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Home › NC › East Flat Rock › HIS Kids Child Development Center
2227 Spartanburg HWY, East Flat Rock NC 28726 · License #4559000 · Center · Child Care Center
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10A NCAC 09 .0601 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/10/2026 Number Present: 45 Completed Date: 6/10/2026 Age: From 0 To 9 Total Minutes: 240 Time In: 10:45 AM Time Out: 02:45 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. The program operates with a GS 110-106 Notice of Compliance, issued 8/2/2024. The permit restrictions were in compliance including first shift, no children under age three on second floor. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 6/9/2026. Samantah Garren, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/9/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid ITS-SIDS Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed space 1, currently closed for the summer and not in use. This space will reopen August 10, 2026. Space #2, the group of one- and two-year-old children were at chapel. After chapel, the group transitioned into wash hands and transitioned to lunch. Space #3 was closed due to staffing shortage. Space #4, the group of infants were engaged in exploring the classroom, activity seats, swing, and staff member was holding a child while conducting individual feeding. While monitoring the classroom space, I observed three (3) medications without permission to administer medication form on-site. We discussed returning the medications back to the parents this afternoon or having the parents complete the permission to administer medication during pick up. One (1) plastic diaper packaging under the diaper changer was accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. Two (2) electrical outlets uncovered. The administrator corrected during the visit and reiterated the importance of conducting classroom checks throughout the day to ensure safety. Current safe sleep charts were unable to be located. The typical staff member assigned to the classroom was out due to family emergency. The staff member filling in is not a typical staff and was not aware of where the current forms were at. The staff member present started new safe sleep check charts during the visit to begin documenting sleep checks every fifteen (15) minutes. We discussed speaking with the assigned staff member when they return to develop a plan of where the charts will be located during their absence. Space #5 the group of one year old children were preparing to transition to the cafeteria for lunch. While monitoring the classroom space, I observed plastic diaper and wipe packaging below the diaper changer accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. Two (2) aerosol cans were located in an unlocked cabinet. The administrator stated that it had a magnetic lock. However, the magnetic lock was not latching. The administrator stated that she would get that replaced and add a key lock to the lock on the outside of the cabinet until the latch could be replaced. Space #6, the group of two- to three-year-olds were at chapel. After chapel, the group prepared for lunch. While monitoring the classroom space, I observed two (2) electrical outlets uncovered near the built in cabinet. The administrator covered the electrical outlets with a safety outlet plug during the visit. I reiterated the importance of conduct classroom checks to ensure a safe environment is provided. Space #7 is the cafeteria space, I observed space 2, 5, and 6, eating lunch. While monitoring the cafeteria, I observed the mechanical room unlocked and accessible to the children. The administrator locked it during the visit. We discussed following up with staff to conduct check to ensure all doors are locked and the environment is safe for children (ex. Electrical outlets covered, hazardous products locked, etc). Space #8, the group of four- to five-year-old children were transitioning outdoors for gross motor play. After gross motor play, the group transitioned indoors to use the restroom and prepare for lunch. While monitoring the classroom space, I observed the heat vent located around the base of the classroom was broken under the windows. We discussed the heat vent would need to be repaired as some areas were sharp and a child could potentially get their foot or arm stuck in the vent. Space #9, the group of five- to- nine- year- old children were engaged a group activity of Pictionary and two (2) children were engaged in building. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 was closed today due to staff shortage. The eight (8) children present were divided into space 6 and 8 to maintain staff/child ratio. Space #12 is currently being as storage. All staff were supervising the children and engaging in play and conversations. Lunch consisted of cheeseburger, fries, peaches, and milk. While monitoring outdoors, I observed the preschool playground is currently under renovations and a new climbing structure is being installed. The facility has temporarily sectioned off the preschool playground to allow an area for one (1) class to engage in gross motor play at a time. The toddler playground is missing shade due to the tree being damaged during Tropical Storm Helene. The tree was removed. The facility is currently in the process of purchasing and installing sun shades. The administrator stated a playground schedule has been developed to ensure each group receives their outside time daily. The children are also able to use the grassy field next to the fenced in playground that has a gaga pit and volleyball net. When the grassy field is used, the staff bring portable outdoor equipment for the children to use (ex. Balls, hula hoops, frisbees, stepping stones, balance beams, etc). The last fire drill was practiced on 5/13/2026. The last emergency drill, lockdown drill, was practiced on 6/2/2026. The last fire inspection was approved on 2/18/2025. Current fire inspection completed has the exact same date as the previous inspection. The administrator was asked if she had any documentation to verify the inspection was completed this year instead of 2025. The administrator was unable to locate any documentation. The administrator did reach out to the fire marshal during the visit via text message, however, the fire marshal did respond during the visit to request my email address. No updated documentation was received prior to the end of the visit. The program’s most recent sanitation inspection was completed on 1/16/2026, with nine (9) demerits. The last playground inspection was completed on 5/25/2026. The Emergency Medical Care Plan is posted and current. The program does provide transportation. You stated that you do transport school age children ages five to nine years old during the summer. We discussed the requirements for off premises activities. I monitored the white and gray van during today’s visit. The gray van is the only vehicle being used by the child care facility. While monitoring the gray van, I observed trash in the floor under the seats. We discussed that after any field trips, the staff would need to ensure any trash is picked up and discarded. The white van is used by the church. I stated before the white van could be used by the child care facility, the staff will need to ensure the current tag registration is completed, sticker on the tag, and registration card in the vehicle. Then the staff would need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Also, the van would need to be cleaned of trash that was located under the seats. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There were two (2) new staff member since the last annual compliance visit. All staff files met requirements. One staff member hired 2/6/2023 ITS-SIDS on file was dated 2/20/2026 and renewed on 5/5/2026. When asked the administrator stated the staff member was working with children ages 18 months and older till 5/26/2026. Her ITS-SIDS certification was renewed prior to being assigned to the infant classroom. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ 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 last fire inspection was approved on 2/18/2025 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. Space 7, the mechanical room unlocked and accessible to children. Space 8, the heat vent located around the base of the classroom was broken under the windows. 10A NCAC 09 .0601(a) 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. Space 6, two (2) electrical outlets uncovered near the built in cabinet. Space 4, two (2) electrical outlets uncovered. 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. Space 5, two (2) aerosol cans were located in an unlocked cabinet. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space 4, three (3) medications without permission to administer medication form on-site. 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space 4, One (1) plastic diaper packaging under the diaper changer was accessible to the children. Space 5, plastic diaper and wipe packaging below the diaper changer accessible to the children. .0604(q) 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. Space 4, current safe sleep charts for this week were unable to be located. .0606(g) 1123 All vehicles used to transport children were not free of hazards. The gray van used to transport children, trash was in the floor under the seats. 10A NCAC 09 .1002(a) Technical assistance was provided as follows: Item 106- The last fire inspection was approved on 2/18/2025. Current fire inspection completed has the exact same date as the previous inspection. The administrator was asked if she had any documentation to verify the inspection was completed this year instead of 2025. The administrator was unable to locate any documentation. The administrator did reach out to the fire marshal during the visit via text message, however, the fire marshal did not respond during the visit. Rule Reference: 10A NCAC 09 .0304(a) Item 807- Space 7, the mechanical room unlocked and accessible to children. The administrator locked it during the visit. We discussed following up with staff to conduct check to ensure all doors are locked and the environment is safe for children (ex. Electrical outlets covered, hazardous products locked, etc). Space 8, the heat vent located around the base of the classroom was broken under the windows. We discussed the heat vent would need to be repaired as some areas were sharp and a child could potentially get their foot or arm stuck in the vent. Rule Reference: 10A NCAC 09 .0601(a) Item 812- Space 6, two (2) electrical outlets uncovered near the built in cabinet. The administrator covered the electrical outlets with a safety outlet plug during the visit. Space 4, two (2) electrical outlets uncovered. The administrator coved the electrical outlet during the visit. I reiterated the importance of conduct classroom checks to ensure a safe environment is provided. Rule Reference: 10A NCAC 09 .0604(c) Item 840- Space 5, two (2) aerosol cans were located in an unlocked cabinet. The administrator stated that it had a magnetic lock. However, the magnetic lock was not latching. The administrator stated that she would get that replaced and add a combination to the outside of the cabinet until the latch could be replaced. Rule Reference: 15A NCAC 18A .2820(b) Item 842- Space 4, three (3) medications without permission to administer medication form on-site. We discussed returning the medications back to the parents this afternoon or having the parents complete the permission to administer medication during pick up. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 858- Space 4, One (1) plastic diaper packaging under the diaper changer was accessible to the children. Space 5, plastic diaper and wipe packaging below the diaper changer accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. The staff moved the plastic diaper and wipe packaging inaccessible to the children during the visit. Rule Reference: 10A NCAC 09 .0604(q) Item 887- Space 4, current safe sleep charts for this week were unable to be located. The typical staff member assigned to the classroom was out due to family emergency. The staff member filling in is not a typical staff and was not aware of where the current forms were at. The staff member present started new safe sleep check charts during the visit to begin documenting sleep checks every fifteen (15) minutes. We discussed speaking with the assigned staff member when they return to develop a plan of where the charts will be located during their absence. Rule Reference: 10A NCAC 09 .0606(g) Item 1123- The gray van used to transport children, trash was in the floor under the seats. We discussed that after any field trips, the staff would need to ensure any trash is picked up and discarded. Rule Reference: 10A NCAC 09.1002(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/24/2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed the transportation safety procedures during the visit now that summer care has started. We reviewed the safe sleep procedures for children twelve months younger. Ensuring staff understand that safe sleep procedures apply to each child until they are thirteen months old. I recommended reaching out to Patricia Lee, RN, Child Care Health Consultant, (828) 698-0674 ext. 173, patricial@childrenandfamily.org to conduct a safe sleep refresher and general health and safety training. The Healthy Social Behaviors Project (HSB) helpline for managing challenging behaviors telephone number (1-888-600-1685 Option 1), online portal, and Talk to the Expert space in the Social-Emotional Connections is available. Healthy Social Behaviors Project (HSB) now have an email for requesting HSB Coaching or training: HSB@ChildCareResourcesInc.org. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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
Generated from this facility's specific inspection record
Data synced from North Carolina's child care licensing agency on Jul 9, 2026 · Report an error
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0604 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/10/2026 Number Present: 45 Completed Date: 6/10/2026 Age: From 0 To 9 Total Minutes: 240 Time In: 10:45 AM Time Out: 02:45 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. The program operates with a GS 110-106 Notice of Compliance, issued 8/2/2024. The permit restrictions were in compliance including first shift, no children under age three on second floor. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 6/9/2026. Samantah Garren, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/9/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid ITS-SIDS Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed space 1, currently closed for the summer and not in use. This space will reopen August 10, 2026. Space #2, the group of one- and two-year-old children were at chapel. After chapel, the group transitioned into wash hands and transitioned to lunch. Space #3 was closed due to staffing shortage. Space #4, the group of infants were engaged in exploring the classroom, activity seats, swing, and staff member was holding a child while conducting individual feeding. While monitoring the classroom space, I observed three (3) medications without permission to administer medication form on-site. We discussed returning the medications back to the parents this afternoon or having the parents complete the permission to administer medication during pick up. One (1) plastic diaper packaging under the diaper changer was accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. Two (2) electrical outlets uncovered. The administrator corrected during the visit and reiterated the importance of conducting classroom checks throughout the day to ensure safety. Current safe sleep charts were unable to be located. The typical staff member assigned to the classroom was out due to family emergency. The staff member filling in is not a typical staff and was not aware of where the current forms were at. The staff member present started new safe sleep check charts during the visit to begin documenting sleep checks every fifteen (15) minutes. We discussed speaking with the assigned staff member when they return to develop a plan of where the charts will be located during their absence. Space #5 the group of one year old children were preparing to transition to the cafeteria for lunch. While monitoring the classroom space, I observed plastic diaper and wipe packaging below the diaper changer accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. Two (2) aerosol cans were located in an unlocked cabinet. The administrator stated that it had a magnetic lock. However, the magnetic lock was not latching. The administrator stated that she would get that replaced and add a key lock to the lock on the outside of the cabinet until the latch could be replaced. Space #6, the group of two- to three-year-olds were at chapel. After chapel, the group prepared for lunch. While monitoring the classroom space, I observed two (2) electrical outlets uncovered near the built in cabinet. The administrator covered the electrical outlets with a safety outlet plug during the visit. I reiterated the importance of conduct classroom checks to ensure a safe environment is provided. Space #7 is the cafeteria space, I observed space 2, 5, and 6, eating lunch. While monitoring the cafeteria, I observed the mechanical room unlocked and accessible to the children. The administrator locked it during the visit. We discussed following up with staff to conduct check to ensure all doors are locked and the environment is safe for children (ex. Electrical outlets covered, hazardous products locked, etc). Space #8, the group of four- to five-year-old children were transitioning outdoors for gross motor play. After gross motor play, the group transitioned indoors to use the restroom and prepare for lunch. While monitoring the classroom space, I observed the heat vent located around the base of the classroom was broken under the windows. We discussed the heat vent would need to be repaired as some areas were sharp and a child could potentially get their foot or arm stuck in the vent. Space #9, the group of five- to- nine- year- old children were engaged a group activity of Pictionary and two (2) children were engaged in building. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 was closed today due to staff shortage. The eight (8) children present were divided into space 6 and 8 to maintain staff/child ratio. Space #12 is currently being as storage. All staff were supervising the children and engaging in play and conversations. Lunch consisted of cheeseburger, fries, peaches, and milk. While monitoring outdoors, I observed the preschool playground is currently under renovations and a new climbing structure is being installed. The facility has temporarily sectioned off the preschool playground to allow an area for one (1) class to engage in gross motor play at a time. The toddler playground is missing shade due to the tree being damaged during Tropical Storm Helene. The tree was removed. The facility is currently in the process of purchasing and installing sun shades. The administrator stated a playground schedule has been developed to ensure each group receives their outside time daily. The children are also able to use the grassy field next to the fenced in playground that has a gaga pit and volleyball net. When the grassy field is used, the staff bring portable outdoor equipment for the children to use (ex. Balls, hula hoops, frisbees, stepping stones, balance beams, etc). The last fire drill was practiced on 5/13/2026. The last emergency drill, lockdown drill, was practiced on 6/2/2026. The last fire inspection was approved on 2/18/2025. Current fire inspection completed has the exact same date as the previous inspection. The administrator was asked if she had any documentation to verify the inspection was completed this year instead of 2025. The administrator was unable to locate any documentation. The administrator did reach out to the fire marshal during the visit via text message, however, the fire marshal did respond during the visit to request my email address. No updated documentation was received prior to the end of the visit. The program’s most recent sanitation inspection was completed on 1/16/2026, with nine (9) demerits. The last playground inspection was completed on 5/25/2026. The Emergency Medical Care Plan is posted and current. The program does provide transportation. You stated that you do transport school age children ages five to nine years old during the summer. We discussed the requirements for off premises activities. I monitored the white and gray van during today’s visit. The gray van is the only vehicle being used by the child care facility. While monitoring the gray van, I observed trash in the floor under the seats. We discussed that after any field trips, the staff would need to ensure any trash is picked up and discarded. The white van is used by the church. I stated before the white van could be used by the child care facility, the staff will need to ensure the current tag registration is completed, sticker on the tag, and registration card in the vehicle. Then the staff would need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Also, the van would need to be cleaned of trash that was located under the seats. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There were two (2) new staff member since the last annual compliance visit. All staff files met requirements. One staff member hired 2/6/2023 ITS-SIDS on file was dated 2/20/2026 and renewed on 5/5/2026. When asked the administrator stated the staff member was working with children ages 18 months and older till 5/26/2026. Her ITS-SIDS certification was renewed prior to being assigned to the infant classroom. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ 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 last fire inspection was approved on 2/18/2025 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. Space 7, the mechanical room unlocked and accessible to children. Space 8, the heat vent located around the base of the classroom was broken under the windows. 10A NCAC 09 .0601(a) 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. Space 6, two (2) electrical outlets uncovered near the built in cabinet. Space 4, two (2) electrical outlets uncovered. 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. Space 5, two (2) aerosol cans were located in an unlocked cabinet. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space 4, three (3) medications without permission to administer medication form on-site. 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space 4, One (1) plastic diaper packaging under the diaper changer was accessible to the children. Space 5, plastic diaper and wipe packaging below the diaper changer accessible to the children. .0604(q) 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. Space 4, current safe sleep charts for this week were unable to be located. .0606(g) 1123 All vehicles used to transport children were not free of hazards. The gray van used to transport children, trash was in the floor under the seats. 10A NCAC 09 .1002(a) Technical assistance was provided as follows: Item 106- The last fire inspection was approved on 2/18/2025. Current fire inspection completed has the exact same date as the previous inspection. The administrator was asked if she had any documentation to verify the inspection was completed this year instead of 2025. The administrator was unable to locate any documentation. The administrator did reach out to the fire marshal during the visit via text message, however, the fire marshal did not respond during the visit. Rule Reference: 10A NCAC 09 .0304(a) Item 807- Space 7, the mechanical room unlocked and accessible to children. The administrator locked it during the visit. We discussed following up with staff to conduct check to ensure all doors are locked and the environment is safe for children (ex. Electrical outlets covered, hazardous products locked, etc). Space 8, the heat vent located around the base of the classroom was broken under the windows. We discussed the heat vent would need to be repaired as some areas were sharp and a child could potentially get their foot or arm stuck in the vent. Rule Reference: 10A NCAC 09 .0601(a) Item 812- Space 6, two (2) electrical outlets uncovered near the built in cabinet. The administrator covered the electrical outlets with a safety outlet plug during the visit. Space 4, two (2) electrical outlets uncovered. The administrator coved the electrical outlet during the visit. I reiterated the importance of conduct classroom checks to ensure a safe environment is provided. Rule Reference: 10A NCAC 09 .0604(c) Item 840- Space 5, two (2) aerosol cans were located in an unlocked cabinet. The administrator stated that it had a magnetic lock. However, the magnetic lock was not latching. The administrator stated that she would get that replaced and add a combination to the outside of the cabinet until the latch could be replaced. Rule Reference: 15A NCAC 18A .2820(b) Item 842- Space 4, three (3) medications without permission to administer medication form on-site. We discussed returning the medications back to the parents this afternoon or having the parents complete the permission to administer medication during pick up. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 858- Space 4, One (1) plastic diaper packaging under the diaper changer was accessible to the children. Space 5, plastic diaper and wipe packaging below the diaper changer accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. The staff moved the plastic diaper and wipe packaging inaccessible to the children during the visit. Rule Reference: 10A NCAC 09 .0604(q) Item 887- Space 4, current safe sleep charts for this week were unable to be located. The typical staff member assigned to the classroom was out due to family emergency. The staff member filling in is not a typical staff and was not aware of where the current forms were at. The staff member present started new safe sleep check charts during the visit to begin documenting sleep checks every fifteen (15) minutes. We discussed speaking with the assigned staff member when they return to develop a plan of where the charts will be located during their absence. Rule Reference: 10A NCAC 09 .0606(g) Item 1123- The gray van used to transport children, trash was in the floor under the seats. We discussed that after any field trips, the staff would need to ensure any trash is picked up and discarded. Rule Reference: 10A NCAC 09.1002(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/24/2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed the transportation safety procedures during the visit now that summer care has started. We reviewed the safe sleep procedures for children twelve months younger. Ensuring staff understand that safe sleep procedures apply to each child until they are thirteen months old. I recommended reaching out to Patricia Lee, RN, Child Care Health Consultant, (828) 698-0674 ext. 173, patricial@childrenandfamily.org to conduct a safe sleep refresher and general health and safety training. The Healthy Social Behaviors Project (HSB) helpline for managing challenging behaviors telephone number (1-888-600-1685 Option 1), online portal, and Talk to the Expert space in the Social-Emotional Connections is available. Healthy Social Behaviors Project (HSB) now have an email for requesting HSB Coaching or training: HSB@ChildCareResourcesInc.org. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0606 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/10/2026 Number Present: 45 Completed Date: 6/10/2026 Age: From 0 To 9 Total Minutes: 240 Time In: 10:45 AM Time Out: 02:45 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. The program operates with a GS 110-106 Notice of Compliance, issued 8/2/2024. The permit restrictions were in compliance including first shift, no children under age three on second floor. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 6/9/2026. Samantah Garren, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/9/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid ITS-SIDS Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed space 1, currently closed for the summer and not in use. This space will reopen August 10, 2026. Space #2, the group of one- and two-year-old children were at chapel. After chapel, the group transitioned into wash hands and transitioned to lunch. Space #3 was closed due to staffing shortage. Space #4, the group of infants were engaged in exploring the classroom, activity seats, swing, and staff member was holding a child while conducting individual feeding. While monitoring the classroom space, I observed three (3) medications without permission to administer medication form on-site. We discussed returning the medications back to the parents this afternoon or having the parents complete the permission to administer medication during pick up. One (1) plastic diaper packaging under the diaper changer was accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. Two (2) electrical outlets uncovered. The administrator corrected during the visit and reiterated the importance of conducting classroom checks throughout the day to ensure safety. Current safe sleep charts were unable to be located. The typical staff member assigned to the classroom was out due to family emergency. The staff member filling in is not a typical staff and was not aware of where the current forms were at. The staff member present started new safe sleep check charts during the visit to begin documenting sleep checks every fifteen (15) minutes. We discussed speaking with the assigned staff member when they return to develop a plan of where the charts will be located during their absence. Space #5 the group of one year old children were preparing to transition to the cafeteria for lunch. While monitoring the classroom space, I observed plastic diaper and wipe packaging below the diaper changer accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. Two (2) aerosol cans were located in an unlocked cabinet. The administrator stated that it had a magnetic lock. However, the magnetic lock was not latching. The administrator stated that she would get that replaced and add a key lock to the lock on the outside of the cabinet until the latch could be replaced. Space #6, the group of two- to three-year-olds were at chapel. After chapel, the group prepared for lunch. While monitoring the classroom space, I observed two (2) electrical outlets uncovered near the built in cabinet. The administrator covered the electrical outlets with a safety outlet plug during the visit. I reiterated the importance of conduct classroom checks to ensure a safe environment is provided. Space #7 is the cafeteria space, I observed space 2, 5, and 6, eating lunch. While monitoring the cafeteria, I observed the mechanical room unlocked and accessible to the children. The administrator locked it during the visit. We discussed following up with staff to conduct check to ensure all doors are locked and the environment is safe for children (ex. Electrical outlets covered, hazardous products locked, etc). Space #8, the group of four- to five-year-old children were transitioning outdoors for gross motor play. After gross motor play, the group transitioned indoors to use the restroom and prepare for lunch. While monitoring the classroom space, I observed the heat vent located around the base of the classroom was broken under the windows. We discussed the heat vent would need to be repaired as some areas were sharp and a child could potentially get their foot or arm stuck in the vent. Space #9, the group of five- to- nine- year- old children were engaged a group activity of Pictionary and two (2) children were engaged in building. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 was closed today due to staff shortage. The eight (8) children present were divided into space 6 and 8 to maintain staff/child ratio. Space #12 is currently being as storage. All staff were supervising the children and engaging in play and conversations. Lunch consisted of cheeseburger, fries, peaches, and milk. While monitoring outdoors, I observed the preschool playground is currently under renovations and a new climbing structure is being installed. The facility has temporarily sectioned off the preschool playground to allow an area for one (1) class to engage in gross motor play at a time. The toddler playground is missing shade due to the tree being damaged during Tropical Storm Helene. The tree was removed. The facility is currently in the process of purchasing and installing sun shades. The administrator stated a playground schedule has been developed to ensure each group receives their outside time daily. The children are also able to use the grassy field next to the fenced in playground that has a gaga pit and volleyball net. When the grassy field is used, the staff bring portable outdoor equipment for the children to use (ex. Balls, hula hoops, frisbees, stepping stones, balance beams, etc). The last fire drill was practiced on 5/13/2026. The last emergency drill, lockdown drill, was practiced on 6/2/2026. The last fire inspection was approved on 2/18/2025. Current fire inspection completed has the exact same date as the previous inspection. The administrator was asked if she had any documentation to verify the inspection was completed this year instead of 2025. The administrator was unable to locate any documentation. The administrator did reach out to the fire marshal during the visit via text message, however, the fire marshal did respond during the visit to request my email address. No updated documentation was received prior to the end of the visit. The program’s most recent sanitation inspection was completed on 1/16/2026, with nine (9) demerits. The last playground inspection was completed on 5/25/2026. The Emergency Medical Care Plan is posted and current. The program does provide transportation. You stated that you do transport school age children ages five to nine years old during the summer. We discussed the requirements for off premises activities. I monitored the white and gray van during today’s visit. The gray van is the only vehicle being used by the child care facility. While monitoring the gray van, I observed trash in the floor under the seats. We discussed that after any field trips, the staff would need to ensure any trash is picked up and discarded. The white van is used by the church. I stated before the white van could be used by the child care facility, the staff will need to ensure the current tag registration is completed, sticker on the tag, and registration card in the vehicle. Then the staff would need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Also, the van would need to be cleaned of trash that was located under the seats. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There were two (2) new staff member since the last annual compliance visit. All staff files met requirements. One staff member hired 2/6/2023 ITS-SIDS on file was dated 2/20/2026 and renewed on 5/5/2026. When asked the administrator stated the staff member was working with children ages 18 months and older till 5/26/2026. Her ITS-SIDS certification was renewed prior to being assigned to the infant classroom. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ 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 last fire inspection was approved on 2/18/2025 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. Space 7, the mechanical room unlocked and accessible to children. Space 8, the heat vent located around the base of the classroom was broken under the windows. 10A NCAC 09 .0601(a) 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. Space 6, two (2) electrical outlets uncovered near the built in cabinet. Space 4, two (2) electrical outlets uncovered. 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. Space 5, two (2) aerosol cans were located in an unlocked cabinet. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space 4, three (3) medications without permission to administer medication form on-site. 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space 4, One (1) plastic diaper packaging under the diaper changer was accessible to the children. Space 5, plastic diaper and wipe packaging below the diaper changer accessible to the children. .0604(q) 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. Space 4, current safe sleep charts for this week were unable to be located. .0606(g) 1123 All vehicles used to transport children were not free of hazards. The gray van used to transport children, trash was in the floor under the seats. 10A NCAC 09 .1002(a) Technical assistance was provided as follows: Item 106- The last fire inspection was approved on 2/18/2025. Current fire inspection completed has the exact same date as the previous inspection. The administrator was asked if she had any documentation to verify the inspection was completed this year instead of 2025. The administrator was unable to locate any documentation. The administrator did reach out to the fire marshal during the visit via text message, however, the fire marshal did not respond during the visit. Rule Reference: 10A NCAC 09 .0304(a) Item 807- Space 7, the mechanical room unlocked and accessible to children. The administrator locked it during the visit. We discussed following up with staff to conduct check to ensure all doors are locked and the environment is safe for children (ex. Electrical outlets covered, hazardous products locked, etc). Space 8, the heat vent located around the base of the classroom was broken under the windows. We discussed the heat vent would need to be repaired as some areas were sharp and a child could potentially get their foot or arm stuck in the vent. Rule Reference: 10A NCAC 09 .0601(a) Item 812- Space 6, two (2) electrical outlets uncovered near the built in cabinet. The administrator covered the electrical outlets with a safety outlet plug during the visit. Space 4, two (2) electrical outlets uncovered. The administrator coved the electrical outlet during the visit. I reiterated the importance of conduct classroom checks to ensure a safe environment is provided. Rule Reference: 10A NCAC 09 .0604(c) Item 840- Space 5, two (2) aerosol cans were located in an unlocked cabinet. The administrator stated that it had a magnetic lock. However, the magnetic lock was not latching. The administrator stated that she would get that replaced and add a combination to the outside of the cabinet until the latch could be replaced. Rule Reference: 15A NCAC 18A .2820(b) Item 842- Space 4, three (3) medications without permission to administer medication form on-site. We discussed returning the medications back to the parents this afternoon or having the parents complete the permission to administer medication during pick up. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 858- Space 4, One (1) plastic diaper packaging under the diaper changer was accessible to the children. Space 5, plastic diaper and wipe packaging below the diaper changer accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. The staff moved the plastic diaper and wipe packaging inaccessible to the children during the visit. Rule Reference: 10A NCAC 09 .0604(q) Item 887- Space 4, current safe sleep charts for this week were unable to be located. The typical staff member assigned to the classroom was out due to family emergency. The staff member filling in is not a typical staff and was not aware of where the current forms were at. The staff member present started new safe sleep check charts during the visit to begin documenting sleep checks every fifteen (15) minutes. We discussed speaking with the assigned staff member when they return to develop a plan of where the charts will be located during their absence. Rule Reference: 10A NCAC 09 .0606(g) Item 1123- The gray van used to transport children, trash was in the floor under the seats. We discussed that after any field trips, the staff would need to ensure any trash is picked up and discarded. Rule Reference: 10A NCAC 09.1002(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/24/2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed the transportation safety procedures during the visit now that summer care has started. We reviewed the safe sleep procedures for children twelve months younger. Ensuring staff understand that safe sleep procedures apply to each child until they are thirteen months old. I recommended reaching out to Patricia Lee, RN, Child Care Health Consultant, (828) 698-0674 ext. 173, patricial@childrenandfamily.org to conduct a safe sleep refresher and general health and safety training. The Healthy Social Behaviors Project (HSB) helpline for managing challenging behaviors telephone number (1-888-600-1685 Option 1), online portal, and Talk to the Expert space in the Social-Emotional Connections is available. Healthy Social Behaviors Project (HSB) now have an email for requesting HSB Coaching or training: HSB@ChildCareResourcesInc.org. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0304 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/10/2026 Number Present: 45 Completed Date: 6/10/2026 Age: From 0 To 9 Total Minutes: 240 Time In: 10:45 AM Time Out: 02:45 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. The program operates with a GS 110-106 Notice of Compliance, issued 8/2/2024. The permit restrictions were in compliance including first shift, no children under age three on second floor. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 6/9/2026. Samantah Garren, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/9/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid ITS-SIDS Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed space 1, currently closed for the summer and not in use. This space will reopen August 10, 2026. Space #2, the group of one- and two-year-old children were at chapel. After chapel, the group transitioned into wash hands and transitioned to lunch. Space #3 was closed due to staffing shortage. Space #4, the group of infants were engaged in exploring the classroom, activity seats, swing, and staff member was holding a child while conducting individual feeding. While monitoring the classroom space, I observed three (3) medications without permission to administer medication form on-site. We discussed returning the medications back to the parents this afternoon or having the parents complete the permission to administer medication during pick up. One (1) plastic diaper packaging under the diaper changer was accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. Two (2) electrical outlets uncovered. The administrator corrected during the visit and reiterated the importance of conducting classroom checks throughout the day to ensure safety. Current safe sleep charts were unable to be located. The typical staff member assigned to the classroom was out due to family emergency. The staff member filling in is not a typical staff and was not aware of where the current forms were at. The staff member present started new safe sleep check charts during the visit to begin documenting sleep checks every fifteen (15) minutes. We discussed speaking with the assigned staff member when they return to develop a plan of where the charts will be located during their absence. Space #5 the group of one year old children were preparing to transition to the cafeteria for lunch. While monitoring the classroom space, I observed plastic diaper and wipe packaging below the diaper changer accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. Two (2) aerosol cans were located in an unlocked cabinet. The administrator stated that it had a magnetic lock. However, the magnetic lock was not latching. The administrator stated that she would get that replaced and add a key lock to the lock on the outside of the cabinet until the latch could be replaced. Space #6, the group of two- to three-year-olds were at chapel. After chapel, the group prepared for lunch. While monitoring the classroom space, I observed two (2) electrical outlets uncovered near the built in cabinet. The administrator covered the electrical outlets with a safety outlet plug during the visit. I reiterated the importance of conduct classroom checks to ensure a safe environment is provided. Space #7 is the cafeteria space, I observed space 2, 5, and 6, eating lunch. While monitoring the cafeteria, I observed the mechanical room unlocked and accessible to the children. The administrator locked it during the visit. We discussed following up with staff to conduct check to ensure all doors are locked and the environment is safe for children (ex. Electrical outlets covered, hazardous products locked, etc). Space #8, the group of four- to five-year-old children were transitioning outdoors for gross motor play. After gross motor play, the group transitioned indoors to use the restroom and prepare for lunch. While monitoring the classroom space, I observed the heat vent located around the base of the classroom was broken under the windows. We discussed the heat vent would need to be repaired as some areas were sharp and a child could potentially get their foot or arm stuck in the vent. Space #9, the group of five- to- nine- year- old children were engaged a group activity of Pictionary and two (2) children were engaged in building. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 was closed today due to staff shortage. The eight (8) children present were divided into space 6 and 8 to maintain staff/child ratio. Space #12 is currently being as storage. All staff were supervising the children and engaging in play and conversations. Lunch consisted of cheeseburger, fries, peaches, and milk. While monitoring outdoors, I observed the preschool playground is currently under renovations and a new climbing structure is being installed. The facility has temporarily sectioned off the preschool playground to allow an area for one (1) class to engage in gross motor play at a time. The toddler playground is missing shade due to the tree being damaged during Tropical Storm Helene. The tree was removed. The facility is currently in the process of purchasing and installing sun shades. The administrator stated a playground schedule has been developed to ensure each group receives their outside time daily. The children are also able to use the grassy field next to the fenced in playground that has a gaga pit and volleyball net. When the grassy field is used, the staff bring portable outdoor equipment for the children to use (ex. Balls, hula hoops, frisbees, stepping stones, balance beams, etc). The last fire drill was practiced on 5/13/2026. The last emergency drill, lockdown drill, was practiced on 6/2/2026. The last fire inspection was approved on 2/18/2025. Current fire inspection completed has the exact same date as the previous inspection. The administrator was asked if she had any documentation to verify the inspection was completed this year instead of 2025. The administrator was unable to locate any documentation. The administrator did reach out to the fire marshal during the visit via text message, however, the fire marshal did respond during the visit to request my email address. No updated documentation was received prior to the end of the visit. The program’s most recent sanitation inspection was completed on 1/16/2026, with nine (9) demerits. The last playground inspection was completed on 5/25/2026. The Emergency Medical Care Plan is posted and current. The program does provide transportation. You stated that you do transport school age children ages five to nine years old during the summer. We discussed the requirements for off premises activities. I monitored the white and gray van during today’s visit. The gray van is the only vehicle being used by the child care facility. While monitoring the gray van, I observed trash in the floor under the seats. We discussed that after any field trips, the staff would need to ensure any trash is picked up and discarded. The white van is used by the church. I stated before the white van could be used by the child care facility, the staff will need to ensure the current tag registration is completed, sticker on the tag, and registration card in the vehicle. Then the staff would need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Also, the van would need to be cleaned of trash that was located under the seats. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There were two (2) new staff member since the last annual compliance visit. All staff files met requirements. One staff member hired 2/6/2023 ITS-SIDS on file was dated 2/20/2026 and renewed on 5/5/2026. When asked the administrator stated the staff member was working with children ages 18 months and older till 5/26/2026. Her ITS-SIDS certification was renewed prior to being assigned to the infant classroom. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ 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 last fire inspection was approved on 2/18/2025 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. Space 7, the mechanical room unlocked and accessible to children. Space 8, the heat vent located around the base of the classroom was broken under the windows. 10A NCAC 09 .0601(a) 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. Space 6, two (2) electrical outlets uncovered near the built in cabinet. Space 4, two (2) electrical outlets uncovered. 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. Space 5, two (2) aerosol cans were located in an unlocked cabinet. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space 4, three (3) medications without permission to administer medication form on-site. 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space 4, One (1) plastic diaper packaging under the diaper changer was accessible to the children. Space 5, plastic diaper and wipe packaging below the diaper changer accessible to the children. .0604(q) 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. Space 4, current safe sleep charts for this week were unable to be located. .0606(g) 1123 All vehicles used to transport children were not free of hazards. The gray van used to transport children, trash was in the floor under the seats. 10A NCAC 09 .1002(a) Technical assistance was provided as follows: Item 106- The last fire inspection was approved on 2/18/2025. Current fire inspection completed has the exact same date as the previous inspection. The administrator was asked if she had any documentation to verify the inspection was completed this year instead of 2025. The administrator was unable to locate any documentation. The administrator did reach out to the fire marshal during the visit via text message, however, the fire marshal did not respond during the visit. Rule Reference: 10A NCAC 09 .0304(a) Item 807- Space 7, the mechanical room unlocked and accessible to children. The administrator locked it during the visit. We discussed following up with staff to conduct check to ensure all doors are locked and the environment is safe for children (ex. Electrical outlets covered, hazardous products locked, etc). Space 8, the heat vent located around the base of the classroom was broken under the windows. We discussed the heat vent would need to be repaired as some areas were sharp and a child could potentially get their foot or arm stuck in the vent. Rule Reference: 10A NCAC 09 .0601(a) Item 812- Space 6, two (2) electrical outlets uncovered near the built in cabinet. The administrator covered the electrical outlets with a safety outlet plug during the visit. Space 4, two (2) electrical outlets uncovered. The administrator coved the electrical outlet during the visit. I reiterated the importance of conduct classroom checks to ensure a safe environment is provided. Rule Reference: 10A NCAC 09 .0604(c) Item 840- Space 5, two (2) aerosol cans were located in an unlocked cabinet. The administrator stated that it had a magnetic lock. However, the magnetic lock was not latching. The administrator stated that she would get that replaced and add a combination to the outside of the cabinet until the latch could be replaced. Rule Reference: 15A NCAC 18A .2820(b) Item 842- Space 4, three (3) medications without permission to administer medication form on-site. We discussed returning the medications back to the parents this afternoon or having the parents complete the permission to administer medication during pick up. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 858- Space 4, One (1) plastic diaper packaging under the diaper changer was accessible to the children. Space 5, plastic diaper and wipe packaging below the diaper changer accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. The staff moved the plastic diaper and wipe packaging inaccessible to the children during the visit. Rule Reference: 10A NCAC 09 .0604(q) Item 887- Space 4, current safe sleep charts for this week were unable to be located. The typical staff member assigned to the classroom was out due to family emergency. The staff member filling in is not a typical staff and was not aware of where the current forms were at. The staff member present started new safe sleep check charts during the visit to begin documenting sleep checks every fifteen (15) minutes. We discussed speaking with the assigned staff member when they return to develop a plan of where the charts will be located during their absence. Rule Reference: 10A NCAC 09 .0606(g) Item 1123- The gray van used to transport children, trash was in the floor under the seats. We discussed that after any field trips, the staff would need to ensure any trash is picked up and discarded. Rule Reference: 10A NCAC 09.1002(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/24/2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed the transportation safety procedures during the visit now that summer care has started. We reviewed the safe sleep procedures for children twelve months younger. Ensuring staff understand that safe sleep procedures apply to each child until they are thirteen months old. I recommended reaching out to Patricia Lee, RN, Child Care Health Consultant, (828) 698-0674 ext. 173, patricial@childrenandfamily.org to conduct a safe sleep refresher and general health and safety training. The Healthy Social Behaviors Project (HSB) helpline for managing challenging behaviors telephone number (1-888-600-1685 Option 1), online portal, and Talk to the Expert space in the Social-Emotional Connections is available. Healthy Social Behaviors Project (HSB) now have an email for requesting HSB Coaching or training: HSB@ChildCareResourcesInc.org. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0604 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/10/2026 Number Present: 45 Completed Date: 6/10/2026 Age: From 0 To 9 Total Minutes: 240 Time In: 10:45 AM Time Out: 02:45 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. The program operates with a GS 110-106 Notice of Compliance, issued 8/2/2024. The permit restrictions were in compliance including first shift, no children under age three on second floor. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 6/9/2026. Samantah Garren, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/9/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid ITS-SIDS Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed space 1, currently closed for the summer and not in use. This space will reopen August 10, 2026. Space #2, the group of one- and two-year-old children were at chapel. After chapel, the group transitioned into wash hands and transitioned to lunch. Space #3 was closed due to staffing shortage. Space #4, the group of infants were engaged in exploring the classroom, activity seats, swing, and staff member was holding a child while conducting individual feeding. While monitoring the classroom space, I observed three (3) medications without permission to administer medication form on-site. We discussed returning the medications back to the parents this afternoon or having the parents complete the permission to administer medication during pick up. One (1) plastic diaper packaging under the diaper changer was accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. Two (2) electrical outlets uncovered. The administrator corrected during the visit and reiterated the importance of conducting classroom checks throughout the day to ensure safety. Current safe sleep charts were unable to be located. The typical staff member assigned to the classroom was out due to family emergency. The staff member filling in is not a typical staff and was not aware of where the current forms were at. The staff member present started new safe sleep check charts during the visit to begin documenting sleep checks every fifteen (15) minutes. We discussed speaking with the assigned staff member when they return to develop a plan of where the charts will be located during their absence. Space #5 the group of one year old children were preparing to transition to the cafeteria for lunch. While monitoring the classroom space, I observed plastic diaper and wipe packaging below the diaper changer accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. Two (2) aerosol cans were located in an unlocked cabinet. The administrator stated that it had a magnetic lock. However, the magnetic lock was not latching. The administrator stated that she would get that replaced and add a key lock to the lock on the outside of the cabinet until the latch could be replaced. Space #6, the group of two- to three-year-olds were at chapel. After chapel, the group prepared for lunch. While monitoring the classroom space, I observed two (2) electrical outlets uncovered near the built in cabinet. The administrator covered the electrical outlets with a safety outlet plug during the visit. I reiterated the importance of conduct classroom checks to ensure a safe environment is provided. Space #7 is the cafeteria space, I observed space 2, 5, and 6, eating lunch. While monitoring the cafeteria, I observed the mechanical room unlocked and accessible to the children. The administrator locked it during the visit. We discussed following up with staff to conduct check to ensure all doors are locked and the environment is safe for children (ex. Electrical outlets covered, hazardous products locked, etc). Space #8, the group of four- to five-year-old children were transitioning outdoors for gross motor play. After gross motor play, the group transitioned indoors to use the restroom and prepare for lunch. While monitoring the classroom space, I observed the heat vent located around the base of the classroom was broken under the windows. We discussed the heat vent would need to be repaired as some areas were sharp and a child could potentially get their foot or arm stuck in the vent. Space #9, the group of five- to- nine- year- old children were engaged a group activity of Pictionary and two (2) children were engaged in building. