GS 110-91 · Violation

Name of Operation: MOUNT ZION DAY CARE Facility ID: 3259013 Consultant: SHAMEQUA WILKERSON-HARRIS Operation Type: Center Case Number: Visit Date: 6/26/2025 Number Present: 73 Completed Date: 6/26/2025 Age: From 0 To 4 Total Minutes: 70 Time In: 02:15 PM Time Out: 03:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to monitor compliance of Child Care Requirements at the center. Upon arrival, I was greeted by the Director, Kim Brandon. You assisted me with today’s visit. At the time of the visit, there were a total of 73 children present, ranging in age from infants to five (5) years old. The children were observed resting at nap time and completing routine tasks. While conducting the walk-through with Ms. Brandon classroom #1 had ten children being cared for during nap time. The classroom is only licensed for eight children. Space #5 had eighteen children being cared for during nap time. The classroom is only licensed for sixteen children. The staff/child ratio sheet was observed in each classroom; however, it was not completed with the appropriate information. The staff child ratio was in compliance during today’s visit. The following violation was observed and documented during today’s visit. Violation Number Comment Rule 201 A room was occupied by more children than the space allowed at 25-sq. ft. of floor space per child. Space #1 is licensed to care for eight children and ten children were observed in the classroom. Space #5 is licensed to care for sixteen children and eighteen children were observed in the classroom. GS 110-91(6); .1401(f) To comply with the NC Laws and Rules any violations cited today MUST be corrected immediately. A compliance letter must be received on or before July 10, 2025, letter must address each violation, explain how it has been corrected and how the violation will maintain compliance in the future. 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 COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history was 89%. 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. LICENSED CAPACITY During today’s visit space #1 was caring for ten children. The classroom is licensed to care for eight children. Eighteen children were being cared for in space #5. The classroom is licensed for sixteen children. I observed the staff child ratio form posted but not completed in each classroom. The Director was unaware of the capacity. The Director discussed with me that she has enough staff to split the classrooms to maintain capacity. I discussed with the Director to make sure to complete the staff child ratio forms in each classroom so the teachers can refer to the form to remain in compliance. I would also recommend meeting with all staff to discuss the staff child ratio and licensed capacity for each classroom. 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: ratio. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: MOUNT ZION DAY CARE Facility ID: 3259013 Consultant: SHAMEQUA WILKERSON-HARRIS Operation Type: Center Case Number: Visit Date: 6/10/2025 Number Present: 59 Completed Date: 6/10/2025 Age: From 0 To 10 Total Minutes: 155 Time In: 08:50 AM Time Out: 11:25 AM Time In: Time Out: List to Use: Center Type Of Visit: Other Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of Child Care Requirements at the center. Upon arrival, we were greeted by the Preschool Teacher, Ms. Mangum. Ms. Mangum assisted with the walkthrough of the center. The Director, Ms. Brandon, arrived within thirty minutes of the visit. Ms. Brandon assisted with the remainder of the visit. Cusarah Riddick, Investigations consultant, accompanied me on this visit. At the time of the visit, there were a total of 59 children present, ranging in age from infants to ten (10) years old. The children were observed playing in centers, interacting with the teachers, and completing routine tasks. While conducting the walk-through with Ms. Mangum, classroom six was out of child/staff ratio. The classroom consisted of seven (7) three-year-olds, four (4) four-year-olds, and one (1) five-year-old. Ms. Mangum and the teacher were unaware that they were out of ratio. Once the walkthrough was completed, we were greeted by Ms. Brandon, and we discussed the nature of the visit. Ms. Brandon discussed the incident that occurred on 5/29/25. Ms. Brandon discussed with us the meeting content that occurred between the director, parent and teacher involved. I requested a copy of the incident report. The incident report was signed and dated by parent on 5/30/25. I also received copies of the medical report, communication between the parent and staff, attendance report, pictures, the first page of the medical report, and documentation from the meeting that occurred on 5/30/25. We asked for a copy of the police report. The Director had not received the police report but would follow up concerning the police report. The following violation was observed and documented during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. In space #6 seven three-year-olds, four four-year olds, and one five-year-old was being cared for with one teacher. GS 110-91(7);.0713(a-d) To comply with the NC Laws and Rules any violations cited today MUST be corrected immediately. A compliance letter must be received on or before June 24, 2025, letter must address each violation, explain how it has been corrected and how the violation will maintain compliance in the future. 