10A NCAC 09.1721 · Violation

Name of Operation: LITTLE ANGELS DAYCARE Facility ID: 32000993 Consultant: SHAMEQUA WILKERSON-HARRIS Operation Type: Family CC Home Case Number: Visit Date: 11/15/2023 Number Present: 5 Completed Date: 11/15/2023 Age: From 1 To 4 Total Minutes: 85 Time In: 10:15 AM Time Out: 11:40 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to assess applicable child-care requirements during your annual compliance visit. A checklist was used to note the requirements monitored today. The Family Child Care Home Provider, Angela was present and assisted me during today’s visit. I completed a general walk-through of the children’s space, outside play area, kitchen area and bathroom. At the time of the visit, there were five (5) children present aging in range from one (1) to four (4) years old. The children were observed, coloring, playing in centers, participating in circle time, and transitioning to outside play. LICENSE STATUS The Family Child Care Home (FCCH) operates with a Three (3) star license issued April 21, 2020. The facility is approved for first, second and third shift with a maximum of five preschool children at any time and serves no more than two (2) infants under the age of one (1). MONITORING During today’s visit, a full assessment was conducted monitoring all spaces occupied by the children, including the outdoor play environment. The provider’s and children files were reviewed. All spaces were monitored for supervision, child capacity, materials, and equipment. The provider does not provide transportation; therefore, this requirement was not monitored. The provider does not have children under 12 months enrolled, therefore safe sleep requirements were not monitored. No children enrolled have medications or medical care plans, so these requirements were not monitored. Outdoor Environment I observed an above-ground pool in the backyard. The provider had fencing and a lockable gate installed around the pool. The pool was also observed covered. The provider stated that the fire pit and all motorized equipment was removed. I did not observe the motorized fire pit during today’s visit. The FCCH provider verified the information on the Verification of required information for operator and additional caregiver’s form to be accurate. --PROGRAM RECORDS *The last documented fire drill was conducted 11/8/23. *The last documented shelter-in-place or lockdown drill was conducted 11/8/23. *The last documented playground inspection was conducted 11/2/23. DESIGNATED CHILDREN’S SPACE The child care space is located in the downstairs of the home. There is a separate entrance to the children’s space located on the left side of the home. The children's space has a variety of manipulatives, pretend play toys, and books for the children's use. The bathroom is just outside of the children’s space on the left and is accessible to the children that are being potty trained. A changing table is in the infant area for those in diapers. The children eat their meals in this area. Mats, cribs and a bassinet are used for nap and rest time. The outdoor play area is located in the backyard of the home, and it is fenced. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. The Emergency Care Plan was not on file or posted during today's visit. .1713 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. One child enrolled on 9/28/22 did not have a health assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. Immunization record for a child enrolled on 9/28/22 was not on file. GS 110-91(1); .1721(a)(2) 1865 The EPR Plan did not include the date of the last revision of the plan. An updated EPR plan was not on file during today's visit. .1714(d)(8) To comply with the NC Laws and Rules any violations cited today must be corrected immediately. I must receive your compliance letter on or before November 29, 2023. The letter must address the violation, explain how it has been corrected and how you will maintain compliance in the future. Please make sure to include facility name, facility ID number and item number. Please make sure to include: -Facility name -Facility ID number -Each item number The letter can be emailed to Shamequa.Wilkerson-Harris@dhhs.nc.gov or mailed to: Shamequa Wilkerson-Harris 300 Sugar Maple Avenue Wake Forest, NC 27587 Prior to today’s visit, the program’s compliance history was 95%. According to NC General Statue 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past eighteen months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. TECHNICAL ASSISTANCE The following items were discussed during today’s visit to help you maintain quality within your program and to prevent further violations. EMERGENCY MEDICAL CARE PLAN I discussed and suggested to the provider to post the Emergency Medical Care Plan in an area that it would be easily accessible in case of an emergency once the form has been completed. I also suggested that she update it annually when she changes the batteries to the smoke detector. CHILDREN FILES I would recommend that the Children’s Checklist be utilized to ensure that all forms are collected on or before the start date. EMERGENCY PREPAREDNESS AND RESPONSE PLAN The Emergency Preparedness Response Plan (EPR) will need to be updated annually. I discussed with you that you will need to use your NCID to log in and update. You will need to go to rmp.nc.gov/portal to update your plan. I would recommend that you utilize your outlook calendar to remind you when to update. CONSULTATION AND REMINDERS The following items were discussed during today’s visit to improve the quality of your program. RATED LICENSE STATUS On Monday June 12, 2023, the hold harmless legislation was extended and signed into law. All facilities are allowed to remain at their current star level without reassessment until June 30, 2024. Your facility has been determined to be in Cohort 2. Your reassessment year will be between July 1, 2025, and June 30, 2026. I will reach out to you prior to the beginning of your preparation year. Please use this time to make sure all your staff have a WORKS account with all education information updated. Also review updated resources on the North Carolina Rated License Project (NCRLAP) website (www.ncrlap.org). You may also want to consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment. HEALTH AND SAFETY TRAINING Health and Safety trainings are now available through Moodle on the DCDEE website. These trainings are provided free of charge. You should use your NCID username and password to access the Moodle portal. The Health and Safety trainings must be renewed at least every five (5) years. If you completed the trainings in 2017, you should begin to retake the training now. CRIMINAL BACKGROUND As of July 11, 2022, criminal record checks are now to be renewed every five (5) years instead of three (3) years. Please make arrangements to complete your 5-year re-qualification before the expiration date. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website (ncchildcare.gov) on a weekly basis to stay up to date on all new policies and rules. If you have any questions or need assistance, please contact me at Shamequa.Wilkerson-Harris@dhhs.nc.gov or by phone at 919 417-2872. 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.

