved by DCDEE management. We discussed that Criminal Background Qualification was not on file for Jennifer Jones or for Misty Stancil. Ms. Stancil was determined to be qualified. I was unable to determine if Ms. Jones was qualified. She was not on campus during the visit. I reminded you that she may not return until her qualification letter is on file. A copy of the qualification letter for Ms. Stancil should also be obtained and placed in her file. We also discussed that the fire inspection was completed more than one year ago. I asked that you contact the fire marshal and request the inspection immediately. ADMINISTRATIVE ACTION DISCUSSION We discussed that the Division has issued a Provisional License to this facility on November 17, 2022 due to lead hazards. We discussed that the license has been extended until November 17, 2023 to allow additional time for lead hazards to be addressed. I reminded you that a Provisional License may not be issued for more than 12 months, therefore if the facility is not able to comply with the Corrective Action Plan by this date more stringent action, including revocation of the child care license, may be taken. Item 1: This item requires that the center comply at all times with the Sanitation Rules. We discussed that this facility currently operates with a Provisional Classification. A Superior or Approved classification is required. Item 2: This item requires that Mr. Wilson submit a plan for remediating the lad hazards. We discussed that this plan was submitted on November 30, 2022. The plan was returned for modifications on January 12, 2023. The plan was revised and resubmitted to the local Environmental Health department. A second modification request was issued on June 6, 2023. The plan was resubmitted on June 19, 2023 with modification being requested on July 5, 2023. The plan was resubmitted on July 12, 2023. Additional modifications were requested on July 19, 2023. The plan was resubmitted for approval on July 20, 2023, and final approval was received on the same day. This item has been completed. Item #3: This item requires that Mr. Wilson submit written verification from the Sampson County health Department that remediation has been completed. You stated the work had been completed and clearance testing had been done. We discussed that the Verification of Lead Poisoning Hazard Remediation document was issued September 14, 2023. The document was provided to me by Pam Lindsay, Environmental Health Specialist via email on that same day. This item has been completed. I asked that you contact me immediately if you are unable to meet any of the timeframes outlined in the Administrative Action. I also ask that you ensure I am copied on all inspections and communications with the Environmental Health Specialists. Additional monitoring visits may occur during the Provisional License timeframe. Technical Assistance and General Discussion We discussed that at least one staff member must have attended the Emergency Preparedness and Response in Child Care training. For DPI operated preschool programs, the Critical Incident Training is accepted as an equivalent. Documentation must be on file for one of the two options. When turnover occurs in the staff member who has taken this training, a replacement must be made within four months of the vacancy. We discussed the gate on the outdoor play area. The gate was observed to be easily opened and did not close securely. I asked that you have maintenance check the gate and ensure it closes securely when in use. We also discussed that the bolts in the retaining boarder for the mulch around the composite structure are beginning to protrude above the top of the boarder. These should be hammered back into the border pieces so they do not become protrusion hazards. All staff personal belongings (purses, lunch bags, tote bags, etc) should be kept inaccessible to children. If they contain medication they should be kept in locked storage. I asked that staff move pocketbooks to a minimum of five feet off the floor during today’s visit. A follow up visit may be conducted in the near future to verify compliance with violations documented during the visit. Please contact me at (910) 824-0123 or at becky.j.williams@dhhs.nc.gov if I can be of assistance. My mailing address is PO Box 2186, Clinton, NC 28329. 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: MIDWAY ELEMENTARY SCHOOL Facility ID: 82000303 Consultant: BECKY WILLIAMS Operation Type: Center Case Number: Visit Date: 10/3/2023 Number Present: 34 Completed Date: 10/3/2023 Age: From 4 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with the Corrective Action Plan attached to this facility’s Provisional Child Care License. A full assessment was conducted today. This facility is a DPI Operated preschool program. The entrance interview was conducted with the Principal/Administrator. He was unavailable for the exit interview. Therefore, it was conducted with the Assistant Principal. I monitored the indoor and outdoor environments for compliance with child care requirements. Staff/child ratios, supervision, use of space and capacity were monitored for compliance. The permit, sanitation, evacuation, safe arrival and departure procedures, first aid chart, menus, activity plans, daily schedules, staff/child ratios, emergency medical care plan, emergency telephone numbers, and a summary of NC Child Care Law were all were all monitored during the visit. The storage of medication and hazardous products was also monitored for compliance. Staff and Children records were also reviewed today. Files for staff were monitored and the