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 COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history was 91%. 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. RATIO During today’s visit space #6 was out of ratio. The teacher and Ms. Mangum were unaware that the classroom was out of ratio. I spoke with the Director regarding the ratio issue during the walkthrough. The Director stated that they were now using the minimum state ratio due to the summer. I discussed with the Director that her license stated that the center is licensed to meet enhanced ratios and enhanced space to maintain their four-star rating. I discussed with the Director to train all staff that are left in charge how to maintain child/staff ratio as well as the blending of children. I discussed when blending ages the ratio of the youngest child must be maintained as well as children under two years of age should not be grouped with older children. I would recommend reviewing Caring For Our Children at http://nrckids.org/CFOC in regard to child/staff ratio. Due to a ratio violation being documented a follow-up visit will occur in the near future. Ms. Riddick discussed with the Director proper techniques of handling a child that may be having challenging behaviors to avoid possible injuries. It was encouraged to always lift from under the arms when picking children up. I would also encourage that you reach out to Early Years to receive training on how to handle children with challenging behaviors for all age groups at 919.403.6950. 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: ratio. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: MOUNT ZION DAY CARE Facility ID: 3259013 Consultant: SHAMEQUA WILKERSON-HARRIS Operation Type: Center Case Number: Visit Date: 3/5/2025 Number Present: 74 Completed Date: 3/5/2025 Age: From 0 To 5 Total Minutes: 230 Time In: 09:40 AM Time Out: 01:30 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 complete your annual compliance visit. Upon arrival I was greeted by Kim Brandon. You assisted me with the visit. I completed a general walk-through of the center. At the time of the visit, there were a total of Seventy-four (74) children present, ranging in age from infant to five (5) years old. The children were working on art projects, playing with materials, interacting with the teachers, and completing routine tasks. LICENSE STATUS Currently, this Child Care Center operates with a Four (4) star license issued July 26, 2018, earning four (4) points in education, five (5) points in program standards and one (1) quality point. I reviewed the NC Secretary of State’s website and observed the owner of the facility Mount Zion Christian Church, INC listed as current/active. INSPECTIONS *The last fire drill was conducted on 2/14/25. *The last emergency drill was conducted 11/22/24. *The last playground inspection was completed 2/14/25. *The last sanitation was completed on 2/6/25 with a “Superior ‘’ classification. *The fire inspection was completed on 1/9/25. The Fire Marshall will return to complete the Daycare fire inspection form. MONITORING During today’s visit, a full assessment was conducted, monitoring all space occupied by the children, including the outdoor play environment. 10% of old staff, all new staff CPR/FA, qualification letters, and 10% of enrolled children’s files were reviewed. All spaces were monitored for supervision, staff/child ratios, materials, equipment and required postings. The program records were reviewed for current inspections. The outdoor play environment was not monitored due to rain during the time of the visit. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 885 A first aid kit was not available on site at all times. First Aid Kits were not available in space #3, 4, and 5 during today's visit. .0604(s) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Three staff members did not have a medical report on file. The staff members were hired on 6/3/24, 7/15/24 and 11/18/24. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid training was not completed for a staff member hired on 7/15/24. .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. CPR training was not completed for a staff member hired on 7/15/24. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented shelter-in-place/lockdown drill was completed on 11/22/24. .0604(u);.0302(d)(8) 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. Medical reports and personnel file was not separate for seven staff members files monitored during the visit. .0701(d) To comply with the NC Laws and Rules any violations cited today MUST be corrected immediately. A compliance letter must be received on or before March 19, 2025, the letter must address each violation, explain how it has been corrected and how the violation will maintain compliance in the future. 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 COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history was 88%. 