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 was closed today due to staff shortage. The eight (8) children present were divided into space 6 and 8 to maintain staff/child ratio. Space #12 is currently being as storage. All staff were supervising the children and engaging in play and conversations. Lunch consisted of cheeseburger, fries, peaches, and milk. While monitoring outdoors, I observed the preschool playground is currently under renovations and a new climbing structure is being installed. The facility has temporarily sectioned off the preschool playground to allow an area for one (1) class to engage in gross motor play at a time. The toddler playground is missing shade due to the tree being damaged during Tropical Storm Helene. The tree was removed. The facility is currently in the process of purchasing and installing sun shades. The administrator stated a playground schedule has been developed to ensure each group receives their outside time daily. The children are also able to use the grassy field next to the fenced in playground that has a gaga pit and volleyball net. When the grassy field is used, the staff bring portable outdoor equipment for the children to use (ex. Balls, hula hoops, frisbees, stepping stones, balance beams, etc). The last fire drill was practiced on 5/13/2026. The last emergency drill, lockdown drill, was practiced on 6/2/2026. The last fire inspection was approved on 2/18/2025. Current fire inspection completed has the exact same date as the previous inspection. The administrator was asked if she had any documentation to verify the inspection was completed this year instead of 2025. The administrator was unable to locate any documentation. The administrator did reach out to the fire marshal during the visit via text message, however, the fire marshal did respond during the visit to request my email address. No updated documentation was received prior to the end of the visit. The program’s most recent sanitation inspection was completed on 1/16/2026, with nine (9) demerits. The last playground inspection was completed on 5/25/2026. The Emergency Medical Care Plan is posted and current. The program does provide transportation. You stated that you do transport school age children ages five to nine years old during the summer. We discussed the requirements for off premises activities. I monitored the white and gray van during today’s visit. The gray van is the only vehicle being used by the child care facility. While monitoring the gray van, I observed trash in the floor under the seats. We discussed that after any field trips, the staff would need to ensure any trash is picked up and discarded. The white van is used by the church. I stated before the white van could be used by the child care facility, the staff will need to ensure the current tag registration is completed, sticker on the tag, and registration card in the vehicle. Then the staff would need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Also, the van would need to be cleaned of trash that was located under the seats. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There were two (2) new staff member since the last annual compliance visit. All staff files met requirements. One staff member hired 2/6/2023 ITS-SIDS on file was dated 2/20/2026 and renewed on 5/5/2026. When asked the administrator stated the staff member was working with children ages 18 months and older till 5/26/2026. Her ITS-SIDS certification was renewed prior to being assigned to the infant classroom. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ 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 last fire inspection was approved on 2/18/2025 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. Space 7, the mechanical room unlocked and accessible to children. Space 8, the heat vent located around the base of the classroom was broken under the windows. 10A NCAC 09 .0601(a) 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. Space 6, two (2) electrical outlets uncovered near the built in cabinet. Space 4, two (2) electrical outlets uncovered. 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. Space 5, two (2) aerosol cans were located in an unlocked cabinet. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space 4, three (3) medications without permission to administer medication form on-site. 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space 4, One (1) plastic diaper packaging under the diaper changer was accessible to the children. Space 5, plastic diaper and wipe packaging below the diaper changer accessible to the children. .0604(q) 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. Space 4, current safe sleep charts for this week were unable to be located. .0606(g) 1123 All vehicles used to transport children were not free of hazards. The gray van used to transport children, trash was in the floor under the seats. 10A NCAC 09 .1002(a) Technical assistance was provided as follows: Item 106- The last fire inspection was approved on 2/18/2025. Current fire inspection completed has the exact same date as the previous inspection. The administrator was asked if she had any documentation to verify the inspection was completed this year instead of 2025. The administrator was unable to locate any documentation. The administrator did reach out to the fire marshal during the visit via text message, however, the fire marshal did not respond during the visit. Rule Reference: 10A NCAC 09 .0304(a) Item 807- Space 7, the mechanical room unlocked and accessible to children. The administrator locked it during the visit. We discussed following up with staff to conduct check to ensure all doors are locked and the environment is safe for children (ex. Electrical outlets covered, hazardous products locked, etc). Space 8, the heat vent located around the base of the classroom was broken under the windows. We discussed the heat vent would need to be repaired as some areas were sharp and a child could potentially get their foot or arm stuck in the vent. Rule Reference: 10A NCAC 09 .0601(a) Item 812- Space 6, two (2) electrical outlets uncovered near the built in cabinet. The administrator covered the electrical outlets with a safety outlet plug during the visit. Space 4, two (2) electrical outlets uncovered. The administrator coved the electrical outlet during the visit. I reiterated the importance of conduct classroom checks to ensure a safe environment is provided. Rule Reference: 10A NCAC 09 .0604(c) Item 840- Space 5, two (2) aerosol cans were located in an unlocked cabinet. The administrator stated that it had a magnetic lock. However, the magnetic lock was not latching. The administrator stated that she would get that replaced and add a combination to the outside of the cabinet until the latch could be replaced. Rule Reference: 15A NCAC 18A .2820(b) Item 842- Space 4, three (3) medications without permission to administer medication form on-site. We discussed returning the medications back to the parents this afternoon or having the parents complete the permission to administer medication during pick up. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 858- Space 4, One (1) plastic diaper packaging under the diaper changer was accessible to the children. Space 5, plastic diaper and wipe packaging below the diaper changer accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. The staff moved the plastic diaper and wipe packaging inaccessible to the children during the visit. Rule Reference: 10A NCAC 09 .0604(q) Item 887- Space 4, current safe sleep charts for this week were unable to be located. The typical staff member assigned to the classroom was out due to family emergency. The staff member filling in is not a typical staff and was not aware of where the current forms were at. The staff member present started new safe sleep check charts during the visit to begin documenting sleep checks every fifteen (15) minutes. We discussed speaking with the assigned staff member when they return to develop a plan of where the charts will be located during their absence. Rule Reference: 10A NCAC 09 .0606(g) Item 1123- The gray van used to transport children, trash was in the floor under the seats. We discussed that after any field trips, the staff would need to ensure any trash is picked up and discarded. Rule Reference: 10A NCAC 09.1002(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/24/2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed the transportation safety procedures during the visit now that summer care has started. We reviewed the safe sleep procedures for children twelve months younger. Ensuring staff understand that safe sleep procedures apply to each child until they are thirteen months old. I recommended reaching out to Patricia Lee, RN, Child Care Health Consultant, (828) 698-0674 ext. 173, patricial@childrenandfamily.org to conduct a safe sleep refresher and general health and safety training. The Healthy Social Behaviors Project (HSB) helpline for managing challenging behaviors telephone number (1-888-600-1685 Option 1), online portal, and Talk to the Expert space in the Social-Emotional Connections is available. Healthy Social Behaviors Project (HSB) now have an email for requesting HSB Coaching or training: HSB@ChildCareResourcesInc.org. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0803 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/10/2026 Number Present: 45 Completed Date: 6/10/2026 Age: From 0 To 9 Total Minutes: 240 Time In: 10:45 AM Time Out: 02:45 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. The program operates with a GS 110-106 Notice of Compliance, issued 8/2/2024. The permit restrictions were in compliance including first shift, no children under age three on second floor. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 6/9/2026. Samantah Garren, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/9/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid ITS-SIDS Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed space 1, currently closed for the summer and not in use. This space will reopen August 10, 2026. Space #2, the group of one- and two-year-old children were at chapel. After chapel, the group transitioned into wash hands and transitioned to lunch. Space #3 was closed due to staffing shortage. Space #4, the group of infants were engaged in exploring the classroom, activity seats, swing, and staff member was holding a child while conducting individual feeding. While monitoring the classroom space, I observed three (3) medications without permission to administer medication form on-site. We discussed returning the medications back to the parents this afternoon or having the parents complete the permission to administer medication during pick up. One (1) plastic diaper packaging under the diaper changer was accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. Two (2) electrical outlets uncovered. The administrator corrected during the visit and reiterated the importance of conducting classroom checks throughout the day to ensure safety. Current safe sleep charts were unable to be located. The typical staff member assigned to the classroom was out due to family emergency. The staff member filling in is not a typical staff and was not aware of where the current forms were at. The staff member present started new safe sleep check charts during the visit to begin documenting sleep checks every fifteen (15) minutes. We discussed speaking with the assigned staff member when they return to develop a plan of where the charts will be located during their absence. Space #5 the group of one year old children were preparing to transition to the cafeteria for lunch. While monitoring the classroom space, I observed plastic diaper and wipe packaging below the diaper changer accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. Two (2) aerosol cans were located in an unlocked cabinet. The administrator stated that it had a magnetic lock. However, the magnetic lock was not latching. The administrator stated that she would get that replaced and add a key lock to the lock on the outside of the cabinet until the latch could be replaced. Space #6, the group of two- to three-year-olds were at chapel. After chapel, the group prepared for lunch. While monitoring the classroom space, I observed two (2) electrical outlets uncovered near the built in cabinet. The administrator covered the electrical outlets with a safety outlet plug during the visit. I reiterated the importance of conduct classroom checks to ensure a safe environment is provided. Space #7 is the cafeteria space, I observed space 2, 5, and 6, eating lunch. While monitoring the cafeteria, I observed the mechanical room unlocked and accessible to the children. The administrator locked it during the visit. We discussed following up with staff to conduct check to ensure all doors are locked and the environment is safe for children (ex. Electrical outlets covered, hazardous products locked, etc). Space #8, the group of four- to five-year-old children were transitioning outdoors for gross motor play. After gross motor play, the group transitioned indoors to use the restroom and prepare for lunch. While monitoring the classroom space, I observed the heat vent located around the base of the classroom was broken under the windows. We discussed the heat vent would need to be repaired as some areas were sharp and a child could potentially get their foot or arm stuck in the vent. Space #9, the group of five- to- nine- year- old children were engaged a group activity of Pictionary and two (2) children were engaged in building. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 was closed today due to staff shortage. The eight (8) children present were divided into space 6 and 8 to maintain staff/child ratio. Space #12 is currently being as storage. All staff were supervising the children and engaging in play and conversations. Lunch consisted of cheeseburger, fries, peaches, and milk. While monitoring outdoors, I observed the preschool playground is currently under renovations and a new climbing structure is being installed. The facility has temporarily sectioned off the preschool playground to allow an area for one (1) class to engage in gross motor play at a time. The toddler playground is missing shade due to the tree being damaged during Tropical Storm Helene. The tree was removed. The facility is currently in the process of purchasing and installing sun shades. The administrator stated a playground schedule has been developed to ensure each group receives their outside time daily. The children are also able to use the grassy field next to the fenced in playground that has a gaga pit and volleyball net. When the grassy field is used, the staff bring portable outdoor equipment for the children to use (ex. Balls, hula hoops, frisbees, stepping stones, balance beams, etc). The last fire drill was practiced on 5/13/2026. The last emergency drill, lockdown drill, was practiced on 6/2/2026. The last fire inspection was approved on 2/18/2025. Current fire inspection completed has the exact same date as the previous inspection. The administrator was asked if she had any documentation to verify the inspection was completed this year instead of 2025. The administrator was unable to locate any documentation. The administrator did reach out to the fire marshal during the visit via text message, however, the fire marshal did respond during the visit to request my email address. No updated documentation was received prior to the end of the visit. The program’s most recent sanitation inspection was completed on 1/16/2026, with nine (9) demerits. The last playground inspection was completed on 5/25/2026. The Emergency Medical Care Plan is posted and current. The program does provide transportation. You stated that you do transport school age children ages five to nine years old during the summer. We discussed the requirements for off premises activities. I monitored the white and gray van during today’s visit. The gray van is the only vehicle being used by the child care facility. While monitoring the gray van, I observed trash in the floor under the seats. We discussed that after any field trips, the staff would need to ensure any trash is picked up and discarded. The white van is used by the church. I stated before the white van could be used by the child care facility, the staff will need to ensure the current tag registration is completed, sticker on the tag, and registration card in the vehicle. Then the staff would need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Also, the van would need to be cleaned of trash that was located under the seats. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There were two (2) new staff member since the last annual compliance visit. All staff files met requirements. One staff member hired 2/6/2023 ITS-SIDS on file was dated 2/20/2026 and renewed on 5/5/2026. When asked the administrator stated the staff member was working with children ages 18 months and older till 5/26/2026. Her ITS-SIDS certification was renewed prior to being assigned to the infant classroom. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ 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 last fire inspection was approved on 2/18/2025 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. Space 7, the mechanical room unlocked and accessible to children. Space 8, the heat vent located around the base of the classroom was broken under the windows. 10A NCAC 09 .0601(a) 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. Space 6, two (2) electrical outlets uncovered near the built in cabinet. Space 4, two (2) electrical outlets uncovered. 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. Space 5, two (2) aerosol cans were located in an unlocked cabinet. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space 4, three (3) medications without permission to administer medication form on-site. 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space 4, One (1) plastic diaper packaging under the diaper changer was accessible to the children. Space 5, plastic diaper and wipe packaging below the diaper changer accessible to the children. .0604(q) 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. Space 4, current safe sleep charts for this week were unable to be located. .0606(g) 1123 All vehicles used to transport children were not free of hazards. The gray van used to transport children, trash was in the floor under the seats. 10A NCAC 09 .1002(a) Technical assistance was provided as follows: Item 106- The last fire inspection was approved on 2/18/2025. Current fire inspection completed has the exact same date as the previous inspection. The administrator was asked if she had any documentation to verify the inspection was completed this year instead of 2025. The administrator was unable to locate any documentation. The administrator did reach out to the fire marshal during the visit via text message, however, the fire marshal did not respond during the visit. Rule Reference: 10A NCAC 09 .0304(a) Item 807- Space 7, the mechanical room unlocked and accessible to children. The administrator locked it during the visit. We discussed following up with staff to conduct check to ensure all doors are locked and the environment is safe for children (ex. Electrical outlets covered, hazardous products locked, etc). Space 8, the heat vent located around the base of the classroom was broken under the windows. We discussed the heat vent would need to be repaired as some areas were sharp and a child could potentially get their foot or arm stuck in the vent. Rule Reference: 10A NCAC 09 .0601(a) Item 812- Space 6, two (2) electrical outlets uncovered near the built in cabinet. The administrator covered the electrical outlets with a safety outlet plug during the visit. Space 4, two (2) electrical outlets uncovered. The administrator coved the electrical outlet during the visit. I reiterated the importance of conduct classroom checks to ensure a safe environment is provided. Rule Reference: 10A NCAC 09 .0604(c) Item 840- Space 5, two (2) aerosol cans were located in an unlocked cabinet. The administrator stated that it had a magnetic lock. However, the magnetic lock was not latching. The administrator stated that she would get that replaced and add a combination to the outside of the cabinet until the latch could be replaced. Rule Reference: 15A NCAC 18A .2820(b) Item 842- Space 4, three (3) medications without permission to administer medication form on-site. We discussed returning the medications back to the parents this afternoon or having the parents complete the permission to administer medication during pick up. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 858- Space 4, One (1) plastic diaper packaging under the diaper changer was accessible to the children. Space 5, plastic diaper and wipe packaging below the diaper changer accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. The staff moved the plastic diaper and wipe packaging inaccessible to the children during the visit. Rule Reference: 10A NCAC 09 .0604(q) Item 887- Space 4, current safe sleep charts for this week were unable to be located. The typical staff member assigned to the classroom was out due to family emergency. The staff member filling in is not a typical staff and was not aware of where the current forms were at. The staff member present started new safe sleep check charts during the visit to begin documenting sleep checks every fifteen (15) minutes. We discussed speaking with the assigned staff member when they return to develop a plan of where the charts will be located during their absence. Rule Reference: 10A NCAC 09 .0606(g) Item 1123- The gray van used to transport children, trash was in the floor under the seats. We discussed that after any field trips, the staff would need to ensure any trash is picked up and discarded. Rule Reference: 10A NCAC 09.1002(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/24/2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed the transportation safety procedures during the visit now that summer care has started. We reviewed the safe sleep procedures for children twelve months younger. Ensuring staff understand that safe sleep procedures apply to each child until they are thirteen months old. I recommended reaching out to Patricia Lee, RN, Child Care Health Consultant, (828) 698-0674 ext. 173, patricial@childrenandfamily.org to conduct a safe sleep refresher and general health and safety training. The Healthy Social Behaviors Project (HSB) helpline for managing challenging behaviors telephone number (1-888-600-1685 Option 1), online portal, and Talk to the Expert space in the Social-Emotional Connections is available. Healthy Social Behaviors Project (HSB) now have an email for requesting HSB Coaching or training: HSB@ChildCareResourcesInc.org. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1002 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/10/2026 Number Present: 45 Completed Date: 6/10/2026 Age: From 0 To 9 Total Minutes: 240 Time In: 10:45 AM Time Out: 02:45 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. The program operates with a GS 110-106 Notice of Compliance, issued 8/2/2024. The permit restrictions were in compliance including first shift, no children under age three on second floor. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 6/9/2026. Samantah Garren, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/9/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid ITS-SIDS Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed space 1, currently closed for the summer and not in use. This space will reopen August 10, 2026. Space #2, the group of one- and two-year-old children were at chapel. After chapel, the group transitioned into wash hands and transitioned to lunch. Space #3 was closed due to staffing shortage. Space #4, the group of infants were engaged in exploring the classroom, activity seats, swing, and staff member was holding a child while conducting individual feeding. While monitoring the classroom space, I observed three (3) medications without permission to administer medication form on-site. We discussed returning the medications back to the parents this afternoon or having the parents complete the permission to administer medication during pick up. One (1) plastic diaper packaging under the diaper changer was accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. Two (2) electrical outlets uncovered. The administrator corrected during the visit and reiterated the importance of conducting classroom checks throughout the day to ensure safety. Current safe sleep charts were unable to be located. The typical staff member assigned to the classroom was out due to family emergency. The staff member filling in is not a typical staff and was not aware of where the current forms were at. The staff member present started new safe sleep check charts during the visit to begin documenting sleep checks every fifteen (15) minutes. We discussed speaking with the assigned staff member when they return to develop a plan of where the charts will be located during their absence. Space #5 the group of one year old children were preparing to transition to the cafeteria for lunch. While monitoring the classroom space, I observed plastic diaper and wipe packaging below the diaper changer accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. Two (2) aerosol cans were located in an unlocked cabinet. The administrator stated that it had a magnetic lock. However, the magnetic lock was not latching. The administrator stated that she would get that replaced and add a key lock to the lock on the outside of the cabinet until the latch could be replaced. Space #6, the group of two- to three-year-olds were at chapel. After chapel, the group prepared for lunch. While monitoring the classroom space, I observed two (2) electrical outlets uncovered near the built in cabinet. The administrator covered the electrical outlets with a safety outlet plug during the visit. I reiterated the importance of conduct classroom checks to ensure a safe environment is provided. Space #7 is the cafeteria space, I observed space 2, 5, and 6, eating lunch. While monitoring the cafeteria, I observed the mechanical room unlocked and accessible to the children. The administrator locked it during the visit. We discussed following up with staff to conduct check to ensure all doors are locked and the environment is safe for children (ex. Electrical outlets covered, hazardous products locked, etc). Space #8, the group of four- to five-year-old children were transitioning outdoors for gross motor play. After gross motor play, the group transitioned indoors to use the restroom and prepare for lunch. While monitoring the classroom space, I observed the heat vent located around the base of the classroom was broken under the windows. We discussed the heat vent would need to be repaired as some areas were sharp and a child could potentially get their foot or arm stuck in the vent. Space #9, the group of five- to- nine- year- old children were engaged a group activity of Pictionary and two (2) children were engaged in building. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 was closed today due to staff shortage. The eight (8) children present were divided into space 6 and 8 to maintain staff/child ratio. Space #12 is currently being as storage. All staff were supervising the children and engaging in play and conversations. Lunch consisted of cheeseburger, fries, peaches, and milk. While monitoring outdoors, I observed the preschool playground is currently under renovations and a new climbing structure is being installed. The facility has temporarily sectioned off the preschool playground to allow an area for one (1) class to engage in gross motor play at a time. The toddler playground is missing shade due to the tree being damaged during Tropical Storm Helene. The tree was removed. The facility is currently in the process of purchasing and installing sun shades. The administrator stated a playground schedule has been developed to ensure each group receives their outside time daily. The children are also able to use the grassy field next to the fenced in playground that has a gaga pit and volleyball net. When the grassy field is used, the staff bring portable outdoor equipment for the children to use (ex. Balls, hula hoops, frisbees, stepping stones, balance beams, etc). The last fire drill was practiced on 5/13/2026. The last emergency drill, lockdown drill, was practiced on 6/2/2026. The last fire inspection was approved on 2/18/2025. Current fire inspection completed has the exact same date as the previous inspection. The administrator was asked if she had any documentation to verify the inspection was completed this year instead of 2025. The administrator was unable to locate any documentation. The administrator did reach out to the fire marshal during the visit via text message, however, the fire marshal did respond during the visit to request my email address. No updated documentation was received prior to the end of the visit. The program’s most recent sanitation inspection was completed on 1/16/2026, with nine (9) demerits. The last playground inspection was completed on 5/25/2026. The Emergency Medical Care Plan is posted and current. The program does provide transportation. You stated that you do transport school age children ages five to nine years old during the summer. We discussed the requirements for off premises activities. I monitored the white and gray van during today’s visit. The gray van is the only vehicle being used by the child care facility. While monitoring the gray van, I observed trash in the floor under the seats. We discussed that after any field trips, the staff would need to ensure any trash is picked up and discarded. The white van is used by the church. I stated before the white van could be used by the child care facility, the staff will need to ensure the current tag registration is completed, sticker on the tag, and registration card in the vehicle. Then the staff would need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Also, the van would need to be cleaned of trash that was located under the seats. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There were two (2) new staff member since the last annual compliance visit. All staff files met requirements. One staff member hired 2/6/2023 ITS-SIDS on file was dated 2/20/2026 and renewed on 5/5/2026. When asked the administrator stated the staff member was working with children ages 18 months and older till 5/26/2026. Her ITS-SIDS certification was renewed prior to being assigned to the infant classroom. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ 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 last fire inspection was approved on 2/18/2025 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. Space 7, the mechanical room unlocked and accessible to children. Space 8, the heat vent located around the base of the classroom was broken under the windows. 10A NCAC 09 .0601(a) 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. Space 6, two (2) electrical outlets uncovered near the built in cabinet. Space 4, two (2) electrical outlets uncovered. 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. Space 5, two (2) aerosol cans were located in an unlocked cabinet. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space 4, three (3) medications without permission to administer medication form on-site. 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space 4, One (1) plastic diaper packaging under the diaper changer was accessible to the children. Space 5, plastic diaper and wipe packaging below the diaper changer accessible to the children. .0604(q) 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. Space 4, current safe sleep charts for this week were unable to be located. .0606(g) 1123 All vehicles used to transport children were not free of hazards. The gray van used to transport children, trash was in the floor under the seats. 10A NCAC 09 .1002(a) Technical assistance was provided as follows: Item 106- The last fire inspection was approved on 2/18/2025. Current fire inspection completed has the exact same date as the previous inspection. The administrator was asked if she had any documentation to verify the inspection was completed this year instead of 2025. The administrator was unable to locate any documentation. The administrator did reach out to the fire marshal during the visit via text message, however, the fire marshal did not respond during the visit. Rule Reference: 10A NCAC 09 .0304(a) Item 807- Space 7, the mechanical room unlocked and accessible to children. The administrator locked it during the visit. We discussed following up with staff to conduct check to ensure all doors are locked and the environment is safe for children (ex. Electrical outlets covered, hazardous products locked, etc). Space 8, the heat vent located around the base of the classroom was broken under the windows. We discussed the heat vent would need to be repaired as some areas were sharp and a child could potentially get their foot or arm stuck in the vent. Rule Reference: 10A NCAC 09 .0601(a) Item 812- Space 6, two (2) electrical outlets uncovered near the built in cabinet. The administrator covered the electrical outlets with a safety outlet plug during the visit. Space 4, two (2) electrical outlets uncovered. The administrator coved the electrical outlet during the visit. I reiterated the importance of conduct classroom checks to ensure a safe environment is provided. Rule Reference: 10A NCAC 09 .0604(c) Item 840- Space 5, two (2) aerosol cans were located in an unlocked cabinet. The administrator stated that it had a magnetic lock. However, the magnetic lock was not latching. The administrator stated that she would get that replaced and add a combination to the outside of the cabinet until the latch could be replaced. Rule Reference: 15A NCAC 18A .2820(b) Item 842- Space 4, three (3) medications without permission to administer medication form on-site. We discussed returning the medications back to the parents this afternoon or having the parents complete the permission to administer medication during pick up. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 858- Space 4, One (1) plastic diaper packaging under the diaper changer was accessible to the children. Space 5, plastic diaper and wipe packaging below the diaper changer accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. The staff moved the plastic diaper and wipe packaging inaccessible to the children during the visit. Rule Reference: 10A NCAC 09 .0604(q) Item 887- Space 4, current safe sleep charts for this week were unable to be located. The typical staff member assigned to the classroom was out due to family emergency. The staff member filling in is not a typical staff and was not aware of where the current forms were at. The staff member present started new safe sleep check charts during the visit to begin documenting sleep checks every fifteen (15) minutes. We discussed speaking with the assigned staff member when they return to develop a plan of where the charts will be located during their absence. Rule Reference: 10A NCAC 09 .0606(g) Item 1123- The gray van used to transport children, trash was in the floor under the seats. We discussed that after any field trips, the staff would need to ensure any trash is picked up and discarded. Rule Reference: 10A NCAC 09.1002(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/24/2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed the transportation safety procedures during the visit now that summer care has started. We reviewed the safe sleep procedures for children twelve months younger. Ensuring staff understand that safe sleep procedures apply to each child until they are thirteen months old. I recommended reaching out to Patricia Lee, RN, Child Care Health Consultant, (828) 698-0674 ext. 173, patricial@childrenandfamily.org to conduct a safe sleep refresher and general health and safety training. The Healthy Social Behaviors Project (HSB) helpline for managing challenging behaviors telephone number (1-888-600-1685 Option 1), online portal, and Talk to the Expert space in the Social-Emotional Connections is available. Healthy Social Behaviors Project (HSB) now have an email for requesting HSB Coaching or training: HSB@ChildCareResourcesInc.org. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1102 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/10/2026 Number Present: 45 Completed Date: 6/10/2026 Age: From 0 To 9 Total Minutes: 240 Time In: 10:45 AM Time Out: 02:45 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. The program operates with a GS 110-106 Notice of Compliance, issued 8/2/2024. The permit restrictions were in compliance including first shift, no children under age three on second floor. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 6/9/2026. Samantah Garren, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/9/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid ITS-SIDS Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed space 1, currently closed for the summer and not in use. This space will reopen August 10, 2026. Space #2, the group of one- and two-year-old children were at chapel. After chapel, the group transitioned into wash hands and transitioned to lunch. Space #3 was closed due to staffing shortage. Space #4, the group of infants were engaged in exploring the classroom, activity seats, swing, and staff member was holding a child while conducting individual feeding. While monitoring the classroom space, I observed three (3) medications without permission to administer medication form on-site. We discussed returning the medications back to the parents this afternoon or having the parents complete the permission to administer medication during pick up. One (1) plastic diaper packaging under the diaper changer was accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. Two (2) electrical outlets uncovered. The administrator corrected during the visit and reiterated the importance of conducting classroom checks throughout the day to ensure safety. Current safe sleep charts were unable to be located. The typical staff member assigned to the classroom was out due to family emergency. The staff member filling in is not a typical staff and was not aware of where the current forms were at. The staff member present started new safe sleep check charts during the visit to begin documenting sleep checks every fifteen (15) minutes. We discussed speaking with the assigned staff member when they return to develop a plan of where the charts will be located during their absence. Space #5 the group of one year old children were preparing to transition to the cafeteria for lunch. While monitoring the classroom space, I observed plastic diaper and wipe packaging below the diaper changer accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. Two (2) aerosol cans were located in an unlocked cabinet. The administrator stated that it had a magnetic lock. However, the magnetic lock was not latching. The administrator stated that she would get that replaced and add a key lock to the lock on the outside of the cabinet until the latch could be replaced. Space #6, the group of two- to three-year-olds were at chapel. After chapel, the group prepared for lunch. While monitoring the classroom space, I observed two (2) electrical outlets uncovered near the built in cabinet. The administrator covered the electrical outlets with a safety outlet plug during the visit. I reiterated the importance of conduct classroom checks to ensure a safe environment is provided. Space #7 is the cafeteria space, I observed space 2, 5, and 6, eating lunch. While monitoring the cafeteria, I observed the mechanical room unlocked and accessible to the children. The administrator locked it during the visit. We discussed following up with staff to conduct check to ensure all doors are locked and the environment is safe for children (ex. Electrical outlets covered, hazardous products locked, etc). Space #8, the group of four- to five-year-old children were transitioning outdoors for gross motor play. After gross motor play, the group transitioned indoors to use the restroom and prepare for lunch. While monitoring the classroom space, I observed the heat vent located around the base of the classroom was broken under the windows. We discussed the heat vent would need to be repaired as some areas were sharp and a child could potentially get their foot or arm stuck in the vent. Space #9, the group of five- to- nine- year- old children were engaged a group activity of Pictionary and two (2) children were engaged in building. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 was closed today due to staff shortage. The eight (8) children present were divided into space 6 and 8 to maintain staff/child ratio. Space #12 is currently being as storage. All staff were supervising the children and engaging in play and conversations. Lunch consisted of cheeseburger, fries, peaches, and milk. While monitoring outdoors, I observed the preschool playground is currently under renovations and a new climbing structure is being installed. The facility has temporarily sectioned off the preschool playground to allow an area for one (1) class to engage in gross motor play at a time. The toddler playground is missing shade due to the tree being damaged during Tropical Storm Helene. The tree was removed. The facility is currently in the process of purchasing and installing sun shades. The administrator stated a playground schedule has been developed to ensure each group receives their outside time daily. The children are also able to use the grassy field next to the fenced in playground that has a gaga pit and volleyball net. When the grassy field is used, the staff bring portable outdoor equipment for the children to use (ex. Balls, hula hoops, frisbees, stepping stones, balance beams, etc). The last fire drill was practiced on 5/13/2026. The last emergency drill, lockdown drill, was practiced on 6/2/2026. The last fire inspection was approved on 2/18/2025. Current fire inspection completed has the exact same date as the previous inspection. The administrator was asked if she had any documentation to verify the inspection was completed this year instead of 2025. The administrator was unable to locate any documentation. The administrator did reach out to the fire marshal during the visit via text message, however, the fire marshal did respond during the visit to request my email address. No updated documentation was received prior to the end of the visit. The program’s most recent sanitation inspection was completed on 1/16/2026, with nine (9) demerits. The last playground inspection was completed on 5/25/2026. The Emergency Medical Care Plan is posted and current. The program does provide transportation. You stated that you do transport school age children ages five to nine years old during the summer. We discussed the requirements for off premises activities. I monitored the white and gray van during today’s visit. The gray van is the only vehicle being used by the child care facility. While monitoring the gray van, I observed trash in the floor under the seats. We discussed that after any field trips, the staff would need to ensure any trash is picked up and discarded. The white van is used by the church. I stated before the white van could be used by the child care facility, the staff will need to ensure the current tag registration is completed, sticker on the tag, and registration card in the vehicle. Then the staff would need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Also, the van would need to be cleaned of trash that was located under the seats. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There were two (2) new staff member since the last annual compliance visit. All staff files met requirements. One staff member hired 2/6/2023 ITS-SIDS on file was dated 2/20/2026 and renewed on 5/5/2026. When asked the administrator stated the staff member was working with children ages 18 months and older till 5/26/2026. Her ITS-SIDS certification was renewed prior to being assigned to the infant classroom. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ 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 last fire inspection was approved on 2/18/2025 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. Space 7, the mechanical room unlocked and accessible to children. Space 8, the heat vent located around the base of the classroom was broken under the windows. 10A NCAC 09 .0601(a) 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. Space 6, two (2) electrical outlets uncovered near the built in cabinet. Space 4, two (2) electrical outlets uncovered. 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. Space 5, two (2) aerosol cans were located in an unlocked cabinet. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space 4, three (3) medications without permission to administer medication form on-site. 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space 4, One (1) plastic diaper packaging under the diaper changer was accessible to the children. Space 5, plastic diaper and wipe packaging below the diaper changer accessible to the children. .0604(q) 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. Space 4, current safe sleep charts for this week were unable to be located. .0606(g) 1123 All vehicles used to transport children were not free of hazards. The gray van used to transport children, trash was in the floor under the seats. 10A NCAC 09 .1002(a) Technical assistance was provided as follows: Item 106- The last fire inspection was approved on 2/18/2025. Current fire inspection completed has the exact same date as the previous inspection. The administrator was asked if she had any documentation to verify the inspection was completed this year instead of 2025. The administrator was unable to locate any documentation. The administrator did reach out to the fire marshal during the visit via text message, however, the fire marshal did not respond during the visit. Rule Reference: 10A NCAC 09 .0304(a) Item 807- Space 7, the mechanical room unlocked and accessible to children. The administrator locked it during the visit. We discussed following up with staff to conduct check to ensure all doors are locked and the environment is safe for children (ex. Electrical outlets covered, hazardous products locked, etc). Space 8, the heat vent located around the base of the classroom was broken under the windows. We discussed the heat vent would need to be repaired as some areas were sharp and a child could potentially get their foot or arm stuck in the vent. Rule Reference: 10A NCAC 09 .0601(a) Item 812- Space 6, two (2) electrical outlets uncovered near the built in cabinet. The administrator covered the electrical outlets with a safety outlet plug during the visit. Space 4, two (2) electrical outlets uncovered. The administrator coved the electrical outlet during the visit. I reiterated the importance of conduct classroom checks to ensure a safe environment is provided. Rule Reference: 10A NCAC 09 .0604(c) Item 840- Space 5, two (2) aerosol cans were located in an unlocked cabinet. The administrator stated that it had a magnetic lock. However, the magnetic lock was not latching. The administrator stated that she would get that replaced and add a combination to the outside of the cabinet until the latch could be replaced. Rule Reference: 15A NCAC 18A .2820(b) Item 842- Space 4, three (3) medications without permission to administer medication form on-site. We discussed returning the medications back to the parents this afternoon or having the parents complete the permission to administer medication during pick up. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 858- Space 4, One (1) plastic diaper packaging under the diaper changer was accessible to the children. Space 5, plastic diaper and wipe packaging below the diaper changer accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. The staff moved the plastic diaper and wipe packaging inaccessible to the children during the visit. Rule Reference: 10A NCAC 09 .0604(q) Item 887- Space 4, current safe sleep charts for this week were unable to be located. The typical staff member assigned to the classroom was out due to family emergency. The staff member filling in is not a typical staff and was not aware of where the current forms were at. The staff member present started new safe sleep check charts during the visit to begin documenting sleep checks every fifteen (15) minutes. We discussed speaking with the assigned staff member when they return to develop a plan of where the charts will be located during their absence. Rule Reference: 10A NCAC 09 .0606(g) Item 1123- The gray van used to transport children, trash was in the floor under the seats. We discussed that after any field trips, the staff would need to ensure any trash is picked up and discarded. Rule Reference: 10A NCAC 09.1002(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/24/2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed the transportation safety procedures during the visit now that summer care has started. We reviewed the safe sleep procedures for children twelve months younger. Ensuring staff understand that safe sleep procedures apply to each child until they are thirteen months old. I recommended reaching out to Patricia Lee, RN, Child Care Health Consultant, (828) 698-0674 ext. 173, patricial@childrenandfamily.org to conduct a safe sleep refresher and general health and safety training. The Healthy Social Behaviors Project (HSB) helpline for managing challenging behaviors telephone number (1-888-600-1685 Option 1), online portal, and Talk to the Expert space in the Social-Emotional Connections is available. Healthy Social Behaviors Project (HSB) now have an email for requesting HSB Coaching or training: HSB@ChildCareResourcesInc.org. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1703 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/10/2026 Number Present: 45 Completed Date: 6/10/2026 Age: From 0 To 9 Total Minutes: 240 Time In: 10:45 AM Time Out: 02:45 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. The program operates with a GS 110-106 Notice of Compliance, issued 8/2/2024. The permit restrictions were in compliance including first shift, no children under age three on second floor. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 6/9/2026. Samantah Garren, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/9/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid ITS-SIDS Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed space 1, currently closed for the summer and not in use. This space will reopen August 10, 2026. Space #2, the group of one- and two-year-old children were at chapel. After chapel, the group transitioned into wash hands and transitioned to lunch. Space #3 was closed due to staffing shortage. Space #4, the group of infants were engaged in exploring the classroom, activity seats, swing, and staff member was holding a child while conducting individual feeding. While monitoring the classroom space, I observed three (3) medications without permission to administer medication form on-site. We discussed returning the medications back to the parents this afternoon or having the parents complete the permission to administer medication during pick up. One (1) plastic diaper packaging under the diaper changer was accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. Two (2) electrical outlets uncovered. The administrator corrected during the visit and reiterated the importance of conducting classroom checks throughout the day to ensure safety. Current safe sleep charts were unable to be located. The typical staff member assigned to the classroom was out due to family emergency. The staff member filling in is not a typical staff and was not aware of where the current forms were at. The staff member present started new safe sleep check charts during the visit to begin documenting sleep checks every fifteen (15) minutes. We discussed speaking with the assigned staff member when they return to develop a plan of where the charts will be located during their absence. Space #5 the group of one year old children were preparing to transition to the cafeteria for lunch. While monitoring the classroom space, I observed plastic diaper and wipe packaging below the diaper changer accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. Two (2) aerosol cans were located in an unlocked cabinet. The administrator stated that it had a magnetic lock. However, the magnetic lock was not latching. The administrator stated that she would get that replaced and add a key lock to the lock on the outside of the cabinet until the latch could be replaced. Space #6, the group of two- to three-year-olds were at chapel. After chapel, the group prepared for lunch. While monitoring the classroom space, I observed two (2) electrical outlets uncovered near the built in cabinet. The administrator covered the electrical outlets with a safety outlet plug during the visit. I reiterated the importance of conduct classroom checks to ensure a safe environment is provided. Space #7 is the cafeteria space, I observed space 2, 5, and 6, eating lunch. While monitoring the cafeteria, I observed the mechanical room unlocked and accessible to the children. The administrator locked it during the visit. We discussed following up with staff to conduct check to ensure all doors are locked and the environment is safe for children (ex. Electrical outlets covered, hazardous products locked, etc). Space #8, the group of four- to five-year-old children were transitioning outdoors for gross motor play. After gross motor play, the group transitioned indoors to use the restroom and prepare for lunch. While monitoring the classroom space, I observed the heat vent located around the base of the classroom was broken under the windows. We discussed the heat vent would need to be repaired as some areas were sharp and a child could potentially get their foot or arm stuck in the vent. Space #9, the group of five- to- nine- year- old children were engaged a group activity of Pictionary and two (2) children were engaged in building. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 was closed today due to staff shortage. The eight (8) children present were divided into space 6 and 8 to maintain staff/child ratio. Space #12 is currently being as storage. All staff were supervising the children and engaging in play and conversations. Lunch consisted of cheeseburger, fries, peaches, and milk. While monitoring outdoors, I observed the preschool playground is currently under renovations and a new climbing structure is being installed. The facility has temporarily sectioned off the preschool playground to allow an area for one (1) class to engage in gross motor play at a time. The toddler playground is missing shade due to the tree being damaged during Tropical Storm Helene. The tree was removed. The facility is currently in the process of purchasing and installing sun shades. The administrator stated a playground schedule has been developed to ensure each group receives their outside time daily. The children are also able to use the grassy field next to the fenced in playground that has a gaga pit and volleyball net. When the grassy field is used, the staff bring portable outdoor equipment for the children to use (ex. Balls, hula hoops, frisbees, stepping stones, balance beams, etc). The last fire drill was practiced on 5/13/2026. The last emergency drill, lockdown drill, was practiced on 6/2/2026. The last fire inspection was approved on 2/18/2025. Current fire inspection completed has the exact same date as the previous inspection. The administrator was asked if she had any documentation to verify the inspection was completed this year instead of 2025. The administrator was unable to locate any documentation. The administrator did reach out to the fire marshal during the visit via text message, however, the fire marshal did respond during the visit to request my email address. No updated documentation was received prior to the end of the visit. The program’s most recent sanitation inspection was completed on 1/16/2026, with nine (9) demerits. The last playground inspection was completed on 5/25/2026. The Emergency Medical Care Plan is posted and current. The program does provide transportation. You stated that you do transport school age children ages five to nine years old during the summer. We discussed the requirements for off premises activities. I monitored the white and gray van during today’s visit. The gray van is the only vehicle being used by the child care facility. While monitoring the gray van, I observed trash in the floor under the seats. We discussed that after any field trips, the staff would need to ensure any trash is picked up and discarded. The white van is used by the church. I stated before the white van could be used by the child care facility, the staff will need to ensure the current tag registration is completed, sticker on the tag, and registration card in the vehicle. Then the staff would need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Also, the van would need to be cleaned of trash that was located under the seats. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There were two (2) new staff member since the last annual compliance visit. All staff files met requirements. One staff member hired 2/6/2023 ITS-SIDS on file was dated 2/20/2026 and renewed on 5/5/2026. When asked the administrator stated the staff member was working with children ages 18 months and older till 5/26/2026. Her ITS-SIDS certification was renewed prior to being assigned to the infant classroom. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ 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 last fire inspection was approved on 2/18/2025 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. Space 7, the mechanical room unlocked and accessible to children. Space 8, the heat vent located around the base of the classroom was broken under the windows. 10A NCAC 09 .0601(a) 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. Space 6, two (2) electrical outlets uncovered near the built in cabinet. Space 4, two (2) electrical outlets uncovered. 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. Space 5, two (2) aerosol cans were located in an unlocked cabinet. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space 4, three (3) medications without permission to administer medication form on-site. 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space 4, One (1) plastic diaper packaging under the diaper changer was accessible to the children. Space 5, plastic diaper and wipe packaging below the diaper changer accessible to the children. .0604(q) 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. Space 4, current safe sleep charts for this week were unable to be located. .0606(g) 1123 All vehicles used to transport children were not free of hazards. The gray van used to transport children, trash was in the floor under the seats. 