staff/training worksheets were completed. Your signature on these forms will serve as verification the information provided is accurate and complete. A random selection of children’s records were reviewed, and the children record worksheet was shared with you and discussed today. I observed the children playing outdoors and engaged in free play. Your last sanitation inspection was completed on April 18, 2023 with 16 demerits and a provisional classification. This facility has an on-going lead investigation which lead to the Provisional License being issued. The last fire drill was documented as conducted on September 29, 2023 at 1:00pm. The most recent lockdown drill was conducted on September 8, 2023 at 10:00am. The last outdoor inspection was documented as completed on September 18, 2023. Your last fire inspection was completed on September 12, 2022. Any violations observed during today's visit were discussed with you even though the handwritten visit summary was used. The following violations were documented during today's visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was conducted on September 12, 2022. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The time of arrival was not documented for any of the sixteen children present in Space #130. 10A NCAC 09 .0302(d)(4) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Signed documentation of this review within the last year was not available for any of the five staff members. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A health questionnaire was not on file for one staff member. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Emergency information was not on file for one staff member. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Criminal Background Check was not available for one staff member. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. A staff file was not available for the substitute observed providing care today. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Valid criminal background qualification letters were not on file for two staff members. G.S. 110-90.2(b) & (d) & .2703(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Signed documentation of this review within the last year was not available for any of the five staff members. .0607(f) 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. This signed acknowledgment was not file for two staff members. .0608(d)(1-4) Child care licensing requirements were 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 explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommended that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. All violations must be corrected immediately. Please send me a compliance letter (written statement) describing how and when the above violations were corrected. The compliance letter must be received no later than October 17, 2023. The compliance letter may be sent to me via email, if you do not have access to email, please ensure that your compliance letter is mailed in a timely manner and that you allow for delays with the mail service. If your compliance letter is mailed, a handwritten signature must be included. 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 please submit a request for an extension as soon as you determine you will not meet the imposed timeframe. This request should include a specific plan to correct the remaining violations and any time frames needed. This request will need to be approved by DCDEE management. We discussed that Criminal Background Qualification was not on file for Jennifer Jones or for Misty Stancil. Ms. Stancil was determined to be qualified. I was unable to determine if Ms. Jones was qualified. She was not on campus during the visit. I reminded you that she may not return until her qualification letter is on file. A copy of the qualification letter for Ms. Stancil should also be obtained and placed in her file. We also discussed that the fire inspection was completed more than one year ago. I asked that you contact the fire marshal and request the inspection immediately. ADMINISTRATIVE ACTION DISCUSSION We discussed that the Division has issued a Provisional License to this facility on November 17, 2022 due to lead hazards. We discussed that the license has been extended until November 17, 2023 to allow additional time for lead hazards to be addressed. I reminded you that a Provisional License may not be issued for more than 12 months, therefore if the facility is not able to comply with the Corrective Action Plan by this date more stringent action, including revocation of the child care license, may be taken. Item 1: This item requires that the center comply at all times with the Sanitation Rules. We discussed that this facility currently operates with a Provisional Classification. A Superior or Approved classification is required. Item 2: This item requires that Mr. Wilson submit a plan for remediating the lad hazards. We discussed that this plan was submitted on November 30, 2022. The plan was returned for modifications on January 12, 2023. The plan was revised and resubmitted to the local Environmental Health department. A second modification request was issued on June 6, 2023. The plan was resubmitted on June 19, 2023 with modification being requested on July 5, 2023. The plan was resubmitted on July 12, 2023. Additional modifications were requested on July 19, 2023. The plan was resubmitted for approval on July 20, 2023, and final approval was received on the same day. This item has been completed. Item #3: This item requires that Mr. Wilson submit written verification from the Sampson County health Department that