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. FIRST AID KIT I was unable to observe first aid kits in space #3, #4 and #5. I would recommend putting band aids and gauzes in the classrooms. I would have a member of management check weekly to restock the kit as needed. EMERGENCY DRILL The last emergency drill was documented November 11, 2024. Please be reminded that the shelter-in-place/lockdown drill should be conducted quarterly. I would use an outlook calendar or a reminder to remind you when to complete the quarterly drill. STAFF FILES Three staff files did not have a complete or appropriate Health Assessment on file during today’s visit. I discussed with the Director to make sure if medical reports are accepted that the report is signed by an authorized health professional along with a statement stating that the individual is emotionally and physically fit to care for children. I recommend that you utilize the Health Assessment form provided on the DCDEE website. I provided the Staff Health Assessment/Medical Report to the Director. During today’s visit I observed the medical and personnel information filed together. All medical records should be filed separately from personnel information. I would recommend developing a filing system to have medical records separate. I would also recommend you do a file audit monthly. CPR/FIRST AID A staff member hired on 7/15/24 did not have CPR and First Aid training. The director stated that the staff member will be completing the trainings next week. I would recommend using your outlook calendar or a reminder to alert you when trainings are required to remain in compliance. CONSULTATION AND REMINDERS The following items were discussed during today’s visit to improve the quality of your program. 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 2020, 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.

10A NCAC 09 .0509 · Violation

Name of Operation: MOUNT ZION DAY CARE Facility ID: 3259013 Consultant: SHANNEL HALL Operation Type: Center Case Number: Visit Date: 10/31/2023 Number Present: 62 Completed Date: 10/31/2023 Age: From 0 To 4 Total Minutes: 240 Time In: 10:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to conduct your routine unannounced visit. The director, Ms. Kim Brandon, assisted me during today’s visit. Upon arrival, you greeted me and welcomed me into your program. Twelve (12) classrooms were opened today. I conducted a general walk-through of the indoor environment. The children were observed participating in free play, having lunch, and napping in their classroom. The younger children were observed having floor time with their teacher. RATED LICENSE STATUS The program holds a 4-star-rated license issued on July 26, 2018. The program is in the “held harmless” status and points from the previous assessment are carried forward. The program received 5 points in Program Standards, 4 points in Staff Education, and 1 Quality point. INSPECTIONS The last sanitation inspection was conducted on 10/31/23. The last fire inspection was conducted on 3/6/23. The last fire drill was conducted on 10/3/23. The last emergency drill was conducted on 7/10/23. The last playground inspection was conducted on 10/3/23. During this visit, a partial assessment of the child care requirements was conducted. The following items were monitored and found in compliance during this visit: nurturing interactions, daily attendance, license posted & permit restrictions followed, safe indoor environment, fire drills & inspections, CBC qualifications, CPR/First Aid certification, and storage of medications & hazardous materials. The following violations were observed and recorded during today's visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. During naptime one employee was left to supervise space #11 and space #12 by sitting between both classrooms while covering lunch breaks. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. In space #18 a current activity plan was not posted and available for review during today's visit. GS 110-91(12); .0508(a) 434 The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. In space #13 the children did not have an adequate amount of toys to explore while promoting growth during today's visit. 10A NCAC 09 .0509(2) 542 The written feeding plan was not modified as the child's needs changed. Three children in space #14 and four children in space #16 did not have updated dated feeding schedules available for review during today's visit. 10 NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The thermometer in space #13 was reading 55 degrees and in space #14 the temperature was 48 degrees during today's visit. 15A NCAC 18A .2806(j)(2) 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. In space #14, #16 and #17 mats were folded and stored where they were touching one another. 