10A NCAC 09 .0803 · Violation

Name of Operation: RN HARRIS SAC CLUB Facility ID: 32002047 Consultant: MANDY ANNUNZIATA Operation Type: Center Case Number: Visit Date: 1/30/2026 Number Present: 24 Completed Date: 1/30/2026 Age: From 5 To 11 Total Minutes: 110 Time In: 01:45 PM Time Out: 03:35 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. Upon arrival, I was greeted by the afterschool site manager, Dominique Taylor, who assisted me during today’s visit. LICENSE STATUS The facility currently operates with a Five Star license issued on September 7, 2017. The program received seven points for Staff Education, seven points for Program Standards, and one Quality Point. INSPECTIONS/DRILLS STATUS -The last documented fire drill was conducted on 1/5/26. -The last documented lockdown/shelter-in-place drill was conducted on 1/9/26. -The last annual compliance visit was conducted on 2/12/25. MONITORING I completed a walk-through of the center, visiting the cafeteria, which is the primary space for the afterschool program, as well as the restrooms, gym, and outdoor play area. The afterschool program serves 12 children from RN Harris Elementary, 18 students from Burton Elementary School, and one child from Fayetteville St. Elementary School. Children were observed arriving and participating in activity centers in the cafeteria, including art, math, science, board games, blocks, manipulatives, and a reading center. After all children arrived, the older group of children went to the gym for active play (due to ice on the playground). The younger children used the restroom, washed their hands, and ate a snack of white cheddar popcorn and juice. The older children had their snack about 20 minutes later. A full assessment of child care requirements was conducted. I used a checklist to monitor all applicable requirements, including but not limited to supervision, staff-child ratios, health and safety requirements, equipment and furnishings, and program records. Three staff and five children’s files were reviewed. This program does not provide transportation; therefore, this requirement was not monitored. One child has an epi-pen; therefore, I reviewed the storage of the epi-pen and appropriate medication forms and cited a violation. This program’s license currently has a restriction stating that the playground does not meet childcare safety standards. This restriction is being removed due to a change in statute (House Bill 412), and a new license will be issued. VIOLATIONS The following violation was observed and documented during today’s visit: Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. One child's emergency epi-pen had expired in November 2025. 10A NCAC 09 .0803(1)(d) In order to comply with the NC Laws and Rules, any violations documented today must be corrected immediately. I need to receive your compliance letter by February 13, 2026. The letter must address each violation and explain specifically when and how it was corrected, as well as how you will prevent the same violations from happening in the future. Please send this to mandy.annunziata@dhhs.nc.gov and include the following information: -Facility name -Facility ID number -Each item number COMPLIANCE HISTORY Prior to today’s visit, the center’s compliance history score was 99%. According to NC General Statute 110-90(4)(d), all facilities must maintain a compliance history of at least 75% for the past 18 months. Failure to maintain compliance may result in an administrative action. The center was not in compliance with all applicable minimum licensing requirements during today’s visit and violations were documented that could impact the center’s overall compliance history score. An updated compliance history score will be generated after today’s visit, and you will be informed of the results during the next visit to your center. TECHNICAL ASSISTANCE -It is important to keep emergency medications current since expired medication may have reduced effectiveness. Today, one child’s epi-pen had expired. Child care rules state that all expired medication should be returned to the parent (or discarded after 72 hours if the parent fails to retrieve it), and that the medical authorization form must be renewed every six months. Please return the medication to the parent and ask them to send an up-to-date replacement immediately. CONSULTATION -You plan to pursue Pathway 1 (Program Assessment) with a planned rated license assessment in April 2026. In the meantime, you can start to prepare by completing the self-study for the SACERS-U Environment Rating Scale. You can also create a QRIS binder/folder with the following information: *Examples of Continuous Quality Improvement *Examples of Family and Community Engagement practices *A Status Letter from WORKS for each staff member in order to determine their individual star rating *Your chosen approved curriculum -You can access and update your EPR plan by using your NCID to log into the North Carolina Risk Management Portal at https://rmp.nc.gov/portal/portal.aspx. Please review and update your EPR plan yearly. -Criminal Backgrounds Checks for all staff members should be completed every five years. Also, child care providers must obtain access to the ABCMS Provider Portal in order to meet the requirement to report new employees within five days of hire. The Division no longer recognizes or accepts Change of Information forms. Information and instructions can be found here: https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/Criminal-Background-Check-Unit/Basic-Information TRAINING REMINDERS -Training from 2/12/25 to 1/30/26 was reviewed today and results can be found on the attached Staff/Training Worksheet. -CPR and First Aid must be renewed every two years. -Health and safety training must be renewed every five years. One new staff member needs to complete this training within one year of hire. RATED LICENSE STATUS New QRIS rules are in effect, and the Division is transitioning programs to their new rated license in 2026. Resources, forms, and training will be provided to support you in preparing for new pathway options to earn your Two- through Five-Star Rated License. All the newest information will be posted at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and will also be provided through emails and Raise NC newsletters. A transition plan has been created for your facility with a target month for your rated license assessment. AGENCY UPDATES Please check the Division of Child Development and Early Education’s website frequently for any new policies or rules. Go to https://ncchildcare.ncdhhs.gov/, and click on the “What’s New” tab for all agency updates, including QRIS Modernization. CONTACT INFORMATION If you have questions or need further assistance, please contact me at (919) 971-6255 or mandy.annunziata@dhhs.nc.gov. My supervisor, Holli Hemby, can be reached at holli.hemby@dhhs.nc.gov or (919) 819-9363. 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