10A NCAC 09 .1002(a) Technical assistance was provided as follows: Item 106- The last fire inspection was approved on 2/18/2025. Current fire inspection completed has the exact same date as the previous inspection. The administrator was asked if she had any documentation to verify the inspection was completed this year instead of 2025. The administrator was unable to locate any documentation. The administrator did reach out to the fire marshal during the visit via text message, however, the fire marshal did not respond during the visit. Rule Reference: 10A NCAC 09 .0304(a) Item 807- Space 7, the mechanical room unlocked and accessible to children. The administrator locked it during the visit. We discussed following up with staff to conduct check to ensure all doors are locked and the environment is safe for children (ex. Electrical outlets covered, hazardous products locked, etc). Space 8, the heat vent located around the base of the classroom was broken under the windows. We discussed the heat vent would need to be repaired as some areas were sharp and a child could potentially get their foot or arm stuck in the vent. Rule Reference: 10A NCAC 09 .0601(a) Item 812- Space 6, two (2) electrical outlets uncovered near the built in cabinet. The administrator covered the electrical outlets with a safety outlet plug during the visit. Space 4, two (2) electrical outlets uncovered. The administrator coved the electrical outlet during the visit. I reiterated the importance of conduct classroom checks to ensure a safe environment is provided. Rule Reference: 10A NCAC 09 .0604(c) Item 840- Space 5, two (2) aerosol cans were located in an unlocked cabinet. The administrator stated that it had a magnetic lock. However, the magnetic lock was not latching. The administrator stated that she would get that replaced and add a combination to the outside of the cabinet until the latch could be replaced. Rule Reference: 15A NCAC 18A .2820(b) Item 842- Space 4, three (3) medications without permission to administer medication form on-site. We discussed returning the medications back to the parents this afternoon or having the parents complete the permission to administer medication during pick up. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 858- Space 4, One (1) plastic diaper packaging under the diaper changer was accessible to the children. Space 5, plastic diaper and wipe packaging below the diaper changer accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. The staff moved the plastic diaper and wipe packaging inaccessible to the children during the visit. Rule Reference: 10A NCAC 09 .0604(q) Item 887- Space 4, current safe sleep charts for this week were unable to be located. The typical staff member assigned to the classroom was out due to family emergency. The staff member filling in is not a typical staff and was not aware of where the current forms were at. The staff member present started new safe sleep check charts during the visit to begin documenting sleep checks every fifteen (15) minutes. We discussed speaking with the assigned staff member when they return to develop a plan of where the charts will be located during their absence. Rule Reference: 10A NCAC 09 .0606(g) Item 1123- The gray van used to transport children, trash was in the floor under the seats. We discussed that after any field trips, the staff would need to ensure any trash is picked up and discarded. Rule Reference: 10A NCAC 09.1002(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/24/2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed the transportation safety procedures during the visit now that summer care has started. We reviewed the safe sleep procedures for children twelve months younger. Ensuring staff understand that safe sleep procedures apply to each child until they are thirteen months old. I recommended reaching out to Patricia Lee, RN, Child Care Health Consultant, (828) 698-0674 ext. 173, patricial@childrenandfamily.org to conduct a safe sleep refresher and general health and safety training. The Healthy Social Behaviors Project (HSB) helpline for managing challenging behaviors telephone number (1-888-600-1685 Option 1), online portal, and Talk to the Expert space in the Social-Emotional Connections is available. Healthy Social Behaviors Project (HSB) now have an email for requesting HSB Coaching or training: HSB@ChildCareResourcesInc.org. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2830 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/10/2026 Number Present: 45 Completed Date: 6/10/2026 Age: From 0 To 9 Total Minutes: 240 Time In: 10:45 AM Time Out: 02:45 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. The program operates with a GS 110-106 Notice of Compliance, issued 8/2/2024. The permit restrictions were in compliance including first shift, no children under age three on second floor. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 6/9/2026. Samantah Garren, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/9/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid ITS-SIDS Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed space 1, currently closed for the summer and not in use. This space will reopen August 10, 2026. Space #2, the group of one- and two-year-old children were at chapel. After chapel, the group transitioned into wash hands and transitioned to lunch. Space #3 was closed due to staffing shortage. Space #4, the group of infants were engaged in exploring the classroom, activity seats, swing, and staff member was holding a child while conducting individual feeding. While monitoring the classroom space, I observed three (3) medications without permission to administer medication form on-site. We discussed returning the medications back to the parents this afternoon or having the parents complete the permission to administer medication during pick up. One (1) plastic diaper packaging under the diaper changer was accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. Two (2) electrical outlets uncovered. The administrator corrected during the visit and reiterated the importance of conducting classroom checks throughout the day to ensure safety. Current safe sleep charts were unable to be located. The typical staff member assigned to the classroom was out due to family emergency. The staff member filling in is not a typical staff and was not aware of where the current forms were at. The staff member present started new safe sleep check charts during the visit to begin documenting sleep checks every fifteen (15) minutes. We discussed speaking with the assigned staff member when they return to develop a plan of where the charts will be located during their absence. Space #5 the group of one year old children were preparing to transition to the cafeteria for lunch. While monitoring the classroom space, I observed plastic diaper and wipe packaging below the diaper changer accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. Two (2) aerosol cans were located in an unlocked cabinet. The administrator stated that it had a magnetic lock. However, the magnetic lock was not latching. The administrator stated that she would get that replaced and add a key lock to the lock on the outside of the cabinet until the latch could be replaced. Space #6, the group of two- to three-year-olds were at chapel. After chapel, the group prepared for lunch. While monitoring the classroom space, I observed two (2) electrical outlets uncovered near the built in cabinet. The administrator covered the electrical outlets with a safety outlet plug during the visit. I reiterated the importance of conduct classroom checks to ensure a safe environment is provided. Space #7 is the cafeteria space, I observed space 2, 5, and 6, eating lunch. While monitoring the cafeteria, I observed the mechanical room unlocked and accessible to the children. The administrator locked it during the visit. We discussed following up with staff to conduct check to ensure all doors are locked and the environment is safe for children (ex. Electrical outlets covered, hazardous products locked, etc). Space #8, the group of four- to five-year-old children were transitioning outdoors for gross motor play. After gross motor play, the group transitioned indoors to use the restroom and prepare for lunch. While monitoring the classroom space, I observed the heat vent located around the base of the classroom was broken under the windows. We discussed the heat vent would need to be repaired as some areas were sharp and a child could potentially get their foot or arm stuck in the vent. Space #9, the group of five- to- nine- year- old children were engaged a group activity of Pictionary and two (2) children were engaged in building. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 was closed today due to staff shortage. The eight (8) children present were divided into space 6 and 8 to maintain staff/child ratio. Space #12 is currently being as storage. All staff were supervising the children and engaging in play and conversations. Lunch consisted of cheeseburger, fries, peaches, and milk. While monitoring outdoors, I observed the preschool playground is currently under renovations and a new climbing structure is being installed. The facility has temporarily sectioned off the preschool playground to allow an area for one (1) class to engage in gross motor play at a time. The toddler playground is missing shade due to the tree being damaged during Tropical Storm Helene. The tree was removed. The facility is currently in the process of purchasing and installing sun shades. The administrator stated a playground schedule has been developed to ensure each group receives their outside time daily. The children are also able to use the grassy field next to the fenced in playground that has a gaga pit and volleyball net. When the grassy field is used, the staff bring portable outdoor equipment for the children to use (ex. Balls, hula hoops, frisbees, stepping stones, balance beams, etc). The last fire drill was practiced on 5/13/2026. The last emergency drill, lockdown drill, was practiced on 6/2/2026. The last fire inspection was approved on 2/18/2025. Current fire inspection completed has the exact same date as the previous inspection. The administrator was asked if she had any documentation to verify the inspection was completed this year instead of 2025. The administrator was unable to locate any documentation. The administrator did reach out to the fire marshal during the visit via text message, however, the fire marshal did respond during the visit to request my email address. No updated documentation was received prior to the end of the visit. The program’s most recent sanitation inspection was completed on 1/16/2026, with nine (9) demerits. The last playground inspection was completed on 5/25/2026. The Emergency Medical Care Plan is posted and current. The program does provide transportation. You stated that you do transport school age children ages five to nine years old during the summer. We discussed the requirements for off premises activities. I monitored the white and gray van during today’s visit. The gray van is the only vehicle being used by the child care facility. While monitoring the gray van, I observed trash in the floor under the seats. We discussed that after any field trips, the staff would need to ensure any trash is picked up and discarded. The white van is used by the church. I stated before the white van could be used by the child care facility, the staff will need to ensure the current tag registration is completed, sticker on the tag, and registration card in the vehicle. Then the staff would need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Also, the van would need to be cleaned of trash that was located under the seats. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There were two (2) new staff member since the last annual compliance visit. All staff files met requirements. One staff member hired 2/6/2023 ITS-SIDS on file was dated 2/20/2026 and renewed on 5/5/2026. When asked the administrator stated the staff member was working with children ages 18 months and older till 5/26/2026. Her ITS-SIDS certification was renewed prior to being assigned to the infant classroom. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ 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 last fire inspection was approved on 2/18/2025 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. Space 7, the mechanical room unlocked and accessible to children. Space 8, the heat vent located around the base of the classroom was broken under the windows. 10A NCAC 09 .0601(a) 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. Space 6, two (2) electrical outlets uncovered near the built in cabinet. Space 4, two (2) electrical outlets uncovered. 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. Space 5, two (2) aerosol cans were located in an unlocked cabinet. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space 4, three (3) medications without permission to administer medication form on-site. 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space 4, One (1) plastic diaper packaging under the diaper changer was accessible to the children. Space 5, plastic diaper and wipe packaging below the diaper changer accessible to the children. .0604(q) 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. Space 4, current safe sleep charts for this week were unable to be located. .0606(g) 1123 All vehicles used to transport children were not free of hazards. The gray van used to transport children, trash was in the floor under the seats. 10A NCAC 09 .1002(a) Technical assistance was provided as follows: Item 106- The last fire inspection was approved on 2/18/2025. Current fire inspection completed has the exact same date as the previous inspection. The administrator was asked if she had any documentation to verify the inspection was completed this year instead of 2025. The administrator was unable to locate any documentation. The administrator did reach out to the fire marshal during the visit via text message, however, the fire marshal did not respond during the visit. Rule Reference: 10A NCAC 09 .0304(a) Item 807- Space 7, the mechanical room unlocked and accessible to children. The administrator locked it during the visit. We discussed following up with staff to conduct check to ensure all doors are locked and the environment is safe for children (ex. Electrical outlets covered, hazardous products locked, etc). Space 8, the heat vent located around the base of the classroom was broken under the windows. We discussed the heat vent would need to be repaired as some areas were sharp and a child could potentially get their foot or arm stuck in the vent. Rule Reference: 10A NCAC 09 .0601(a) Item 812- Space 6, two (2) electrical outlets uncovered near the built in cabinet. The administrator covered the electrical outlets with a safety outlet plug during the visit. Space 4, two (2) electrical outlets uncovered. The administrator coved the electrical outlet during the visit. I reiterated the importance of conduct classroom checks to ensure a safe environment is provided. Rule Reference: 10A NCAC 09 .0604(c) Item 840- Space 5, two (2) aerosol cans were located in an unlocked cabinet. The administrator stated that it had a magnetic lock. However, the magnetic lock was not latching. The administrator stated that she would get that replaced and add a combination to the outside of the cabinet until the latch could be replaced. Rule Reference: 15A NCAC 18A .2820(b) Item 842- Space 4, three (3) medications without permission to administer medication form on-site. We discussed returning the medications back to the parents this afternoon or having the parents complete the permission to administer medication during pick up. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 858- Space 4, One (1) plastic diaper packaging under the diaper changer was accessible to the children. Space 5, plastic diaper and wipe packaging below the diaper changer accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. The staff moved the plastic diaper and wipe packaging inaccessible to the children during the visit. Rule Reference: 10A NCAC 09 .0604(q) Item 887- Space 4, current safe sleep charts for this week were unable to be located. The typical staff member assigned to the classroom was out due to family emergency. The staff member filling in is not a typical staff and was not aware of where the current forms were at. The staff member present started new safe sleep check charts during the visit to begin documenting sleep checks every fifteen (15) minutes. We discussed speaking with the assigned staff member when they return to develop a plan of where the charts will be located during their absence. Rule Reference: 10A NCAC 09 .0606(g) Item 1123- The gray van used to transport children, trash was in the floor under the seats. We discussed that after any field trips, the staff would need to ensure any trash is picked up and discarded. Rule Reference: 10A NCAC 09.1002(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/24/2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed the transportation safety procedures during the visit now that summer care has started. We reviewed the safe sleep procedures for children twelve months younger. Ensuring staff understand that safe sleep procedures apply to each child until they are thirteen months old. I recommended reaching out to Patricia Lee, RN, Child Care Health Consultant, (828) 698-0674 ext. 173, patricial@childrenandfamily.org to conduct a safe sleep refresher and general health and safety training. The Healthy Social Behaviors Project (HSB) helpline for managing challenging behaviors telephone number (1-888-600-1685 Option 1), online portal, and Talk to the Expert space in the Social-Emotional Connections is available. Healthy Social Behaviors Project (HSB) now have an email for requesting HSB Coaching or training: HSB@ChildCareResourcesInc.org. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 09.0803 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/10/2026 Number Present: 45 Completed Date: 6/10/2026 Age: From 0 To 9 Total Minutes: 240 Time In: 10:45 AM Time Out: 02:45 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. The program operates with a GS 110-106 Notice of Compliance, issued 8/2/2024. The permit restrictions were in compliance including first shift, no children under age three on second floor. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 6/9/2026. Samantah Garren, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/9/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid ITS-SIDS Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed space 1, currently closed for the summer and not in use. This space will reopen August 10, 2026. Space #2, the group of one- and two-year-old children were at chapel. After chapel, the group transitioned into wash hands and transitioned to lunch. Space #3 was closed due to staffing shortage. Space #4, the group of infants were engaged in exploring the classroom, activity seats, swing, and staff member was holding a child while conducting individual feeding. While monitoring the classroom space, I observed three (3) medications without permission to administer medication form on-site. We discussed returning the medications back to the parents this afternoon or having the parents complete the permission to administer medication during pick up. One (1) plastic diaper packaging under the diaper changer was accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. Two (2) electrical outlets uncovered. The administrator corrected during the visit and reiterated the importance of conducting classroom checks throughout the day to ensure safety. Current safe sleep charts were unable to be located. The typical staff member assigned to the classroom was out due to family emergency. The staff member filling in is not a typical staff and was not aware of where the current forms were at. The staff member present started new safe sleep check charts during the visit to begin documenting sleep checks every fifteen (15) minutes. We discussed speaking with the assigned staff member when they return to develop a plan of where the charts will be located during their absence. Space #5 the group of one year old children were preparing to transition to the cafeteria for lunch. While monitoring the classroom space, I observed plastic diaper and wipe packaging below the diaper changer accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. Two (2) aerosol cans were located in an unlocked cabinet. The administrator stated that it had a magnetic lock. However, the magnetic lock was not latching. The administrator stated that she would get that replaced and add a key lock to the lock on the outside of the cabinet until the latch could be replaced. Space #6, the group of two- to three-year-olds were at chapel. After chapel, the group prepared for lunch. While monitoring the classroom space, I observed two (2) electrical outlets uncovered near the built in cabinet. The administrator covered the electrical outlets with a safety outlet plug during the visit. I reiterated the importance of conduct classroom checks to ensure a safe environment is provided. Space #7 is the cafeteria space, I observed space 2, 5, and 6, eating lunch. While monitoring the cafeteria, I observed the mechanical room unlocked and accessible to the children. The administrator locked it during the visit. We discussed following up with staff to conduct check to ensure all doors are locked and the environment is safe for children (ex. Electrical outlets covered, hazardous products locked, etc). Space #8, the group of four- to five-year-old children were transitioning outdoors for gross motor play. After gross motor play, the group transitioned indoors to use the restroom and prepare for lunch. While monitoring the classroom space, I observed the heat vent located around the base of the classroom was broken under the windows. We discussed the heat vent would need to be repaired as some areas were sharp and a child could potentially get their foot or arm stuck in the vent. Space #9, the group of five- to- nine- year- old children were engaged a group activity of Pictionary and two (2) children were engaged in building. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 was closed today due to staff shortage. The eight (8) children present were divided into space 6 and 8 to maintain staff/child ratio. Space #12 is currently being as storage. All staff were supervising the children and engaging in play and conversations. Lunch consisted of cheeseburger, fries, peaches, and milk. While monitoring outdoors, I observed the preschool playground is currently under renovations and a new climbing structure is being installed. The facility has temporarily sectioned off the preschool playground to allow an area for one (1) class to engage in gross motor play at a time. The toddler playground is missing shade due to the tree being damaged during Tropical Storm Helene. The tree was removed. The facility is currently in the process of purchasing and installing sun shades. The administrator stated a playground schedule has been developed to ensure each group receives their outside time daily. The children are also able to use the grassy field next to the fenced in playground that has a gaga pit and volleyball net. When the grassy field is used, the staff bring portable outdoor equipment for the children to use (ex. Balls, hula hoops, frisbees, stepping stones, balance beams, etc). The last fire drill was practiced on 5/13/2026. The last emergency drill, lockdown drill, was practiced on 6/2/2026. The last fire inspection was approved on 2/18/2025. Current fire inspection completed has the exact same date as the previous inspection. The administrator was asked if she had any documentation to verify the inspection was completed this year instead of 2025. The administrator was unable to locate any documentation. The administrator did reach out to the fire marshal during the visit via text message, however, the fire marshal did respond during the visit to request my email address. No updated documentation was received prior to the end of the visit. The program’s most recent sanitation inspection was completed on 1/16/2026, with nine (9) demerits. The last playground inspection was completed on 5/25/2026. The Emergency Medical Care Plan is posted and current. The program does provide transportation. You stated that you do transport school age children ages five to nine years old during the summer. We discussed the requirements for off premises activities. I monitored the white and gray van during today’s visit. The gray van is the only vehicle being used by the child care facility. While monitoring the gray van, I observed trash in the floor under the seats. We discussed that after any field trips, the staff would need to ensure any trash is picked up and discarded. The white van is used by the church. I stated before the white van could be used by the child care facility, the staff will need to ensure the current tag registration is completed, sticker on the tag, and registration card in the vehicle. Then the staff would need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Also, the van would need to be cleaned of trash that was located under the seats. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There were two (2) new staff member since the last annual compliance visit. All staff files met requirements. One staff member hired 2/6/2023 ITS-SIDS on file was dated 2/20/2026 and renewed on 5/5/2026. When asked the administrator stated the staff member was working with children ages 18 months and older till 5/26/2026. Her ITS-SIDS certification was renewed prior to being assigned to the infant classroom. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ 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 last fire inspection was approved on 2/18/2025 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. Space 7, the mechanical room unlocked and accessible to children. Space 8, the heat vent located around the base of the classroom was broken under the windows. 10A NCAC 09 .0601(a) 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. Space 6, two (2) electrical outlets uncovered near the built in cabinet. Space 4, two (2) electrical outlets uncovered. 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. Space 5, two (2) aerosol cans were located in an unlocked cabinet. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space 4, three (3) medications without permission to administer medication form on-site. 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space 4, One (1) plastic diaper packaging under the diaper changer was accessible to the children. Space 5, plastic diaper and wipe packaging below the diaper changer accessible to the children. .0604(q) 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. Space 4, current safe sleep charts for this week were unable to be located. .0606(g) 1123 All vehicles used to transport children were not free of hazards. The gray van used to transport children, trash was in the floor under the seats. 10A NCAC 09 .1002(a) Technical assistance was provided as follows: Item 106- The last fire inspection was approved on 2/18/2025. Current fire inspection completed has the exact same date as the previous inspection. The administrator was asked if she had any documentation to verify the inspection was completed this year instead of 2025. The administrator was unable to locate any documentation. The administrator did reach out to the fire marshal during the visit via text message, however, the fire marshal did not respond during the visit. Rule Reference: 10A NCAC 09 .0304(a) Item 807- Space 7, the mechanical room unlocked and accessible to children. The administrator locked it during the visit. We discussed following up with staff to conduct check to ensure all doors are locked and the environment is safe for children (ex. Electrical outlets covered, hazardous products locked, etc). Space 8, the heat vent located around the base of the classroom was broken under the windows. We discussed the heat vent would need to be repaired as some areas were sharp and a child could potentially get their foot or arm stuck in the vent. Rule Reference: 10A NCAC 09 .0601(a) Item 812- Space 6, two (2) electrical outlets uncovered near the built in cabinet. The administrator covered the electrical outlets with a safety outlet plug during the visit. Space 4, two (2) electrical outlets uncovered. The administrator coved the electrical outlet during the visit. I reiterated the importance of conduct classroom checks to ensure a safe environment is provided. Rule Reference: 10A NCAC 09 .0604(c) Item 840- Space 5, two (2) aerosol cans were located in an unlocked cabinet. The administrator stated that it had a magnetic lock. However, the magnetic lock was not latching. The administrator stated that she would get that replaced and add a combination to the outside of the cabinet until the latch could be replaced. Rule Reference: 15A NCAC 18A .2820(b) Item 842- Space 4, three (3) medications without permission to administer medication form on-site. We discussed returning the medications back to the parents this afternoon or having the parents complete the permission to administer medication during pick up. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 858- Space 4, One (1) plastic diaper packaging under the diaper changer was accessible to the children. Space 5, plastic diaper and wipe packaging below the diaper changer accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. The staff moved the plastic diaper and wipe packaging inaccessible to the children during the visit. Rule Reference: 10A NCAC 09 .0604(q) Item 887- Space 4, current safe sleep charts for this week were unable to be located. The typical staff member assigned to the classroom was out due to family emergency. The staff member filling in is not a typical staff and was not aware of where the current forms were at. The staff member present started new safe sleep check charts during the visit to begin documenting sleep checks every fifteen (15) minutes. We discussed speaking with the assigned staff member when they return to develop a plan of where the charts will be located during their absence. Rule Reference: 10A NCAC 09 .0606(g) Item 1123- The gray van used to transport children, trash was in the floor under the seats. We discussed that after any field trips, the staff would need to ensure any trash is picked up and discarded. Rule Reference: 10A NCAC 09.1002(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/24/2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed the transportation safety procedures during the visit now that summer care has started. We reviewed the safe sleep procedures for children twelve months younger. Ensuring staff understand that safe sleep procedures apply to each child until they are thirteen months old. I recommended reaching out to Patricia Lee, RN, Child Care Health Consultant, (828) 698-0674 ext. 173, patricial@childrenandfamily.org to conduct a safe sleep refresher and general health and safety training. The Healthy Social Behaviors Project (HSB) helpline for managing challenging behaviors telephone number (1-888-600-1685 Option 1), online portal, and Talk to the Expert space in the Social-Emotional Connections is available. Healthy Social Behaviors Project (HSB) now have an email for requesting HSB Coaching or training: HSB@ChildCareResourcesInc.org. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 09.1002 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/10/2026 Number Present: 45 Completed Date: 6/10/2026 Age: From 0 To 9 Total Minutes: 240 Time In: 10:45 AM Time Out: 02:45 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. The program operates with a GS 110-106 Notice of Compliance, issued 8/2/2024. The permit restrictions were in compliance including first shift, no children under age three on second floor. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 6/9/2026. Samantah Garren, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/9/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid ITS-SIDS Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed space 1, currently closed for the summer and not in use. This space will reopen August 10, 2026. Space #2, the group of one- and two-year-old children were at chapel. After chapel, the group transitioned into wash hands and transitioned to lunch. Space #3 was closed due to staffing shortage. Space #4, the group of infants were engaged in exploring the classroom, activity seats, swing, and staff member was holding a child while conducting individual feeding. While monitoring the classroom space, I observed three (3) medications without permission to administer medication form on-site. We discussed returning the medications back to the parents this afternoon or having the parents complete the permission to administer medication during pick up. One (1) plastic diaper packaging under the diaper changer was accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. Two (2) electrical outlets uncovered. The administrator corrected during the visit and reiterated the importance of conducting classroom checks throughout the day to ensure safety. Current safe sleep charts were unable to be located. The typical staff member assigned to the classroom was out due to family emergency. The staff member filling in is not a typical staff and was not aware of where the current forms were at. The staff member present started new safe sleep check charts during the visit to begin documenting sleep checks every fifteen (15) minutes. We discussed speaking with the assigned staff member when they return to develop a plan of where the charts will be located during their absence. Space #5 the group of one year old children were preparing to transition to the cafeteria for lunch. While monitoring the classroom space, I observed plastic diaper and wipe packaging below the diaper changer accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. Two (2) aerosol cans were located in an unlocked cabinet. The administrator stated that it had a magnetic lock. However, the magnetic lock was not latching. The administrator stated that she would get that replaced and add a key lock to the lock on the outside of the cabinet until the latch could be replaced. Space #6, the group of two- to three-year-olds were at chapel. After chapel, the group prepared for lunch. While monitoring the classroom space, I observed two (2) electrical outlets uncovered near the built in cabinet. The administrator covered the electrical outlets with a safety outlet plug during the visit. I reiterated the importance of conduct classroom checks to ensure a safe environment is provided. Space #7 is the cafeteria space, I observed space 2, 5, and 6, eating lunch. While monitoring the cafeteria, I observed the mechanical room unlocked and accessible to the children. The administrator locked it during the visit. We discussed following up with staff to conduct check to ensure all doors are locked and the environment is safe for children (ex. Electrical outlets covered, hazardous products locked, etc). Space #8, the group of four- to five-year-old children were transitioning outdoors for gross motor play. After gross motor play, the group transitioned indoors to use the restroom and prepare for lunch. While monitoring the classroom space, I observed the heat vent located around the base of the classroom was broken under the windows. We discussed the heat vent would need to be repaired as some areas were sharp and a child could potentially get their foot or arm stuck in the vent. Space #9, the group of five- to- nine- year- old children were engaged a group activity of Pictionary and two (2) children were engaged in building. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 was closed today due to staff shortage. The eight (8) children present were divided into space 6 and 8 to maintain staff/child ratio. Space #12 is currently being as storage. All staff were supervising the children and engaging in play and conversations. Lunch consisted of cheeseburger, fries, peaches, and milk. While monitoring outdoors, I observed the preschool playground is currently under renovations and a new climbing structure is being installed. The facility has temporarily sectioned off the preschool playground to allow an area for one (1) class to engage in gross motor play at a time. The toddler playground is missing shade due to the tree being damaged during Tropical Storm Helene. The tree was removed. The facility is currently in the process of purchasing and installing sun shades. The administrator stated a playground schedule has been developed to ensure each group receives their outside time daily. The children are also able to use the grassy field next to the fenced in playground that has a gaga pit and volleyball net. When the grassy field is used, the staff bring portable outdoor equipment for the children to use (ex. Balls, hula hoops, frisbees, stepping stones, balance beams, etc). The last fire drill was practiced on 5/13/2026. The last emergency drill, lockdown drill, was practiced on 6/2/2026. The last fire inspection was approved on 2/18/2025. Current fire inspection completed has the exact same date as the previous inspection. The administrator was asked if she had any documentation to verify the inspection was completed this year instead of 2025. The administrator was unable to locate any documentation. The administrator did reach out to the fire marshal during the visit via text message, however, the fire marshal did respond during the visit to request my email address. No updated documentation was received prior to the end of the visit. The program’s most recent sanitation inspection was completed on 1/16/2026, with nine (9) demerits. The last playground inspection was completed on 5/25/2026. The Emergency Medical Care Plan is posted and current. The program does provide transportation. You stated that you do transport school age children ages five to nine years old during the summer. We discussed the requirements for off premises activities. I monitored the white and gray van during today’s visit. The gray van is the only vehicle being used by the child care facility. While monitoring the gray van, I observed trash in the floor under the seats. We discussed that after any field trips, the staff would need to ensure any trash is picked up and discarded. The white van is used by the church. I stated before the white van could be used by the child care facility, the staff will need to ensure the current tag registration is completed, sticker on the tag, and registration card in the vehicle. Then the staff would need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Also, the van would need to be cleaned of trash that was located under the seats. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There were two (2) new staff member since the last annual compliance visit. All staff files met requirements. One staff member hired 2/6/2023 ITS-SIDS on file was dated 2/20/2026 and renewed on 5/5/2026. When asked the administrator stated the staff member was working with children ages 18 months and older till 5/26/2026. Her ITS-SIDS certification was renewed prior to being assigned to the infant classroom. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ 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 last fire inspection was approved on 2/18/2025 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. Space 7, the mechanical room unlocked and accessible to children. Space 8, the heat vent located around the base of the classroom was broken under the windows. 10A NCAC 09 .0601(a) 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. Space 6, two (2) electrical outlets uncovered near the built in cabinet. Space 4, two (2) electrical outlets uncovered. 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. Space 5, two (2) aerosol cans were located in an unlocked cabinet. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space 4, three (3) medications without permission to administer medication form on-site. 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space 4, One (1) plastic diaper packaging under the diaper changer was accessible to the children. Space 5, plastic diaper and wipe packaging below the diaper changer accessible to the children. .0604(q) 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. Space 4, current safe sleep charts for this week were unable to be located. .0606(g) 1123 All vehicles used to transport children were not free of hazards. The gray van used to transport children, trash was in the floor under the seats. 10A NCAC 09 .1002(a) Technical assistance was provided as follows: Item 106- The last fire inspection was approved on 2/18/2025. Current fire inspection completed has the exact same date as the previous inspection. The administrator was asked if she had any documentation to verify the inspection was completed this year instead of 2025. The administrator was unable to locate any documentation. The administrator did reach out to the fire marshal during the visit via text message, however, the fire marshal did not respond during the visit. Rule Reference: 10A NCAC 09 .0304(a) Item 807- Space 7, the mechanical room unlocked and accessible to children. The administrator locked it during the visit. We discussed following up with staff to conduct check to ensure all doors are locked and the environment is safe for children (ex. Electrical outlets covered, hazardous products locked, etc). Space 8, the heat vent located around the base of the classroom was broken under the windows. We discussed the heat vent would need to be repaired as some areas were sharp and a child could potentially get their foot or arm stuck in the vent. Rule Reference: 10A NCAC 09 .0601(a) Item 812- Space 6, two (2) electrical outlets uncovered near the built in cabinet. The administrator covered the electrical outlets with a safety outlet plug during the visit. Space 4, two (2) electrical outlets uncovered. The administrator coved the electrical outlet during the visit. I reiterated the importance of conduct classroom checks to ensure a safe environment is provided. Rule Reference: 10A NCAC 09 .0604(c) Item 840- Space 5, two (2) aerosol cans were located in an unlocked cabinet. The administrator stated that it had a magnetic lock. However, the magnetic lock was not latching. The administrator stated that she would get that replaced and add a combination to the outside of the cabinet until the latch could be replaced. Rule Reference: 15A NCAC 18A .2820(b) Item 842- Space 4, three (3) medications without permission to administer medication form on-site. We discussed returning the medications back to the parents this afternoon or having the parents complete the permission to administer medication during pick up. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 858- Space 4, One (1) plastic diaper packaging under the diaper changer was accessible to the children. Space 5, plastic diaper and wipe packaging below the diaper changer accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. The staff moved the plastic diaper and wipe packaging inaccessible to the children during the visit. Rule Reference: 10A NCAC 09 .0604(q) Item 887- Space 4, current safe sleep charts for this week were unable to be located. The typical staff member assigned to the classroom was out due to family emergency. The staff member filling in is not a typical staff and was not aware of where the current forms were at. The staff member present started new safe sleep check charts during the visit to begin documenting sleep checks every fifteen (15) minutes. We discussed speaking with the assigned staff member when they return to develop a plan of where the charts will be located during their absence. Rule Reference: 10A NCAC 09 .0606(g) Item 1123- The gray van used to transport children, trash was in the floor under the seats. We discussed that after any field trips, the staff would need to ensure any trash is picked up and discarded. Rule Reference: 10A NCAC 09.1002(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/24/2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed the transportation safety procedures during the visit now that summer care has started. We reviewed the safe sleep procedures for children twelve months younger. Ensuring staff understand that safe sleep procedures apply to each child until they are thirteen months old. I recommended reaching out to Patricia Lee, RN, Child Care Health Consultant, (828) 698-0674 ext. 173, patricial@childrenandfamily.org to conduct a safe sleep refresher and general health and safety training. The Healthy Social Behaviors Project (HSB) helpline for managing challenging behaviors telephone number (1-888-600-1685 Option 1), online portal, and Talk to the Expert space in the Social-Emotional Connections is available. Healthy Social Behaviors Project (HSB) now have an email for requesting HSB Coaching or training: HSB@ChildCareResourcesInc.org. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 110-106 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/10/2026 Number Present: 45 Completed Date: 6/10/2026 Age: From 0 To 9 Total Minutes: 240 Time In: 10:45 AM Time Out: 02:45 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. The program operates with a GS 110-106 Notice of Compliance, issued 8/2/2024. The permit restrictions were in compliance including first shift, no children under age three on second floor. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 6/9/2026. Samantah Garren, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/9/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid ITS-SIDS Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed space 1, currently closed for the summer and not in use. This space will reopen August 10, 2026. Space #2, the group of one- and two-year-old children were at chapel. After chapel, the group transitioned into wash hands and transitioned to lunch. Space #3 was closed due to staffing shortage. Space #4, the group of infants were engaged in exploring the classroom, activity seats, swing, and staff member was holding a child while conducting individual feeding. While monitoring the classroom space, I observed three (3) medications without permission to administer medication form on-site. We discussed returning the medications back to the parents this afternoon or having the parents complete the permission to administer medication during pick up. One (1) plastic diaper packaging under the diaper changer was accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. Two (2) electrical outlets uncovered. The administrator corrected during the visit and reiterated the importance of conducting classroom checks throughout the day to ensure safety. Current safe sleep charts were unable to be located. The typical staff member assigned to the classroom was out due to family emergency. The staff member filling in is not a typical staff and was not aware of where the current forms were at. The staff member present started new safe sleep check charts during the visit to begin documenting sleep checks every fifteen (15) minutes. We discussed speaking with the assigned staff member when they return to develop a plan of where the charts will be located during their absence. Space #5 the group of one year old children were preparing to transition to the cafeteria for lunch. While monitoring the classroom space, I observed plastic diaper and wipe packaging below the diaper changer accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. Two (2) aerosol cans were located in an unlocked cabinet. The administrator stated that it had a magnetic lock. However, the magnetic lock was not latching. The administrator stated that she would get that replaced and add a key lock to the lock on the outside of the cabinet until the latch could be replaced. Space #6, the group of two- to three-year-olds were at chapel. After chapel, the group prepared for lunch. While monitoring the classroom space, I observed two (2) electrical outlets uncovered near the built in cabinet. The administrator covered the electrical outlets with a safety outlet plug during the visit. I reiterated the importance of conduct classroom checks to ensure a safe environment is provided. Space #7 is the cafeteria space, I observed space 2, 5, and 6, eating lunch. While monitoring the cafeteria, I observed the mechanical room unlocked and accessible to the children. The administrator locked it during the visit. We discussed following up with staff to conduct check to ensure all doors are locked and the environment is safe for children (ex. Electrical outlets covered, hazardous products locked, etc). Space #8, the group of four- to five-year-old children were transitioning outdoors for gross motor play. After gross motor play, the group transitioned indoors to use the restroom and prepare for lunch. While monitoring the classroom space, I observed the heat vent located around the base of the classroom was broken under the windows. We discussed the heat vent would need to be repaired as some areas were sharp and a child could potentially get their foot or arm stuck in the vent. Space #9, the group of five- to- nine- year- old children were engaged a group activity of Pictionary and two (2) children were engaged in building. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 was closed today due to staff shortage. The eight (8) children present were divided into space 6 and 8 to maintain staff/child ratio. Space #12 is currently being as storage. All staff were supervising the children and engaging in play and conversations. Lunch consisted of cheeseburger, fries, peaches, and milk. While monitoring outdoors, I observed the preschool playground is currently under renovations and a new climbing structure is being installed. The facility has temporarily sectioned off the preschool playground to allow an area for one (1) class to engage in gross motor play at a time. The toddler playground is missing shade due to the tree being damaged during Tropical Storm Helene. The tree was removed. The facility is currently in the process of purchasing and installing sun shades. The administrator stated a playground schedule has been developed to ensure each group receives their outside time daily. The children are also able to use the grassy field next to the fenced in playground that has a gaga pit and volleyball net. When the grassy field is used, the staff bring portable outdoor equipment for the children to use (ex. Balls, hula hoops, frisbees, stepping stones, balance beams, etc). The last fire drill was practiced on 5/13/2026. The last emergency drill, lockdown drill, was practiced on 6/2/2026. The last fire inspection was approved on 2/18/2025. Current fire inspection completed has the exact same date as the previous inspection. The administrator was asked if she had any documentation to verify the inspection was completed this year instead of 2025. The administrator was unable to locate any documentation. The administrator did reach out to the fire marshal during the visit via text message, however, the fire marshal did respond during the visit to request my email address. No updated documentation was received prior to the end of the visit. The program’s most recent sanitation inspection was completed on 1/16/2026, with nine (9) demerits. The last playground inspection was completed on 5/25/2026. The Emergency Medical Care Plan is posted and current. The program does provide transportation. You stated that you do transport school age children ages five to nine years old during the summer. We discussed the requirements for off premises activities. I monitored the white and gray van during today’s visit. The gray van is the only vehicle being used by the child care facility. While monitoring the gray van, I observed trash in the floor under the seats. We discussed that after any field trips, the staff would need to ensure any trash is picked up and discarded. The white van is used by the church. I stated before the white van could be used by the child care facility, the staff will need to ensure the current tag registration is completed, sticker on the tag, and registration card in the vehicle. Then the staff would need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Also, the van would need to be cleaned of trash that was located under the seats. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There were two (2) new staff member since the last annual compliance visit. All staff files met requirements. One staff member hired 2/6/2023 ITS-SIDS on file was dated 2/20/2026 and renewed on 5/5/2026. When asked the administrator stated the staff member was working with children ages 18 months and older till 5/26/2026. Her ITS-SIDS certification was renewed prior to being assigned to the infant classroom. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ 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 last fire inspection was approved on 2/18/2025 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. Space 7, the mechanical room unlocked and accessible to children. Space 8, the heat vent located around the base of the classroom was broken under the windows. 10A NCAC 09 .0601(a) 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. Space 6, two (2) electrical outlets uncovered near the built in cabinet. Space 4, two (2) electrical outlets uncovered. 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. Space 5, two (2) aerosol cans were located in an unlocked cabinet. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space 4, three (3) medications without permission to administer medication form on-site. 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space 4, One (1) plastic diaper packaging under the diaper changer was accessible to the children. Space 5, plastic diaper and wipe packaging below the diaper changer accessible to the children. .0604(q) 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. Space 4, current safe sleep charts for this week were unable to be located. .0606(g) 1123 All vehicles used to transport children were not free of hazards. The gray van used to transport children, trash was in the floor under the seats. 10A NCAC 09 .1002(a) Technical assistance was provided as follows: Item 106- The last fire inspection was approved on 2/18/2025. Current fire inspection completed has the exact same date as the previous inspection. The administrator was asked if she had any documentation to verify the inspection was completed this year instead of 2025. The administrator was unable to locate any documentation. The administrator did reach out to the fire marshal during the visit via text message, however, the fire marshal did not respond during the visit. Rule Reference: 10A NCAC 09 .0304(a) Item 807- Space 7, the mechanical room unlocked and accessible to children. The administrator locked it during the visit. We discussed following up with staff to conduct check to ensure all doors are locked and the environment is safe for children (ex. Electrical outlets covered, hazardous products locked, etc). Space 8, the heat vent located around the base of the classroom was broken under the windows. We discussed the heat vent would need to be repaired as some areas were sharp and a child could potentially get their foot or arm stuck in the vent. Rule Reference: 10A NCAC 09 .0601(a) Item 812- Space 6, two (2) electrical outlets uncovered near the built in cabinet. The administrator covered the electrical outlets with a safety outlet plug during the visit. Space 4, two (2) electrical outlets uncovered. The administrator coved the electrical outlet during the visit. I reiterated the importance of conduct classroom checks to ensure a safe environment is provided. Rule Reference: 10A NCAC 09 .0604(c) Item 840- Space 5, two (2) aerosol cans were located in an unlocked cabinet. The administrator stated that it had a magnetic lock. However, the magnetic lock was not latching. The administrator stated that she would get that replaced and add a combination to the outside of the cabinet until the latch could be replaced. Rule Reference: 15A NCAC 18A .2820(b) Item 842- Space 4, three (3) medications without permission to administer medication form on-site. We discussed returning the medications back to the parents this afternoon or having the parents complete the permission to administer medication during pick up. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 858- Space 4, One (1) plastic diaper packaging under the diaper changer was accessible to the children. Space 5, plastic diaper and wipe packaging below the diaper changer accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. The staff moved the plastic diaper and wipe packaging inaccessible to the children during the visit. Rule Reference: 10A NCAC 09 .0604(q) Item 887- Space 4, current safe sleep charts for this week were unable to be located. The typical staff member assigned to the classroom was out due to family emergency. The staff member filling in is not a typical staff and was not aware of where the current forms were at. The staff member present started new safe sleep check charts during the visit to begin documenting sleep checks every fifteen (15) minutes. We discussed speaking with the assigned staff member when they return to develop a plan of where the charts will be located during their absence. Rule Reference: 10A NCAC 09 .0606(g) Item 1123- The gray van used to transport children, trash was in the floor under the seats. We discussed that after any field trips, the staff would need to ensure any trash is picked up and discarded. Rule Reference: 10A NCAC 09.1002(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/24/2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed the transportation safety procedures during the visit now that summer care has started. We reviewed the safe sleep procedures for children twelve months younger. Ensuring staff understand that safe sleep procedures apply to each child until they are thirteen months old. I recommended reaching out to Patricia Lee, RN, Child Care Health Consultant, (828) 698-0674 ext. 173, patricial@childrenandfamily.org to conduct a safe sleep refresher and general health and safety training. The Healthy Social Behaviors Project (HSB) helpline for managing challenging behaviors telephone number (1-888-600-1685 Option 1), online portal, and Talk to the Expert space in the Social-Emotional Connections is available. Healthy Social Behaviors Project (HSB) now have an email for requesting HSB Coaching or training: HSB@ChildCareResourcesInc.org. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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.