remediation has been completed. You stated the work had been completed and clearance testing had been done. We discussed that the Verification of Lead Poisoning Hazard Remediation document was issued September 14, 2023. The document was provided to me by Pam Lindsay, Environmental Health Specialist via email on that same day. This item has been completed. I asked that you contact me immediately if you are unable to meet any of the timeframes outlined in the Administrative Action. I also ask that you ensure I am copied on all inspections and communications with the Environmental Health Specialists. Additional monitoring visits may occur during the Provisional License timeframe. Technical Assistance and General Discussion We discussed that at least one staff member must have attended the Emergency Preparedness and Response in Child Care training. For DPI operated preschool programs, the Critical Incident Training is accepted as an equivalent. Documentation must be on file for one of the two options. When turnover occurs in the staff member who has taken this training, a replacement must be made within four months of the vacancy. We discussed the gate on the outdoor play area. The gate was observed to be easily opened and did not close securely. I asked that you have maintenance check the gate and ensure it closes securely when in use. We also discussed that the bolts in the retaining boarder for the mulch around the composite structure are beginning to protrude above the top of the boarder. These should be hammered back into the border pieces so they do not become protrusion hazards. All staff personal belongings (purses, lunch bags, tote bags, etc) should be kept inaccessible to children. If they contain medication they should be kept in locked storage. I asked that staff move pocketbooks to a minimum of five feet off the floor during today’s visit. A follow up visit may be conducted in the near future to verify compliance with violations documented during the visit. Please contact me at (910) 824-0123 or at becky.j.williams@dhhs.nc.gov if I can be of assistance. My mailing address is PO Box 2186, Clinton, NC 28329. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: MIDWAY ELEMENTARY SCHOOL Facility ID: 82000303 Consultant: BECKY WILLIAMS Operation Type: Center Case Number: Visit Date: 10/3/2023 Number Present: 34 Completed Date: 10/3/2023 Age: From 4 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with the Corrective Action Plan attached to this facility’s Provisional Child Care License. A full assessment was conducted today. This facility is a DPI Operated preschool program. The entrance interview was conducted with the Principal/Administrator. He was unavailable for the exit interview. Therefore, it was conducted with the Assistant Principal. I monitored the indoor and outdoor environments for compliance with child care requirements. Staff/child ratios, supervision, use of space and capacity were monitored for compliance. The permit, sanitation, evacuation, safe arrival and departure procedures, first aid chart, menus, activity plans, daily schedules, staff/child ratios, emergency medical care plan, emergency telephone numbers, and a summary of NC Child Care Law were all were all monitored during the visit. The storage of medication and hazardous products was also monitored for compliance. Staff and Children records were also reviewed today. Files for staff were monitored and the staff/training worksheets were completed. Your signature on these forms will serve as verification the information provided is accurate and complete. A random selection of children’s records were reviewed, and the children record worksheet was shared with you and discussed today. I observed the children playing outdoors and engaged in free play. Your last sanitation inspection was completed on April 18, 2023 with 16 demerits and a provisional classification. This facility has an on-going lead investigation which lead to the Provisional License being issued. The last fire drill was documented as conducted on September 29, 2023 at 1:00pm. The most recent lockdown drill was conducted on September 8, 2023 at 10:00am. The last outdoor inspection was documented as completed on September 18, 2023. Your last fire inspection was completed on September 12, 2022. Any violations observed during today's visit were discussed with you even though the handwritten visit summary was used. The following violations were documented during today's visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was conducted on September 12, 2022. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The time of arrival was not documented for any of the sixteen children present in Space #130. 10A NCAC 09 .0302(d)(4) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Signed documentation of this review within the last year was not available for any of the five staff members. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A health questionnaire was not on file for one staff member. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Emergency information was not on file for one staff member. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Criminal Background Check was not available for one staff member. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. A staff file was not available for the substitute observed providing care today. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Valid criminal background qualification letters were not on file for two staff members. G.S. 110-90.2(b) & (d) & .2703(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Signed documentation of this review within the last year was not available for any of the five staff members. .0607(f) 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. This signed acknowledgment was not file for two staff members. .0608(d)(1-4) Child care licensing requirements were 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 explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommended that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. All violations must be corrected immediately. Please send me a compliance letter (written statement) describing how and when the above violations were corrected. The compliance letter must be received no later than October 17, 2023. The compliance letter may be sent to me via email, if you do not have access to email, please ensure that your compliance letter is mailed in a timely manner and that you allow for delays with the mail service. If your compliance letter is mailed, a handwritten signature must be included. 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 please submit a request for an extension as soon as you determine you will not meet the imposed timeframe. This request should include a specific plan to correct the remaining violations and any time frames needed. This request will need to be approved by DCDEE management. We discussed that Criminal Background Qualification was not on file for Jennifer Jones or for Misty Stancil. Ms. Stancil was determined to be qualified. I was unable to determine if Ms. Jones was qualified. She was not on campus during the visit. I reminded you that she may not return until her qualification letter is on file. A copy of the qualification letter for Ms. Stancil should also be obtained and placed in her file. We also discussed that the fire inspection was completed more than one year ago. I asked that you contact the fire marshal and request the inspection immediately. ADMINISTRATIVE ACTION DISCUSSION We discussed that the Division has issued a Provisional License to this facility on November 17, 2022 due to lead hazards. We discussed that the license has been extended until November 17, 2023 to allow additional time for lead hazards to be addressed. I reminded you that a Provisional License may not be issued for more than 12 months, therefore if the facility is not able to comply with the Corrective Action Plan by this date more stringent action, including revocation of the child care license, may be taken. Item 1: This item requires that the center comply at all times with the Sanitation Rules. We discussed that this facility currently operates with a Provisional Classification. A Superior or Approved classification is required. Item 2: This item requires that Mr. Wilson submit a plan for remediating the lad hazards. We discussed that this plan was submitted on November 30, 2022. The plan was returned for modifications on January 12, 2023. The plan was revised and resubmitted to the local Environmental Health department. A second modification request was issued on June 6, 2023. The plan was resubmitted on June 19, 2023 with modification being requested on July 5, 2023. The plan was resubmitted on July 12, 2023. Additional modifications were requested on July 19, 2023. The plan was resubmitted for approval on July 20, 2023, and final approval was received on the same day. This item has been completed. Item #3: This item requires that Mr. Wilson submit written verification from the Sampson County health Department that remediation has been completed. You stated the work had been completed and clearance testing had been done. We discussed that the Verification of Lead Poisoning Hazard Remediation document was issued September 14, 2023. The document was provided to me by Pam Lindsay, Environmental Health Specialist via email on that same day. This item has been completed. I asked that you contact me immediately if you are unable to meet any of the timeframes outlined in the Administrative Action. I also ask that you ensure I am copied on all inspections and communications with the Environmental Health Specialists. Additional monitoring visits may occur during the Provisional License timeframe. Technical Assistance and General Discussion We discussed that at least one staff member must have attended the Emergency Preparedness and Response in Child Care training. For DPI operated preschool programs, the Critical Incident Training is accepted as an equivalent. Documentation must be on file for one of the two options. When turnover occurs in the staff member who has taken this training, a replacement must be made within four months of the vacancy. We discussed the gate on the outdoor play area. The gate was observed to be easily opened and did not close securely. I asked that you have maintenance check the gate and ensure it closes securely when in use. We also discussed that the bolts in the retaining boarder for the mulch around the composite structure are beginning to protrude above the top of the boarder. These should be hammered back into the border pieces so they do not become protrusion hazards. All staff personal belongings (purses, lunch bags, tote bags, etc) should be kept inaccessible to children. If they contain medication they should be kept in locked storage. I asked that staff move pocketbooks to a minimum of five feet off the floor during today’s visit. A follow up visit may be conducted in the near future to verify compliance with violations documented during the visit. Please contact me at (910) 824-0123 or at becky.j.williams@dhhs.nc.gov if I can be of assistance. My mailing address is PO Box 2186, Clinton, NC 28329. 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