15A NCAC 18A .2821(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #14 sleep charts where not available for review during today's visit. .0606(g) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A child in space #11 did not have an medical action plan for the albuterol need for his chronic condition. .0801(b) In order to comply with the NC Laws & Rules, any violations cited today must be corrected immediately. A compliance letter should be sent to me by November 14, 2023. The letter should address each violation, and explain how and when it has been corrected. Please send the letter to shannel.hall@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each item number COMPLIANCE HISTORY Prior to today's visit, the program's compliance history was 96%. It will be updated after today's visit, and you will be informed of the new score. TECHNICAL ASSISTANCE The following items were discussed to help you prevent a reoccurrence of the violations observed during today's visit. I would suggest coming up with a system where you check the feeding schedules monthly to see if any updates are needed. I would suggest having a meeting with all staff that work or interact with children under one to discuss where the sleep charts and other pertinent information is located. I would suggest that you come up with a system to ensure all forms are filled out with all pertinent information before allowing families to leave any medication. I would suggest that you come up with a system that will allow teachers to give you a list of supplies (toys, etc.) that they may need on a monthly or bimonthly basis. I would suggest that you conduct staff meetings regularly so that you can review important information including supervision, updates on new rules and regulations, trainings needed and any reminders that need to be discussed. CONSULTATION Some providers are experiencing delays in scheduling their fingerprinting appointments. Criminal record checks can be completed up to six months prior to the expiration date. We are encouraging all staff to begin their renewal process early to avoid lapses in their qualification. RATED LICENSE REASSESSMENT This facility prep year is from July 1, 2023-June 30, 2024. The facility reassessment year will not begin until July 1, 2024. During this time, the provider will decide whether they wish to have the Environment Rating Scale Assessment conducted. We discussed making sure the provider WORKS account reflects her current degree. We discussed reviewing the NCRLAP website ERS resources (www.NCRLAP.org) for updated information. Ms. Brandon is aware that she can request an ERS assessment free of charge during the preparation, and depending on the scores, they can be used as guidance to enhance program quality. Technical assistance can be requested anytime during this process. 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. As per Child Care Rule .1103(b) the Health and Safety trainings must be renewed at least every 5 years. Some of your staff completed the trainings in 2017, so they should begin to retake the training now. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website: nchildcare.ncdhhs.gov frequently to stay updated on rule requirements. Please remember to check the Division of Child Development and Early Education website: nchildcare.ncdhhs.gov frequently to stay updated on rule requirements. The North Carolina General Statute 110-90.2(b) requires that all child care providers must have a criminal background check prior to employment and every three years thereafter. As of July 11th, instead of renewing your criminal background check every three years, you will renew them every five (5) years. Please note that the criminal background unit will not be resending letters that were previously done before July 11, 2022. CONTACT INFORMATION If you have any questions or need any assistance, please feel free to contact me at (919) 703-5003 or via email at Shannel.hall@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.

GS 110-91 · Violation

Name of Operation: MOUNT ZION DAY CARE Facility ID: 3259013 Consultant: SHANNEL HALL Operation Type: Center Case Number: Visit Date: 10/31/2023 Number Present: 62 Completed Date: 10/31/2023 Age: From 0 To 4 Total Minutes: 240 Time In: 10:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to conduct your routine unannounced visit. The director, Ms. Kim Brandon, assisted me during today’s visit. Upon arrival, you greeted me and welcomed me into your program. Twelve (12) classrooms were opened today. I conducted a general walk-through of the indoor environment. The children were observed participating in free play, having lunch, and napping in their classroom. The younger children were observed having floor time with their teacher. RATED LICENSE STATUS The program holds a 4-star-rated license issued on July 26, 2018. The program is in the “held harmless” status and points from the previous assessment are carried forward. The program received 5 points in Program Standards, 4 points in Staff Education, and 1 Quality point. INSPECTIONS The last sanitation inspection was conducted on 10/31/23. The last fire inspection was conducted on 3/6/23. The last fire drill was conducted on 10/3/23. The last emergency drill was conducted on 7/10/23. The last playground inspection was conducted on 10/3/23. During this visit, a partial assessment of the child care requirements was conducted. The following items were monitored and found in compliance during this visit: nurturing interactions, daily attendance, license posted & permit restrictions followed, safe indoor environment, fire drills & inspections, CBC qualifications, CPR/First Aid certification, and storage of medications & hazardous materials. The following violations were observed and recorded during today's visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. During naptime one employee was left to supervise space #11 and space #12 by sitting between both classrooms while covering lunch breaks. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. In space #18 a current activity plan was not posted and available for review during today's visit. GS 110-91(12); .0508(a) 434 The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. In space #13 the children did not have an adequate amount of toys to explore while promoting growth during today's visit. 10A NCAC 09 .0509(2) 542 The written feeding plan was not modified as the child's needs changed. Three children in space #14 and four children in space #16 did not have updated dated feeding schedules available for review during today's visit. 10 NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The thermometer in space #13 was reading 55 degrees and in space #14 the temperature was 48 degrees during today's visit. 15A NCAC 18A .2806(j)(2) 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. In space #14, #16 and #17 mats were folded and stored where they were touching one another. 15A NCAC 18A .2821(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #14 sleep charts where not available for review during today's visit. .0606(g) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A child in space #11 did not have an medical action plan for the albuterol need for his chronic condition. .0801(b) In order to comply with the NC Laws & Rules, any violations cited today must be corrected immediately. A compliance letter should be sent to me by November 14, 2023. The letter should address each violation, and explain how and when it has been corrected. Please send the letter to shannel.hall@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each item number COMPLIANCE HISTORY Prior to today's visit, the program's compliance history was 96%. It will be updated after today's visit, and you will be informed of the new score. TECHNICAL ASSISTANCE The following items were discussed to help you prevent a reoccurrence of the violations observed during today's visit. I would suggest coming up with a system where you check the feeding schedules monthly to see if any updates are needed. I would suggest having a meeting with all staff that work or interact with children under one to discuss where the sleep charts and other pertinent information is located. I would suggest that you come up with a system to ensure all forms are filled out with all pertinent information before allowing families to leave any medication. I would suggest that you come up with a system that will allow teachers to give you a list of supplies (toys, etc.) that they may need on a monthly or bimonthly basis. I would suggest that you conduct staff meetings regularly so that you can review important information including supervision, updates on new rules and regulations, trainings needed and any reminders that need to be discussed. CONSULTATION Some providers are experiencing delays in scheduling their fingerprinting appointments. Criminal record checks can be completed up to six months prior to the expiration date. We are encouraging all staff to begin their renewal process early to avoid lapses in their qualification. RATED LICENSE REASSESSMENT This facility prep year is from July 1, 2023-June 30, 2024. The facility reassessment year will not begin until July 1, 2024. During this time, the provider will decide whether they wish to have the Environment Rating Scale Assessment conducted. We discussed making sure the provider WORKS account reflects her current degree. We discussed reviewing the NCRLAP website ERS resources (www.NCRLAP.org) for updated information. Ms. Brandon is aware that she can request an ERS assessment free of charge during the preparation, and depending on the scores, they can be used as guidance to enhance program quality. Technical assistance can be requested anytime during this process. 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. As per Child Care Rule .1103(b) the Health and Safety trainings must be renewed at least every 5 years. Some of your staff completed the trainings in 2017, so they should begin to retake the training now. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website: nchildcare.ncdhhs.gov frequently to stay updated on rule requirements. Please remember to check the Division of Child Development and Early Education website: nchildcare.ncdhhs.gov frequently to stay updated on rule requirements. The North Carolina General Statute 110-90.2(b) requires that all child care providers must have a criminal background check prior to employment and every three years thereafter. As of July 11th, instead of renewing your criminal background check every three years, you will renew them every five (5) years. Please note that the criminal background unit will not be resending letters that were previously done before July 11, 2022. CONTACT INFORMATION If you have any questions or need any assistance, please feel free to contact me at (919) 703-5003 or via email at Shannel.hall@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