NC GS 110-90 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/10/2026 Number Present: 45 Completed Date: 6/10/2026 Age: From 0 To 9 Total Minutes: 240 Time In: 10:45 AM Time Out: 02:45 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. The program operates with a GS 110-106 Notice of Compliance, issued 8/2/2024. The permit restrictions were in compliance including first shift, no children under age three on second floor. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 6/9/2026. Samantah Garren, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/9/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid ITS-SIDS Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed space 1, currently closed for the summer and not in use. This space will reopen August 10, 2026. Space #2, the group of one- and two-year-old children were at chapel. After chapel, the group transitioned into wash hands and transitioned to lunch. Space #3 was closed due to staffing shortage. Space #4, the group of infants were engaged in exploring the classroom, activity seats, swing, and staff member was holding a child while conducting individual feeding. While monitoring the classroom space, I observed three (3) medications without permission to administer medication form on-site. We discussed returning the medications back to the parents this afternoon or having the parents complete the permission to administer medication during pick up. One (1) plastic diaper packaging under the diaper changer was accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. Two (2) electrical outlets uncovered. The administrator corrected during the visit and reiterated the importance of conducting classroom checks throughout the day to ensure safety. Current safe sleep charts were unable to be located. The typical staff member assigned to the classroom was out due to family emergency. The staff member filling in is not a typical staff and was not aware of where the current forms were at. The staff member present started new safe sleep check charts during the visit to begin documenting sleep checks every fifteen (15) minutes. We discussed speaking with the assigned staff member when they return to develop a plan of where the charts will be located during their absence. Space #5 the group of one year old children were preparing to transition to the cafeteria for lunch. While monitoring the classroom space, I observed plastic diaper and wipe packaging below the diaper changer accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. Two (2) aerosol cans were located in an unlocked cabinet. The administrator stated that it had a magnetic lock. However, the magnetic lock was not latching. The administrator stated that she would get that replaced and add a key lock to the lock on the outside of the cabinet until the latch could be replaced. Space #6, the group of two- to three-year-olds were at chapel. After chapel, the group prepared for lunch. While monitoring the classroom space, I observed two (2) electrical outlets uncovered near the built in cabinet. The administrator covered the electrical outlets with a safety outlet plug during the visit. I reiterated the importance of conduct classroom checks to ensure a safe environment is provided. Space #7 is the cafeteria space, I observed space 2, 5, and 6, eating lunch. While monitoring the cafeteria, I observed the mechanical room unlocked and accessible to the children. The administrator locked it during the visit. We discussed following up with staff to conduct check to ensure all doors are locked and the environment is safe for children (ex. Electrical outlets covered, hazardous products locked, etc). Space #8, the group of four- to five-year-old children were transitioning outdoors for gross motor play. After gross motor play, the group transitioned indoors to use the restroom and prepare for lunch. While monitoring the classroom space, I observed the heat vent located around the base of the classroom was broken under the windows. We discussed the heat vent would need to be repaired as some areas were sharp and a child could potentially get their foot or arm stuck in the vent. Space #9, the group of five- to- nine- year- old children were engaged a group activity of Pictionary and two (2) children were engaged in building. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 was closed today due to staff shortage. The eight (8) children present were divided into space 6 and 8 to maintain staff/child ratio. Space #12 is currently being as storage. All staff were supervising the children and engaging in play and conversations. Lunch consisted of cheeseburger, fries, peaches, and milk. While monitoring outdoors, I observed the preschool playground is currently under renovations and a new climbing structure is being installed. The facility has temporarily sectioned off the preschool playground to allow an area for one (1) class to engage in gross motor play at a time. The toddler playground is missing shade due to the tree being damaged during Tropical Storm Helene. The tree was removed. The facility is currently in the process of purchasing and installing sun shades. The administrator stated a playground schedule has been developed to ensure each group receives their outside time daily. The children are also able to use the grassy field next to the fenced in playground that has a gaga pit and volleyball net. When the grassy field is used, the staff bring portable outdoor equipment for the children to use (ex. Balls, hula hoops, frisbees, stepping stones, balance beams, etc). The last fire drill was practiced on 5/13/2026. The last emergency drill, lockdown drill, was practiced on 6/2/2026. The last fire inspection was approved on 2/18/2025. Current fire inspection completed has the exact same date as the previous inspection. The administrator was asked if she had any documentation to verify the inspection was completed this year instead of 2025. The administrator was unable to locate any documentation. The administrator did reach out to the fire marshal during the visit via text message, however, the fire marshal did respond during the visit to request my email address. No updated documentation was received prior to the end of the visit. The program’s most recent sanitation inspection was completed on 1/16/2026, with nine (9) demerits. The last playground inspection was completed on 5/25/2026. The Emergency Medical Care Plan is posted and current. The program does provide transportation. You stated that you do transport school age children ages five to nine years old during the summer. We discussed the requirements for off premises activities. I monitored the white and gray van during today’s visit. The gray van is the only vehicle being used by the child care facility. While monitoring the gray van, I observed trash in the floor under the seats. We discussed that after any field trips, the staff would need to ensure any trash is picked up and discarded. The white van is used by the church. I stated before the white van could be used by the child care facility, the staff will need to ensure the current tag registration is completed, sticker on the tag, and registration card in the vehicle. Then the staff would need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Also, the van would need to be cleaned of trash that was located under the seats. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There were two (2) new staff member since the last annual compliance visit. All staff files met requirements. One staff member hired 2/6/2023 ITS-SIDS on file was dated 2/20/2026 and renewed on 5/5/2026. When asked the administrator stated the staff member was working with children ages 18 months and older till 5/26/2026. Her ITS-SIDS certification was renewed prior to being assigned to the infant classroom. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ 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 last fire inspection was approved on 2/18/2025 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. Space 7, the mechanical room unlocked and accessible to children. Space 8, the heat vent located around the base of the classroom was broken under the windows. 10A NCAC 09 .0601(a) 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. Space 6, two (2) electrical outlets uncovered near the built in cabinet. Space 4, two (2) electrical outlets uncovered. 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. Space 5, two (2) aerosol cans were located in an unlocked cabinet. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space 4, three (3) medications without permission to administer medication form on-site. 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space 4, One (1) plastic diaper packaging under the diaper changer was accessible to the children. Space 5, plastic diaper and wipe packaging below the diaper changer accessible to the children. .0604(q) 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. Space 4, current safe sleep charts for this week were unable to be located. .0606(g) 1123 All vehicles used to transport children were not free of hazards. The gray van used to transport children, trash was in the floor under the seats. 10A NCAC 09 .1002(a) Technical assistance was provided as follows: Item 106- The last fire inspection was approved on 2/18/2025. Current fire inspection completed has the exact same date as the previous inspection. The administrator was asked if she had any documentation to verify the inspection was completed this year instead of 2025. The administrator was unable to locate any documentation. The administrator did reach out to the fire marshal during the visit via text message, however, the fire marshal did not respond during the visit. Rule Reference: 10A NCAC 09 .0304(a) Item 807- Space 7, the mechanical room unlocked and accessible to children. The administrator locked it during the visit. We discussed following up with staff to conduct check to ensure all doors are locked and the environment is safe for children (ex. Electrical outlets covered, hazardous products locked, etc). Space 8, the heat vent located around the base of the classroom was broken under the windows. We discussed the heat vent would need to be repaired as some areas were sharp and a child could potentially get their foot or arm stuck in the vent. Rule Reference: 10A NCAC 09 .0601(a) Item 812- Space 6, two (2) electrical outlets uncovered near the built in cabinet. The administrator covered the electrical outlets with a safety outlet plug during the visit. Space 4, two (2) electrical outlets uncovered. The administrator coved the electrical outlet during the visit. I reiterated the importance of conduct classroom checks to ensure a safe environment is provided. Rule Reference: 10A NCAC 09 .0604(c) Item 840- Space 5, two (2) aerosol cans were located in an unlocked cabinet. The administrator stated that it had a magnetic lock. However, the magnetic lock was not latching. The administrator stated that she would get that replaced and add a combination to the outside of the cabinet until the latch could be replaced. Rule Reference: 15A NCAC 18A .2820(b) Item 842- Space 4, three (3) medications without permission to administer medication form on-site. We discussed returning the medications back to the parents this afternoon or having the parents complete the permission to administer medication during pick up. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 858- Space 4, One (1) plastic diaper packaging under the diaper changer was accessible to the children. Space 5, plastic diaper and wipe packaging below the diaper changer accessible to the children. We discussed removing the diapers from the plastic packaging and discarding the packaging or moving the diapers up five (5) feet inaccessible to the children. The staff moved the plastic diaper and wipe packaging inaccessible to the children during the visit. Rule Reference: 10A NCAC 09 .0604(q) Item 887- Space 4, current safe sleep charts for this week were unable to be located. The typical staff member assigned to the classroom was out due to family emergency. The staff member filling in is not a typical staff and was not aware of where the current forms were at. The staff member present started new safe sleep check charts during the visit to begin documenting sleep checks every fifteen (15) minutes. We discussed speaking with the assigned staff member when they return to develop a plan of where the charts will be located during their absence. Rule Reference: 10A NCAC 09 .0606(g) Item 1123- The gray van used to transport children, trash was in the floor under the seats. We discussed that after any field trips, the staff would need to ensure any trash is picked up and discarded. Rule Reference: 10A NCAC 09.1002(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/24/2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed the transportation safety procedures during the visit now that summer care has started. We reviewed the safe sleep procedures for children twelve months younger. Ensuring staff understand that safe sleep procedures apply to each child until they are thirteen months old. I recommended reaching out to Patricia Lee, RN, Child Care Health Consultant, (828) 698-0674 ext. 173, patricial@childrenandfamily.org to conduct a safe sleep refresher and general health and safety training. The Healthy Social Behaviors Project (HSB) helpline for managing challenging behaviors telephone number (1-888-600-1685 Option 1), online portal, and Talk to the Expert space in the Social-Emotional Connections is available. Healthy Social Behaviors Project (HSB) now have an email for requesting HSB Coaching or training: HSB@ChildCareResourcesInc.org. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0601 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/9/2025 Number Present: 43 Completed Date: 12/9/2025 Age: From 0 To 5 Total Minutes: 208 Time In: 10:32 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. A signed copy of the visit summary was left on-site with to you. Samantha Garren, Administrator, accompanied during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 12/1/2025. First Baptist Church of East Flat Rock, NC, Inc. d/b/a His Kids Child Development Center does not have a Secretary of State listing due to being a non-profit, unincorporated organization. Permit type – GS-110-106, issued 8/21/2024. Special Services/Restrictions – first shift, no children under age three on second floor. The last annual compliance visit was conducted on 12/18/2024. The last fire drill was practiced on 11/12/2025. The next drill is due before Christmas break. The last shelter-in-place drill was practiced on 9/11/2025. The next drill is due before Christmas break. The last playground inspection was documented on 11/26/2025. The last fire inspection was approved on 2/18/2025. The last sanitation inspection was conducted on 7/24/2025 with thirteen (13) demerits for a superior classification. Lead water testing was completed on 1/17/2025. Lead paint and asbestos testing was completed on 3/3/2025. The Emergency Medical Care plan was posted and current. The program does provide transportation. You stated that you do transport school-age children ages six to twelve years old for field trips during the summer (May-August). I monitored the white and gray vans today. The vans were not used this year by the child care facility. Currently the church is the only one using the vans. While monitoring the vans, I observed the church first aid kit with hazardous products and trash in the bus floors. We discussed that before the vans can be used to transport the child care facility enrolled children this summer, the staff will need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Along with ensuring the van is clean prior to transporting the school-age children. During the visit, I conducted a walkthrough of the indoor and outdoor spaces used by the children. In space #1, the group of two-year-old children were in the cafeteria eating lunch. After lunch, the group transitioned to classroom for nap. During nap, the staff used natural lighting and calming music to assist the children with resting. The staff sat close to all children to supervise and assist as needed. In space #2, the group of two-year-olds were eating lunch in the cafeteria. After lunch, the group transitioned to space #6 for nap. Space #3 the group of infant’s children were engaged in naps and exploring the room. Two (2) children were napping in their crib, and two (2) children were awake, one (1) was in an activity seat and one (1) was exploring the room. The staff member was supervising while completing classroom duties. While monitoring the classroom, I observed one (1) infant feeding schedule not signed and dated by the caregiver and parent. Two (2) bottles were not dated. The teacher added the date to the bottles during the visit. The refrigerator thermometer was not in the refrigerator that housed the bottles for the children. The administrator added a new thermometer to the refrigerator during the visit. In space #4, the infant was engaged in play in an activity seat and exploring the room. One (1) child was in the activity seat, and one (1) on the mat playing with toys. The staff member was preparing a bottle to feed one (1) of the two (2) infants. Space #5, the group of two-year-old children were in the cafeteria eating lunch. After lunch, the group transitioned back to the classroom for nap. During nap, we discussed the room was too dark to observe the children’s well being while they napped. The staff member adjusted the curtains to bring more natural lighting into the classroom to be able to see the children better. In space #6, the group of one- and two-year-olds were engaged in free play. After free play, the group transitioned to the cafeteria for lunch. While monitoring the classroom, I observed one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. When a new medication is brought into the facility, the administrator or staff member must ensure that it is accompanied by a completed “Permission to Administer Medication” form. This form authorizes the facility to administer the medication to the child. After lunch the group transitioned to the classroom for nap. While monitoring nap, I observed two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. The administrator moved the mats to ensure each child was a minimum of eighteen (18) inches apart during the visit. Space #7 is the cafeteria space; I observed a storage room door open with a laminator accessible to the children. The administrator closed the door during the visit. We discussed when the children are in the cafeteria, the storage room door should remain shut to make the laminator inaccessible to the children. In space #8, the group of four-year-old children were engaged in free play with dinosaurs, free art, and letter activity. While monitoring the room, I observed the emergency medication permission to administer medication form that expired 11/27/2025. The administrator removed the medication until the form could be updated. In space #9, the group of three- to four-year-old children were engaged in free play with dinosaurs, snap blocks, and books. When free play was over, the group began cleaning up. While monitoring the classroom, I observed one (1) emergency medication on-site without a permission to administer medication form and missing the pharmacy label. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 is currently not in use. Space #12 is currently not in use. Lunch today consisted of fish sticks, corn, pears, and milk. While monitoring the outdoor space, I observed the mulch was low and compacted at slide exits and in fall zones. The administrator stated that she has mulch order and will be spread during Christmas break. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space #3, two (2) bottles were not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Space #3, one (1) infant feeding schedule not signed and dated by the caregiver and parent. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Space #3, the refrigerator thermometer was not in the refrigerator to confirm the temperature. 15A NCAC 18A .2806(j)(2) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #6, two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. 15A NCAC 18A .2821(e) 807 A safe indoor and outdoor environment was not provided for the children. Space #5, during nap, the room was too dark to observe the children’s well-being while they napped. Space #7, a storage room door was open with a laminator accessible to the children. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #6, one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. Space #9, one (1) emergency medication on-site without a permission to administer medication form. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Space #9, one (1) emergency medication on-site missing the pharmacy label. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #8, one (1) emergency medication permission to administer medication form that expired 11/27/2025. .0803(12) 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. Staff member hired 3/25/2025 medical report was not completed prior to employment. The medical report on file was older than twelve (12) months, dated 2/27/2024. **REPEAT VIOLATION** 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 3/25/2025 TB test was not completed prior to employment. The TB test on file was dated 3/1/2024. **REPEAT VIOLATION** .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 4/2015 did not have an annual updated health questionnaire on file for review. .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. Staff member hired 4/2015 did not have an annual updated emergency information form on file for review. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Staff members hired 8/31/2020, and 10/6/2025 criminal background check was not on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch was low measuring four (4) to five (5) inches and compacted at slide exits and in fall zones .0605(k)(1-4) Technical assistance was provided as follows: Item 533- Space #3, two (2) bottles were not dated. The teacher added the date to the bottles during the visit. We discussed ensuring staff label the children’s bottles using tape to ensure that the date does not rub off the bottles. Rule Reference: 15A NCAC 18A.2804(d) Item 541- Space #3, one (1) infant feeding schedule not signed and dated by the caregiver and parent. We discussed when a new child is enrolled to ensure the infant feeding plan is signed and dated prior to the infants first day of enrollment. Rule Reference: 10A NCAC 09 .0902(a) Item 601- Space #3, the refrigerator thermometer was not in the refrigerator to confirm the temperature. The administrator added a new thermometer to the refrigerator during the visit. We discussed staff should check the refrigerator for a thermometer each morning to ensure the refrigerator is at the appropriate temperature of forty-five (45) degrees or below. Rule Reference: 15A NCAC 18A .2806(j)(2) Item 614- Space #6, two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. The administrator moved the mats to ensure each child was a minimum of eighteen (18) inches apart during the visit. We discussed that each mat shall be placed at minimum of eighteen (18) inches apart or a solid barrier shall be placed between the two (2) cots. Rule Reference: 15A NCAC 18A.2821(e) Item 807- Space #5, during nap, the room was too dark to observe the children’s well-being while they napped. The staff members adjusted the curtains to bring more natural lighting into the classroom to be able to see the children better. We discussed that the staff should be able to see the children’s skin color and be able to determine if a child’s appearance is changing. Space #7, a storage room door was open with a laminator accessible to the children. The administrator closed the door during the visit. We discussed when the children are in the cafeteria, the storage room door should remain shut to make the laminator inaccessible to the children. Rule Reference: 10A NCAC 09.0601(a) Item 842- Space #6, one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. Space #9, one (1) emergency medication on-site without a permission to administer medication form. When a new medication is brought into the facility, the administrator or staff member must ensure that it is accompanied by a completed “Permission to Administer Medication” form. This form authorizes the facility to administer the medication to the child. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 844- Space #9, one (1) emergency medication on-site missing the pharmacy label. When a new medication is brought into the facility, the administrator or staff member must ensure that the prescribed medication has the appropriate pharmacy label. Rule Reference: 10A NCAC 09.0803(2)(a) Item 849- Space #8, one (1) emergency medication permission to administer medication form that expired 11/27/2025. The administrator removed the medication until the form could be updated. We discussed conducting a monthly medication check to ensure all medications on site are in compliance looking closely at the expiration date of the medication and the permission to administer medication forms completed by the parent and doctor. Rule Reference: 10A NCAC 09 .0803(12) Item 1032- Staff member hired 3/25/2025 medical report was not completed prior to employment. The medical report on file was older than twelve (12) months, dated 2/27/2024. **REPEAT VIOLATION** We discussed the need to ensure that the medical report is completed prior to the staff members’ first day of employment and/or no more than twelve (12) months old at the time of employment. Rule Reference: 10A NCAC 09.0701(a) Item 1033- Staff member hired 3/25/2025 TB test was not completed prior to employment. The TB test on file was dated 3/1/2024. **REPEAT VIOLATION** We discussed the need to ensure that the TB test is completed prior to the staff members’ first day of employment and/or no more than twelve (12) months old at the time of employment.. Rule Reference: 10A NCAC 09 .0701(a) Item 1034- Staff member hired 4/2015 did not have an annual updated health questionnaire on file for review. The staff member completed the health questionnaire during the visit. Rule Reference: 10A NCAC 09 .0701(a) Item 1035- Staff member hired 4/2015 did not have an annual updated emergency information form on file for review. The staff member completed the emergency information form during the visit. Rule Reference: 10A NCAC 09 .0701(a) Item 1757- Staff members hired 8/31/2020, and 10/6/2025 criminal background check was not on file and available for review. The staff printed their qualifying letter during the visit. We discussed that the staff members must access the letter in order to print the letter once it is issued. Once the staff member accessed and prints, you will then add it to their personnel file to have on file for review. Rule Reference: G.S. 110-90.2(b) & (d) & .2703(e) Item 1867- the mulch was low measuring four (4) to five (5) inches and compacted at slide exits and in fall zones. The administrator stated that she has mulch order and will be spread during Christmas break. Rule Reference: 10A NCAC 09 .0605(k)(1-4) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/23/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -Reminder staff members hired 10/6/2025 and 10/8/2025 have until January 4, 2026, to complete First Aid and CPR training. You will need to ensure the staff members are registered for a course and complete the course prior to their ninety (90) days of employment. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0304 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/9/2025 Number Present: 43 Completed Date: 12/9/2025 Age: From 0 To 5 Total Minutes: 208 Time In: 10:32 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. A signed copy of the visit summary was left on-site with to you. Samantha Garren, Administrator, accompanied during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 12/1/2025. First Baptist Church of East Flat Rock, NC, Inc. d/b/a His Kids Child Development Center does not have a Secretary of State listing due to being a non-profit, unincorporated organization. Permit type – GS-110-106, issued 8/21/2024. Special Services/Restrictions – first shift, no children under age three on second floor. The last annual compliance visit was conducted on 12/18/2024. The last fire drill was practiced on 11/12/2025. The next drill is due before Christmas break. The last shelter-in-place drill was practiced on 9/11/2025. The next drill is due before Christmas break. The last playground inspection was documented on 11/26/2025. The last fire inspection was approved on 2/18/2025. The last sanitation inspection was conducted on 7/24/2025 with thirteen (13) demerits for a superior classification. Lead water testing was completed on 1/17/2025. Lead paint and asbestos testing was completed on 3/3/2025. The Emergency Medical Care plan was posted and current. The program does provide transportation. You stated that you do transport school-age children ages six to twelve years old for field trips during the summer (May-August). I monitored the white and gray vans today. The vans were not used this year by the child care facility. Currently the church is the only one using the vans. While monitoring the vans, I observed the church first aid kit with hazardous products and trash in the bus floors. We discussed that before the vans can be used to transport the child care facility enrolled children this summer, the staff will need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Along with ensuring the van is clean prior to transporting the school-age children. During the visit, I conducted a walkthrough of the indoor and outdoor spaces used by the children. In space #1, the group of two-year-old children were in the cafeteria eating lunch. After lunch, the group transitioned to classroom for nap. During nap, the staff used natural lighting and calming music to assist the children with resting. The staff sat close to all children to supervise and assist as needed. In space #2, the group of two-year-olds were eating lunch in the cafeteria. After lunch, the group transitioned to space #6 for nap. Space #3 the group of infant’s children were engaged in naps and exploring the room. Two (2) children were napping in their crib, and two (2) children were awake, one (1) was in an activity seat and one (1) was exploring the room. The staff member was supervising while completing classroom duties. While monitoring the classroom, I observed one (1) infant feeding schedule not signed and dated by the caregiver and parent. Two (2) bottles were not dated. The teacher added the date to the bottles during the visit. The refrigerator thermometer was not in the refrigerator that housed the bottles for the children. The administrator added a new thermometer to the refrigerator during the visit. In space #4, the infant was engaged in play in an activity seat and exploring the room. One (1) child was in the activity seat, and one (1) on the mat playing with toys. The staff member was preparing a bottle to feed one (1) of the two (2) infants. Space #5, the group of two-year-old children were in the cafeteria eating lunch. After lunch, the group transitioned back to the classroom for nap. During nap, we discussed the room was too dark to observe the children’s well being while they napped. The staff member adjusted the curtains to bring more natural lighting into the classroom to be able to see the children better. In space #6, the group of one- and two-year-olds were engaged in free play. After free play, the group transitioned to the cafeteria for lunch. While monitoring the classroom, I observed one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. When a new medication is brought into the facility, the administrator or staff member must ensure that it is accompanied by a completed “Permission to Administer Medication” form. This form authorizes the facility to administer the medication to the child. After lunch the group transitioned to the classroom for nap. While monitoring nap, I observed two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. The administrator moved the mats to ensure each child was a minimum of eighteen (18) inches apart during the visit. Space #7 is the cafeteria space; I observed a storage room door open with a laminator accessible to the children. The administrator closed the door during the visit. We discussed when the children are in the cafeteria, the storage room door should remain shut to make the laminator inaccessible to the children. In space #8, the group of four-year-old children were engaged in free play with dinosaurs, free art, and letter activity. While monitoring the room, I observed the emergency medication permission to administer medication form that expired 11/27/2025. The administrator removed the medication until the form could be updated. In space #9, the group of three- to four-year-old children were engaged in free play with dinosaurs, snap blocks, and books. When free play was over, the group began cleaning up. While monitoring the classroom, I observed one (1) emergency medication on-site without a permission to administer medication form and missing the pharmacy label. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 is currently not in use. Space #12 is currently not in use. Lunch today consisted of fish sticks, corn, pears, and milk. While monitoring the outdoor space, I observed the mulch was low and compacted at slide exits and in fall zones. The administrator stated that she has mulch order and will be spread during Christmas break. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space #3, two (2) bottles were not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Space #3, one (1) infant feeding schedule not signed and dated by the caregiver and parent. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Space #3, the refrigerator thermometer was not in the refrigerator to confirm the temperature. 15A NCAC 18A .2806(j)(2) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #6, two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. 15A NCAC 18A .2821(e) 807 A safe indoor and outdoor environment was not provided for the children. Space #5, during nap, the room was too dark to observe the children’s well-being while they napped. Space #7, a storage room door was open with a laminator accessible to the children. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #6, one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. Space #9, one (1) emergency medication on-site without a permission to administer medication form. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Space #9, one (1) emergency medication on-site missing the pharmacy label. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #8, one (1) emergency medication permission to administer medication form that expired 11/27/2025. .0803(12) 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. Staff member hired 3/25/2025 medical report was not completed prior to employment. The medical report on file was older than twelve (12) months, dated 2/27/2024. **REPEAT VIOLATION** 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 3/25/2025 TB test was not completed prior to employment. The TB test on file was dated 3/1/2024. **REPEAT VIOLATION** .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 4/2015 did not have an annual updated health questionnaire on file for review. .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. Staff member hired 4/2015 did not have an annual updated emergency information form on file for review. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Staff members hired 8/31/2020, and 10/6/2025 criminal background check was not on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch was low measuring four (4) to five (5) inches and compacted at slide exits and in fall zones .0605(k)(1-4) Technical assistance was provided as follows: Item 533- Space #3, two (2) bottles were not dated. The teacher added the date to the bottles during the visit. We discussed ensuring staff label the children’s bottles using tape to ensure that the date does not rub off the bottles. Rule Reference: 15A NCAC 18A.2804(d) Item 541- Space #3, one (1) infant feeding schedule not signed and dated by the caregiver and parent. We discussed when a new child is enrolled to ensure the infant feeding plan is signed and dated prior to the infants first day of enrollment. Rule Reference: 10A NCAC 09 .0902(a) Item 601- Space #3, the refrigerator thermometer was not in the refrigerator to confirm the temperature. The administrator added a new thermometer to the refrigerator during the visit. We discussed staff should check the refrigerator for a thermometer each morning to ensure the refrigerator is at the appropriate temperature of forty-five (45) degrees or below. Rule Reference: 15A NCAC 18A .2806(j)(2) Item 614- Space #6, two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. The administrator moved the mats to ensure each child was a minimum of eighteen (18) inches apart during the visit. We discussed that each mat shall be placed at minimum of eighteen (18) inches apart or a solid barrier shall be placed between the two (2) cots. Rule Reference: 15A NCAC 18A.2821(e) Item 807- Space #5, during nap, the room was too dark to observe the children’s well-being while they napped. The staff members adjusted the curtains to bring more natural lighting into the classroom to be able to see the children better. We discussed that the staff should be able to see the children’s skin color and be able to determine if a child’s appearance is changing. Space #7, a storage room door was open with a laminator accessible to the children. The administrator closed the door during the visit. We discussed when the children are in the cafeteria, the storage room door should remain shut to make the laminator inaccessible to the children. Rule Reference: 10A NCAC 09.0601(a) Item 842- Space #6, one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. Space #9, one (1) emergency medication on-site without a permission to administer medication form. When a new medication is brought into the facility, the administrator or staff member must ensure that it is accompanied by a completed “Permission to Administer Medication” form. This form authorizes the facility to administer the medication to the child. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 844- Space #9, one (1) emergency medication on-site missing the pharmacy label. When a new medication is brought into the facility, the administrator or staff member must ensure that the prescribed medication has the appropriate pharmacy label. Rule Reference: 10A NCAC 09.0803(2)(a) Item 849- Space #8, one (1) emergency medication permission to administer medication form that expired 11/27/2025. The administrator removed the medication until the form could be updated. We discussed conducting a monthly medication check to ensure all medications on site are in compliance looking closely at the expiration date of the medication and the permission to administer medication forms completed by the parent and doctor. Rule Reference: 10A NCAC 09 .0803(12) Item 1032- Staff member hired 3/25/2025 medical report was not completed prior to employment. The medical report on file was older than twelve (12) months, dated 2/27/2024. **REPEAT VIOLATION** We discussed the need to ensure that the medical report is completed prior to the staff members’ first day of employment and/or no more than twelve (12) months old at the time of employment. Rule Reference: 10A NCAC 09.0701(a) Item 1033- Staff member hired 3/25/2025 TB test was not completed prior to employment. The TB test on file was dated 3/1/2024. **REPEAT VIOLATION** We discussed the need to ensure that the TB test is completed prior to the staff members’ first day of employment and/or no more than twelve (12) months old at the time of employment.. Rule Reference: 10A NCAC 09 .0701(a) Item 1034- Staff member hired 4/2015 did not have an annual updated health questionnaire on file for review. The staff member completed the health questionnaire during the visit. Rule Reference: 10A NCAC 09 .0701(a) Item 1035- Staff member hired 4/2015 did not have an annual updated emergency information form on file for review. The staff member completed the emergency information form during the visit. Rule Reference: 10A NCAC 09 .0701(a) Item 1757- Staff members hired 8/31/2020, and 10/6/2025 criminal background check was not on file and available for review. The staff printed their qualifying letter during the visit. We discussed that the staff members must access the letter in order to print the letter once it is issued. Once the staff member accessed and prints, you will then add it to their personnel file to have on file for review. Rule Reference: G.S. 110-90.2(b) & (d) & .2703(e) Item 1867- the mulch was low measuring four (4) to five (5) inches and compacted at slide exits and in fall zones. The administrator stated that she has mulch order and will be spread during Christmas break. Rule Reference: 10A NCAC 09 .0605(k)(1-4) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/23/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -Reminder staff members hired 10/6/2025 and 10/8/2025 have until January 4, 2026, to complete First Aid and CPR training. You will need to ensure the staff members are registered for a course and complete the course prior to their ninety (90) days of employment. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0605 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/9/2025 Number Present: 43 Completed Date: 12/9/2025 Age: From 0 To 5 Total Minutes: 208 Time In: 10:32 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. A signed copy of the visit summary was left on-site with to you. Samantha Garren, Administrator, accompanied during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 12/1/2025. First Baptist Church of East Flat Rock, NC, Inc. d/b/a His Kids Child Development Center does not have a Secretary of State listing due to being a non-profit, unincorporated organization. Permit type – GS-110-106, issued 8/21/2024. Special Services/Restrictions – first shift, no children under age three on second floor. The last annual compliance visit was conducted on 12/18/2024. The last fire drill was practiced on 11/12/2025. The next drill is due before Christmas break. The last shelter-in-place drill was practiced on 9/11/2025. The next drill is due before Christmas break. The last playground inspection was documented on 11/26/2025. The last fire inspection was approved on 2/18/2025. The last sanitation inspection was conducted on 7/24/2025 with thirteen (13) demerits for a superior classification. Lead water testing was completed on 1/17/2025. Lead paint and asbestos testing was completed on 3/3/2025. The Emergency Medical Care plan was posted and current. The program does provide transportation. You stated that you do transport school-age children ages six to twelve years old for field trips during the summer (May-August). I monitored the white and gray vans today. The vans were not used this year by the child care facility. Currently the church is the only one using the vans. While monitoring the vans, I observed the church first aid kit with hazardous products and trash in the bus floors. We discussed that before the vans can be used to transport the child care facility enrolled children this summer, the staff will need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Along with ensuring the van is clean prior to transporting the school-age children. During the visit, I conducted a walkthrough of the indoor and outdoor spaces used by the children. In space #1, the group of two-year-old children were in the cafeteria eating lunch. After lunch, the group transitioned to classroom for nap. During nap, the staff used natural lighting and calming music to assist the children with resting. The staff sat close to all children to supervise and assist as needed. In space #2, the group of two-year-olds were eating lunch in the cafeteria. After lunch, the group transitioned to space #6 for nap. Space #3 the group of infant’s children were engaged in naps and exploring the room. Two (2) children were napping in their crib, and two (2) children were awake, one (1) was in an activity seat and one (1) was exploring the room. The staff member was supervising while completing classroom duties. While monitoring the classroom, I observed one (1) infant feeding schedule not signed and dated by the caregiver and parent. Two (2) bottles were not dated. The teacher added the date to the bottles during the visit. The refrigerator thermometer was not in the refrigerator that housed the bottles for the children. The administrator added a new thermometer to the refrigerator during the visit. In space #4, the infant was engaged in play in an activity seat and exploring the room. One (1) child was in the activity seat, and one (1) on the mat playing with toys. The staff member was preparing a bottle to feed one (1) of the two (2) infants. Space #5, the group of two-year-old children were in the cafeteria eating lunch. After lunch, the group transitioned back to the classroom for nap. During nap, we discussed the room was too dark to observe the children’s well being while they napped. The staff member adjusted the curtains to bring more natural lighting into the classroom to be able to see the children better. In space #6, the group of one- and two-year-olds were engaged in free play. After free play, the group transitioned to the cafeteria for lunch. While monitoring the classroom, I observed one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. When a new medication is brought into the facility, the administrator or staff member must ensure that it is accompanied by a completed “Permission to Administer Medication” form. This form authorizes the facility to administer the medication to the child. After lunch the group transitioned to the classroom for nap. While monitoring nap, I observed two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. The administrator moved the mats to ensure each child was a minimum of eighteen (18) inches apart during the visit. Space #7 is the cafeteria space; I observed a storage room door open with a laminator accessible to the children. The administrator closed the door during the visit. We discussed when the children are in the cafeteria, the storage room door should remain shut to make the laminator inaccessible to the children. In space #8, the group of four-year-old children were engaged in free play with dinosaurs, free art, and letter activity. While monitoring the room, I observed the emergency medication permission to administer medication form that expired 11/27/2025. The administrator removed the medication until the form could be updated. In space #9, the group of three- to four-year-old children were engaged in free play with dinosaurs, snap blocks, and books. When free play was over, the group began cleaning up. While monitoring the classroom, I observed one (1) emergency medication on-site without a permission to administer medication form and missing the pharmacy label. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 is currently not in use. Space #12 is currently not in use. Lunch today consisted of fish sticks, corn, pears, and milk. While monitoring the outdoor space, I observed the mulch was low and compacted at slide exits and in fall zones. The administrator stated that she has mulch order and will be spread during Christmas break. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space #3, two (2) bottles were not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Space #3, one (1) infant feeding schedule not signed and dated by the caregiver and parent. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Space #3, the refrigerator thermometer was not in the refrigerator to confirm the temperature. 15A NCAC 18A .2806(j)(2) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #6, two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. 15A NCAC 18A .2821(e) 807 A safe indoor and outdoor environment was not provided for the children. Space #5, during nap, the room was too dark to observe the children’s well-being while they napped. Space #7, a storage room door was open with a laminator accessible to the children. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #6, one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. Space #9, one (1) emergency medication on-site without a permission to administer medication form. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Space #9, one (1) emergency medication on-site missing the pharmacy label. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #8, one (1) emergency medication permission to administer medication form that expired 11/27/2025. .0803(12) 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. Staff member hired 3/25/2025 medical report was not completed prior to employment. The medical report on file was older than twelve (12) months, dated 2/27/2024. **REPEAT VIOLATION** 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 3/25/2025 TB test was not completed prior to employment. The TB test on file was dated 3/1/2024. **REPEAT VIOLATION** .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 4/2015 did not have an annual updated health questionnaire on file for review. .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. Staff member hired 4/2015 did not have an annual updated emergency information form on file for review. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Staff members hired 8/31/2020, and 10/6/2025 criminal background check was not on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch was low measuring four (4) to five (5) inches and compacted at slide exits and in fall zones .0605(k)(1-4) Technical assistance was provided as follows: Item 533- Space #3, two (2) bottles were not dated. The teacher added the date to the bottles during the visit. We discussed ensuring staff label the children’s bottles using tape to ensure that the date does not rub off the bottles. Rule Reference: 15A NCAC 18A.2804(d) Item 541- Space #3, one (1) infant feeding schedule not signed and dated by the caregiver and parent. We discussed when a new child is enrolled to ensure the infant feeding plan is signed and dated prior to the infants first day of enrollment. Rule Reference: 10A NCAC 09 .0902(a) Item 601- Space #3, the refrigerator thermometer was not in the refrigerator to confirm the temperature. The administrator added a new thermometer to the refrigerator during the visit. We discussed staff should check the refrigerator for a thermometer each morning to ensure the refrigerator is at the appropriate temperature of forty-five (45) degrees or below. Rule Reference: 15A NCAC 18A .2806(j)(2) Item 614- Space #6, two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. The administrator moved the mats to ensure each child was a minimum of eighteen (18) inches apart during the visit. We discussed that each mat shall be placed at minimum of eighteen (18) inches apart or a solid barrier shall be placed between the two (2) cots. Rule Reference: 15A NCAC 18A.2821(e) Item 807- Space #5, during nap, the room was too dark to observe the children’s well-being while they napped. The staff members adjusted the curtains to bring more natural lighting into the classroom to be able to see the children better. We discussed that the staff should be able to see the children’s skin color and be able to determine if a child’s appearance is changing. Space #7, a storage room door was open with a laminator accessible to the children. The administrator closed the door during the visit. We discussed when the children are in the cafeteria, the storage room door should remain shut to make the laminator inaccessible to the children. Rule Reference: 10A NCAC 09.0601(a) Item 842- Space #6, one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. Space #9, one (1) emergency medication on-site without a permission to administer medication form. When a new medication is brought into the facility, the administrator or staff member must ensure that it is accompanied by a completed “Permission to Administer Medication” form. This form authorizes the facility to administer the medication to the child. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 844- Space #9, one (1) emergency medication on-site missing the pharmacy label. When a new medication is brought into the facility, the administrator or staff member must ensure that the prescribed medication has the appropriate pharmacy label. Rule Reference: 10A NCAC 09.0803(2)(a) Item 849- Space #8, one (1) emergency medication permission to administer medication form that expired 11/27/2025. The administrator removed the medication until the form could be updated. We discussed conducting a monthly medication check to ensure all medications on site are in compliance looking closely at the expiration date of the medication and the permission to administer medication forms completed by the parent and doctor. Rule Reference: 10A NCAC 09 .0803(12) Item 1032- Staff member hired 3/25/2025 medical report was not completed prior to employment. The medical report on file was older than twelve (12) months, dated 2/27/2024. **REPEAT VIOLATION** We discussed the need to ensure that the medical report is completed prior to the staff members’ first day of employment and/or no more than twelve (12) months old at the time of employment. Rule Reference: 10A NCAC 09.0701(a) Item 1033- Staff member hired 3/25/2025 TB test was not completed prior to employment. The TB test on file was dated 3/1/2024. **REPEAT VIOLATION** We discussed the need to ensure that the TB test is completed prior to the staff members’ first day of employment and/or no more than twelve (12) months old at the time of employment.. Rule Reference: 10A NCAC 09 .0701(a) Item 1034- Staff member hired 4/2015 did not have an annual updated health questionnaire on file for review. The staff member completed the health questionnaire during the visit. Rule Reference: 10A NCAC 09 .0701(a) Item 1035- Staff member hired 4/2015 did not have an annual updated emergency information form on file for review. The staff member completed the emergency information form during the visit. Rule Reference: 10A NCAC 09 .0701(a) Item 1757- Staff members hired 8/31/2020, and 10/6/2025 criminal background check was not on file and available for review. The staff printed their qualifying letter during the visit. We discussed that the staff members must access the letter in order to print the letter once it is issued. Once the staff member accessed and prints, you will then add it to their personnel file to have on file for review. Rule Reference: G.S. 110-90.2(b) & (d) & .2703(e) Item 1867- the mulch was low measuring four (4) to five (5) inches and compacted at slide exits and in fall zones. The administrator stated that she has mulch order and will be spread during Christmas break. Rule Reference: 10A NCAC 09 .0605(k)(1-4) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/23/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -Reminder staff members hired 10/6/2025 and 10/8/2025 have until January 4, 2026, to complete First Aid and CPR training. You will need to ensure the staff members are registered for a course and complete the course prior to their ninety (90) days of employment. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0701 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/9/2025 Number Present: 43 Completed Date: 12/9/2025 Age: From 0 To 5 Total Minutes: 208 Time In: 10:32 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. A signed copy of the visit summary was left on-site with to you. Samantha Garren, Administrator, accompanied during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 12/1/2025. First Baptist Church of East Flat Rock, NC, Inc. d/b/a His Kids Child Development Center does not have a Secretary of State listing due to being a non-profit, unincorporated organization. Permit type – GS-110-106, issued 8/21/2024. Special Services/Restrictions – first shift, no children under age three on second floor. The last annual compliance visit was conducted on 12/18/2024. The last fire drill was practiced on 11/12/2025. The next drill is due before Christmas break. The last shelter-in-place drill was practiced on 9/11/2025. The next drill is due before Christmas break. The last playground inspection was documented on 11/26/2025. The last fire inspection was approved on 2/18/2025. The last sanitation inspection was conducted on 7/24/2025 with thirteen (13) demerits for a superior classification. Lead water testing was completed on 1/17/2025. Lead paint and asbestos testing was completed on 3/3/2025. The Emergency Medical Care plan was posted and current. The program does provide transportation. You stated that you do transport school-age children ages six to twelve years old for field trips during the summer (May-August). I monitored the white and gray vans today. The vans were not used this year by the child care facility. Currently the church is the only one using the vans. While monitoring the vans, I observed the church first aid kit with hazardous products and trash in the bus floors. We discussed that before the vans can be used to transport the child care facility enrolled children this summer, the staff will need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Along with ensuring the van is clean prior to transporting the school-age children. During the visit, I conducted a walkthrough of the indoor and outdoor spaces used by the children. In space #1, the group of two-year-old children were in the cafeteria eating lunch. After lunch, the group transitioned to classroom for nap. During nap, the staff used natural lighting and calming music to assist the children with resting. The staff sat close to all children to supervise and assist as needed. In space #2, the group of two-year-olds were eating lunch in the cafeteria. After lunch, the group transitioned to space #6 for nap. Space #3 the group of infant’s children were engaged in naps and exploring the room. Two (2) children were napping in their crib, and two (2) children were awake, one (1) was in an activity seat and one (1) was exploring the room. The staff member was supervising while completing classroom duties. While monitoring the classroom, I observed one (1) infant feeding schedule not signed and dated by the caregiver and parent. Two (2) bottles were not dated. The teacher added the date to the bottles during the visit. The refrigerator thermometer was not in the refrigerator that housed the bottles for the children. The administrator added a new thermometer to the refrigerator during the visit. In space #4, the infant was engaged in play in an activity seat and exploring the room. One (1) child was in the activity seat, and one (1) on the mat playing with toys. The staff member was preparing a bottle to feed one (1) of the two (2) infants. Space #5, the group of two-year-old children were in the cafeteria eating lunch. After lunch, the group transitioned back to the classroom for nap. During nap, we discussed the room was too dark to observe the children’s well being while they napped. The staff member adjusted the curtains to bring more natural lighting into the classroom to be able to see the children better. In space #6, the group of one- and two-year-olds were engaged in free play. After free play, the group transitioned to the cafeteria for lunch. While monitoring the classroom, I observed one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. When a new medication is brought into the facility, the administrator or staff member must ensure that it is accompanied by a completed “Permission to Administer Medication” form. This form authorizes the facility to administer the medication to the child. After lunch the group transitioned to the classroom for nap. While monitoring nap, I observed two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. The administrator moved the mats to ensure each child was a minimum of eighteen (18) inches apart during the visit. Space #7 is the cafeteria space; I observed a storage room door open with a laminator accessible to the children. The administrator closed the door during the visit. We discussed when the children are in the cafeteria, the storage room door should remain shut to make the laminator inaccessible to the children. In space #8, the group of four-year-old children were engaged in free play with dinosaurs, free art, and letter activity. While monitoring the room, I observed the emergency medication permission to administer medication form that expired 11/27/2025. The administrator removed the medication until the form could be updated. In space #9, the group of three- to four-year-old children were engaged in free play with dinosaurs, snap blocks, and books. When free play was over, the group began cleaning up. While monitoring the classroom, I observed one (1) emergency medication on-site without a permission to administer medication form and missing the pharmacy label. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 is currently not in use. Space #12 is currently not in use. Lunch today consisted of fish sticks, corn, pears, and milk. While monitoring the outdoor space, I observed the mulch was low and compacted at slide exits and in fall zones. The administrator stated that she has mulch order and will be spread during Christmas break. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space #3, two (2) bottles were not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Space #3, one (1) infant feeding schedule not signed and dated by the caregiver and parent. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Space #3, the refrigerator thermometer was not in the refrigerator to confirm the temperature. 