GS 110-91 · Violation

Name of Operation: LITTLE ANGELS DAYCARE Facility ID: 32000993 Consultant: SHAMEQUA WILKERSON-HARRIS Operation Type: Family CC Home Case Number: Visit Date: 11/15/2023 Number Present: 5 Completed Date: 11/15/2023 Age: From 1 To 4 Total Minutes: 85 Time In: 10:15 AM Time Out: 11:40 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to assess applicable child-care requirements during your annual compliance visit. A checklist was used to note the requirements monitored today. The Family Child Care Home Provider, Angela was present and assisted me during today’s visit. I completed a general walk-through of the children’s space, outside play area, kitchen area and bathroom. At the time of the visit, there were five (5) children present aging in range from one (1) to four (4) years old. The children were observed, coloring, playing in centers, participating in circle time, and transitioning to outside play. LICENSE STATUS The Family Child Care Home (FCCH) operates with a Three (3) star license issued April 21, 2020. The facility is approved for first, second and third shift with a maximum of five preschool children at any time and serves no more than two (2) infants under the age of one (1). MONITORING During today’s visit, a full assessment was conducted monitoring all spaces occupied by the children, including the outdoor play environment. The provider’s and children files were reviewed. All spaces were monitored for supervision, child capacity, materials, and equipment. The provider does not provide transportation; therefore, this requirement was not monitored. The provider does not have children under 12 months enrolled, therefore safe sleep requirements were not monitored. No children enrolled have medications or medical care plans, so these requirements were not monitored. Outdoor Environment I observed an above-ground pool in the backyard. The provider had fencing and a lockable gate installed around the pool. The pool was also observed covered. The provider stated that the fire pit and all motorized equipment was removed. I did not observe the motorized fire pit during today’s visit. The FCCH provider verified the information on the Verification of required information for operator and additional caregiver’s form to be accurate. --PROGRAM RECORDS *The last documented fire drill was conducted 11/8/23. *The last documented shelter-in-place or lockdown drill was conducted 11/8/23. *The last documented playground inspection was conducted 11/2/23. DESIGNATED CHILDREN’S SPACE The child care space is located in the downstairs of the home. There is a separate entrance to the children’s space located on the left side of the home. The children's space has a variety of manipulatives, pretend play toys, and books for the children's use. The bathroom is just outside of the children’s space on the left and is accessible to the children that are being potty trained. A changing table is in the infant area for those in diapers. The children eat their meals in this area. Mats, cribs and a bassinet are used for nap and rest time. The outdoor play area is located in the backyard of the home, and it is fenced. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. The Emergency Care Plan was not on file or posted during today's visit. .1713 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. One child enrolled on 9/28/22 did not have a health assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. Immunization record for a child enrolled on 9/28/22 was not on file. GS 110-91(1); .1721(a)(2) 1865 The EPR Plan did not include the date of the last revision of the plan. An updated EPR plan was not on file during today's visit. .1714(d)(8) To comply with the NC Laws and Rules any violations cited today must be corrected immediately. I must receive your compliance letter on or before November 29, 2023. The letter must address the violation, explain how it has been corrected and how you will maintain compliance in the future. Please make sure to include facility name, facility ID number and item number. Please make sure to include: -Facility name -Facility ID number -Each item number The letter can be emailed to Shamequa.Wilkerson-Harris@dhhs.nc.gov or mailed to: Shamequa Wilkerson-Harris 300 Sugar Maple Avenue Wake Forest, NC 27587 Prior to today’s visit, the program’s compliance history was 95%. According to NC General Statue 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past eighteen months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. TECHNICAL ASSISTANCE The following items were discussed during today’s visit to help you maintain quality within your program and to prevent further violations. EMERGENCY MEDICAL CARE PLAN I discussed and suggested to the provider to post the Emergency Medical Care Plan in an area that it would be easily accessible in case of an emergency once the form has been completed. I also suggested that she update it annually when she changes the batteries to the smoke detector. CHILDREN FILES I would recommend that the Children’s Checklist be utilized to ensure that all forms are collected on or before the start date. EMERGENCY PREPAREDNESS AND RESPONSE PLAN The Emergency Preparedness Response Plan (EPR) will need to be updated annually. I discussed with you that you will need to use your NCID to log in and update. You will need to go to rmp.nc.gov/portal to update your plan. I would recommend that you utilize your outlook calendar to remind you when to update. CONSULTATION AND REMINDERS The following items were discussed during today’s visit to improve the quality of your program. RATED LICENSE STATUS On Monday June 12, 2023, the hold harmless legislation was extended and signed into law. All facilities are allowed to remain at their current star level without reassessment until June 30, 2024. Your facility has been determined to be in Cohort 2. Your reassessment year will be between July 1, 2025, and June 30, 2026. I will reach out to you prior to the beginning of your preparation year. Please use this time to make sure all your staff have a WORKS account with all education information updated. Also review updated resources on the North Carolina Rated License Project (NCRLAP) website (www.ncrlap.org). You may also want to consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment. HEALTH AND SAFETY TRAINING Health and Safety trainings are now available through Moodle on the DCDEE website. These trainings are provided free of charge. You should use your NCID username and password to access the Moodle portal. The Health and Safety trainings must be renewed at least every five (5) years. If you completed the trainings in 2017, you should begin to retake the training now. CRIMINAL BACKGROUND As of July 11, 2022, criminal record checks are now to be renewed every five (5) years instead of three (3) years. Please make arrangements to complete your 5-year re-qualification before the expiration date. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website (ncchildcare.gov) on a weekly basis to stay up to date on all new policies and rules. If you have any questions or need assistance, please contact me at Shamequa.Wilkerson-Harris@dhhs.nc.gov or by phone at 919 417-2872. 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