15A NCAC 18A .2806(j)(2) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #6, two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. 15A NCAC 18A .2821(e) 807 A safe indoor and outdoor environment was not provided for the children. Space #5, during nap, the room was too dark to observe the children’s well-being while they napped. Space #7, a storage room door was open with a laminator accessible to the children. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #6, one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. Space #9, one (1) emergency medication on-site without a permission to administer medication form. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Space #9, one (1) emergency medication on-site missing the pharmacy label. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #8, one (1) emergency medication permission to administer medication form that expired 11/27/2025. .0803(12) 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. Staff member hired 3/25/2025 medical report was not completed prior to employment. The medical report on file was older than twelve (12) months, dated 2/27/2024. **REPEAT VIOLATION** 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 3/25/2025 TB test was not completed prior to employment. The TB test on file was dated 3/1/2024. **REPEAT VIOLATION** .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 4/2015 did not have an annual updated health questionnaire on file for review. .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. Staff member hired 4/2015 did not have an annual updated emergency information form on file for review. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Staff members hired 8/31/2020, and 10/6/2025 criminal background check was not on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch was low measuring four (4) to five (5) inches and compacted at slide exits and in fall zones .0605(k)(1-4) Technical assistance was provided as follows: Item 533- Space #3, two (2) bottles were not dated. The teacher added the date to the bottles during the visit. We discussed ensuring staff label the children’s bottles using tape to ensure that the date does not rub off the bottles. Rule Reference: 15A NCAC 18A.2804(d) Item 541- Space #3, one (1) infant feeding schedule not signed and dated by the caregiver and parent. We discussed when a new child is enrolled to ensure the infant feeding plan is signed and dated prior to the infants first day of enrollment. Rule Reference: 10A NCAC 09 .0902(a) Item 601- Space #3, the refrigerator thermometer was not in the refrigerator to confirm the temperature. The administrator added a new thermometer to the refrigerator during the visit. We discussed staff should check the refrigerator for a thermometer each morning to ensure the refrigerator is at the appropriate temperature of forty-five (45) degrees or below. Rule Reference: 15A NCAC 18A .2806(j)(2) Item 614- Space #6, two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. The administrator moved the mats to ensure each child was a minimum of eighteen (18) inches apart during the visit. We discussed that each mat shall be placed at minimum of eighteen (18) inches apart or a solid barrier shall be placed between the two (2) cots. Rule Reference: 15A NCAC 18A.2821(e) Item 807- Space #5, during nap, the room was too dark to observe the children’s well-being while they napped. The staff members adjusted the curtains to bring more natural lighting into the classroom to be able to see the children better. We discussed that the staff should be able to see the children’s skin color and be able to determine if a child’s appearance is changing. Space #7, a storage room door was open with a laminator accessible to the children. The administrator closed the door during the visit. We discussed when the children are in the cafeteria, the storage room door should remain shut to make the laminator inaccessible to the children. Rule Reference: 10A NCAC 09.0601(a) Item 842- Space #6, one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. Space #9, one (1) emergency medication on-site without a permission to administer medication form. When a new medication is brought into the facility, the administrator or staff member must ensure that it is accompanied by a completed “Permission to Administer Medication” form. This form authorizes the facility to administer the medication to the child. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 844- Space #9, one (1) emergency medication on-site missing the pharmacy label. When a new medication is brought into the facility, the administrator or staff member must ensure that the prescribed medication has the appropriate pharmacy label. Rule Reference: 10A NCAC 09.0803(2)(a) Item 849- Space #8, one (1) emergency medication permission to administer medication form that expired 11/27/2025. The administrator removed the medication until the form could be updated. We discussed conducting a monthly medication check to ensure all medications on site are in compliance looking closely at the expiration date of the medication and the permission to administer medication forms completed by the parent and doctor. Rule Reference: 10A NCAC 09 .0803(12) Item 1032- Staff member hired 3/25/2025 medical report was not completed prior to employment. The medical report on file was older than twelve (12) months, dated 2/27/2024. **REPEAT VIOLATION** We discussed the need to ensure that the medical report is completed prior to the staff members’ first day of employment and/or no more than twelve (12) months old at the time of employment. Rule Reference: 10A NCAC 09.0701(a) Item 1033- Staff member hired 3/25/2025 TB test was not completed prior to employment. The TB test on file was dated 3/1/2024. **REPEAT VIOLATION** We discussed the need to ensure that the TB test is completed prior to the staff members’ first day of employment and/or no more than twelve (12) months old at the time of employment.. Rule Reference: 10A NCAC 09 .0701(a) Item 1034- Staff member hired 4/2015 did not have an annual updated health questionnaire on file for review. The staff member completed the health questionnaire during the visit. Rule Reference: 10A NCAC 09 .0701(a) Item 1035- Staff member hired 4/2015 did not have an annual updated emergency information form on file for review. The staff member completed the emergency information form during the visit. Rule Reference: 10A NCAC 09 .0701(a) Item 1757- Staff members hired 8/31/2020, and 10/6/2025 criminal background check was not on file and available for review. The staff printed their qualifying letter during the visit. We discussed that the staff members must access the letter in order to print the letter once it is issued. Once the staff member accessed and prints, you will then add it to their personnel file to have on file for review. Rule Reference: G.S. 110-90.2(b) & (d) & .2703(e) Item 1867- the mulch was low measuring four (4) to five (5) inches and compacted at slide exits and in fall zones. The administrator stated that she has mulch order and will be spread during Christmas break. Rule Reference: 10A NCAC 09 .0605(k)(1-4) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/23/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -Reminder staff members hired 10/6/2025 and 10/8/2025 have until January 4, 2026, to complete First Aid and CPR training. You will need to ensure the staff members are registered for a course and complete the course prior to their ninety (90) days of employment. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0803 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/9/2025 Number Present: 43 Completed Date: 12/9/2025 Age: From 0 To 5 Total Minutes: 208 Time In: 10:32 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. A signed copy of the visit summary was left on-site with to you. Samantha Garren, Administrator, accompanied during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 12/1/2025. First Baptist Church of East Flat Rock, NC, Inc. d/b/a His Kids Child Development Center does not have a Secretary of State listing due to being a non-profit, unincorporated organization. Permit type – GS-110-106, issued 8/21/2024. Special Services/Restrictions – first shift, no children under age three on second floor. The last annual compliance visit was conducted on 12/18/2024. The last fire drill was practiced on 11/12/2025. The next drill is due before Christmas break. The last shelter-in-place drill was practiced on 9/11/2025. The next drill is due before Christmas break. The last playground inspection was documented on 11/26/2025. The last fire inspection was approved on 2/18/2025. The last sanitation inspection was conducted on 7/24/2025 with thirteen (13) demerits for a superior classification. Lead water testing was completed on 1/17/2025. Lead paint and asbestos testing was completed on 3/3/2025. The Emergency Medical Care plan was posted and current. The program does provide transportation. You stated that you do transport school-age children ages six to twelve years old for field trips during the summer (May-August). I monitored the white and gray vans today. The vans were not used this year by the child care facility. Currently the church is the only one using the vans. While monitoring the vans, I observed the church first aid kit with hazardous products and trash in the bus floors. We discussed that before the vans can be used to transport the child care facility enrolled children this summer, the staff will need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Along with ensuring the van is clean prior to transporting the school-age children. During the visit, I conducted a walkthrough of the indoor and outdoor spaces used by the children. In space #1, the group of two-year-old children were in the cafeteria eating lunch. After lunch, the group transitioned to classroom for nap. During nap, the staff used natural lighting and calming music to assist the children with resting. The staff sat close to all children to supervise and assist as needed. In space #2, the group of two-year-olds were eating lunch in the cafeteria. After lunch, the group transitioned to space #6 for nap. Space #3 the group of infant’s children were engaged in naps and exploring the room. Two (2) children were napping in their crib, and two (2) children were awake, one (1) was in an activity seat and one (1) was exploring the room. The staff member was supervising while completing classroom duties. While monitoring the classroom, I observed one (1) infant feeding schedule not signed and dated by the caregiver and parent. Two (2) bottles were not dated. The teacher added the date to the bottles during the visit. The refrigerator thermometer was not in the refrigerator that housed the bottles for the children. The administrator added a new thermometer to the refrigerator during the visit. In space #4, the infant was engaged in play in an activity seat and exploring the room. One (1) child was in the activity seat, and one (1) on the mat playing with toys. The staff member was preparing a bottle to feed one (1) of the two (2) infants. Space #5, the group of two-year-old children were in the cafeteria eating lunch. After lunch, the group transitioned back to the classroom for nap. During nap, we discussed the room was too dark to observe the children’s well being while they napped. The staff member adjusted the curtains to bring more natural lighting into the classroom to be able to see the children better. In space #6, the group of one- and two-year-olds were engaged in free play. After free play, the group transitioned to the cafeteria for lunch. While monitoring the classroom, I observed one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. When a new medication is brought into the facility, the administrator or staff member must ensure that it is accompanied by a completed “Permission to Administer Medication” form. This form authorizes the facility to administer the medication to the child. After lunch the group transitioned to the classroom for nap. While monitoring nap, I observed two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. The administrator moved the mats to ensure each child was a minimum of eighteen (18) inches apart during the visit. Space #7 is the cafeteria space; I observed a storage room door open with a laminator accessible to the children. The administrator closed the door during the visit. We discussed when the children are in the cafeteria, the storage room door should remain shut to make the laminator inaccessible to the children. In space #8, the group of four-year-old children were engaged in free play with dinosaurs, free art, and letter activity. While monitoring the room, I observed the emergency medication permission to administer medication form that expired 11/27/2025. The administrator removed the medication until the form could be updated. In space #9, the group of three- to four-year-old children were engaged in free play with dinosaurs, snap blocks, and books. When free play was over, the group began cleaning up. While monitoring the classroom, I observed one (1) emergency medication on-site without a permission to administer medication form and missing the pharmacy label. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 is currently not in use. Space #12 is currently not in use. Lunch today consisted of fish sticks, corn, pears, and milk. While monitoring the outdoor space, I observed the mulch was low and compacted at slide exits and in fall zones. The administrator stated that she has mulch order and will be spread during Christmas break. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space #3, two (2) bottles were not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Space #3, one (1) infant feeding schedule not signed and dated by the caregiver and parent. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Space #3, the refrigerator thermometer was not in the refrigerator to confirm the temperature. 15A NCAC 18A .2806(j)(2) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #6, two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. 15A NCAC 18A .2821(e) 807 A safe indoor and outdoor environment was not provided for the children. Space #5, during nap, the room was too dark to observe the children’s well-being while they napped. Space #7, a storage room door was open with a laminator accessible to the children. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #6, one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. Space #9, one (1) emergency medication on-site without a permission to administer medication form. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Space #9, one (1) emergency medication on-site missing the pharmacy label. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #8, one (1) emergency medication permission to administer medication form that expired 11/27/2025. .0803(12) 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. Staff member hired 3/25/2025 medical report was not completed prior to employment. The medical report on file was older than twelve (12) months, dated 2/27/2024. **REPEAT VIOLATION** 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 3/25/2025 TB test was not completed prior to employment. The TB test on file was dated 3/1/2024. **REPEAT VIOLATION** .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 4/2015 did not have an annual updated health questionnaire on file for review. .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. Staff member hired 4/2015 did not have an annual updated emergency information form on file for review. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Staff members hired 8/31/2020, and 10/6/2025 criminal background check was not on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch was low measuring four (4) to five (5) inches and compacted at slide exits and in fall zones .0605(k)(1-4) Technical assistance was provided as follows: Item 533- Space #3, two (2) bottles were not dated. The teacher added the date to the bottles during the visit. We discussed ensuring staff label the children’s bottles using tape to ensure that the date does not rub off the bottles. Rule Reference: 15A NCAC 18A.2804(d) Item 541- Space #3, one (1) infant feeding schedule not signed and dated by the caregiver and parent. We discussed when a new child is enrolled to ensure the infant feeding plan is signed and dated prior to the infants first day of enrollment. Rule Reference: 10A NCAC 09 .0902(a) Item 601- Space #3, the refrigerator thermometer was not in the refrigerator to confirm the temperature. The administrator added a new thermometer to the refrigerator during the visit. We discussed staff should check the refrigerator for a thermometer each morning to ensure the refrigerator is at the appropriate temperature of forty-five (45) degrees or below. Rule Reference: 15A NCAC 18A .2806(j)(2) Item 614- Space #6, two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. The administrator moved the mats to ensure each child was a minimum of eighteen (18) inches apart during the visit. We discussed that each mat shall be placed at minimum of eighteen (18) inches apart or a solid barrier shall be placed between the two (2) cots. Rule Reference: 15A NCAC 18A.2821(e) Item 807- Space #5, during nap, the room was too dark to observe the children’s well-being while they napped. The staff members adjusted the curtains to bring more natural lighting into the classroom to be able to see the children better. We discussed that the staff should be able to see the children’s skin color and be able to determine if a child’s appearance is changing. Space #7, a storage room door was open with a laminator accessible to the children. The administrator closed the door during the visit. We discussed when the children are in the cafeteria, the storage room door should remain shut to make the laminator inaccessible to the children. Rule Reference: 10A NCAC 09.0601(a) Item 842- Space #6, one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. Space #9, one (1) emergency medication on-site without a permission to administer medication form. When a new medication is brought into the facility, the administrator or staff member must ensure that it is accompanied by a completed “Permission to Administer Medication” form. This form authorizes the facility to administer the medication to the child. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 844- Space #9, one (1) emergency medication on-site missing the pharmacy label. When a new medication is brought into the facility, the administrator or staff member must ensure that the prescribed medication has the appropriate pharmacy label. Rule Reference: 10A NCAC 09.0803(2)(a) Item 849- Space #8, one (1) emergency medication permission to administer medication form that expired 11/27/2025. The administrator removed the medication until the form could be updated. We discussed conducting a monthly medication check to ensure all medications on site are in compliance looking closely at the expiration date of the medication and the permission to administer medication forms completed by the parent and doctor. Rule Reference: 10A NCAC 09 .0803(12) Item 1032- Staff member hired 3/25/2025 medical report was not completed prior to employment. The medical report on file was older than twelve (12) months, dated 2/27/2024. **REPEAT VIOLATION** We discussed the need to ensure that the medical report is completed prior to the staff members’ first day of employment and/or no more than twelve (12) months old at the time of employment. Rule Reference: 10A NCAC 09.0701(a) Item 1033- Staff member hired 3/25/2025 TB test was not completed prior to employment. The TB test on file was dated 3/1/2024. **REPEAT VIOLATION** We discussed the need to ensure that the TB test is completed prior to the staff members’ first day of employment and/or no more than twelve (12) months old at the time of employment.. Rule Reference: 10A NCAC 09 .0701(a) Item 1034- Staff member hired 4/2015 did not have an annual updated health questionnaire on file for review. The staff member completed the health questionnaire during the visit. Rule Reference: 10A NCAC 09 .0701(a) Item 1035- Staff member hired 4/2015 did not have an annual updated emergency information form on file for review. The staff member completed the emergency information form during the visit. Rule Reference: 10A NCAC 09 .0701(a) Item 1757- Staff members hired 8/31/2020, and 10/6/2025 criminal background check was not on file and available for review. The staff printed their qualifying letter during the visit. We discussed that the staff members must access the letter in order to print the letter once it is issued. Once the staff member accessed and prints, you will then add it to their personnel file to have on file for review. Rule Reference: G.S. 110-90.2(b) & (d) & .2703(e) Item 1867- the mulch was low measuring four (4) to five (5) inches and compacted at slide exits and in fall zones. The administrator stated that she has mulch order and will be spread during Christmas break. Rule Reference: 10A NCAC 09 .0605(k)(1-4) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/23/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -Reminder staff members hired 10/6/2025 and 10/8/2025 have until January 4, 2026, to complete First Aid and CPR training. You will need to ensure the staff members are registered for a course and complete the course prior to their ninety (90) days of employment. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0902 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/9/2025 Number Present: 43 Completed Date: 12/9/2025 Age: From 0 To 5 Total Minutes: 208 Time In: 10:32 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. A signed copy of the visit summary was left on-site with to you. Samantha Garren, Administrator, accompanied during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 12/1/2025. First Baptist Church of East Flat Rock, NC, Inc. d/b/a His Kids Child Development Center does not have a Secretary of State listing due to being a non-profit, unincorporated organization. Permit type – GS-110-106, issued 8/21/2024. Special Services/Restrictions – first shift, no children under age three on second floor. The last annual compliance visit was conducted on 12/18/2024. The last fire drill was practiced on 11/12/2025. The next drill is due before Christmas break. The last shelter-in-place drill was practiced on 9/11/2025. The next drill is due before Christmas break. The last playground inspection was documented on 11/26/2025. The last fire inspection was approved on 2/18/2025. The last sanitation inspection was conducted on 7/24/2025 with thirteen (13) demerits for a superior classification. Lead water testing was completed on 1/17/2025. Lead paint and asbestos testing was completed on 3/3/2025. The Emergency Medical Care plan was posted and current. The program does provide transportation. You stated that you do transport school-age children ages six to twelve years old for field trips during the summer (May-August). I monitored the white and gray vans today. The vans were not used this year by the child care facility. Currently the church is the only one using the vans. While monitoring the vans, I observed the church first aid kit with hazardous products and trash in the bus floors. We discussed that before the vans can be used to transport the child care facility enrolled children this summer, the staff will need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Along with ensuring the van is clean prior to transporting the school-age children. During the visit, I conducted a walkthrough of the indoor and outdoor spaces used by the children. In space #1, the group of two-year-old children were in the cafeteria eating lunch. After lunch, the group transitioned to classroom for nap. During nap, the staff used natural lighting and calming music to assist the children with resting. The staff sat close to all children to supervise and assist as needed. In space #2, the group of two-year-olds were eating lunch in the cafeteria. After lunch, the group transitioned to space #6 for nap. Space #3 the group of infant’s children were engaged in naps and exploring the room. Two (2) children were napping in their crib, and two (2) children were awake, one (1) was in an activity seat and one (1) was exploring the room. The staff member was supervising while completing classroom duties. While monitoring the classroom, I observed one (1) infant feeding schedule not signed and dated by the caregiver and parent. Two (2) bottles were not dated. The teacher added the date to the bottles during the visit. The refrigerator thermometer was not in the refrigerator that housed the bottles for the children. The administrator added a new thermometer to the refrigerator during the visit. In space #4, the infant was engaged in play in an activity seat and exploring the room. One (1) child was in the activity seat, and one (1) on the mat playing with toys. The staff member was preparing a bottle to feed one (1) of the two (2) infants. Space #5, the group of two-year-old children were in the cafeteria eating lunch. After lunch, the group transitioned back to the classroom for nap. During nap, we discussed the room was too dark to observe the children’s well being while they napped. The staff member adjusted the curtains to bring more natural lighting into the classroom to be able to see the children better. In space #6, the group of one- and two-year-olds were engaged in free play. After free play, the group transitioned to the cafeteria for lunch. While monitoring the classroom, I observed one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. When a new medication is brought into the facility, the administrator or staff member must ensure that it is accompanied by a completed “Permission to Administer Medication” form. This form authorizes the facility to administer the medication to the child. After lunch the group transitioned to the classroom for nap. While monitoring nap, I observed two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. The administrator moved the mats to ensure each child was a minimum of eighteen (18) inches apart during the visit. Space #7 is the cafeteria space; I observed a storage room door open with a laminator accessible to the children. The administrator closed the door during the visit. We discussed when the children are in the cafeteria, the storage room door should remain shut to make the laminator inaccessible to the children. In space #8, the group of four-year-old children were engaged in free play with dinosaurs, free art, and letter activity. While monitoring the room, I observed the emergency medication permission to administer medication form that expired 11/27/2025. The administrator removed the medication until the form could be updated. In space #9, the group of three- to four-year-old children were engaged in free play with dinosaurs, snap blocks, and books. When free play was over, the group began cleaning up. While monitoring the classroom, I observed one (1) emergency medication on-site without a permission to administer medication form and missing the pharmacy label. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 is currently not in use. Space #12 is currently not in use. Lunch today consisted of fish sticks, corn, pears, and milk. While monitoring the outdoor space, I observed the mulch was low and compacted at slide exits and in fall zones. The administrator stated that she has mulch order and will be spread during Christmas break. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space #3, two (2) bottles were not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Space #3, one (1) infant feeding schedule not signed and dated by the caregiver and parent. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Space #3, the refrigerator thermometer was not in the refrigerator to confirm the temperature. 15A NCAC 18A .2806(j)(2) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #6, two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. 15A NCAC 18A .2821(e) 807 A safe indoor and outdoor environment was not provided for the children. Space #5, during nap, the room was too dark to observe the children’s well-being while they napped. Space #7, a storage room door was open with a laminator accessible to the children. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #6, one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. Space #9, one (1) emergency medication on-site without a permission to administer medication form. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Space #9, one (1) emergency medication on-site missing the pharmacy label. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #8, one (1) emergency medication permission to administer medication form that expired 11/27/2025. .0803(12) 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. Staff member hired 3/25/2025 medical report was not completed prior to employment. The medical report on file was older than twelve (12) months, dated 2/27/2024. **REPEAT VIOLATION** 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 3/25/2025 TB test was not completed prior to employment. The TB test on file was dated 3/1/2024. **REPEAT VIOLATION** .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 4/2015 did not have an annual updated health questionnaire on file for review. .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. Staff member hired 4/2015 did not have an annual updated emergency information form on file for review. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Staff members hired 8/31/2020, and 10/6/2025 criminal background check was not on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch was low measuring four (4) to five (5) inches and compacted at slide exits and in fall zones .0605(k)(1-4) Technical assistance was provided as follows: Item 533- Space #3, two (2) bottles were not dated. The teacher added the date to the bottles during the visit. We discussed ensuring staff label the children’s bottles using tape to ensure that the date does not rub off the bottles. Rule Reference: 15A NCAC 18A.2804(d) Item 541- Space #3, one (1) infant feeding schedule not signed and dated by the caregiver and parent. We discussed when a new child is enrolled to ensure the infant feeding plan is signed and dated prior to the infants first day of enrollment. Rule Reference: 10A NCAC 09 .0902(a) Item 601- Space #3, the refrigerator thermometer was not in the refrigerator to confirm the temperature. The administrator added a new thermometer to the refrigerator during the visit. We discussed staff should check the refrigerator for a thermometer each morning to ensure the refrigerator is at the appropriate temperature of forty-five (45) degrees or below. Rule Reference: 15A NCAC 18A .2806(j)(2) Item 614- Space #6, two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. The administrator moved the mats to ensure each child was a minimum of eighteen (18) inches apart during the visit. We discussed that each mat shall be placed at minimum of eighteen (18) inches apart or a solid barrier shall be placed between the two (2) cots. Rule Reference: 15A NCAC 18A.2821(e) Item 807- Space #5, during nap, the room was too dark to observe the children’s well-being while they napped. The staff members adjusted the curtains to bring more natural lighting into the classroom to be able to see the children better. We discussed that the staff should be able to see the children’s skin color and be able to determine if a child’s appearance is changing. Space #7, a storage room door was open with a laminator accessible to the children. The administrator closed the door during the visit. We discussed when the children are in the cafeteria, the storage room door should remain shut to make the laminator inaccessible to the children. Rule Reference: 10A NCAC 09.0601(a) Item 842- Space #6, one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. Space #9, one (1) emergency medication on-site without a permission to administer medication form. When a new medication is brought into the facility, the administrator or staff member must ensure that it is accompanied by a completed “Permission to Administer Medication” form. This form authorizes the facility to administer the medication to the child. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 844- Space #9, one (1) emergency medication on-site missing the pharmacy label. When a new medication is brought into the facility, the administrator or staff member must ensure that the prescribed medication has the appropriate pharmacy label. Rule Reference: 10A NCAC 09.0803(2)(a) Item 849- Space #8, one (1) emergency medication permission to administer medication form that expired 11/27/2025. The administrator removed the medication until the form could be updated. We discussed conducting a monthly medication check to ensure all medications on site are in compliance looking closely at the expiration date of the medication and the permission to administer medication forms completed by the parent and doctor. Rule Reference: 10A NCAC 09 .0803(12) Item 1032- Staff member hired 3/25/2025 medical report was not completed prior to employment. The medical report on file was older than twelve (12) months, dated 2/27/2024. **REPEAT VIOLATION** We discussed the need to ensure that the medical report is completed prior to the staff members’ first day of employment and/or no more than twelve (12) months old at the time of employment. Rule Reference: 10A NCAC 09.0701(a) Item 1033- Staff member hired 3/25/2025 TB test was not completed prior to employment. The TB test on file was dated 3/1/2024. **REPEAT VIOLATION** We discussed the need to ensure that the TB test is completed prior to the staff members’ first day of employment and/or no more than twelve (12) months old at the time of employment.. Rule Reference: 10A NCAC 09 .0701(a) Item 1034- Staff member hired 4/2015 did not have an annual updated health questionnaire on file for review. The staff member completed the health questionnaire during the visit. Rule Reference: 10A NCAC 09 .0701(a) Item 1035- Staff member hired 4/2015 did not have an annual updated emergency information form on file for review. The staff member completed the emergency information form during the visit. Rule Reference: 10A NCAC 09 .0701(a) Item 1757- Staff members hired 8/31/2020, and 10/6/2025 criminal background check was not on file and available for review. The staff printed their qualifying letter during the visit. We discussed that the staff members must access the letter in order to print the letter once it is issued. Once the staff member accessed and prints, you will then add it to their personnel file to have on file for review. Rule Reference: G.S. 110-90.2(b) & (d) & .2703(e) Item 1867- the mulch was low measuring four (4) to five (5) inches and compacted at slide exits and in fall zones. The administrator stated that she has mulch order and will be spread during Christmas break. Rule Reference: 10A NCAC 09 .0605(k)(1-4) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/23/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -Reminder staff members hired 10/6/2025 and 10/8/2025 have until January 4, 2026, to complete First Aid and CPR training. You will need to ensure the staff members are registered for a course and complete the course prior to their ninety (90) days of employment. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1102 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/9/2025 Number Present: 43 Completed Date: 12/9/2025 Age: From 0 To 5 Total Minutes: 208 Time In: 10:32 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. A signed copy of the visit summary was left on-site with to you. Samantha Garren, Administrator, accompanied during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 12/1/2025. First Baptist Church of East Flat Rock, NC, Inc. d/b/a His Kids Child Development Center does not have a Secretary of State listing due to being a non-profit, unincorporated organization. Permit type – GS-110-106, issued 8/21/2024. Special Services/Restrictions – first shift, no children under age three on second floor. The last annual compliance visit was conducted on 12/18/2024. The last fire drill was practiced on 11/12/2025. The next drill is due before Christmas break. The last shelter-in-place drill was practiced on 9/11/2025. The next drill is due before Christmas break. The last playground inspection was documented on 11/26/2025. The last fire inspection was approved on 2/18/2025. The last sanitation inspection was conducted on 7/24/2025 with thirteen (13) demerits for a superior classification. Lead water testing was completed on 1/17/2025. Lead paint and asbestos testing was completed on 3/3/2025. The Emergency Medical Care plan was posted and current. The program does provide transportation. You stated that you do transport school-age children ages six to twelve years old for field trips during the summer (May-August). I monitored the white and gray vans today. The vans were not used this year by the child care facility. Currently the church is the only one using the vans. While monitoring the vans, I observed the church first aid kit with hazardous products and trash in the bus floors. We discussed that before the vans can be used to transport the child care facility enrolled children this summer, the staff will need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Along with ensuring the van is clean prior to transporting the school-age children. During the visit, I conducted a walkthrough of the indoor and outdoor spaces used by the children. In space #1, the group of two-year-old children were in the cafeteria eating lunch. After lunch, the group transitioned to classroom for nap. During nap, the staff used natural lighting and calming music to assist the children with resting. The staff sat close to all children to supervise and assist as needed. In space #2, the group of two-year-olds were eating lunch in the cafeteria. After lunch, the group transitioned to space #6 for nap. Space #3 the group of infant’s children were engaged in naps and exploring the room. Two (2) children were napping in their crib, and two (2) children were awake, one (1) was in an activity seat and one (1) was exploring the room. The staff member was supervising while completing classroom duties. While monitoring the classroom, I observed one (1) infant feeding schedule not signed and dated by the caregiver and parent. Two (2) bottles were not dated. The teacher added the date to the bottles during the visit. The refrigerator thermometer was not in the refrigerator that housed the bottles for the children. The administrator added a new thermometer to the refrigerator during the visit. In space #4, the infant was engaged in play in an activity seat and exploring the room. One (1) child was in the activity seat, and one (1) on the mat playing with toys. The staff member was preparing a bottle to feed one (1) of the two (2) infants. Space #5, the group of two-year-old children were in the cafeteria eating lunch. After lunch, the group transitioned back to the classroom for nap. During nap, we discussed the room was too dark to observe the children’s well being while they napped. The staff member adjusted the curtains to bring more natural lighting into the classroom to be able to see the children better. In space #6, the group of one- and two-year-olds were engaged in free play. After free play, the group transitioned to the cafeteria for lunch. While monitoring the classroom, I observed one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. When a new medication is brought into the facility, the administrator or staff member must ensure that it is accompanied by a completed “Permission to Administer Medication” form. This form authorizes the facility to administer the medication to the child. After lunch the group transitioned to the classroom for nap. While monitoring nap, I observed two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. The administrator moved the mats to ensure each child was a minimum of eighteen (18) inches apart during the visit. Space #7 is the cafeteria space; I observed a storage room door open with a laminator accessible to the children. The administrator closed the door during the visit. We discussed when the children are in the cafeteria, the storage room door should remain shut to make the laminator inaccessible to the children. In space #8, the group of four-year-old children were engaged in free play with dinosaurs, free art, and letter activity. While monitoring the room, I observed the emergency medication permission to administer medication form that expired 11/27/2025. The administrator removed the medication until the form could be updated. In space #9, the group of three- to four-year-old children were engaged in free play with dinosaurs, snap blocks, and books. When free play was over, the group began cleaning up. While monitoring the classroom, I observed one (1) emergency medication on-site without a permission to administer medication form and missing the pharmacy label. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 is currently not in use. Space #12 is currently not in use. Lunch today consisted of fish sticks, corn, pears, and milk. While monitoring the outdoor space, I observed the mulch was low and compacted at slide exits and in fall zones. The administrator stated that she has mulch order and will be spread during Christmas break. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space #3, two (2) bottles were not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Space #3, one (1) infant feeding schedule not signed and dated by the caregiver and parent. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Space #3, the refrigerator thermometer was not in the refrigerator to confirm the temperature. 15A NCAC 18A .2806(j)(2) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #6, two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. 15A NCAC 18A .2821(e) 807 A safe indoor and outdoor environment was not provided for the children. Space #5, during nap, the room was too dark to observe the children’s well-being while they napped. Space #7, a storage room door was open with a laminator accessible to the children. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #6, one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. Space #9, one (1) emergency medication on-site without a permission to administer medication form. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Space #9, one (1) emergency medication on-site missing the pharmacy label. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #8, one (1) emergency medication permission to administer medication form that expired 11/27/2025. .0803(12) 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. Staff member hired 3/25/2025 medical report was not completed prior to employment. The medical report on file was older than twelve (12) months, dated 2/27/2024. **REPEAT VIOLATION** 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 3/25/2025 TB test was not completed prior to employment. The TB test on file was dated 3/1/2024. **REPEAT VIOLATION** .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 4/2015 did not have an annual updated health questionnaire on file for review. .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. Staff member hired 4/2015 did not have an annual updated emergency information form on file for review. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Staff members hired 8/31/2020, and 10/6/2025 criminal background check was not on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch was low measuring four (4) to five (5) inches and compacted at slide exits and in fall zones .0605(k)(1-4) Technical assistance was provided as follows: Item 533- Space #3, two (2) bottles were not dated. The teacher added the date to the bottles during the visit. We discussed ensuring staff label the children’s bottles using tape to ensure that the date does not rub off the bottles. Rule Reference: 15A NCAC 18A.2804(d) Item 541- Space #3, one (1) infant feeding schedule not signed and dated by the caregiver and parent. We discussed when a new child is enrolled to ensure the infant feeding plan is signed and dated prior to the infants first day of enrollment. Rule Reference: 10A NCAC 09 .0902(a) Item 601- Space #3, the refrigerator thermometer was not in the refrigerator to confirm the temperature. The administrator added a new thermometer to the refrigerator during the visit. We discussed staff should check the refrigerator for a thermometer each morning to ensure the refrigerator is at the appropriate temperature of forty-five (45) degrees or below. Rule Reference: 15A NCAC 18A .2806(j)(2) Item 614- Space #6, two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. The administrator moved the mats to ensure each child was a minimum of eighteen (18) inches apart during the visit. We discussed that each mat shall be placed at minimum of eighteen (18) inches apart or a solid barrier shall be placed between the two (2) cots. Rule Reference: 15A NCAC 18A.2821(e) Item 807- Space #5, during nap, the room was too dark to observe the children’s well-being while they napped. The staff members adjusted the curtains to bring more natural lighting into the classroom to be able to see the children better. We discussed that the staff should be able to see the children’s skin color and be able to determine if a child’s appearance is changing. Space #7, a storage room door was open with a laminator accessible to the children. The administrator closed the door during the visit. We discussed when the children are in the cafeteria, the storage room door should remain shut to make the laminator inaccessible to the children. Rule Reference: 10A NCAC 09.0601(a) Item 842- Space #6, one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. Space #9, one (1) emergency medication on-site without a permission to administer medication form. When a new medication is brought into the facility, the administrator or staff member must ensure that it is accompanied by a completed “Permission to Administer Medication” form. This form authorizes the facility to administer the medication to the child. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 844- Space #9, one (1) emergency medication on-site missing the pharmacy label. When a new medication is brought into the facility, the administrator or staff member must ensure that the prescribed medication has the appropriate pharmacy label. Rule Reference: 10A NCAC 09.0803(2)(a) Item 849- Space #8, one (1) emergency medication permission to administer medication form that expired 11/27/2025. The administrator removed the medication until the form could be updated. We discussed conducting a monthly medication check to ensure all medications on site are in compliance looking closely at the expiration date of the medication and the permission to administer medication forms completed by the parent and doctor. Rule Reference: 10A NCAC 09 .0803(12) Item 1032- Staff member hired 3/25/2025 medical report was not completed prior to employment. The medical report on file was older than twelve (12) months, dated 2/27/2024. **REPEAT VIOLATION** We discussed the need to ensure that the medical report is completed prior to the staff members’ first day of employment and/or no more than twelve (12) months old at the time of employment. Rule Reference: 10A NCAC 09.0701(a) Item 1033- Staff member hired 3/25/2025 TB test was not completed prior to employment. The TB test on file was dated 3/1/2024. **REPEAT VIOLATION** We discussed the need to ensure that the TB test is completed prior to the staff members’ first day of employment and/or no more than twelve (12) months old at the time of employment.. Rule Reference: 10A NCAC 09 .0701(a) Item 1034- Staff member hired 4/2015 did not have an annual updated health questionnaire on file for review. The staff member completed the health questionnaire during the visit. Rule Reference: 10A NCAC 09 .0701(a) Item 1035- Staff member hired 4/2015 did not have an annual updated emergency information form on file for review. The staff member completed the emergency information form during the visit. Rule Reference: 10A NCAC 09 .0701(a) Item 1757- Staff members hired 8/31/2020, and 10/6/2025 criminal background check was not on file and available for review. The staff printed their qualifying letter during the visit. We discussed that the staff members must access the letter in order to print the letter once it is issued. Once the staff member accessed and prints, you will then add it to their personnel file to have on file for review. Rule Reference: G.S. 110-90.2(b) & (d) & .2703(e) Item 1867- the mulch was low measuring four (4) to five (5) inches and compacted at slide exits and in fall zones. The administrator stated that she has mulch order and will be spread during Christmas break. Rule Reference: 10A NCAC 09 .0605(k)(1-4) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/23/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -Reminder staff members hired 10/6/2025 and 10/8/2025 have until January 4, 2026, to complete First Aid and CPR training. You will need to ensure the staff members are registered for a course and complete the course prior to their ninety (90) days of employment. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1703 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/9/2025 Number Present: 43 Completed Date: 12/9/2025 Age: From 0 To 5 Total Minutes: 208 Time In: 10:32 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. A signed copy of the visit summary was left on-site with to you. Samantha Garren, Administrator, accompanied during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 12/1/2025. First Baptist Church of East Flat Rock, NC, Inc. d/b/a His Kids Child Development Center does not have a Secretary of State listing due to being a non-profit, unincorporated organization. Permit type – GS-110-106, issued 8/21/2024. Special Services/Restrictions – first shift, no children under age three on second floor. The last annual compliance visit was conducted on 12/18/2024. The last fire drill was practiced on 11/12/2025. The next drill is due before Christmas break. The last shelter-in-place drill was practiced on 9/11/2025. The next drill is due before Christmas break. The last playground inspection was documented on 11/26/2025. The last fire inspection was approved on 2/18/2025. The last sanitation inspection was conducted on 7/24/2025 with thirteen (13) demerits for a superior classification. Lead water testing was completed on 1/17/2025. Lead paint and asbestos testing was completed on 3/3/2025. The Emergency Medical Care plan was posted and current. The program does provide transportation. You stated that you do transport school-age children ages six to twelve years old for field trips during the summer (May-August). I monitored the white and gray vans today. The vans were not used this year by the child care facility. Currently the church is the only one using the vans. While monitoring the vans, I observed the church first aid kit with hazardous products and trash in the bus floors. We discussed that before the vans can be used to transport the child care facility enrolled children this summer, the staff will need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Along with ensuring the van is clean prior to transporting the school-age children. During the visit, I conducted a walkthrough of the indoor and outdoor spaces used by the children. In space #1, the group of two-year-old children were in the cafeteria eating lunch. After lunch, the group transitioned to classroom for nap. During nap, the staff used natural lighting and calming music to assist the children with resting. The staff sat close to all children to supervise and assist as needed. In space #2, the group of two-year-olds were eating lunch in the cafeteria. After lunch, the group transitioned to space #6 for nap. Space #3 the group of infant’s children were engaged in naps and exploring the room. Two (2) children were napping in their crib, and two (2) children were awake, one (1) was in an activity seat and one (1) was exploring the room. The staff member was supervising while completing classroom duties. While monitoring the classroom, I observed one (1) infant feeding schedule not signed and dated by the caregiver and parent. Two (2) bottles were not dated. The teacher added the date to the bottles during the visit. The refrigerator thermometer was not in the refrigerator that housed the bottles for the children. The administrator added a new thermometer to the refrigerator during the visit. In space #4, the infant was engaged in play in an activity seat and exploring the room. One (1) child was in the activity seat, and one (1) on the mat playing with toys. The staff member was preparing a bottle to feed one (1) of the two (2) infants. Space #5, the group of two-year-old children were in the cafeteria eating lunch. After lunch, the group transitioned back to the classroom for nap. During nap, we discussed the room was too dark to observe the children’s well being while they napped. The staff member adjusted the curtains to bring more natural lighting into the classroom to be able to see the children better. In space #6, the group of one- and two-year-olds were engaged in free play. After free play, the group transitioned to the cafeteria for lunch. While monitoring the classroom, I observed one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. When a new medication is brought into the facility, the administrator or staff member must ensure that it is accompanied by a completed “Permission to Administer Medication” form. This form authorizes the facility to administer the medication to the child. After lunch the group transitioned to the classroom for nap. While monitoring nap, I observed two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. The administrator moved the mats to ensure each child was a minimum of eighteen (18) inches apart during the visit. Space #7 is the cafeteria space; I observed a storage room door open with a laminator accessible to the children. The administrator closed the door during the visit. We discussed when the children are in the cafeteria, the storage room door should remain shut to make the laminator inaccessible to the children. In space #8, the group of four-year-old children were engaged in free play with dinosaurs, free art, and letter activity. While monitoring the room, I observed the emergency medication permission to administer medication form that expired 11/27/2025. The administrator removed the medication until the form could be updated. In space #9, the group of three- to four-year-old children were engaged in free play with dinosaurs, snap blocks, and books. When free play was over, the group began cleaning up. While monitoring the classroom, I observed one (1) emergency medication on-site without a permission to administer medication form and missing the pharmacy label. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 is currently not in use. Space #12 is currently not in use. Lunch today consisted of fish sticks, corn, pears, and milk. While monitoring the outdoor space, I observed the mulch was low and compacted at slide exits and in fall zones. The administrator stated that she has mulch order and will be spread during Christmas break. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space #3, two (2) bottles were not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Space #3, one (1) infant feeding schedule not signed and dated by the caregiver and parent. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Space #3, the refrigerator thermometer was not in the refrigerator to confirm the temperature. 15A NCAC 18A .2806(j)(2) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #6, two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. 15A NCAC 18A .2821(e) 807 A safe indoor and outdoor environment was not provided for the children. Space #5, during nap, the room was too dark to observe the children’s well-being while they napped. Space #7, a storage room door was open with a laminator accessible to the children. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #6, one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. Space #9, one (1) emergency medication on-site without a permission to administer medication form. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Space #9, one (1) emergency medication on-site missing the pharmacy label. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #8, one (1) emergency medication permission to administer medication form that expired 11/27/2025. .0803(12) 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. Staff member hired 3/25/2025 medical report was not completed prior to employment. The medical report on file was older than twelve (12) months, dated 2/27/2024. **REPEAT VIOLATION** 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 3/25/2025 TB test was not completed prior to employment. The TB test on file was dated 3/1/2024. **REPEAT VIOLATION** .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 4/2015 did not have an annual updated health questionnaire on file for review. .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. Staff member hired 4/2015 did not have an annual updated emergency information form on file for review. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Staff members hired 8/31/2020, and 10/6/2025 criminal background check was not on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch was low measuring four (4) to five (5) inches and compacted at slide exits and in fall zones .0605(k)(1-4) Technical assistance was provided as follows: Item 533- Space #3, two (2) bottles were not dated. The teacher added the date to the bottles during the visit. We discussed ensuring staff label the children’s bottles using tape to ensure that the date does not rub off the bottles. Rule Reference: 15A NCAC 18A.2804(d) Item 541- Space #3, one (1) infant feeding schedule not signed and dated by the caregiver and parent. We discussed when a new child is enrolled to ensure the infant feeding plan is signed and dated prior to the infants first day of enrollment. Rule Reference: 10A NCAC 09 .0902(a) Item 601- Space #3, the refrigerator thermometer was not in the refrigerator to confirm the temperature. The administrator added a new thermometer to the refrigerator during the visit. We discussed staff should check the refrigerator for a thermometer each morning to ensure the refrigerator is at the appropriate temperature of forty-five (45) degrees or below. Rule Reference: 15A NCAC 18A .2806(j)(2) Item 614- Space #6, two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. The administrator moved the mats to ensure each child was a minimum of eighteen (18) inches apart during the visit. We discussed that each mat shall be placed at minimum of eighteen (18) inches apart or a solid barrier shall be placed between the two (2) cots. Rule Reference: 15A NCAC 18A.2821(e) Item 807- Space #5, during nap, the room was too dark to observe the children’s well-being while they napped. The staff members adjusted the curtains to bring more natural lighting into the classroom to be able to see the children better. We discussed that the staff should be able to see the children’s skin color and be able to determine if a child’s appearance is changing. Space #7, a storage room door was open with a laminator accessible to the children. The administrator closed the door during the visit. We discussed when the children are in the cafeteria, the storage room door should remain shut to make the laminator inaccessible to the children. Rule Reference: 10A NCAC 09.0601(a) Item 842- Space #6, one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. Space #9, one (1) emergency medication on-site without a permission to administer medication form. When a new medication is brought into the facility, the administrator or staff member must ensure that it is accompanied by a completed “Permission to Administer Medication” form. This form authorizes the facility to administer the medication to the child. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 844- Space #9, one (1) emergency medication on-site missing the pharmacy label. When a new medication is brought into the facility, the administrator or staff member must ensure that the prescribed medication has the appropriate pharmacy label. Rule Reference: 10A NCAC 09.0803(2)(a) Item 849- Space #8, one (1) emergency medication permission to administer medication form that expired 11/27/2025. The administrator removed the medication until the form could be updated. We discussed conducting a monthly medication check to ensure all medications on site are in compliance looking closely at the expiration date of the medication and the permission to administer medication forms completed by the parent and doctor. Rule Reference: 10A NCAC 09 .0803(12) Item 1032- Staff member hired 3/25/2025 medical report was not completed prior to employment. The medical report on file was older than twelve (12) months, dated 2/27/2024. **REPEAT VIOLATION** We discussed the need to ensure that the medical report is completed prior to the staff members’ first day of employment and/or no more than twelve (12) months old at the time of employment. Rule Reference: 10A NCAC 09.0701(a) Item 1033- Staff member hired 3/25/2025 TB test was not completed prior to employment. The TB test on file was dated 3/1/2024. **REPEAT VIOLATION** We discussed the need to ensure that the TB test is completed prior to the staff members’ first day of employment and/or no more than twelve (12) months old at the time of employment.. Rule Reference: 10A NCAC 09 .0701(a) Item 1034- Staff member hired 4/2015 did not have an annual updated health questionnaire on file for review. The staff member completed the health questionnaire during the visit. Rule Reference: 10A NCAC 09 .0701(a) Item 1035- Staff member hired 4/2015 did not have an annual updated emergency information form on file for review. The staff member completed the emergency information form during the visit. Rule Reference: 10A NCAC 09 .0701(a) Item 1757- Staff members hired 8/31/2020, and 10/6/2025 criminal background check was not on file and available for review. The staff printed their qualifying letter during the visit. We discussed that the staff members must access the letter in order to print the letter once it is issued. Once the staff member accessed and prints, you will then add it to their personnel file to have on file for review. Rule Reference: G.S. 110-90.2(b) & (d) & .2703(e) Item 1867- the mulch was low measuring four (4) to five (5) inches and compacted at slide exits and in fall zones. The administrator stated that she has mulch order and will be spread during Christmas break. Rule Reference: 10A NCAC 09 .0605(k)(1-4) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/23/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -Reminder staff members hired 10/6/2025 and 10/8/2025 have until January 4, 2026, to complete First Aid and CPR training. You will need to ensure the staff members are registered for a course and complete the course prior to their ninety (90) days of employment. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 09.0601 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/9/2025 Number Present: 43 Completed Date: 12/9/2025 Age: From 0 To 5 Total Minutes: 208 Time In: 10:32 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. A signed copy of the visit summary was left on-site with to you. Samantha Garren, Administrator, accompanied during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 12/1/2025. First Baptist Church of East Flat Rock, NC, Inc. d/b/a His Kids Child Development Center does not have a Secretary of State listing due to being a non-profit, unincorporated organization. Permit type – GS-110-106, issued 8/21/2024. Special Services/Restrictions – first shift, no children under age three on second floor. The last annual compliance visit was conducted on 12/18/2024. The last fire drill was practiced on 11/12/2025. The next drill is due before Christmas break. The last shelter-in-place drill was practiced on 9/11/2025. The next drill is due before Christmas break. The last playground inspection was documented on 11/26/2025. The last fire inspection was approved on 2/18/2025. The last sanitation inspection was conducted on 7/24/2025 with thirteen (13) demerits for a superior classification. Lead water testing was completed on 1/17/2025. Lead paint and asbestos testing was completed on 3/3/2025. The Emergency Medical Care plan was posted and current. The program does provide transportation. You stated that you do transport school-age children ages six to twelve years old for field trips during the summer (May-August). I monitored the white and gray vans today. The vans were not used this year by the child care facility. Currently the church is the only one using the vans. While monitoring the vans, I observed the church first aid kit with hazardous products and trash in the bus floors. We discussed that before the vans can be used to transport the child care facility enrolled children this summer, the staff will need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Along with ensuring the van is clean prior to transporting the school-age children. During the visit, I conducted a walkthrough of the indoor and outdoor spaces used by the children. In space #1, the group of two-year-old children were in the cafeteria eating lunch. After lunch, the group transitioned to classroom for nap. During nap, the staff used natural lighting and calming music to assist the children with resting. The staff sat close to all children to supervise and assist as needed. In space #2, the group of two-year-olds were eating lunch in the cafeteria. After lunch, the group transitioned to space #6 for nap. Space #3 the group of infant’s children were engaged in naps and exploring the room. Two (2) children were napping in their crib, and two (2) children were awake, one (1) was in an activity seat and one (1) was exploring the room. The staff member was supervising while completing classroom duties. While monitoring the classroom, I observed one (1) infant feeding schedule not signed and dated by the caregiver and parent. Two (2) bottles were not dated. The teacher added the date to the bottles during the visit. The refrigerator thermometer was not in the refrigerator that housed the bottles for the children. The administrator added a new thermometer to the refrigerator during the visit. In space #4, the infant was engaged in play in an activity seat and exploring the room. One (1) child was in the activity seat, and one (1) on the mat playing with toys. The staff member was preparing a bottle to feed one (1) of the two (2) infants. Space #5, the group of two-year-old children were in the cafeteria eating lunch. After lunch, the group transitioned back to the classroom for nap. During nap, we discussed the room was too dark to observe the children’s well being while they napped. The staff member adjusted the curtains to bring more natural lighting into the classroom to be able to see the children better. In space #6, the group of one- and two-year-olds were engaged in free play. After free play, the group transitioned to the cafeteria for lunch. While monitoring the classroom, I observed one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. When a new medication is brought into the facility, the administrator or staff member must ensure that it is accompanied by a completed “Permission to Administer Medication” form. This form authorizes the facility to administer the medication to the child. After lunch the group transitioned to the classroom for nap. While monitoring nap, I observed two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. The administrator moved the mats to ensure each child was a minimum of eighteen (18) inches apart during the visit. Space #7 is the cafeteria space; I observed a storage room door open with a laminator accessible to the children. The administrator closed the door during the visit. We discussed when the children are in the cafeteria, the storage room door should remain shut to make the laminator inaccessible to the children. In space #8, the group of four-year-old children were engaged in free play with dinosaurs, free art, and letter activity. While monitoring the room, I observed the emergency medication permission to administer medication form that expired 11/27/2025. The administrator removed the medication until the form could be updated. In space #9, the group of three- to four-year-old children were engaged in free play with dinosaurs, snap blocks, and books. When free play was over, the group began cleaning up. While monitoring the classroom, I observed one (1) emergency medication on-site without a permission to administer medication form and missing the pharmacy label. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 is currently not in use. Space #12 is currently not in use. Lunch today consisted of fish sticks, corn, pears, and milk. While monitoring the outdoor space, I observed the mulch was low and compacted at slide exits and in fall zones. The administrator stated that she has mulch order and will be spread during Christmas break. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space #3, two (2) bottles were not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Space #3, one (1) infant feeding schedule not signed and dated by the caregiver and parent. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Space #3, the refrigerator thermometer was not in the refrigerator to confirm the temperature. 15A NCAC 18A .2806(j)(2) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #6, two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. 15A NCAC 18A .2821(e) 807 A safe indoor and outdoor environment was not provided for the children. Space #5, during nap, the room was too dark to observe the children’s well-being while they napped. Space #7, a storage room door was open with a laminator accessible to the children. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #6, one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. Space #9, one (1) emergency medication on-site without a permission to administer medication form. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Space #9, one (1) emergency medication on-site missing the pharmacy label. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #8, one (1) emergency medication permission to administer medication form that expired 11/27/2025. .0803(12) 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. Staff member hired 3/25/2025 medical report was not completed prior to employment. The medical report on file was older than twelve (12) months, dated 2/27/2024. **REPEAT VIOLATION** 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 3/25/2025 TB test was not completed prior to employment. The TB test on file was dated 3/1/2024. **REPEAT VIOLATION** .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 4/2015 did not have an annual updated health questionnaire on file for review. .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. Staff member hired 4/2015 did not have an annual updated emergency information form on file for review. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Staff members hired 8/31/2020, and 10/6/2025 criminal background check was not on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch was low measuring four (4) to five (5) inches and compacted at slide exits and in fall zones .0605(k)(1-4) Technical assistance was provided as follows: Item 533- Space #3, two (2) bottles were not dated. The teacher added the date to the bottles during the visit. We discussed ensuring staff label the children’s bottles using tape to ensure that the date does not rub off the bottles. Rule Reference: 15A NCAC 18A.2804(d) Item 541- Space #3, one (1) infant feeding schedule not signed and dated by the caregiver and parent. We discussed when a new child is enrolled to ensure the infant feeding plan is signed and dated prior to the infants first day of enrollment. Rule Reference: 10A NCAC 09 .0902(a) Item 601- Space #3, the refrigerator thermometer was not in the refrigerator to confirm the temperature. The administrator added a new thermometer to the refrigerator during the visit. We discussed staff should check the refrigerator for a thermometer each morning to ensure the refrigerator is at the appropriate temperature of forty-five (45) degrees or below. Rule Reference: 15A NCAC 18A .2806(j)(2) Item 614- Space #6, two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. The administrator moved the mats to ensure each child was a minimum of eighteen (18) inches apart during the visit. We discussed that each mat shall be placed at minimum of eighteen (18) inches apart or a solid barrier shall be placed between the two (2) cots. Rule Reference: 15A NCAC 18A.2821(e) Item 807- Space #5, during nap, the room was too dark to observe the children’s well-being while they napped. The staff members adjusted the curtains to bring more natural lighting into the classroom to be able to see the children better. We discussed that the staff should be able to see the children’s skin color and be able to determine if a child’s appearance is changing. Space #7, a storage room door was open with a laminator accessible to the children. The administrator closed the door during the visit. We discussed when the children are in the cafeteria, the storage room door should remain shut to make the laminator inaccessible to the children. Rule Reference: 10A NCAC 09.0601(a) Item 842- Space #6, one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. Space #9, one (1) emergency medication on-site without a permission to administer medication form. When a new medication is brought into the facility, the administrator or staff member must ensure that it is accompanied by a completed “Permission to Administer Medication” form. This form authorizes the facility to administer the medication to the child. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 844- Space #9, one (1) emergency medication on-site missing the pharmacy label. When a new medication is brought into the facility, the administrator or staff member must ensure that the prescribed medication has the appropriate pharmacy label. Rule Reference: 10A NCAC 09.0803(2)(a) Item 849- Space #8, one (1) emergency medication permission to administer medication form that expired 11/27/2025. The administrator removed the medication until the form could be updated. We discussed conducting a monthly medication check to ensure all medications on site are in compliance looking closely at the expiration date of the medication and the permission to administer medication forms completed by the parent and doctor. Rule Reference: 10A NCAC 09 .0803(12) Item 1032- Staff member hired 3/25/2025 medical report was not completed prior to employment. The medical report on file was older than twelve (12) months, dated 2/27/2024. **REPEAT VIOLATION** We discussed the need to ensure that the medical report is completed prior to the staff members’ first day of employment and/or no more than twelve (12) months old at the time of employment. Rule Reference: 10A NCAC 09.0701(a) Item 1033- Staff member hired 3/25/2025 TB test was not completed prior to employment. The TB test on file was dated 3/1/2024. **REPEAT VIOLATION** We discussed the need to ensure that the TB test is completed prior to the staff members’ first day of employment and/or no more than twelve (12) months old at the time of employment.. Rule Reference: 10A NCAC 09 .0701(a) Item 1034- Staff member hired 4/2015 did not have an annual updated health questionnaire on file for review. The staff member completed the health questionnaire during the visit. Rule Reference: 10A NCAC 09 .0701(a) Item 1035- Staff member hired 4/2015 did not have an annual updated emergency information form on file for review. The staff member completed the emergency information form during the visit. Rule Reference: 10A NCAC 09 .0701(a) Item 1757- Staff members hired 8/31/2020, and 10/6/2025 criminal background check was not on file and available for review. The staff printed their qualifying letter during the visit. We discussed that the staff members must access the letter in order to print the letter once it is issued. Once the staff member accessed and prints, you will then add it to their personnel file to have on file for review. Rule Reference: G.S. 110-90.2(b) & (d) & .2703(e) Item 1867- the mulch was low measuring four (4) to five (5) inches and compacted at slide exits and in fall zones. The administrator stated that she has mulch order and will be spread during Christmas break. Rule Reference: 10A NCAC 09 .0605(k)(1-4) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/23/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -Reminder staff members hired 10/6/2025 and 10/8/2025 have until January 4, 2026, to complete First Aid and CPR training. You will need to ensure the staff members are registered for a course and complete the course prior to their ninety (90) days of employment. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 09.0701 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/9/2025 Number Present: 43 Completed Date: 12/9/2025 Age: From 0 To 5 Total Minutes: 208 Time In: 10:32 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. A signed copy of the visit summary was left on-site with to you. Samantha Garren, Administrator, accompanied during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 12/1/2025. First Baptist Church of East Flat Rock, NC, Inc. d/b/a His Kids Child Development Center does not have a Secretary of State listing due to being a non-profit, unincorporated organization. Permit type – GS-110-106, issued 8/21/2024. Special Services/Restrictions – first shift, no children under age three on second floor. The last annual compliance visit was conducted on 12/18/2024. The last fire drill was practiced on 11/12/2025. The next drill is due before Christmas break. The last shelter-in-place drill was practiced on 9/11/2025. The next drill is due before Christmas break. The last playground inspection was documented on 11/26/2025. The last fire inspection was approved on 2/18/2025. The last sanitation inspection was conducted on 7/24/2025 with thirteen (13) demerits for a superior classification. Lead water testing was completed on 1/17/2025. Lead paint and asbestos testing was completed on 3/3/2025. The Emergency Medical Care plan was posted and current. The program does provide transportation. You stated that you do transport school-age children ages six to twelve years old for field trips during the summer (May-August). I monitored the white and gray vans today. The vans were not used this year by the child care facility. Currently the church is the only one using the vans. While monitoring the vans, I observed the church first aid kit with hazardous products and trash in the bus floors. We discussed that before the vans can be used to transport the child care facility enrolled children this summer, the staff will need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Along with ensuring the van is clean prior to transporting the school-age children. During the visit, I conducted a walkthrough of the indoor and outdoor spaces used by the children. In space #1, the group of two-year-old children were in the cafeteria eating lunch. After lunch, the group transitioned to classroom for nap. During nap, the staff used natural lighting and calming music to assist the children with resting. The staff sat close to all children to supervise and assist as needed. In space #2, the group of two-year-olds were eating lunch in the cafeteria. After lunch, the group transitioned to space #6 for nap. Space #3 the group of infant’s children were engaged in naps and exploring the room. Two (2) children were napping in their crib, and two (2) children were awake, one (1) was in an activity seat and one (1) was exploring the room. The staff member was supervising while completing classroom duties. While monitoring the classroom, I observed one (1) infant feeding schedule not signed and dated by the caregiver and parent. Two (2) bottles were not dated. The teacher added the date to the bottles during the visit. The refrigerator thermometer was not in the refrigerator that housed the bottles for the children. The administrator added a new thermometer to the refrigerator during the visit. In space #4, the infant was engaged in play in an activity seat and exploring the room. One (1) child was in the activity seat, and one (1) on the mat playing with toys. The staff member was preparing a bottle to feed one (1) of the two (2) infants. Space #5, the group of two-year-old children were in the cafeteria eating lunch. After lunch, the group transitioned back to the classroom for nap. During nap, we discussed the room was too dark to observe the children’s well being while they napped. The staff member adjusted the curtains to bring more natural lighting into the classroom to be able to see the children better. In space #6, the group of one- and two-year-olds were engaged in free play. After free play, the group transitioned to the cafeteria for lunch. While monitoring the classroom, I observed one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. When a new medication is brought into the facility, the administrator or staff member must ensure that it is accompanied by a completed “Permission to Administer Medication” form. This form authorizes the facility to administer the medication to the child. After lunch the group transitioned to the classroom for nap. While monitoring nap, I observed two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. The administrator moved the mats to ensure each child was a minimum of eighteen (18) inches apart during the visit. Space #7 is the cafeteria space; I observed a storage room door open with a laminator accessible to the children. The administrator closed the door during the visit. We discussed when the children are in the cafeteria, the storage room door should remain shut to make the laminator inaccessible to the children. In space #8, the group of four-year-old children were engaged in free play with dinosaurs, free art, and letter activity. While monitoring the room, I observed the emergency medication permission to administer medication form that expired 11/27/2025. The administrator removed the medication until the form could be updated. In space #9, the group of three- to four-year-old children were engaged in free play with dinosaurs, snap blocks, and books. When free play was over, the group began cleaning up. While monitoring the classroom, I observed one (1) emergency medication on-site without a permission to administer medication form and missing the pharmacy label. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 is currently not in use. Space #12 is currently not in use. Lunch today consisted of fish sticks, corn, pears, and milk. While monitoring the outdoor space, I observed the mulch was low and compacted at slide exits and in fall zones. The administrator stated that she has mulch order and will be spread during Christmas break. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space #3, two (2) bottles were not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Space #3, one (1) infant feeding schedule not signed and dated by the caregiver and parent. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Space #3, the refrigerator thermometer was not in the refrigerator to confirm the temperature. 15A NCAC 18A .2806(j)(2) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #6, two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. 15A NCAC 18A .2821(e) 807 A safe indoor and outdoor environment was not provided for the children. Space #5, during nap, the room was too dark to observe the children’s well-being while they napped. Space #7, a storage room door was open with a laminator accessible to the children. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #6, one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. Space #9, one (1) emergency medication on-site without a permission to administer medication form. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Space #9, one (1) emergency medication on-site missing the pharmacy label. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #8, one (1) emergency medication permission to administer medication form that expired 11/27/2025. .0803(12) 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. Staff member hired 3/25/2025 medical report was not completed prior to employment. The medical report on file was older than twelve (12) months, dated 2/27/2024. **REPEAT VIOLATION** 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 3/25/2025 TB test was not completed prior to employment. The TB test on file was dated 3/1/2024. **REPEAT VIOLATION** .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 4/2015 did not have an annual updated health questionnaire on file for review. .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. Staff member hired 4/2015 did not have an annual updated emergency information form on file for review. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Staff members hired 8/31/2020, and 10/6/2025 criminal background check was not on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch was low measuring four (4) to five (5) inches and compacted at slide exits and in fall zones .0605(k)(1-4) Technical assistance was provided as follows: Item 533- Space #3, two (2) bottles were not dated. The teacher added the date to the bottles during the visit. We discussed ensuring staff label the children’s bottles using tape to ensure that the date does not rub off the bottles. Rule Reference: 15A NCAC 18A.2804(d) Item 541- Space #3, one (1) infant feeding schedule not signed and dated by the caregiver and parent. We discussed when a new child is enrolled to ensure the infant feeding plan is signed and dated prior to the infants first day of enrollment. Rule Reference: 10A NCAC 09 .0902(a) Item 601- Space #3, the refrigerator thermometer was not in the refrigerator to confirm the temperature. The administrator added a new thermometer to the refrigerator during the visit. We discussed staff should check the refrigerator for a thermometer each morning to ensure the refrigerator is at the appropriate temperature of forty-five (45) degrees or below. Rule Reference: 15A NCAC 18A .2806(j)(2) Item 614- Space #6, two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. The administrator moved the mats to ensure each child was a minimum of eighteen (18) inches apart during the visit. We discussed that each mat shall be placed at minimum of eighteen (18) inches apart or a solid barrier shall be placed between the two (2) cots. Rule Reference: 15A NCAC 18A.2821(e) Item 807- Space #5, during nap, the room was too dark to observe the children’s well-being while they napped. The staff members adjusted the curtains to bring more natural lighting into the classroom to be able to see the children better. We discussed that the staff should be able to see the children’s skin color and be able to determine if a child’s appearance is changing. Space #7, a storage room door was open with a laminator accessible to the children. The administrator closed the door during the visit. We discussed when the children are in the cafeteria, the storage room door should remain shut to make the laminator inaccessible to the children. Rule Reference: 10A NCAC 09.0601(a) Item 842- Space #6, one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. Space #9, one (1) emergency medication on-site without a permission to administer medication form. When a new medication is brought into the facility, the administrator or staff member must ensure that it is accompanied by a completed “Permission to Administer Medication” form. This form authorizes the facility to administer the medication to the child. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 844- Space #9, one (1) emergency medication on-site missing the pharmacy label. When a new medication is brought into the facility, the administrator or staff member must ensure that the prescribed medication has the appropriate pharmacy label. Rule Reference: 10A NCAC 09.0803(2)(a) Item 849- Space #8, one (1) emergency medication permission to administer medication form that expired 11/27/2025. The administrator removed the medication until the form could be updated. We discussed conducting a monthly medication check to ensure all medications on site are in compliance looking closely at the expiration date of the medication and the permission to administer medication forms completed by the parent and doctor. Rule Reference: 10A NCAC 09 .0803(12) Item 1032- Staff member hired 3/25/2025 medical report was not completed prior to employment. The medical report on file was older than twelve (12) months, dated 2/27/2024. **REPEAT VIOLATION** We discussed the need to ensure that the medical report is completed prior to the staff members’ first day of employment and/or no more than twelve (12) months old at the time of employment. Rule Reference: 10A NCAC 09.0701(a) Item 1033- Staff member hired 3/25/2025 TB test was not completed prior to employment. The TB test on file was dated 3/1/2024. **REPEAT VIOLATION** We discussed the need to ensure that the TB test is completed prior to the staff members’ first day of employment and/or no more than twelve (12) months old at the time of employment.. Rule Reference: 10A NCAC 09 .0701(a) Item 1034- Staff member hired 4/2015 did not have an annual updated health questionnaire on file for review. The staff member completed the health questionnaire during the visit. Rule Reference: 10A NCAC 09 .0701(a) Item 1035- Staff member hired 4/2015 did not have an annual updated emergency information form on file for review. The staff member completed the emergency information form during the visit. Rule Reference: 10A NCAC 09 .0701(a) Item 1757- Staff members hired 8/31/2020, and 10/6/2025 criminal background check was not on file and available for review. The staff printed their qualifying letter during the visit. We discussed that the staff members must access the letter in order to print the letter once it is issued. Once the staff member accessed and prints, you will then add it to their personnel file to have on file for review. Rule Reference: G.S. 110-90.2(b) & (d) & .2703(e) Item 1867- the mulch was low measuring four (4) to five (5) inches and compacted at slide exits and in fall zones. The administrator stated that she has mulch order and will be spread during Christmas break. Rule Reference: 10A NCAC 09 .0605(k)(1-4) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/23/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -Reminder staff members hired 10/6/2025 and 10/8/2025 have until January 4, 2026, to complete First Aid and CPR training. You will need to ensure the staff members are registered for a course and complete the course prior to their ninety (90) days of employment. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 09.0803 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/9/2025 Number Present: 43 Completed Date: 12/9/2025 Age: From 0 To 5 Total Minutes: 208 Time In: 10:32 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. A signed copy of the visit summary was left on-site with to you. Samantha Garren, Administrator, accompanied during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 12/1/2025. First Baptist Church of East Flat Rock, NC, Inc. d/b/a His Kids Child Development Center does not have a Secretary of State listing due to being a non-profit, unincorporated organization. Permit type – GS-110-106, issued 8/21/2024. Special Services/Restrictions – first shift, no children under age three on second floor. The last annual compliance visit was conducted on 12/18/2024. The last fire drill was practiced on 11/12/2025. The next drill is due before Christmas break. The last shelter-in-place drill was practiced on 9/11/2025. The next drill is due before Christmas break. The last playground inspection was documented on 11/26/2025. The last fire inspection was approved on 2/18/2025. The last sanitation inspection was conducted on 7/24/2025 with thirteen (13) demerits for a superior classification. Lead water testing was completed on 1/17/2025. Lead paint and asbestos testing was completed on 3/3/2025. The Emergency Medical Care plan was posted and current. The program does provide transportation. You stated that you do transport school-age children ages six to twelve years old for field trips during the summer (May-August). I monitored the white and gray vans today. The vans were not used this year by the child care facility. Currently the church is the only one using the vans. While monitoring the vans, I observed the church first aid kit with hazardous products and trash in the bus floors. We discussed that before the vans can be used to transport the child care facility enrolled children this summer, the staff will need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Along with ensuring the van is clean prior to transporting the school-age children. During the visit, I conducted a walkthrough of the indoor and outdoor spaces used by the children. In space #1, the group of two-year-old children were in the cafeteria eating lunch. After lunch, the group transitioned to classroom for nap. During nap, the staff used natural lighting and calming music to assist the children with resting. The staff sat close to all children to supervise and assist as needed. In space #2, the group of two-year-olds were eating lunch in the cafeteria. After lunch, the group transitioned to space #6 for nap. Space #3 the group of infant’s children were engaged in naps and exploring the room. Two (2) children were napping in their crib, and two (2) children were awake, one (1) was in an activity seat and one (1) was exploring the room. The staff member was supervising while completing classroom duties. While monitoring the classroom, I observed one (1) infant feeding schedule not signed and dated by the caregiver and parent. Two (2) bottles were not dated. The teacher added the date to the bottles during the visit. The refrigerator thermometer was not in the refrigerator that housed the bottles for the children. The administrator added a new thermometer to the refrigerator during the visit. In space #4, the infant was engaged in play in an activity seat and exploring the room. One (1) child was in the activity seat, and one (1) on the mat playing with toys. The staff member was preparing a bottle to feed one (1) of the two (2) infants. Space #5, the group of two-year-old children were in the cafeteria eating lunch. After lunch, the group transitioned back to the classroom for nap. During nap, we discussed the room was too dark to observe the children’s well being while they napped. The staff member adjusted the curtains to bring more natural lighting into the classroom to be able to see the children better. In space #6, the group of one- and two-year-olds were engaged in free play. After free play, the group transitioned to the cafeteria for lunch. While monitoring the classroom, I observed one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. When a new medication is brought into the facility, the administrator or staff member must ensure that it is accompanied by a completed “Permission to Administer Medication” form. This form authorizes the facility to administer the medication to the child. After lunch the group transitioned to the classroom for nap. While monitoring nap, I observed two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. The administrator moved the mats to ensure each child was a minimum of eighteen (18) inches apart during the visit. Space #7 is the cafeteria space; I observed a storage room door open with a laminator accessible to the children. The administrator closed the door during the visit. We discussed when the children are in the cafeteria, the storage room door should remain shut to make the laminator inaccessible to the children. In space #8, the group of four-year-old children were engaged in free play with dinosaurs, free art, and letter activity. While monitoring the room, I observed the emergency medication permission to administer medication form that expired 11/27/2025. The administrator removed the medication until the form could be updated. In space #9, the group of three- to four-year-old children were engaged in free play with dinosaurs, snap blocks, and books. When free play was over, the group began cleaning up. While monitoring the classroom, I observed one (1) emergency medication on-site without a permission to administer medication form and missing the pharmacy label. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 is currently not in use. Space #12 is currently not in use. Lunch today consisted of fish sticks, corn, pears, and milk. While monitoring the outdoor space, I observed the mulch was low and compacted at slide exits and in fall zones. The administrator stated that she has mulch order and will be spread during Christmas break. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space #3, two (2) bottles were not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Space #3, one (1) infant feeding schedule not signed and dated by the caregiver and parent. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Space #3, the refrigerator thermometer was not in the refrigerator to confirm the temperature. 15A NCAC 18A .2806(j)(2) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #6, two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. 15A NCAC 18A .2821(e) 807 A safe indoor and outdoor environment was not provided for the children. Space #5, during nap, the room was too dark to observe the children’s well-being while they napped. Space #7, a storage room door was open with a laminator accessible to the children. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #6, one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. Space #9, one (1) emergency medication on-site without a permission to administer medication form. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Space #9, one (1) emergency medication on-site missing the pharmacy label. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #8, one (1) emergency medication permission to administer medication form that expired 11/27/2025. .0803(12) 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. Staff member hired 3/25/2025 medical report was not completed prior to employment. The medical report on file was older than twelve (12) months, dated 2/27/2024. **REPEAT VIOLATION** 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 3/25/2025 TB test was not completed prior to employment. The TB test on file was dated 3/1/2024. **REPEAT VIOLATION** .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 4/2015 did not have an annual updated health questionnaire on file for review. .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. Staff member hired 4/2015 did not have an annual updated emergency information form on file for review. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Staff members hired 8/31/2020, and 10/6/2025 criminal background check was not on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch was low measuring four (4) to five (5) inches and compacted at slide exits and in fall zones .0605(k)(1-4) Technical assistance was provided as follows: Item 533- Space #3, two (2) bottles were not dated. The teacher added the date to the bottles during the visit. We discussed ensuring staff label the children’s bottles using tape to ensure that the date does not rub off the bottles. Rule Reference: 15A NCAC 18A.2804(d) Item 541- Space #3, one (1) infant feeding schedule not signed and dated by the caregiver and parent. We discussed when a new child is enrolled to ensure the infant feeding plan is signed and dated prior to the infants first day of enrollment. Rule Reference: 10A NCAC 09 .0902(a) Item 601- Space #3, the refrigerator thermometer was not in the refrigerator to confirm the temperature. The administrator added a new thermometer to the refrigerator during the visit. We discussed staff should check the refrigerator for a thermometer each morning to ensure the refrigerator is at the appropriate temperature of forty-five (45) degrees or below. Rule Reference: 15A NCAC 18A .2806(j)(2) Item 614- Space #6, two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. The administrator moved the mats to ensure each child was a minimum of eighteen (18) inches apart during the visit. We discussed that each mat shall be placed at minimum of eighteen (18) inches apart or a solid barrier shall be placed between the two (2) cots. Rule Reference: 15A NCAC 18A.2821(e) Item 807- Space #5, during nap, the room was too dark to observe the children’s well-being while they napped. The staff members adjusted the curtains to bring more natural lighting into the classroom to be able to see the children better. We discussed that the staff should be able to see the children’s skin color and be able to determine if a child’s appearance is changing. Space #7, a storage room door was open with a laminator accessible to the children. The administrator closed the door during the visit. We discussed when the children are in the cafeteria, the storage room door should remain shut to make the laminator inaccessible to the children. Rule Reference: 10A NCAC 09.0601(a) Item 842- Space #6, one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. Space #9, one (1) emergency medication on-site without a permission to administer medication form. When a new medication is brought into the facility, the administrator or staff member must ensure that it is accompanied by a completed “Permission to Administer Medication” form. This form authorizes the facility to administer the medication to the child. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 844- Space #9, one (1) emergency medication on-site missing the pharmacy label. When a new medication is brought into the facility, the administrator or staff member must ensure that the prescribed medication has the appropriate pharmacy label. Rule Reference: 10A NCAC 09.0803(2)(a) Item 849- Space #8, one (1) emergency medication permission to administer medication form that expired 11/27/2025. The administrator removed the medication until the form could be updated. We discussed conducting a monthly medication check to ensure all medications on site are in compliance looking closely at the expiration date of the medication and the permission to administer medication forms completed by the parent and doctor. Rule Reference: 10A NCAC 09 .0803(12) Item 1032- Staff member hired 3/25/2025 medical report was not completed prior to employment. The medical report on file was older than twelve (12) months, dated 2/27/2024. **REPEAT VIOLATION** We discussed the need to ensure that the medical report is completed prior to the staff members’ first day of employment and/or no more than twelve (12) months old at the time of employment. Rule Reference: 10A NCAC 09.0701(a) Item 1033- Staff member hired 3/25/2025 TB test was not completed prior to employment. The TB test on file was dated 3/1/2024. **REPEAT VIOLATION** We discussed the need to ensure that the TB test is completed prior to the staff members’ first day of employment and/or no more than twelve (12) months old at the time of employment.. Rule Reference: 10A NCAC 09 .0701(a) Item 1034- Staff member hired 4/2015 did not have an annual updated health questionnaire on file for review. The staff member completed the health questionnaire during the visit. Rule Reference: 10A NCAC 09 .0701(a) Item 1035- Staff member hired 4/2015 did not have an annual updated emergency information form on file for review. The staff member completed the emergency information form during the visit. Rule Reference: 10A NCAC 09 .0701(a) Item 1757- Staff members hired 8/31/2020, and 10/6/2025 criminal background check was not on file and available for review. The staff printed their qualifying letter during the visit. We discussed that the staff members must access the letter in order to print the letter once it is issued. Once the staff member accessed and prints, you will then add it to their personnel file to have on file for review. Rule Reference: G.S. 110-90.2(b) & (d) & .2703(e) Item 1867- the mulch was low measuring four (4) to five (5) inches and compacted at slide exits and in fall zones. The administrator stated that she has mulch order and will be spread during Christmas break. Rule Reference: 10A NCAC 09 .0605(k)(1-4) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/23/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -Reminder staff members hired 10/6/2025 and 10/8/2025 have until January 4, 2026, to complete First Aid and CPR training. You will need to ensure the staff members are registered for a course and complete the course prior to their ninety (90) days of employment. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/9/2025 Number Present: 43 Completed Date: 12/9/2025 Age: From 0 To 5 Total Minutes: 208 Time In: 10:32 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. A signed copy of the visit summary was left on-site with to you. Samantha Garren, Administrator, accompanied during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 12/1/2025. First Baptist Church of East Flat Rock, NC, Inc. d/b/a His Kids Child Development Center does not have a Secretary of State listing due to being a non-profit, unincorporated organization. Permit type – GS-110-106, issued 8/21/2024. Special Services/Restrictions – first shift, no children under age three on second floor. The last annual compliance visit was conducted on 12/18/2024. The last fire drill was practiced on 11/12/2025. The next drill is due before Christmas break. The last shelter-in-place drill was practiced on 9/11/2025. The next drill is due before Christmas break. The last playground inspection was documented on 11/26/2025. The last fire inspection was approved on 2/18/2025. The last sanitation inspection was conducted on 7/24/2025 with thirteen (13) demerits for a superior classification. Lead water testing was completed on 1/17/2025. Lead paint and asbestos testing was completed on 3/3/2025. The Emergency Medical Care plan was posted and current. The program does provide transportation. You stated that you do transport school-age children ages six to twelve years old for field trips during the summer (May-August). I monitored the white and gray vans today. The vans were not used this year by the child care facility. Currently the church is the only one using the vans. While monitoring the vans, I observed the church first aid kit with hazardous products and trash in the bus floors. We discussed that before the vans can be used to transport the child care facility enrolled children this summer, the staff will need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Along with ensuring the van is clean prior to transporting the school-age children. During the visit, I conducted a walkthrough of the indoor and outdoor spaces used by the children. In space #1, the group of two-year-old children were in the cafeteria eating lunch. After lunch, the group transitioned to classroom for nap. During nap, the staff used natural lighting and calming music to assist the children with resting. The staff sat close to all children to supervise and assist as needed. In space #2, the group of two-year-olds were eating lunch in the cafeteria. After lunch, the group transitioned to space #6 for nap. Space #3 the group of infant’s children were engaged in naps and exploring the room. Two (2) children were napping in their crib, and two (2) children were awake, one (1) was in an activity seat and one (1) was exploring the room. The staff member was supervising while completing classroom duties. While monitoring the classroom, I observed one (1) infant feeding schedule not signed and dated by the caregiver and parent. Two (2) bottles were not dated. The teacher added the date to the bottles during the visit. The refrigerator thermometer was not in the refrigerator that housed the bottles for the children. The administrator added a new thermometer to the refrigerator during the visit. In space #4, the infant was engaged in play in an activity seat and exploring the room. One (1) child was in the activity seat, and one (1) on the mat playing with toys. The staff member was preparing a bottle to feed one (1) of the two (2) infants. Space #5, the group of two-year-old children were in the cafeteria eating lunch. After lunch, the group transitioned back to the classroom for nap. During nap, we discussed the room was too dark to observe the children’s well being while they napped. The staff member adjusted the curtains to bring more natural lighting into the classroom to be able to see the children better. In space #6, the group of one- and two-year-olds were engaged in free play. After free play, the group transitioned to the cafeteria for lunch. While monitoring the classroom, I observed one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. When a new medication is brought into the facility, the administrator or staff member must ensure that it is accompanied by a completed “Permission to Administer Medication” form. This form authorizes the facility to administer the medication to the child. After lunch the group transitioned to the classroom for nap. While monitoring nap, I observed two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. The administrator moved the mats to ensure each child was a minimum of eighteen (18) inches apart during the visit. Space #7 is the cafeteria space; I observed a storage room door open with a laminator accessible to the children. The administrator closed the door during the visit. We discussed when the children are in the cafeteria, the storage room door should remain shut to make the laminator inaccessible to the children. In space #8, the group of four-year-old children were engaged in free play with dinosaurs, free art, and letter activity. While monitoring the room, I observed the emergency medication permission to administer medication form that expired 11/27/2025. The administrator removed the medication until the form could be updated. In space #9, the group of three- to four-year-old children were engaged in free play with dinosaurs, snap blocks, and books. When free play was over, the group began cleaning up. While monitoring the classroom, I observed one (1) emergency medication on-site without a permission to administer medication form and missing the pharmacy label. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 is currently not in use. Space #12 is currently not in use. Lunch today consisted of fish sticks, corn, pears, and milk. While monitoring the outdoor space, I observed the mulch was low and compacted at slide exits and in fall zones. The administrator stated that she has mulch order and will be spread during Christmas break. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space #3, two (2) bottles were not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Space #3, one (1) infant feeding schedule not signed and dated by the caregiver and parent. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Space #3, the refrigerator thermometer was not in the refrigerator to confirm the temperature. 15A NCAC 18A .2806(j)(2) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #6, two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. 15A NCAC 18A .2821(e) 807 A safe indoor and outdoor environment was not provided for the children. Space #5, during nap, the room was too dark to observe the children’s well-being while they napped. Space #7, a storage room door was open with a laminator accessible to the children. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #6, one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. Space #9, one (1) emergency medication on-site without a permission to administer medication form. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Space #9, one (1) emergency medication on-site missing the pharmacy label. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #8, one (1) emergency medication permission to administer medication form that expired 11/27/2025. .0803(12) 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. Staff member hired 3/25/2025 medical report was not completed prior to employment. The medical report on file was older than twelve (12) months, dated 2/27/2024. **REPEAT VIOLATION** 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 3/25/2025 TB test was not completed prior to employment. The TB test on file was dated 3/1/2024. **REPEAT VIOLATION** .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 4/2015 did not have an annual updated health questionnaire on file for review. .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. Staff member hired 4/2015 did not have an annual updated emergency information form on file for review. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Staff members hired 8/31/2020, and 10/6/2025 criminal background check was not on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch was low measuring four (4) to five (5) inches and compacted at slide exits and in fall zones .0605(k)(1-4) Technical assistance was provided as follows: Item 533- Space #3, two (2) bottles were not dated. The teacher added the date to the bottles during the visit. We discussed ensuring staff label the children’s bottles using tape to ensure that the date does not rub off the bottles. Rule Reference: 15A NCAC 18A.2804(d) Item 541- Space #3, one (1) infant feeding schedule not signed and dated by the caregiver and parent. We discussed when a new child is enrolled to ensure the infant feeding plan is signed and dated prior to the infants first day of enrollment. Rule Reference: 10A NCAC 09 .0902(a) Item 601- Space #3, the refrigerator thermometer was not in the refrigerator to confirm the temperature. The administrator added a new thermometer to the refrigerator during the visit. We discussed staff should check the refrigerator for a thermometer each morning to ensure the refrigerator is at the appropriate temperature of forty-five (45) degrees or below. Rule Reference: 15A NCAC 18A .2806(j)(2) Item 614- Space #6, two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. The administrator moved the mats to ensure each child was a minimum of eighteen (18) inches apart during the visit. We discussed that each mat shall be placed at minimum of eighteen (18) inches apart or a solid barrier shall be placed between the two (2) cots. Rule Reference: 15A NCAC 18A.2821(e) Item 807- Space #5, during nap, the room was too dark to observe the children’s well-being while they napped. The staff members adjusted the curtains to bring more natural lighting into the classroom to be able to see the children better. We discussed that the staff should be able to see the children’s skin color and be able to determine if a child’s appearance is changing. Space #7, a storage room door was open with a laminator accessible to the children. The administrator closed the door during the visit. We discussed when the children are in the cafeteria, the storage room door should remain shut to make the laminator inaccessible to the children. Rule Reference: 10A NCAC 09.0601(a) Item 842- Space #6, one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. Space #9, one (1) emergency medication on-site without a permission to administer medication form. When a new medication is brought into the facility, the administrator or staff member must ensure that it is accompanied by a completed “Permission to Administer Medication” form. This form authorizes the facility to administer the medication to the child. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 844- Space #9, one (1) emergency medication on-site missing the pharmacy label. When a new medication is brought into the facility, the administrator or staff member must ensure that the prescribed medication has the appropriate pharmacy label. Rule Reference: 10A NCAC 09.0803(2)(a) Item 849- Space #8, one (1) emergency medication permission to administer medication form that expired 11/27/2025. The administrator removed the medication until the form could be updated. We discussed conducting a monthly medication check to ensure all medications on site are in compliance looking closely at the expiration date of the medication and the permission to administer medication forms completed by the parent and doctor. Rule Reference: 10A NCAC 09 .0803(12) Item 1032- Staff member hired 3/25/2025 medical report was not completed prior to employment. The medical report on file was older than twelve (12) months, dated 2/27/2024. **REPEAT VIOLATION** We discussed the need to ensure that the medical report is completed prior to the staff members’ first day of employment and/or no more than twelve (12) months old at the time of employment. Rule Reference: 10A NCAC 09.0701(a) Item 1033- Staff member hired 3/25/2025 TB test was not completed prior to employment. The TB test on file was dated 3/1/2024. **REPEAT VIOLATION** We discussed the need to ensure that the TB test is completed prior to the staff members’ first day of employment and/or no more than twelve (12) months old at the time of employment.. Rule Reference: 10A NCAC 09 .0701(a) Item 1034- Staff member hired 4/2015 did not have an annual updated health questionnaire on file for review. The staff member completed the health questionnaire during the visit. Rule Reference: 10A NCAC 09 .0701(a) Item 1035- Staff member hired 4/2015 did not have an annual updated emergency information form on file for review. The staff member completed the emergency information form during the visit. Rule Reference: 10A NCAC 09 .0701(a) Item 1757- Staff members hired 8/31/2020, and 10/6/2025 criminal background check was not on file and available for review. The staff printed their qualifying letter during the visit. We discussed that the staff members must access the letter in order to print the letter once it is issued. Once the staff member accessed and prints, you will then add it to their personnel file to have on file for review. Rule Reference: G.S. 110-90.2(b) & (d) & .2703(e) Item 1867- the mulch was low measuring four (4) to five (5) inches and compacted at slide exits and in fall zones. The administrator stated that she has mulch order and will be spread during Christmas break. Rule Reference: 10A NCAC 09 .0605(k)(1-4) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/23/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -Reminder staff members hired 10/6/2025 and 10/8/2025 have until January 4, 2026, to complete First Aid and CPR training. You will need to ensure the staff members are registered for a course and complete the course prior to their ninety (90) days of employment. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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
NC GS 110-90 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/9/2025 Number Present: 43 Completed Date: 12/9/2025 Age: From 0 To 5 Total Minutes: 208 Time In: 10:32 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. A signed copy of the visit summary was left on-site with to you. Samantha Garren, Administrator, accompanied during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 12/1/2025. First Baptist Church of East Flat Rock, NC, Inc. d/b/a His Kids Child Development Center does not have a Secretary of State listing due to being a non-profit, unincorporated organization. Permit type – GS-110-106, issued 8/21/2024. Special Services/Restrictions – first shift, no children under age three on second floor. The last annual compliance visit was conducted on 12/18/2024. The last fire drill was practiced on 11/12/2025. The next drill is due before Christmas break. The last shelter-in-place drill was practiced on 9/11/2025. The next drill is due before Christmas break. The last playground inspection was documented on 11/26/2025. The last fire inspection was approved on 2/18/2025. The last sanitation inspection was conducted on 7/24/2025 with thirteen (13) demerits for a superior classification. Lead water testing was completed on 1/17/2025. Lead paint and asbestos testing was completed on 3/3/2025. The Emergency Medical Care plan was posted and current. The program does provide transportation. You stated that you do transport school-age children ages six to twelve years old for field trips during the summer (May-August). I monitored the white and gray vans today. The vans were not used this year by the child care facility. Currently the church is the only one using the vans. While monitoring the vans, I observed the church first aid kit with hazardous products and trash in the bus floors. We discussed that before the vans can be used to transport the child care facility enrolled children this summer, the staff will need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Along with ensuring the van is clean prior to transporting the school-age children. During the visit, I conducted a walkthrough of the indoor and outdoor spaces used by the children. In space #1, the group of two-year-old children were in the cafeteria eating lunch. After lunch, the group transitioned to classroom for nap. During nap, the staff used natural lighting and calming music to assist the children with resting. The staff sat close to all children to supervise and assist as needed. In space #2, the group of two-year-olds were eating lunch in the cafeteria. After lunch, the group transitioned to space #6 for nap. Space #3 the group of infant’s children were engaged in naps and exploring the room. Two (2) children were napping in their crib, and two (2) children were awake, one (1) was in an activity seat and one (1) was exploring the room. The staff member was supervising while completing classroom duties. While monitoring the classroom, I observed one (1) infant feeding schedule not signed and dated by the caregiver and parent. Two (2) bottles were not dated. The teacher added the date to the bottles during the visit. The refrigerator thermometer was not in the refrigerator that housed the bottles for the children. The administrator added a new thermometer to the refrigerator during the visit. In space #4, the infant was engaged in play in an activity seat and exploring the room. One (1) child was in the activity seat, and one (1) on the mat playing with toys. The staff member was preparing a bottle to feed one (1) of the two (2) infants. Space #5, the group of two-year-old children were in the cafeteria eating lunch. After lunch, the group transitioned back to the classroom for nap. During nap, we discussed the room was too dark to observe the children’s well being while they napped. The staff member adjusted the curtains to bring more natural lighting into the classroom to be able to see the children better. In space #6, the group of one- and two-year-olds were engaged in free play. After free play, the group transitioned to the cafeteria for lunch. While monitoring the classroom, I observed one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. When a new medication is brought into the facility, the administrator or staff member must ensure that it is accompanied by a completed “Permission to Administer Medication” form. This form authorizes the facility to administer the medication to the child. After lunch the group transitioned to the classroom for nap. While monitoring nap, I observed two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. The administrator moved the mats to ensure each child was a minimum of eighteen (18) inches apart during the visit. Space #7 is the cafeteria space; I observed a storage room door open with a laminator accessible to the children. The administrator closed the door during the visit. We discussed when the children are in the cafeteria, the storage room door should remain shut to make the laminator inaccessible to the children. In space #8, the group of four-year-old children were engaged in free play with dinosaurs, free art, and letter activity. While monitoring the room, I observed the emergency medication permission to administer medication form that expired 11/27/2025. The administrator removed the medication until the form could be updated. In space #9, the group of three- to four-year-old children were engaged in free play with dinosaurs, snap blocks, and books. When free play was over, the group began cleaning up. While monitoring the classroom, I observed one (1) emergency medication on-site without a permission to administer medication form and missing the pharmacy label. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 is currently not in use. Space #12 is currently not in use. Lunch today consisted of fish sticks, corn, pears, and milk. While monitoring the outdoor space, I observed the mulch was low and compacted at slide exits and in fall zones. The administrator stated that she has mulch order and will be spread during Christmas break. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space #3, two (2) bottles were not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Space #3, one (1) infant feeding schedule not signed and dated by the caregiver and parent. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Space #3, the refrigerator thermometer was not in the refrigerator to confirm the temperature. 15A NCAC 18A .2806(j)(2) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #6, two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. 15A NCAC 18A .2821(e) 807 A safe indoor and outdoor environment was not provided for the children. Space #5, during nap, the room was too dark to observe the children’s well-being while they napped. Space #7, a storage room door was open with a laminator accessible to the children. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #6, one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. Space #9, one (1) emergency medication on-site without a permission to administer medication form. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Space #9, one (1) emergency medication on-site missing the pharmacy label. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #8, one (1) emergency medication permission to administer medication form that expired 11/27/2025. .0803(12) 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. Staff member hired 3/25/2025 medical report was not completed prior to employment. The medical report on file was older than twelve (12) months, dated 2/27/2024. **REPEAT VIOLATION** 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 3/25/2025 TB test was not completed prior to employment. The TB test on file was dated 3/1/2024. **REPEAT VIOLATION** .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 4/2015 did not have an annual updated health questionnaire on file for review. .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. Staff member hired 4/2015 did not have an annual updated emergency information form on file for review. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Staff members hired 8/31/2020, and 10/6/2025 criminal background check was not on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch was low measuring four (4) to five (5) inches and compacted at slide exits and in fall zones .0605(k)(1-4) Technical assistance was provided as follows: Item 533- Space #3, two (2) bottles were not dated. The teacher added the date to the bottles during the visit. We discussed ensuring staff label the children’s bottles using tape to ensure that the date does not rub off the bottles. Rule Reference: 15A NCAC 18A.2804(d) Item 541- Space #3, one (1) infant feeding schedule not signed and dated by the caregiver and parent. We discussed when a new child is enrolled to ensure the infant feeding plan is signed and dated prior to the infants first day of enrollment. Rule Reference: 10A NCAC 09 .0902(a) Item 601- Space #3, the refrigerator thermometer was not in the refrigerator to confirm the temperature. The administrator added a new thermometer to the refrigerator during the visit. We discussed staff should check the refrigerator for a thermometer each morning to ensure the refrigerator is at the appropriate temperature of forty-five (45) degrees or below. Rule Reference: 15A NCAC 18A .2806(j)(2) Item 614- Space #6, two (2) cots placed eight (8) inches apart instead of the minimum of eighteen (18) inches apart. The administrator moved the mats to ensure each child was a minimum of eighteen (18) inches apart during the visit. We discussed that each mat shall be placed at minimum of eighteen (18) inches apart or a solid barrier shall be placed between the two (2) cots. Rule Reference: 15A NCAC 18A.2821(e) Item 807- Space #5, during nap, the room was too dark to observe the children’s well-being while they napped. The staff members adjusted the curtains to bring more natural lighting into the classroom to be able to see the children better. We discussed that the staff should be able to see the children’s skin color and be able to determine if a child’s appearance is changing. Space #7, a storage room door was open with a laminator accessible to the children. The administrator closed the door during the visit. We discussed when the children are in the cafeteria, the storage room door should remain shut to make the laminator inaccessible to the children. Rule Reference: 10A NCAC 09.0601(a) Item 842- Space #6, one (1) Aquaphor diaper cream on-site without a completed permission to administer medication form. Space #9, one (1) emergency medication on-site without a permission to administer medication form. When a new medication is brought into the facility, the administrator or staff member must ensure that it is accompanied by a completed “Permission to Administer Medication” form. This form authorizes the facility to administer the medication to the child. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 844- Space #9, one (1) emergency medication on-site missing the pharmacy label. When a new medication is brought into the facility, the administrator or staff member must ensure that the prescribed medication has the appropriate pharmacy label. Rule Reference: 10A NCAC 09.0803(2)(a) Item 849- Space #8, one (1) emergency medication permission to administer medication form that expired 11/27/2025. The administrator removed the medication until the form could be updated. We discussed conducting a monthly medication check to ensure all medications on site are in compliance looking closely at the expiration date of the medication and the permission to administer medication forms completed by the parent and doctor. Rule Reference: 10A NCAC 09 .0803(12) Item 1032- Staff member hired 3/25/2025 medical report was not completed prior to employment. The medical report on file was older than twelve (12) months, dated 2/27/2024. **REPEAT VIOLATION** We discussed the need to ensure that the medical report is completed prior to the staff members’ first day of employment and/or no more than twelve (12) months old at the time of employment. Rule Reference: 10A NCAC 09.0701(a) Item 1033- Staff member hired 3/25/2025 TB test was not completed prior to employment. The TB test on file was dated 3/1/2024. **REPEAT VIOLATION** We discussed the need to ensure that the TB test is completed prior to the staff members’ first day of employment and/or no more than twelve (12) months old at the time of employment.. Rule Reference: 10A NCAC 09 .0701(a) Item 1034- Staff member hired 4/2015 did not have an annual updated health questionnaire on file for review. The staff member completed the health questionnaire during the visit. Rule Reference: 10A NCAC 09 .0701(a) Item 1035- Staff member hired 4/2015 did not have an annual updated emergency information form on file for review. The staff member completed the emergency information form during the visit. Rule Reference: 10A NCAC 09 .0701(a) Item 1757- Staff members hired 8/31/2020, and 10/6/2025 criminal background check was not on file and available for review. The staff printed their qualifying letter during the visit. We discussed that the staff members must access the letter in order to print the letter once it is issued. Once the staff member accessed and prints, you will then add it to their personnel file to have on file for review. Rule Reference: G.S. 110-90.2(b) & (d) & .2703(e) Item 1867- the mulch was low measuring four (4) to five (5) inches and compacted at slide exits and in fall zones. The administrator stated that she has mulch order and will be spread during Christmas break. Rule Reference: 10A NCAC 09 .0605(k)(1-4) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/23/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -Reminder staff members hired 10/6/2025 and 10/8/2025 have until January 4, 2026, to complete First Aid and CPR training. You will need to ensure the staff members are registered for a course and complete the course prior to their ninety (90) days of employment. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0604 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/18/2024 Number Present: 26 Completed Date: 12/18/2024 Age: From 0 To 5 Total Minutes: 185 Time In: 09:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Samantha Garren, Administrator, was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 12/3/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, First Baptist Church of East Flat Rock, is current/active as of 12/17/2024. Permit type – Notice of Compliance GS-110, issued 8/2/2024. Special Services/Restrictions – first shift, no children under age three (3) on second floor. The last annual compliance visit was conducted on 1/16/2024. The last fire drill was practiced on 11/12/2024. A fire drill is scheduled before the facility closes for Christmas break. The last shelter-in-place drill was practiced on 9/13/2024. A emergency drill is scheduled before the facility closes for Christmas break. The last playground inspection was documented on 12/12/2024. The last fire inspection was approved on 3/12/2024. The last sanitation inspection was conducted on 7/18/2024 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. During the visit, I conducted a walk through of the indoor and outdoor spaces used by the children. In space #1, the group of one year old children were combined with the group of one year old children in space # 3 due to low attendance. In space #2, the group of two year old children were engaged in a group story time. While monitoring the space, I observed two (2) packets of lens cleaning wipes on the counter right outside the classroom door below five (5) feet. The administrator moved them to a locking cabinet during the visit. Space #3 the group of one year old children were combined with space #1 group of one year olds. The children were engaged in free play. In space #4, the infant was being held by the staff member. The staff member was meeting the individual needs of the child. While monitoring the space, I observed three (3) electrical outlets uncovered. The administrator corrected this during the visit. Space #5 is currently closed. In space #6, the group of two and three year olds were combined with space # 9 group of three to four year olds in space #6. The children were engaged in free play with free art, animals, and dramatic play. The staff were actively supervising the children. Space #7 is the cafeteria space; I observed the group of four to five year olds transitioning into lunch. In space #8, the group of four- to five-year-old children were engaged in free play and making Christmas ornaments. After free play, the children cleaned up and prepared to transition to lunch. While monitoring the space, I observed three (3) outlets uncovered near the computers. The staff member plugged back in the items that were unplugged to correct this during the visit. In space #9, the group of three to four year old children were combined in space #6 due to low attendance. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 is currently being used as the foster care closet. Space #12 is currently being used by the church. Lunch today consisted of chicken pot pie, broccoli and cheese, oranges, and milk. The program does provide transportation. You stated that you do transport school-age children ages six to twelve years old for field trips during the summer (May-August). I monitored the white and gray vans today. The vans were not used this year by the child care facility. Currently the church is the only one using the vans. While monitoring the vans, I observed the church first aid kit with hazardous products and trash in the bus floors. We discussed that before the vans can be used to transport the child care facility enrolled children this summer, the staff will need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Along with ensuring the van is clean prior to transporting the school-age children. While monitoring the outdoor space, I observed the mulch depth was low at the slide exits and in the fall zones of the climbing structure. Due to Tropical Storm Helene, the mulch surfacing has washed and compacted. The facility does have mulch on site and plans to spread the mulch next Thursday (12/26) and Friday (12/27) while the facility is closed for Christmas break. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 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. 812 In space #4, I observed three (3) electrical outlets uncovered. Two (2) outlets on the wall near the rocking chair and one (1) outlet in the sleep area near the crib. In space #8, three (3) outlets uncovered near the computers. 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. In space #2, two (2) packets of lens cleaning wipes on the counter right outside the classroom door below five (5) feet. .2820(b) 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. Staff member hired 7/15/2024 medical report was not completed prior to employment. The medical report on file was dated 7/18/2024. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 7/15/2024 TB test was not completed prior to employment. The TB test on file was dated 7/18/2024 .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response (EPR) Plan was not reviewed and updated annually. The EPR plan on file was last reviewed on 5/19/2023. .0607(e) Technical assistance was provided as follows: Item 812 In space #4, I observed three (3) electrical outlets uncovered. Two (2) outlets on the wall near the rocking chair and one (1) outlet in the sleep area near the crib. In space #8, three (3) outlets uncovered near the computers. The staff member plugged back in the items that were unplugged to correct this during the visit. The administrator corrected this during the visit. We discussed the need to conduct a daily classroom check to ensure that all electrical outlets not in use are covered with a safety outlet plug. Rule Reference: 10A NCAC 09 .0604(c) Item 840- In space #2, two (2) packets of lens cleaning wipes on the counter right outside the classroom door below five (5) feet. The administrator moved them to a locking cabinet during the visit. We discussed the need to review the warning labels to ensure that the hazardous products with additional warnings are stored in a locked cabinet. Rule Reference: 15A NCAC 18A.2820(b) Item 1032- Staff member hired 7/15/2024 medical report was not completed prior to employment. The medical report on file was dated 7/18/2024. We discussed the need to ensure that the medical report is completed prior to the staff members’ first day of employment. Rule Reference: 10A NCAC 09.0701(a) Item 1033- Staff member hired 7/15/2024 TB test was not completed prior to employment. The TB test on file was dated 7/18/2024. We discussed the need to ensure that the TB test is completed prior to the staff members’ first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item 1824- The Emergency Preparedness and Response (EPR) Plan was not reviewed and updated annually. The EPR plan on file was last reviewed on 5/19/2023. We discussed that the EPR plan should be reviewed annually or when changes occur. Rule Reference: 10A NCAC 09 .0607(e) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/1/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that all child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. We discussed that the cook can be used to assist with breaks, but you must ensure that the cook meets all the requirements for staff caring for children. The staff member has not cared for children prior to today’s visit. We discussed when decorating for the different seasons ensure that all extra cords are secured so that children are not able to access them. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0701 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/18/2024 Number Present: 26 Completed Date: 12/18/2024 Age: From 0 To 5 Total Minutes: 185 Time In: 09:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Samantha Garren, Administrator, was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 12/3/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, First Baptist Church of East Flat Rock, is current/active as of 12/17/2024. Permit type – Notice of Compliance GS-110, issued 8/2/2024. Special Services/Restrictions – first shift, no children under age three (3) on second floor. The last annual compliance visit was conducted on 1/16/2024. The last fire drill was practiced on 11/12/2024. A fire drill is scheduled before the facility closes for Christmas break. The last shelter-in-place drill was practiced on 9/13/2024. A emergency drill is scheduled before the facility closes for Christmas break. The last playground inspection was documented on 12/12/2024. The last fire inspection was approved on 3/12/2024. The last sanitation inspection was conducted on 7/18/2024 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. During the visit, I conducted a walk through of the indoor and outdoor spaces used by the children. In space #1, the group of one year old children were combined with the group of one year old children in space # 3 due to low attendance. In space #2, the group of two year old children were engaged in a group story time. While monitoring the space, I observed two (2) packets of lens cleaning wipes on the counter right outside the classroom door below five (5) feet. The administrator moved them to a locking cabinet during the visit. Space #3 the group of one year old children were combined with space #1 group of one year olds. The children were engaged in free play. In space #4, the infant was being held by the staff member. The staff member was meeting the individual needs of the child. While monitoring the space, I observed three (3) electrical outlets uncovered. The administrator corrected this during the visit. Space #5 is currently closed. In space #6, the group of two and three year olds were combined with space # 9 group of three to four year olds in space #6. The children were engaged in free play with free art, animals, and dramatic play. The staff were actively supervising the children. Space #7 is the cafeteria space; I observed the group of four to five year olds transitioning into lunch. In space #8, the group of four- to five-year-old children were engaged in free play and making Christmas ornaments. After free play, the children cleaned up and prepared to transition to lunch. While monitoring the space, I observed three (3) outlets uncovered near the computers. The staff member plugged back in the items that were unplugged to correct this during the visit. In space #9, the group of three to four year old children were combined in space #6 due to low attendance. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 is currently being used as the foster care closet. Space #12 is currently being used by the church. Lunch today consisted of chicken pot pie, broccoli and cheese, oranges, and milk. The program does provide transportation. You stated that you do transport school-age children ages six to twelve years old for field trips during the summer (May-August). I monitored the white and gray vans today. The vans were not used this year by the child care facility. Currently the church is the only one using the vans. While monitoring the vans, I observed the church first aid kit with hazardous products and trash in the bus floors. We discussed that before the vans can be used to transport the child care facility enrolled children this summer, the staff will need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Along with ensuring the van is clean prior to transporting the school-age children. While monitoring the outdoor space, I observed the mulch depth was low at the slide exits and in the fall zones of the climbing structure. Due to Tropical Storm Helene, the mulch surfacing has washed and compacted. The facility does have mulch on site and plans to spread the mulch next Thursday (12/26) and Friday (12/27) while the facility is closed for Christmas break. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 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. 812 In space #4, I observed three (3) electrical outlets uncovered. Two (2) outlets on the wall near the rocking chair and one (1) outlet in the sleep area near the crib. In space #8, three (3) outlets uncovered near the computers. 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. In space #2, two (2) packets of lens cleaning wipes on the counter right outside the classroom door below five (5) feet. .2820(b) 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. Staff member hired 7/15/2024 medical report was not completed prior to employment. The medical report on file was dated 7/18/2024. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 7/15/2024 TB test was not completed prior to employment. The TB test on file was dated 7/18/2024 .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response (EPR) Plan was not reviewed and updated annually. The EPR plan on file was last reviewed on 5/19/2023. .0607(e) Technical assistance was provided as follows: Item 812 In space #4, I observed three (3) electrical outlets uncovered. Two (2) outlets on the wall near the rocking chair and one (1) outlet in the sleep area near the crib. In space #8, three (3) outlets uncovered near the computers. The staff member plugged back in the items that were unplugged to correct this during the visit. The administrator corrected this during the visit. We discussed the need to conduct a daily classroom check to ensure that all electrical outlets not in use are covered with a safety outlet plug. Rule Reference: 10A NCAC 09 .0604(c) Item 840- In space #2, two (2) packets of lens cleaning wipes on the counter right outside the classroom door below five (5) feet. The administrator moved them to a locking cabinet during the visit. We discussed the need to review the warning labels to ensure that the hazardous products with additional warnings are stored in a locked cabinet. Rule Reference: 15A NCAC 18A.2820(b) Item 1032- Staff member hired 7/15/2024 medical report was not completed prior to employment. The medical report on file was dated 7/18/2024. We discussed the need to ensure that the medical report is completed prior to the staff members’ first day of employment. Rule Reference: 10A NCAC 09.0701(a) Item 1033- Staff member hired 7/15/2024 TB test was not completed prior to employment. The TB test on file was dated 7/18/2024. We discussed the need to ensure that the TB test is completed prior to the staff members’ first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item 1824- The Emergency Preparedness and Response (EPR) Plan was not reviewed and updated annually. The EPR plan on file was last reviewed on 5/19/2023. We discussed that the EPR plan should be reviewed annually or when changes occur. Rule Reference: 10A NCAC 09 .0607(e) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/1/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that all child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. We discussed that the cook can be used to assist with breaks, but you must ensure that the cook meets all the requirements for staff caring for children. The staff member has not cared for children prior to today’s visit. We discussed when decorating for the different seasons ensure that all extra cords are secured so that children are not able to access them. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0304 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/18/2024 Number Present: 26 Completed Date: 12/18/2024 Age: From 0 To 5 Total Minutes: 185 Time In: 09:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Samantha Garren, Administrator, was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 12/3/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, First Baptist Church of East Flat Rock, is current/active as of 12/17/2024. Permit type – Notice of Compliance GS-110, issued 8/2/2024. Special Services/Restrictions – first shift, no children under age three (3) on second floor. The last annual compliance visit was conducted on 1/16/2024. The last fire drill was practiced on 11/12/2024. A fire drill is scheduled before the facility closes for Christmas break. The last shelter-in-place drill was practiced on 9/13/2024. A emergency drill is scheduled before the facility closes for Christmas break. The last playground inspection was documented on 12/12/2024. The last fire inspection was approved on 3/12/2024. The last sanitation inspection was conducted on 7/18/2024 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. During the visit, I conducted a walk through of the indoor and outdoor spaces used by the children. In space #1, the group of one year old children were combined with the group of one year old children in space # 3 due to low attendance. In space #2, the group of two year old children were engaged in a group story time. While monitoring the space, I observed two (2) packets of lens cleaning wipes on the counter right outside the classroom door below five (5) feet. The administrator moved them to a locking cabinet during the visit. Space #3 the group of one year old children were combined with space #1 group of one year olds. The children were engaged in free play. In space #4, the infant was being held by the staff member. The staff member was meeting the individual needs of the child. While monitoring the space, I observed three (3) electrical outlets uncovered. The administrator corrected this during the visit. Space #5 is currently closed. In space #6, the group of two and three year olds were combined with space # 9 group of three to four year olds in space #6. The children were engaged in free play with free art, animals, and dramatic play. The staff were actively supervising the children. Space #7 is the cafeteria space; I observed the group of four to five year olds transitioning into lunch. In space #8, the group of four- to five-year-old children were engaged in free play and making Christmas ornaments. After free play, the children cleaned up and prepared to transition to lunch. While monitoring the space, I observed three (3) outlets uncovered near the computers. The staff member plugged back in the items that were unplugged to correct this during the visit. In space #9, the group of three to four year old children were combined in space #6 due to low attendance. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 is currently being used as the foster care closet. Space #12 is currently being used by the church. Lunch today consisted of chicken pot pie, broccoli and cheese, oranges, and milk. The program does provide transportation. You stated that you do transport school-age children ages six to twelve years old for field trips during the summer (May-August). I monitored the white and gray vans today. The vans were not used this year by the child care facility. Currently the church is the only one using the vans. While monitoring the vans, I observed the church first aid kit with hazardous products and trash in the bus floors. We discussed that before the vans can be used to transport the child care facility enrolled children this summer, the staff will need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Along with ensuring the van is clean prior to transporting the school-age children. While monitoring the outdoor space, I observed the mulch depth was low at the slide exits and in the fall zones of the climbing structure. Due to Tropical Storm Helene, the mulch surfacing has washed and compacted. The facility does have mulch on site and plans to spread the mulch next Thursday (12/26) and Friday (12/27) while the facility is closed for Christmas break. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 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. 812 In space #4, I observed three (3) electrical outlets uncovered. Two (2) outlets on the wall near the rocking chair and one (1) outlet in the sleep area near the crib. In space #8, three (3) outlets uncovered near the computers. 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. In space #2, two (2) packets of lens cleaning wipes on the counter right outside the classroom door below five (5) feet. .2820(b) 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. Staff member hired 7/15/2024 medical report was not completed prior to employment. The medical report on file was dated 7/18/2024. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 7/15/2024 TB test was not completed prior to employment. The TB test on file was dated 7/18/2024 .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response (EPR) Plan was not reviewed and updated annually. The EPR plan on file was last reviewed on 5/19/2023. .0607(e) Technical assistance was provided as follows: Item 812 In space #4, I observed three (3) electrical outlets uncovered. Two (2) outlets on the wall near the rocking chair and one (1) outlet in the sleep area near the crib. In space #8, three (3) outlets uncovered near the computers. The staff member plugged back in the items that were unplugged to correct this during the visit. The administrator corrected this during the visit. We discussed the need to conduct a daily classroom check to ensure that all electrical outlets not in use are covered with a safety outlet plug. Rule Reference: 10A NCAC 09 .0604(c) Item 840- In space #2, two (2) packets of lens cleaning wipes on the counter right outside the classroom door below five (5) feet. The administrator moved them to a locking cabinet during the visit. We discussed the need to review the warning labels to ensure that the hazardous products with additional warnings are stored in a locked cabinet. Rule Reference: 15A NCAC 18A.2820(b) Item 1032- Staff member hired 7/15/2024 medical report was not completed prior to employment. The medical report on file was dated 7/18/2024. We discussed the need to ensure that the medical report is completed prior to the staff members’ first day of employment. Rule Reference: 10A NCAC 09.0701(a) Item 1033- Staff member hired 7/15/2024 TB test was not completed prior to employment. The TB test on file was dated 7/18/2024. We discussed the need to ensure that the TB test is completed prior to the staff members’ first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item 1824- The Emergency Preparedness and Response (EPR) Plan was not reviewed and updated annually. The EPR plan on file was last reviewed on 5/19/2023. We discussed that the EPR plan should be reviewed annually or when changes occur. Rule Reference: 10A NCAC 09 .0607(e) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/1/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that all child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. We discussed that the cook can be used to assist with breaks, but you must ensure that the cook meets all the requirements for staff caring for children. The staff member has not cared for children prior to today’s visit. We discussed when decorating for the different seasons ensure that all extra cords are secured so that children are not able to access them. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0607 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/18/2024 Number Present: 26 Completed Date: 12/18/2024 Age: From 0 To 5 Total Minutes: 185 Time In: 09:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Samantha Garren, Administrator, was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 12/3/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, First Baptist Church of East Flat Rock, is current/active as of 12/17/2024. Permit type – Notice of Compliance GS-110, issued 8/2/2024. Special Services/Restrictions – first shift, no children under age three (3) on second floor. The last annual compliance visit was conducted on 1/16/2024. The last fire drill was practiced on 11/12/2024. A fire drill is scheduled before the facility closes for Christmas break. The last shelter-in-place drill was practiced on 9/13/2024. A emergency drill is scheduled before the facility closes for Christmas break. The last playground inspection was documented on 12/12/2024. The last fire inspection was approved on 3/12/2024. The last sanitation inspection was conducted on 7/18/2024 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. During the visit, I conducted a walk through of the indoor and outdoor spaces used by the children. In space #1, the group of one year old children were combined with the group of one year old children in space # 3 due to low attendance. In space #2, the group of two year old children were engaged in a group story time. While monitoring the space, I observed two (2) packets of lens cleaning wipes on the counter right outside the classroom door below five (5) feet. The administrator moved them to a locking cabinet during the visit. Space #3 the group of one year old children were combined with space #1 group of one year olds. The children were engaged in free play. In space #4, the infant was being held by the staff member. The staff member was meeting the individual needs of the child. While monitoring the space, I observed three (3) electrical outlets uncovered. The administrator corrected this during the visit. Space #5 is currently closed. In space #6, the group of two and three year olds were combined with space # 9 group of three to four year olds in space #6. The children were engaged in free play with free art, animals, and dramatic play. The staff were actively supervising the children. Space #7 is the cafeteria space; I observed the group of four to five year olds transitioning into lunch. In space #8, the group of four- to five-year-old children were engaged in free play and making Christmas ornaments. After free play, the children cleaned up and prepared to transition to lunch. While monitoring the space, I observed three (3) outlets uncovered near the computers. The staff member plugged back in the items that were unplugged to correct this during the visit. In space #9, the group of three to four year old children were combined in space #6 due to low attendance. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 is currently being used as the foster care closet. Space #12 is currently being used by the church. Lunch today consisted of chicken pot pie, broccoli and cheese, oranges, and milk. The program does provide transportation. You stated that you do transport school-age children ages six to twelve years old for field trips during the summer (May-August). I monitored the white and gray vans today. The vans were not used this year by the child care facility. Currently the church is the only one using the vans. While monitoring the vans, I observed the church first aid kit with hazardous products and trash in the bus floors. We discussed that before the vans can be used to transport the child care facility enrolled children this summer, the staff will need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Along with ensuring the van is clean prior to transporting the school-age children. While monitoring the outdoor space, I observed the mulch depth was low at the slide exits and in the fall zones of the climbing structure. Due to Tropical Storm Helene, the mulch surfacing has washed and compacted. The facility does have mulch on site and plans to spread the mulch next Thursday (12/26) and Friday (12/27) while the facility is closed for Christmas break. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 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. 812 In space #4, I observed three (3) electrical outlets uncovered. Two (2) outlets on the wall near the rocking chair and one (1) outlet in the sleep area near the crib. In space #8, three (3) outlets uncovered near the computers. 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. In space #2, two (2) packets of lens cleaning wipes on the counter right outside the classroom door below five (5) feet. .2820(b) 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. Staff member hired 7/15/2024 medical report was not completed prior to employment. The medical report on file was dated 7/18/2024. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 7/15/2024 TB test was not completed prior to employment. The TB test on file was dated 7/18/2024 .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response (EPR) Plan was not reviewed and updated annually. The EPR plan on file was last reviewed on 5/19/2023. .0607(e) Technical assistance was provided as follows: Item 812 In space #4, I observed three (3) electrical outlets uncovered. Two (2) outlets on the wall near the rocking chair and one (1) outlet in the sleep area near the crib. In space #8, three (3) outlets uncovered near the computers. The staff member plugged back in the items that were unplugged to correct this during the visit. The administrator corrected this during the visit. We discussed the need to conduct a daily classroom check to ensure that all electrical outlets not in use are covered with a safety outlet plug. Rule Reference: 10A NCAC 09 .0604(c) Item 840- In space #2, two (2) packets of lens cleaning wipes on the counter right outside the classroom door below five (5) feet. The administrator moved them to a locking cabinet during the visit. We discussed the need to review the warning labels to ensure that the hazardous products with additional warnings are stored in a locked cabinet. Rule Reference: 15A NCAC 18A.2820(b) Item 1032- Staff member hired 7/15/2024 medical report was not completed prior to employment. The medical report on file was dated 7/18/2024. We discussed the need to ensure that the medical report is completed prior to the staff members’ first day of employment. Rule Reference: 10A NCAC 09.0701(a) Item 1033- Staff member hired 7/15/2024 TB test was not completed prior to employment. The TB test on file was dated 7/18/2024. We discussed the need to ensure that the TB test is completed prior to the staff members’ first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item 1824- The Emergency Preparedness and Response (EPR) Plan was not reviewed and updated annually. The EPR plan on file was last reviewed on 5/19/2023. We discussed that the EPR plan should be reviewed annually or when changes occur. Rule Reference: 10A NCAC 09 .0607(e) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/1/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that all child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. We discussed that the cook can be used to assist with breaks, but you must ensure that the cook meets all the requirements for staff caring for children. The staff member has not cared for children prior to today’s visit. We discussed when decorating for the different seasons ensure that all extra cords are secured so that children are not able to access them. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0701 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/18/2024 Number Present: 26 Completed Date: 12/18/2024 Age: From 0 To 5 Total Minutes: 185 Time In: 09:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Samantha Garren, Administrator, was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 12/3/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, First Baptist Church of East Flat Rock, is current/active as of 12/17/2024. Permit type – Notice of Compliance GS-110, issued 8/2/2024. Special Services/Restrictions – first shift, no children under age three (3) on second floor. The last annual compliance visit was conducted on 1/16/2024. The last fire drill was practiced on 11/12/2024. A fire drill is scheduled before the facility closes for Christmas break. The last shelter-in-place drill was practiced on 9/13/2024. A emergency drill is scheduled before the facility closes for Christmas break. The last playground inspection was documented on 12/12/2024. The last fire inspection was approved on 3/12/2024. The last sanitation inspection was conducted on 7/18/2024 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. During the visit, I conducted a walk through of the indoor and outdoor spaces used by the children. In space #1, the group of one year old children were combined with the group of one year old children in space # 3 due to low attendance. In space #2, the group of two year old children were engaged in a group story time. While monitoring the space, I observed two (2) packets of lens cleaning wipes on the counter right outside the classroom door below five (5) feet. The administrator moved them to a locking cabinet during the visit. Space #3 the group of one year old children were combined with space #1 group of one year olds. The children were engaged in free play. In space #4, the infant was being held by the staff member. The staff member was meeting the individual needs of the child. While monitoring the space, I observed three (3) electrical outlets uncovered. The administrator corrected this during the visit. Space #5 is currently closed. In space #6, the group of two and three year olds were combined with space # 9 group of three to four year olds in space #6. The children were engaged in free play with free art, animals, and dramatic play. The staff were actively supervising the children. Space #7 is the cafeteria space; I observed the group of four to five year olds transitioning into lunch. In space #8, the group of four- to five-year-old children were engaged in free play and making Christmas ornaments. After free play, the children cleaned up and prepared to transition to lunch. While monitoring the space, I observed three (3) outlets uncovered near the computers. The staff member plugged back in the items that were unplugged to correct this during the visit. In space #9, the group of three to four year old children were combined in space #6 due to low attendance. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 is currently being used as the foster care closet. Space #12 is currently being used by the church. Lunch today consisted of chicken pot pie, broccoli and cheese, oranges, and milk. The program does provide transportation. You stated that you do transport school-age children ages six to twelve years old for field trips during the summer (May-August). I monitored the white and gray vans today. The vans were not used this year by the child care facility. Currently the church is the only one using the vans. While monitoring the vans, I observed the church first aid kit with hazardous products and trash in the bus floors. We discussed that before the vans can be used to transport the child care facility enrolled children this summer, the staff will need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Along with ensuring the van is clean prior to transporting the school-age children. While monitoring the outdoor space, I observed the mulch depth was low at the slide exits and in the fall zones of the climbing structure. Due to Tropical Storm Helene, the mulch surfacing has washed and compacted. The facility does have mulch on site and plans to spread the mulch next Thursday (12/26) and Friday (12/27) while the facility is closed for Christmas break. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 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. 812 In space #4, I observed three (3) electrical outlets uncovered. Two (2) outlets on the wall near the rocking chair and one (1) outlet in the sleep area near the crib. In space #8, three (3) outlets uncovered near the computers. 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. In space #2, two (2) packets of lens cleaning wipes on the counter right outside the classroom door below five (5) feet. .2820(b) 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. Staff member hired 7/15/2024 medical report was not completed prior to employment. The medical report on file was dated 7/18/2024. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 7/15/2024 TB test was not completed prior to employment. The TB test on file was dated 7/18/2024 .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response (EPR) Plan was not reviewed and updated annually. The EPR plan on file was last reviewed on 5/19/2023. .0607(e) Technical assistance was provided as follows: Item 812 In space #4, I observed three (3) electrical outlets uncovered. Two (2) outlets on the wall near the rocking chair and one (1) outlet in the sleep area near the crib. In space #8, three (3) outlets uncovered near the computers. The staff member plugged back in the items that were unplugged to correct this during the visit. The administrator corrected this during the visit. We discussed the need to conduct a daily classroom check to ensure that all electrical outlets not in use are covered with a safety outlet plug. Rule Reference: 10A NCAC 09 .0604(c) Item 840- In space #2, two (2) packets of lens cleaning wipes on the counter right outside the classroom door below five (5) feet. The administrator moved them to a locking cabinet during the visit. We discussed the need to review the warning labels to ensure that the hazardous products with additional warnings are stored in a locked cabinet. Rule Reference: 15A NCAC 18A.2820(b) Item 1032- Staff member hired 7/15/2024 medical report was not completed prior to employment. The medical report on file was dated 7/18/2024. We discussed the need to ensure that the medical report is completed prior to the staff members’ first day of employment. Rule Reference: 10A NCAC 09.0701(a) Item 1033- Staff member hired 7/15/2024 TB test was not completed prior to employment. The TB test on file was dated 7/18/2024. We discussed the need to ensure that the TB test is completed prior to the staff members’ first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item 1824- The Emergency Preparedness and Response (EPR) Plan was not reviewed and updated annually. The EPR plan on file was last reviewed on 5/19/2023. We discussed that the EPR plan should be reviewed annually or when changes occur. Rule Reference: 10A NCAC 09 .0607(e) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/1/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that all child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. We discussed that the cook can be used to assist with breaks, but you must ensure that the cook meets all the requirements for staff caring for children. The staff member has not cared for children prior to today’s visit. We discussed when decorating for the different seasons ensure that all extra cords are secured so that children are not able to access them. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1102 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/18/2024 Number Present: 26 Completed Date: 12/18/2024 Age: From 0 To 5 Total Minutes: 185 Time In: 09:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Samantha Garren, Administrator, was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 12/3/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, First Baptist Church of East Flat Rock, is current/active as of 12/17/2024. Permit type – Notice of Compliance GS-110, issued 8/2/2024. Special Services/Restrictions – first shift, no children under age three (3) on second floor. The last annual compliance visit was conducted on 1/16/2024. The last fire drill was practiced on 11/12/2024. A fire drill is scheduled before the facility closes for Christmas break. The last shelter-in-place drill was practiced on 9/13/2024. A emergency drill is scheduled before the facility closes for Christmas break. The last playground inspection was documented on 12/12/2024. The last fire inspection was approved on 3/12/2024. The last sanitation inspection was conducted on 7/18/2024 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. During the visit, I conducted a walk through of the indoor and outdoor spaces used by the children. In space #1, the group of one year old children were combined with the group of one year old children in space # 3 due to low attendance. In space #2, the group of two year old children were engaged in a group story time. While monitoring the space, I observed two (2) packets of lens cleaning wipes on the counter right outside the classroom door below five (5) feet. The administrator moved them to a locking cabinet during the visit. Space #3 the group of one year old children were combined with space #1 group of one year olds. The children were engaged in free play. In space #4, the infant was being held by the staff member. The staff member was meeting the individual needs of the child. While monitoring the space, I observed three (3) electrical outlets uncovered. The administrator corrected this during the visit. Space #5 is currently closed. In space #6, the group of two and three year olds were combined with space # 9 group of three to four year olds in space #6. The children were engaged in free play with free art, animals, and dramatic play. The staff were actively supervising the children. Space #7 is the cafeteria space; I observed the group of four to five year olds transitioning into lunch. In space #8, the group of four- to five-year-old children were engaged in free play and making Christmas ornaments. After free play, the children cleaned up and prepared to transition to lunch. While monitoring the space, I observed three (3) outlets uncovered near the computers. The staff member plugged back in the items that were unplugged to correct this during the visit. In space #9, the group of three to four year old children were combined in space #6 due to low attendance. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 is currently being used as the foster care closet. Space #12 is currently being used by the church. Lunch today consisted of chicken pot pie, broccoli and cheese, oranges, and milk. The program does provide transportation. You stated that you do transport school-age children ages six to twelve years old for field trips during the summer (May-August). I monitored the white and gray vans today. The vans were not used this year by the child care facility. Currently the church is the only one using the vans. While monitoring the vans, I observed the church first aid kit with hazardous products and trash in the bus floors. We discussed that before the vans can be used to transport the child care facility enrolled children this summer, the staff will need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Along with ensuring the van is clean prior to transporting the school-age children. While monitoring the outdoor space, I observed the mulch depth was low at the slide exits and in the fall zones of the climbing structure. Due to Tropical Storm Helene, the mulch surfacing has washed and compacted. The facility does have mulch on site and plans to spread the mulch next Thursday (12/26) and Friday (12/27) while the facility is closed for Christmas break. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 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. 812 In space #4, I observed three (3) electrical outlets uncovered. Two (2) outlets on the wall near the rocking chair and one (1) outlet in the sleep area near the crib. In space #8, three (3) outlets uncovered near the computers. 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. In space #2, two (2) packets of lens cleaning wipes on the counter right outside the classroom door below five (5) feet. .2820(b) 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. Staff member hired 7/15/2024 medical report was not completed prior to employment. The medical report on file was dated 7/18/2024. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 7/15/2024 TB test was not completed prior to employment. The TB test on file was dated 7/18/2024 .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response (EPR) Plan was not reviewed and updated annually. The EPR plan on file was last reviewed on 5/19/2023. .0607(e) Technical assistance was provided as follows: Item 812 In space #4, I observed three (3) electrical outlets uncovered. Two (2) outlets on the wall near the rocking chair and one (1) outlet in the sleep area near the crib. In space #8, three (3) outlets uncovered near the computers. The staff member plugged back in the items that were unplugged to correct this during the visit. The administrator corrected this during the visit. We discussed the need to conduct a daily classroom check to ensure that all electrical outlets not in use are covered with a safety outlet plug. Rule Reference: 10A NCAC 09 .0604(c) Item 840- In space #2, two (2) packets of lens cleaning wipes on the counter right outside the classroom door below five (5) feet. The administrator moved them to a locking cabinet during the visit. We discussed the need to review the warning labels to ensure that the hazardous products with additional warnings are stored in a locked cabinet. Rule Reference: 15A NCAC 18A.2820(b) Item 1032- Staff member hired 7/15/2024 medical report was not completed prior to employment. The medical report on file was dated 7/18/2024. We discussed the need to ensure that the medical report is completed prior to the staff members’ first day of employment. Rule Reference: 10A NCAC 09.0701(a) Item 1033- Staff member hired 7/15/2024 TB test was not completed prior to employment. The TB test on file was dated 7/18/2024. We discussed the need to ensure that the TB test is completed prior to the staff members’ first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item 1824- The Emergency Preparedness and Response (EPR) Plan was not reviewed and updated annually. The EPR plan on file was last reviewed on 5/19/2023. We discussed that the EPR plan should be reviewed annually or when changes occur. Rule Reference: 10A NCAC 09 .0607(e) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/1/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that all child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. We discussed that the cook can be used to assist with breaks, but you must ensure that the cook meets all the requirements for staff caring for children. The staff member has not cared for children prior to today’s visit. We discussed when decorating for the different seasons ensure that all extra cords are secured so that children are not able to access them. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1703 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/18/2024 Number Present: 26 Completed Date: 12/18/2024 Age: From 0 To 5 Total Minutes: 185 Time In: 09:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Samantha Garren, Administrator, was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 12/3/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, First Baptist Church of East Flat Rock, is current/active as of 12/17/2024. Permit type – Notice of Compliance GS-110, issued 8/2/2024. Special Services/Restrictions – first shift, no children under age three (3) on second floor. The last annual compliance visit was conducted on 1/16/2024. The last fire drill was practiced on 11/12/2024. A fire drill is scheduled before the facility closes for Christmas break. The last shelter-in-place drill was practiced on 9/13/2024. A emergency drill is scheduled before the facility closes for Christmas break. The last playground inspection was documented on 12/12/2024. The last fire inspection was approved on 3/12/2024. The last sanitation inspection was conducted on 7/18/2024 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. During the visit, I conducted a walk through of the indoor and outdoor spaces used by the children. In space #1, the group of one year old children were combined with the group of one year old children in space # 3 due to low attendance. In space #2, the group of two year old children were engaged in a group story time. While monitoring the space, I observed two (2) packets of lens cleaning wipes on the counter right outside the classroom door below five (5) feet. The administrator moved them to a locking cabinet during the visit. Space #3 the group of one year old children were combined with space #1 group of one year olds. The children were engaged in free play. In space #4, the infant was being held by the staff member. The staff member was meeting the individual needs of the child. While monitoring the space, I observed three (3) electrical outlets uncovered. The administrator corrected this during the visit. Space #5 is currently closed. In space #6, the group of two and three year olds were combined with space # 9 group of three to four year olds in space #6. The children were engaged in free play with free art, animals, and dramatic play. The staff were actively supervising the children. Space #7 is the cafeteria space; I observed the group of four to five year olds transitioning into lunch. In space #8, the group of four- to five-year-old children were engaged in free play and making Christmas ornaments. After free play, the children cleaned up and prepared to transition to lunch. While monitoring the space, I observed three (3) outlets uncovered near the computers. The staff member plugged back in the items that were unplugged to correct this during the visit. In space #9, the group of three to four year old children were combined in space #6 due to low attendance. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 is currently being used as the foster care closet. Space #12 is currently being used by the church. Lunch today consisted of chicken pot pie, broccoli and cheese, oranges, and milk. The program does provide transportation. You stated that you do transport school-age children ages six to twelve years old for field trips during the summer (May-August). I monitored the white and gray vans today. The vans were not used this year by the child care facility. Currently the church is the only one using the vans. While monitoring the vans, I observed the church first aid kit with hazardous products and trash in the bus floors. We discussed that before the vans can be used to transport the child care facility enrolled children this summer, the staff will need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Along with ensuring the van is clean prior to transporting the school-age children. While monitoring the outdoor space, I observed the mulch depth was low at the slide exits and in the fall zones of the climbing structure. Due to Tropical Storm Helene, the mulch surfacing has washed and compacted. The facility does have mulch on site and plans to spread the mulch next Thursday (12/26) and Friday (12/27) while the facility is closed for Christmas break. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 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. 812 In space #4, I observed three (3) electrical outlets uncovered. Two (2) outlets on the wall near the rocking chair and one (1) outlet in the sleep area near the crib. In space #8, three (3) outlets uncovered near the computers. 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. In space #2, two (2) packets of lens cleaning wipes on the counter right outside the classroom door below five (5) feet. .2820(b) 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. Staff member hired 7/15/2024 medical report was not completed prior to employment. The medical report on file was dated 7/18/2024. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 7/15/2024 TB test was not completed prior to employment. The TB test on file was dated 7/18/2024 .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response (EPR) Plan was not reviewed and updated annually. The EPR plan on file was last reviewed on 5/19/2023. .0607(e) Technical assistance was provided as follows: Item 812 In space #4, I observed three (3) electrical outlets uncovered. Two (2) outlets on the wall near the rocking chair and one (1) outlet in the sleep area near the crib. In space #8, three (3) outlets uncovered near the computers. The staff member plugged back in the items that were unplugged to correct this during the visit. The administrator corrected this during the visit. We discussed the need to conduct a daily classroom check to ensure that all electrical outlets not in use are covered with a safety outlet plug. Rule Reference: 10A NCAC 09 .0604(c) Item 840- In space #2, two (2) packets of lens cleaning wipes on the counter right outside the classroom door below five (5) feet. The administrator moved them to a locking cabinet during the visit. We discussed the need to review the warning labels to ensure that the hazardous products with additional warnings are stored in a locked cabinet. Rule Reference: 15A NCAC 18A.2820(b) Item 1032- Staff member hired 7/15/2024 medical report was not completed prior to employment. The medical report on file was dated 7/18/2024. We discussed the need to ensure that the medical report is completed prior to the staff members’ first day of employment. Rule Reference: 10A NCAC 09.0701(a) Item 1033- Staff member hired 7/15/2024 TB test was not completed prior to employment. The TB test on file was dated 7/18/2024. We discussed the need to ensure that the TB test is completed prior to the staff members’ first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item 1824- The Emergency Preparedness and Response (EPR) Plan was not reviewed and updated annually. The EPR plan on file was last reviewed on 5/19/2023. We discussed that the EPR plan should be reviewed annually or when changes occur. Rule Reference: 10A NCAC 09 .0607(e) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/1/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that all child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. We discussed that the cook can be used to assist with breaks, but you must ensure that the cook meets all the requirements for staff caring for children. The staff member has not cared for children prior to today’s visit. We discussed when decorating for the different seasons ensure that all extra cords are secured so that children are not able to access them. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 09.0701 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/18/2024 Number Present: 26 Completed Date: 12/18/2024 Age: From 0 To 5 Total Minutes: 185 Time In: 09:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Samantha Garren, Administrator, was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 12/3/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, First Baptist Church of East Flat Rock, is current/active as of 12/17/2024. Permit type – Notice of Compliance GS-110, issued 8/2/2024. Special Services/Restrictions – first shift, no children under age three (3) on second floor. The last annual compliance visit was conducted on 1/16/2024. The last fire drill was practiced on 11/12/2024. A fire drill is scheduled before the facility closes for Christmas break. The last shelter-in-place drill was practiced on 9/13/2024. A emergency drill is scheduled before the facility closes for Christmas break. The last playground inspection was documented on 12/12/2024. The last fire inspection was approved on 3/12/2024. The last sanitation inspection was conducted on 7/18/2024 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. During the visit, I conducted a walk through of the indoor and outdoor spaces used by the children. In space #1, the group of one year old children were combined with the group of one year old children in space # 3 due to low attendance. In space #2, the group of two year old children were engaged in a group story time. While monitoring the space, I observed two (2) packets of lens cleaning wipes on the counter right outside the classroom door below five (5) feet. The administrator moved them to a locking cabinet during the visit. Space #3 the group of one year old children were combined with space #1 group of one year olds. The children were engaged in free play. In space #4, the infant was being held by the staff member. The staff member was meeting the individual needs of the child. While monitoring the space, I observed three (3) electrical outlets uncovered. The administrator corrected this during the visit. Space #5 is currently closed. In space #6, the group of two and three year olds were combined with space # 9 group of three to four year olds in space #6. The children were engaged in free play with free art, animals, and dramatic play. The staff were actively supervising the children. Space #7 is the cafeteria space; I observed the group of four to five year olds transitioning into lunch. In space #8, the group of four- to five-year-old children were engaged in free play and making Christmas ornaments. After free play, the children cleaned up and prepared to transition to lunch. While monitoring the space, I observed three (3) outlets uncovered near the computers. The staff member plugged back in the items that were unplugged to correct this during the visit. In space #9, the group of three to four year old children were combined in space #6 due to low attendance. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 is currently being used as the foster care closet. Space #12 is currently being used by the church. Lunch today consisted of chicken pot pie, broccoli and cheese, oranges, and milk. The program does provide transportation. You stated that you do transport school-age children ages six to twelve years old for field trips during the summer (May-August). I monitored the white and gray vans today. The vans were not used this year by the child care facility. Currently the church is the only one using the vans. While monitoring the vans, I observed the church first aid kit with hazardous products and trash in the bus floors. We discussed that before the vans can be used to transport the child care facility enrolled children this summer, the staff will need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Along with ensuring the van is clean prior to transporting the school-age children. While monitoring the outdoor space, I observed the mulch depth was low at the slide exits and in the fall zones of the climbing structure. Due to Tropical Storm Helene, the mulch surfacing has washed and compacted. The facility does have mulch on site and plans to spread the mulch next Thursday (12/26) and Friday (12/27) while the facility is closed for Christmas break. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 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. 812 In space #4, I observed three (3) electrical outlets uncovered. Two (2) outlets on the wall near the rocking chair and one (1) outlet in the sleep area near the crib. In space #8, three (3) outlets uncovered near the computers. 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. In space #2, two (2) packets of lens cleaning wipes on the counter right outside the classroom door below five (5) feet. .2820(b) 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. Staff member hired 7/15/2024 medical report was not completed prior to employment. The medical report on file was dated 7/18/2024. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 7/15/2024 TB test was not completed prior to employment. The TB test on file was dated 7/18/2024 .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response (EPR) Plan was not reviewed and updated annually. The EPR plan on file was last reviewed on 5/19/2023. .0607(e) Technical assistance was provided as follows: Item 812 In space #4, I observed three (3) electrical outlets uncovered. Two (2) outlets on the wall near the rocking chair and one (1) outlet in the sleep area near the crib. In space #8, three (3) outlets uncovered near the computers. The staff member plugged back in the items that were unplugged to correct this during the visit. The administrator corrected this during the visit. We discussed the need to conduct a daily classroom check to ensure that all electrical outlets not in use are covered with a safety outlet plug. Rule Reference: 10A NCAC 09 .0604(c) Item 840- In space #2, two (2) packets of lens cleaning wipes on the counter right outside the classroom door below five (5) feet. The administrator moved them to a locking cabinet during the visit. We discussed the need to review the warning labels to ensure that the hazardous products with additional warnings are stored in a locked cabinet. Rule Reference: 15A NCAC 18A.2820(b) Item 1032- Staff member hired 7/15/2024 medical report was not completed prior to employment. The medical report on file was dated 7/18/2024. We discussed the need to ensure that the medical report is completed prior to the staff members’ first day of employment. Rule Reference: 10A NCAC 09.0701(a) Item 1033- Staff member hired 7/15/2024 TB test was not completed prior to employment. The TB test on file was dated 7/18/2024. We discussed the need to ensure that the TB test is completed prior to the staff members’ first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item 1824- The Emergency Preparedness and Response (EPR) Plan was not reviewed and updated annually. The EPR plan on file was last reviewed on 5/19/2023. We discussed that the EPR plan should be reviewed annually or when changes occur. Rule Reference: 10A NCAC 09 .0607(e) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/1/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that all child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. We discussed that the cook can be used to assist with breaks, but you must ensure that the cook meets all the requirements for staff caring for children. The staff member has not cared for children prior to today’s visit. We discussed when decorating for the different seasons ensure that all extra cords are secured so that children are not able to access them. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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
NC GS 110-90 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/18/2024 Number Present: 26 Completed Date: 12/18/2024 Age: From 0 To 5 Total Minutes: 185 Time In: 09:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Samantha Garren, Administrator, was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 12/3/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, First Baptist Church of East Flat Rock, is current/active as of 12/17/2024. Permit type – Notice of Compliance GS-110, issued 8/2/2024. Special Services/Restrictions – first shift, no children under age three (3) on second floor. The last annual compliance visit was conducted on 1/16/2024. The last fire drill was practiced on 11/12/2024. A fire drill is scheduled before the facility closes for Christmas break. The last shelter-in-place drill was practiced on 9/13/2024. A emergency drill is scheduled before the facility closes for Christmas break. The last playground inspection was documented on 12/12/2024. The last fire inspection was approved on 3/12/2024. The last sanitation inspection was conducted on 7/18/2024 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. During the visit, I conducted a walk through of the indoor and outdoor spaces used by the children. In space #1, the group of one year old children were combined with the group of one year old children in space # 3 due to low attendance. In space #2, the group of two year old children were engaged in a group story time. While monitoring the space, I observed two (2) packets of lens cleaning wipes on the counter right outside the classroom door below five (5) feet. The administrator moved them to a locking cabinet during the visit. Space #3 the group of one year old children were combined with space #1 group of one year olds. The children were engaged in free play. In space #4, the infant was being held by the staff member. The staff member was meeting the individual needs of the child. While monitoring the space, I observed three (3) electrical outlets uncovered. The administrator corrected this during the visit. Space #5 is currently closed. In space #6, the group of two and three year olds were combined with space # 9 group of three to four year olds in space #6. The children were engaged in free play with free art, animals, and dramatic play. The staff were actively supervising the children. Space #7 is the cafeteria space; I observed the group of four to five year olds transitioning into lunch. In space #8, the group of four- to five-year-old children were engaged in free play and making Christmas ornaments. After free play, the children cleaned up and prepared to transition to lunch. While monitoring the space, I observed three (3) outlets uncovered near the computers. The staff member plugged back in the items that were unplugged to correct this during the visit. In space #9, the group of three to four year old children were combined in space #6 due to low attendance. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 is currently being used as the foster care closet. Space #12 is currently being used by the church. Lunch today consisted of chicken pot pie, broccoli and cheese, oranges, and milk. The program does provide transportation. You stated that you do transport school-age children ages six to twelve years old for field trips during the summer (May-August). I monitored the white and gray vans today. The vans were not used this year by the child care facility. Currently the church is the only one using the vans. While monitoring the vans, I observed the church first aid kit with hazardous products and trash in the bus floors. We discussed that before the vans can be used to transport the child care facility enrolled children this summer, the staff will need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Along with ensuring the van is clean prior to transporting the school-age children. While monitoring the outdoor space, I observed the mulch depth was low at the slide exits and in the fall zones of the climbing structure. Due to Tropical Storm Helene, the mulch surfacing has washed and compacted. The facility does have mulch on site and plans to spread the mulch next Thursday (12/26) and Friday (12/27) while the facility is closed for Christmas break. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 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. 812 In space #4, I observed three (3) electrical outlets uncovered. Two (2) outlets on the wall near the rocking chair and one (1) outlet in the sleep area near the crib. In space #8, three (3) outlets uncovered near the computers. 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. In space #2, two (2) packets of lens cleaning wipes on the counter right outside the classroom door below five (5) feet. .2820(b) 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. Staff member hired 7/15/2024 medical report was not completed prior to employment. The medical report on file was dated 7/18/2024. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 7/15/2024 TB test was not completed prior to employment. The TB test on file was dated 7/18/2024 .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response (EPR) Plan was not reviewed and updated annually. The EPR plan on file was last reviewed on 5/19/2023. .0607(e) Technical assistance was provided as follows: Item 812 In space #4, I observed three (3) electrical outlets uncovered. Two (2) outlets on the wall near the rocking chair and one (1) outlet in the sleep area near the crib. In space #8, three (3) outlets uncovered near the computers. The staff member plugged back in the items that were unplugged to correct this during the visit. The administrator corrected this during the visit. We discussed the need to conduct a daily classroom check to ensure that all electrical outlets not in use are covered with a safety outlet plug. Rule Reference: 10A NCAC 09 .0604(c) Item 840- In space #2, two (2) packets of lens cleaning wipes on the counter right outside the classroom door below five (5) feet. The administrator moved them to a locking cabinet during the visit. We discussed the need to review the warning labels to ensure that the hazardous products with additional warnings are stored in a locked cabinet. Rule Reference: 15A NCAC 18A.2820(b) Item 1032- Staff member hired 7/15/2024 medical report was not completed prior to employment. The medical report on file was dated 7/18/2024. We discussed the need to ensure that the medical report is completed prior to the staff members’ first day of employment. Rule Reference: 10A NCAC 09.0701(a) Item 1033- Staff member hired 7/15/2024 TB test was not completed prior to employment. The TB test on file was dated 7/18/2024. We discussed the need to ensure that the TB test is completed prior to the staff members’ first day of employment. Rule Reference: 10A NCAC 09 .0701(a) Item 1824- The Emergency Preparedness and Response (EPR) Plan was not reviewed and updated annually. The EPR plan on file was last reviewed on 5/19/2023. We discussed that the EPR plan should be reviewed annually or when changes occur. Rule Reference: 10A NCAC 09 .0607(e) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/1/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that all child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. We discussed that the cook can be used to assist with breaks, but you must ensure that the cook meets all the requirements for staff caring for children. The staff member has not cared for children prior to today’s visit. We discussed when decorating for the different seasons ensure that all extra cords are secured so that children are not able to access them. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0604 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/16/2024 Number Present: 31 Completed Date: 8/16/2024 Age: From 0 To 5 Total Minutes: 155 Time In: 11:10 AM Time Out: 01:45 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. The program operates with a Three (3) Star Rated License, issued 4/23/2020. The permit restrictions were in compliance including daytime care only, no children under age three on second floor, meets enhanced ratios, and meets enhanced space. An updated application has been submitted to request a license change. His Kids Child Development Center has requested to go from a star rated license to a Notice of Compliance GS-110-106. The packet has been sent in for approval and awaiting response. Today’s visit was conducted as a star rated license program until the Notice of Compliance GS-110-106 is approved. Samantah Garren, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 1/16/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS-SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed in space #1, the group of one year old children were in the cafeteria having lunch. After lunch the group transitioned back to the classroom to wash hands to prepare for nap. In the classroom during nap, the children were spaced out on their cots and the staff member was sitting in the middle of the room supervising the children. In space #2, the group of two year old children were in the cafeteria having lunch. After lunch the group transitioned back to the classroom to wash hands to prepare for nap. In the classroom during nap, the children were spaced out on their cots and the staff member was walking around the room supervising the children. Space #3 the group of one year old children were in the cafeteria engaged in lunch. After lunch, the group combined with the infants in space #4. In space #4, the group of infants were engaged in floor play with soft toys, individual feeding, and nap. Two (2) infants were in the floor engaged in play, one (1) was napping in the crib, and one (1) child was on their cot. Space #5 is currently not in use. In space #6, the group of three year olds were engaged in nap time. The two (2) children were on their cots on each side of the staff member sitting in the floor. Space #7 is the cafeteria space, I observed the group of three to four year old children from space #9 and the group of four to five year old from space #8 engaged in lunch. While monitoring the kitchen space, I observed the cabinet under the sink with hazardous products unlocked. The administrator locked it during the visit. In space #8, the group of four- to five-year-old children were engaged in lunch. After lunch, they transitioned to used the restroom and prepare for nap time. In space #9, the group of three to four year old children were engaged in lunch. After lunch, they transitioned to used the restroom and prepare for nap time. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 is currently being used as the foster care closet. Space #12 is currently being used by the church. All staff were supervising the children and engaging in play and conversations. The lunch today was cheese sticks, corn, fruit cocktail, and milk. The last fire drill was practiced on 7/8/2024. The last emergency drill, lockdown drill, was practiced on 6/5/2024. The last fire inspection was approved on 3/12/2024. The program’s most recent sanitation inspection was completed on 7/18/2024, with ten (10) demerits. The last playground inspection was completed on 7/9/2024. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program does provide transportation. You stated that you do transport school age children ages six to twelve years old during the summer. You did inquire about transporting preschool children and what that would required. We discussed the requirements for off premises activities. I monitored the white and gray van during today’s visit. The vans were not used this year. I stated before the vans can be used by the children, the staff will need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There is two (2) new staff member since the last annual compliance visit. The following violations of child care requirements were observed today: Violation Number Comment Rule 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. Space # 4 four (4) electrical outlets were uncovered, space #9 one electrical outlet was uncovered. 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. The cabinet under the sink in the kitchen that stored hazardous products was unlocked .2820(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outdoor space #2 the mulch around the climber in the middle was compacted and low. .0605(k)(1-4) 9995 A violation was found for which there is no item number. Staff pocketbook was locked in an unlocked cabinet below five (5) feet in the hallway handwashing station between space #3 and #4. Technical assistance was provided as follows: Item # 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. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. -Space # 4 four (4) electrical outlets were uncovered, space #9 one electrical outlet was uncovered. The administrator corrected this during the visit. Item # 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. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. -The cabinet under the sink in the kitchen that stored hazardous products was unlocked. The administrator corrected this during the visit. Item #1867 The depth of the loose surfacing was not based on critical height of the equipment. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. -Outdoor space #2 the mulch around the climber in the middle was compacted and low. The administrator stated that mulch has been delivered but needs to be spread. She stated the maintenance team will get that spread this weekend. Item #9995 Staff pocketbook unlocked and accessible to children. 15A NCAC 18A .2820 STORAGE (f) Employee purses and other personal effects shall be kept out of reach of children. -Staff pocketbook was locked in an unlocked cabinet below five (5) feet in the hallway handwashing station between space #3 and #4. The administrator moved the staff pocketbook up five (5) feet to be inaccessible to the children. Remind staff all personal belonging should be inaccessible to the children or stored under lock and key. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/28/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: - First Aid and CPR is due by 8/20/2024 for staff member hired 5/20/2024. - When children are out for the summer, I recommend updating their paperwork when they return to ensure that you have the most current and up to date information on file, including feeding plans. - Wall mounted AC units, I suggested adding a mesh to ensure that a child does not stick their finger in the vents and get stuck. - The cook asks to confirm the amount of milk needed for three- to four-year-old children. The meal pattern guidelines state that a three- to four-year-old child’s serving is ¾ cup or six (6) ounces of milk. - Any items with heating elements including laminator, hot glue guns, etc. must be stored up five (5) feet inaccessible to children. - When staff complete trainings ensure that you print the updated training certificate to add to the staff members file for review. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0304 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/16/2024 Number Present: 31 Completed Date: 8/16/2024 Age: From 0 To 5 Total Minutes: 155 Time In: 11:10 AM Time Out: 01:45 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. The program operates with a Three (3) Star Rated License, issued 4/23/2020. The permit restrictions were in compliance including daytime care only, no children under age three on second floor, meets enhanced ratios, and meets enhanced space. An updated application has been submitted to request a license change. His Kids Child Development Center has requested to go from a star rated license to a Notice of Compliance GS-110-106. The packet has been sent in for approval and awaiting response. Today’s visit was conducted as a star rated license program until the Notice of Compliance GS-110-106 is approved. Samantah Garren, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 1/16/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS-SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed in space #1, the group of one year old children were in the cafeteria having lunch. After lunch the group transitioned back to the classroom to wash hands to prepare for nap. In the classroom during nap, the children were spaced out on their cots and the staff member was sitting in the middle of the room supervising the children. In space #2, the group of two year old children were in the cafeteria having lunch. After lunch the group transitioned back to the classroom to wash hands to prepare for nap. In the classroom during nap, the children were spaced out on their cots and the staff member was walking around the room supervising the children. Space #3 the group of one year old children were in the cafeteria engaged in lunch. After lunch, the group combined with the infants in space #4. In space #4, the group of infants were engaged in floor play with soft toys, individual feeding, and nap. Two (2) infants were in the floor engaged in play, one (1) was napping in the crib, and one (1) child was on their cot. Space #5 is currently not in use. In space #6, the group of three year olds were engaged in nap time. The two (2) children were on their cots on each side of the staff member sitting in the floor. Space #7 is the cafeteria space, I observed the group of three to four year old children from space #9 and the group of four to five year old from space #8 engaged in lunch. While monitoring the kitchen space, I observed the cabinet under the sink with hazardous products unlocked. The administrator locked it during the visit. In space #8, the group of four- to five-year-old children were engaged in lunch. After lunch, they transitioned to used the restroom and prepare for nap time. In space #9, the group of three to four year old children were engaged in lunch. After lunch, they transitioned to used the restroom and prepare for nap time. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 is currently being used as the foster care closet. Space #12 is currently being used by the church. All staff were supervising the children and engaging in play and conversations. The lunch today was cheese sticks, corn, fruit cocktail, and milk. The last fire drill was practiced on 7/8/2024. The last emergency drill, lockdown drill, was practiced on 6/5/2024. The last fire inspection was approved on 3/12/2024. The program’s most recent sanitation inspection was completed on 7/18/2024, with ten (10) demerits. The last playground inspection was completed on 7/9/2024. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program does provide transportation. You stated that you do transport school age children ages six to twelve years old during the summer. You did inquire about transporting preschool children and what that would required. We discussed the requirements for off premises activities. I monitored the white and gray van during today’s visit. The vans were not used this year. I stated before the vans can be used by the children, the staff will need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There is two (2) new staff member since the last annual compliance visit. The following violations of child care requirements were observed today: Violation Number Comment Rule 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. Space # 4 four (4) electrical outlets were uncovered, space #9 one electrical outlet was uncovered. 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. The cabinet under the sink in the kitchen that stored hazardous products was unlocked .2820(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outdoor space #2 the mulch around the climber in the middle was compacted and low. .0605(k)(1-4) 9995 A violation was found for which there is no item number. Staff pocketbook was locked in an unlocked cabinet below five (5) feet in the hallway handwashing station between space #3 and #4. Technical assistance was provided as follows: Item # 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. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. -Space # 4 four (4) electrical outlets were uncovered, space #9 one electrical outlet was uncovered. The administrator corrected this during the visit. Item # 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. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. -The cabinet under the sink in the kitchen that stored hazardous products was unlocked. The administrator corrected this during the visit. Item #1867 The depth of the loose surfacing was not based on critical height of the equipment. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. -Outdoor space #2 the mulch around the climber in the middle was compacted and low. The administrator stated that mulch has been delivered but needs to be spread. She stated the maintenance team will get that spread this weekend. Item #9995 Staff pocketbook unlocked and accessible to children. 15A NCAC 18A .2820 STORAGE (f) Employee purses and other personal effects shall be kept out of reach of children. -Staff pocketbook was locked in an unlocked cabinet below five (5) feet in the hallway handwashing station between space #3 and #4. The administrator moved the staff pocketbook up five (5) feet to be inaccessible to the children. Remind staff all personal belonging should be inaccessible to the children or stored under lock and key. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/28/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: - First Aid and CPR is due by 8/20/2024 for staff member hired 5/20/2024. - When children are out for the summer, I recommend updating their paperwork when they return to ensure that you have the most current and up to date information on file, including feeding plans. - Wall mounted AC units, I suggested adding a mesh to ensure that a child does not stick their finger in the vents and get stuck. - The cook asks to confirm the amount of milk needed for three- to four-year-old children. The meal pattern guidelines state that a three- to four-year-old child’s serving is ¾ cup or six (6) ounces of milk. - Any items with heating elements including laminator, hot glue guns, etc. must be stored up five (5) feet inaccessible to children. - When staff complete trainings ensure that you print the updated training certificate to add to the staff members file for review. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0604 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/16/2024 Number Present: 31 Completed Date: 8/16/2024 Age: From 0 To 5 Total Minutes: 155 Time In: 11:10 AM Time Out: 01:45 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. The program operates with a Three (3) Star Rated License, issued 4/23/2020. The permit restrictions were in compliance including daytime care only, no children under age three on second floor, meets enhanced ratios, and meets enhanced space. An updated application has been submitted to request a license change. His Kids Child Development Center has requested to go from a star rated license to a Notice of Compliance GS-110-106. The packet has been sent in for approval and awaiting response. Today’s visit was conducted as a star rated license program until the Notice of Compliance GS-110-106 is approved. Samantah Garren, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 1/16/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS-SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed in space #1, the group of one year old children were in the cafeteria having lunch. After lunch the group transitioned back to the classroom to wash hands to prepare for nap. In the classroom during nap, the children were spaced out on their cots and the staff member was sitting in the middle of the room supervising the children. In space #2, the group of two year old children were in the cafeteria having lunch. After lunch the group transitioned back to the classroom to wash hands to prepare for nap. In the classroom during nap, the children were spaced out on their cots and the staff member was walking around the room supervising the children. Space #3 the group of one year old children were in the cafeteria engaged in lunch. After lunch, the group combined with the infants in space #4. In space #4, the group of infants were engaged in floor play with soft toys, individual feeding, and nap. Two (2) infants were in the floor engaged in play, one (1) was napping in the crib, and one (1) child was on their cot. Space #5 is currently not in use. In space #6, the group of three year olds were engaged in nap time. The two (2) children were on their cots on each side of the staff member sitting in the floor. Space #7 is the cafeteria space, I observed the group of three to four year old children from space #9 and the group of four to five year old from space #8 engaged in lunch. While monitoring the kitchen space, I observed the cabinet under the sink with hazardous products unlocked. The administrator locked it during the visit. In space #8, the group of four- to five-year-old children were engaged in lunch. After lunch, they transitioned to used the restroom and prepare for nap time. In space #9, the group of three to four year old children were engaged in lunch. After lunch, they transitioned to used the restroom and prepare for nap time. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 is currently being used as the foster care closet. Space #12 is currently being used by the church. All staff were supervising the children and engaging in play and conversations. The lunch today was cheese sticks, corn, fruit cocktail, and milk. The last fire drill was practiced on 7/8/2024. The last emergency drill, lockdown drill, was practiced on 6/5/2024. The last fire inspection was approved on 3/12/2024. The program’s most recent sanitation inspection was completed on 7/18/2024, with ten (10) demerits. The last playground inspection was completed on 7/9/2024. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program does provide transportation. You stated that you do transport school age children ages six to twelve years old during the summer. You did inquire about transporting preschool children and what that would required. We discussed the requirements for off premises activities. I monitored the white and gray van during today’s visit. The vans were not used this year. I stated before the vans can be used by the children, the staff will need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There is two (2) new staff member since the last annual compliance visit. The following violations of child care requirements were observed today: Violation Number Comment Rule 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. Space # 4 four (4) electrical outlets were uncovered, space #9 one electrical outlet was uncovered. 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. The cabinet under the sink in the kitchen that stored hazardous products was unlocked .2820(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outdoor space #2 the mulch around the climber in the middle was compacted and low. .0605(k)(1-4) 9995 A violation was found for which there is no item number. Staff pocketbook was locked in an unlocked cabinet below five (5) feet in the hallway handwashing station between space #3 and #4. Technical assistance was provided as follows: Item # 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. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. -Space # 4 four (4) electrical outlets were uncovered, space #9 one electrical outlet was uncovered. The administrator corrected this during the visit. Item # 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. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. -The cabinet under the sink in the kitchen that stored hazardous products was unlocked. The administrator corrected this during the visit. Item #1867 The depth of the loose surfacing was not based on critical height of the equipment. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. -Outdoor space #2 the mulch around the climber in the middle was compacted and low. The administrator stated that mulch has been delivered but needs to be spread. She stated the maintenance team will get that spread this weekend. Item #9995 Staff pocketbook unlocked and accessible to children. 15A NCAC 18A .2820 STORAGE (f) Employee purses and other personal effects shall be kept out of reach of children. -Staff pocketbook was locked in an unlocked cabinet below five (5) feet in the hallway handwashing station between space #3 and #4. The administrator moved the staff pocketbook up five (5) feet to be inaccessible to the children. Remind staff all personal belonging should be inaccessible to the children or stored under lock and key. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/28/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: - First Aid and CPR is due by 8/20/2024 for staff member hired 5/20/2024. - When children are out for the summer, I recommend updating their paperwork when they return to ensure that you have the most current and up to date information on file, including feeding plans. - Wall mounted AC units, I suggested adding a mesh to ensure that a child does not stick their finger in the vents and get stuck. - The cook asks to confirm the amount of milk needed for three- to four-year-old children. The meal pattern guidelines state that a three- to four-year-old child’s serving is ¾ cup or six (6) ounces of milk. - Any items with heating elements including laminator, hot glue guns, etc. must be stored up five (5) feet inaccessible to children. - When staff complete trainings ensure that you print the updated training certificate to add to the staff members file for review. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0605 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/16/2024 Number Present: 31 Completed Date: 8/16/2024 Age: From 0 To 5 Total Minutes: 155 Time In: 11:10 AM Time Out: 01:45 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. The program operates with a Three (3) Star Rated License, issued 4/23/2020. The permit restrictions were in compliance including daytime care only, no children under age three on second floor, meets enhanced ratios, and meets enhanced space. An updated application has been submitted to request a license change. His Kids Child Development Center has requested to go from a star rated license to a Notice of Compliance GS-110-106. The packet has been sent in for approval and awaiting response. Today’s visit was conducted as a star rated license program until the Notice of Compliance GS-110-106 is approved. Samantah Garren, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 1/16/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS-SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed in space #1, the group of one year old children were in the cafeteria having lunch. After lunch the group transitioned back to the classroom to wash hands to prepare for nap. In the classroom during nap, the children were spaced out on their cots and the staff member was sitting in the middle of the room supervising the children. In space #2, the group of two year old children were in the cafeteria having lunch. After lunch the group transitioned back to the classroom to wash hands to prepare for nap. In the classroom during nap, the children were spaced out on their cots and the staff member was walking around the room supervising the children. Space #3 the group of one year old children were in the cafeteria engaged in lunch. After lunch, the group combined with the infants in space #4. In space #4, the group of infants were engaged in floor play with soft toys, individual feeding, and nap. Two (2) infants were in the floor engaged in play, one (1) was napping in the crib, and one (1) child was on their cot. Space #5 is currently not in use. In space #6, the group of three year olds were engaged in nap time. The two (2) children were on their cots on each side of the staff member sitting in the floor. Space #7 is the cafeteria space, I observed the group of three to four year old children from space #9 and the group of four to five year old from space #8 engaged in lunch. While monitoring the kitchen space, I observed the cabinet under the sink with hazardous products unlocked. The administrator locked it during the visit. In space #8, the group of four- to five-year-old children were engaged in lunch. After lunch, they transitioned to used the restroom and prepare for nap time. In space #9, the group of three to four year old children were engaged in lunch. After lunch, they transitioned to used the restroom and prepare for nap time. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 is currently being used as the foster care closet. Space #12 is currently being used by the church. All staff were supervising the children and engaging in play and conversations. The lunch today was cheese sticks, corn, fruit cocktail, and milk. The last fire drill was practiced on 7/8/2024. The last emergency drill, lockdown drill, was practiced on 6/5/2024. The last fire inspection was approved on 3/12/2024. The program’s most recent sanitation inspection was completed on 7/18/2024, with ten (10) demerits. The last playground inspection was completed on 7/9/2024. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program does provide transportation. You stated that you do transport school age children ages six to twelve years old during the summer. You did inquire about transporting preschool children and what that would required. We discussed the requirements for off premises activities. I monitored the white and gray van during today’s visit. The vans were not used this year. I stated before the vans can be used by the children, the staff will need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There is two (2) new staff member since the last annual compliance visit. The following violations of child care requirements were observed today: Violation Number Comment Rule 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. Space # 4 four (4) electrical outlets were uncovered, space #9 one electrical outlet was uncovered. 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. The cabinet under the sink in the kitchen that stored hazardous products was unlocked .2820(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outdoor space #2 the mulch around the climber in the middle was compacted and low. .0605(k)(1-4) 9995 A violation was found for which there is no item number. Staff pocketbook was locked in an unlocked cabinet below five (5) feet in the hallway handwashing station between space #3 and #4. Technical assistance was provided as follows: Item # 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. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. -Space # 4 four (4) electrical outlets were uncovered, space #9 one electrical outlet was uncovered. The administrator corrected this during the visit. Item # 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. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. -The cabinet under the sink in the kitchen that stored hazardous products was unlocked. The administrator corrected this during the visit. Item #1867 The depth of the loose surfacing was not based on critical height of the equipment. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. -Outdoor space #2 the mulch around the climber in the middle was compacted and low. The administrator stated that mulch has been delivered but needs to be spread. She stated the maintenance team will get that spread this weekend. Item #9995 Staff pocketbook unlocked and accessible to children. 15A NCAC 18A .2820 STORAGE (f) Employee purses and other personal effects shall be kept out of reach of children. -Staff pocketbook was locked in an unlocked cabinet below five (5) feet in the hallway handwashing station between space #3 and #4. The administrator moved the staff pocketbook up five (5) feet to be inaccessible to the children. Remind staff all personal belonging should be inaccessible to the children or stored under lock and key. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/28/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: - First Aid and CPR is due by 8/20/2024 for staff member hired 5/20/2024. - When children are out for the summer, I recommend updating their paperwork when they return to ensure that you have the most current and up to date information on file, including feeding plans. - Wall mounted AC units, I suggested adding a mesh to ensure that a child does not stick their finger in the vents and get stuck. - The cook asks to confirm the amount of milk needed for three- to four-year-old children. The meal pattern guidelines state that a three- to four-year-old child’s serving is ¾ cup or six (6) ounces of milk. - Any items with heating elements including laminator, hot glue guns, etc. must be stored up five (5) feet inaccessible to children. - When staff complete trainings ensure that you print the updated training certificate to add to the staff members file for review. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1102 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/16/2024 Number Present: 31 Completed Date: 8/16/2024 Age: From 0 To 5 Total Minutes: 155 Time In: 11:10 AM Time Out: 01:45 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. The program operates with a Three (3) Star Rated License, issued 4/23/2020. The permit restrictions were in compliance including daytime care only, no children under age three on second floor, meets enhanced ratios, and meets enhanced space. An updated application has been submitted to request a license change. His Kids Child Development Center has requested to go from a star rated license to a Notice of Compliance GS-110-106. The packet has been sent in for approval and awaiting response. Today’s visit was conducted as a star rated license program until the Notice of Compliance GS-110-106 is approved. Samantah Garren, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 1/16/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS-SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed in space #1, the group of one year old children were in the cafeteria having lunch. After lunch the group transitioned back to the classroom to wash hands to prepare for nap. In the classroom during nap, the children were spaced out on their cots and the staff member was sitting in the middle of the room supervising the children. In space #2, the group of two year old children were in the cafeteria having lunch. After lunch the group transitioned back to the classroom to wash hands to prepare for nap. In the classroom during nap, the children were spaced out on their cots and the staff member was walking around the room supervising the children. Space #3 the group of one year old children were in the cafeteria engaged in lunch. After lunch, the group combined with the infants in space #4. In space #4, the group of infants were engaged in floor play with soft toys, individual feeding, and nap. Two (2) infants were in the floor engaged in play, one (1) was napping in the crib, and one (1) child was on their cot. Space #5 is currently not in use. In space #6, the group of three year olds were engaged in nap time. The two (2) children were on their cots on each side of the staff member sitting in the floor. Space #7 is the cafeteria space, I observed the group of three to four year old children from space #9 and the group of four to five year old from space #8 engaged in lunch. While monitoring the kitchen space, I observed the cabinet under the sink with hazardous products unlocked. The administrator locked it during the visit. In space #8, the group of four- to five-year-old children were engaged in lunch. After lunch, they transitioned to used the restroom and prepare for nap time. In space #9, the group of three to four year old children were engaged in lunch. After lunch, they transitioned to used the restroom and prepare for nap time. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 is currently being used as the foster care closet. Space #12 is currently being used by the church. All staff were supervising the children and engaging in play and conversations. The lunch today was cheese sticks, corn, fruit cocktail, and milk. The last fire drill was practiced on 7/8/2024. The last emergency drill, lockdown drill, was practiced on 6/5/2024. The last fire inspection was approved on 3/12/2024. The program’s most recent sanitation inspection was completed on 7/18/2024, with ten (10) demerits. The last playground inspection was completed on 7/9/2024. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program does provide transportation. You stated that you do transport school age children ages six to twelve years old during the summer. You did inquire about transporting preschool children and what that would required. We discussed the requirements for off premises activities. I monitored the white and gray van during today’s visit. The vans were not used this year. I stated before the vans can be used by the children, the staff will need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There is two (2) new staff member since the last annual compliance visit. The following violations of child care requirements were observed today: Violation Number Comment Rule 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. Space # 4 four (4) electrical outlets were uncovered, space #9 one electrical outlet was uncovered. 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. The cabinet under the sink in the kitchen that stored hazardous products was unlocked .2820(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outdoor space #2 the mulch around the climber in the middle was compacted and low. .0605(k)(1-4) 9995 A violation was found for which there is no item number. Staff pocketbook was locked in an unlocked cabinet below five (5) feet in the hallway handwashing station between space #3 and #4. Technical assistance was provided as follows: Item # 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. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. -Space # 4 four (4) electrical outlets were uncovered, space #9 one electrical outlet was uncovered. The administrator corrected this during the visit. Item # 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. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. -The cabinet under the sink in the kitchen that stored hazardous products was unlocked. The administrator corrected this during the visit. Item #1867 The depth of the loose surfacing was not based on critical height of the equipment. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. -Outdoor space #2 the mulch around the climber in the middle was compacted and low. The administrator stated that mulch has been delivered but needs to be spread. She stated the maintenance team will get that spread this weekend. Item #9995 Staff pocketbook unlocked and accessible to children. 15A NCAC 18A .2820 STORAGE (f) Employee purses and other personal effects shall be kept out of reach of children. -Staff pocketbook was locked in an unlocked cabinet below five (5) feet in the hallway handwashing station between space #3 and #4. The administrator moved the staff pocketbook up five (5) feet to be inaccessible to the children. Remind staff all personal belonging should be inaccessible to the children or stored under lock and key. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/28/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: - First Aid and CPR is due by 8/20/2024 for staff member hired 5/20/2024. - When children are out for the summer, I recommend updating their paperwork when they return to ensure that you have the most current and up to date information on file, including feeding plans. - Wall mounted AC units, I suggested adding a mesh to ensure that a child does not stick their finger in the vents and get stuck. - The cook asks to confirm the amount of milk needed for three- to four-year-old children. The meal pattern guidelines state that a three- to four-year-old child’s serving is ¾ cup or six (6) ounces of milk. - Any items with heating elements including laminator, hot glue guns, etc. must be stored up five (5) feet inaccessible to children. - When staff complete trainings ensure that you print the updated training certificate to add to the staff members file for review. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1703 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/16/2024 Number Present: 31 Completed Date: 8/16/2024 Age: From 0 To 5 Total Minutes: 155 Time In: 11:10 AM Time Out: 01:45 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. The program operates with a Three (3) Star Rated License, issued 4/23/2020. The permit restrictions were in compliance including daytime care only, no children under age three on second floor, meets enhanced ratios, and meets enhanced space. An updated application has been submitted to request a license change. His Kids Child Development Center has requested to go from a star rated license to a Notice of Compliance GS-110-106. The packet has been sent in for approval and awaiting response. Today’s visit was conducted as a star rated license program until the Notice of Compliance GS-110-106 is approved. Samantah Garren, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 1/16/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS-SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed in space #1, the group of one year old children were in the cafeteria having lunch. After lunch the group transitioned back to the classroom to wash hands to prepare for nap. In the classroom during nap, the children were spaced out on their cots and the staff member was sitting in the middle of the room supervising the children. In space #2, the group of two year old children were in the cafeteria having lunch. After lunch the group transitioned back to the classroom to wash hands to prepare for nap. In the classroom during nap, the children were spaced out on their cots and the staff member was walking around the room supervising the children. Space #3 the group of one year old children were in the cafeteria engaged in lunch. After lunch, the group combined with the infants in space #4. In space #4, the group of infants were engaged in floor play with soft toys, individual feeding, and nap. Two (2) infants were in the floor engaged in play, one (1) was napping in the crib, and one (1) child was on their cot. Space #5 is currently not in use. In space #6, the group of three year olds were engaged in nap time. The two (2) children were on their cots on each side of the staff member sitting in the floor. Space #7 is the cafeteria space, I observed the group of three to four year old children from space #9 and the group of four to five year old from space #8 engaged in lunch. While monitoring the kitchen space, I observed the cabinet under the sink with hazardous products unlocked. The administrator locked it during the visit. In space #8, the group of four- to five-year-old children were engaged in lunch. After lunch, they transitioned to used the restroom and prepare for nap time. In space #9, the group of three to four year old children were engaged in lunch. After lunch, they transitioned to used the restroom and prepare for nap time. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 is currently being used as the foster care closet. Space #12 is currently being used by the church. All staff were supervising the children and engaging in play and conversations. The lunch today was cheese sticks, corn, fruit cocktail, and milk. The last fire drill was practiced on 7/8/2024. The last emergency drill, lockdown drill, was practiced on 6/5/2024. The last fire inspection was approved on 3/12/2024. The program’s most recent sanitation inspection was completed on 7/18/2024, with ten (10) demerits. The last playground inspection was completed on 7/9/2024. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program does provide transportation. You stated that you do transport school age children ages six to twelve years old during the summer. You did inquire about transporting preschool children and what that would required. We discussed the requirements for off premises activities. I monitored the white and gray van during today’s visit. The vans were not used this year. I stated before the vans can be used by the children, the staff will need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There is two (2) new staff member since the last annual compliance visit. The following violations of child care requirements were observed today: Violation Number Comment Rule 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. Space # 4 four (4) electrical outlets were uncovered, space #9 one electrical outlet was uncovered. 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. The cabinet under the sink in the kitchen that stored hazardous products was unlocked .2820(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outdoor space #2 the mulch around the climber in the middle was compacted and low. .0605(k)(1-4) 9995 A violation was found for which there is no item number. Staff pocketbook was locked in an unlocked cabinet below five (5) feet in the hallway handwashing station between space #3 and #4. Technical assistance was provided as follows: Item # 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. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. -Space # 4 four (4) electrical outlets were uncovered, space #9 one electrical outlet was uncovered. The administrator corrected this during the visit. Item # 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. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. -The cabinet under the sink in the kitchen that stored hazardous products was unlocked. The administrator corrected this during the visit. Item #1867 The depth of the loose surfacing was not based on critical height of the equipment. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. -Outdoor space #2 the mulch around the climber in the middle was compacted and low. The administrator stated that mulch has been delivered but needs to be spread. She stated the maintenance team will get that spread this weekend. Item #9995 Staff pocketbook unlocked and accessible to children. 15A NCAC 18A .2820 STORAGE (f) Employee purses and other personal effects shall be kept out of reach of children. -Staff pocketbook was locked in an unlocked cabinet below five (5) feet in the hallway handwashing station between space #3 and #4. The administrator moved the staff pocketbook up five (5) feet to be inaccessible to the children. Remind staff all personal belonging should be inaccessible to the children or stored under lock and key. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/28/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: - First Aid and CPR is due by 8/20/2024 for staff member hired 5/20/2024. - When children are out for the summer, I recommend updating their paperwork when they return to ensure that you have the most current and up to date information on file, including feeding plans. - Wall mounted AC units, I suggested adding a mesh to ensure that a child does not stick their finger in the vents and get stuck. - The cook asks to confirm the amount of milk needed for three- to four-year-old children. The meal pattern guidelines state that a three- to four-year-old child’s serving is ¾ cup or six (6) ounces of milk. - Any items with heating elements including laminator, hot glue guns, etc. must be stored up five (5) feet inaccessible to children. - When staff complete trainings ensure that you print the updated training certificate to add to the staff members file for review. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2830 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/16/2024 Number Present: 31 Completed Date: 8/16/2024 Age: From 0 To 5 Total Minutes: 155 Time In: 11:10 AM Time Out: 01:45 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. The program operates with a Three (3) Star Rated License, issued 4/23/2020. The permit restrictions were in compliance including daytime care only, no children under age three on second floor, meets enhanced ratios, and meets enhanced space. An updated application has been submitted to request a license change. His Kids Child Development Center has requested to go from a star rated license to a Notice of Compliance GS-110-106. The packet has been sent in for approval and awaiting response. Today’s visit was conducted as a star rated license program until the Notice of Compliance GS-110-106 is approved. Samantah Garren, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 1/16/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS-SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed in space #1, the group of one year old children were in the cafeteria having lunch. After lunch the group transitioned back to the classroom to wash hands to prepare for nap. In the classroom during nap, the children were spaced out on their cots and the staff member was sitting in the middle of the room supervising the children. In space #2, the group of two year old children were in the cafeteria having lunch. After lunch the group transitioned back to the classroom to wash hands to prepare for nap. In the classroom during nap, the children were spaced out on their cots and the staff member was walking around the room supervising the children. Space #3 the group of one year old children were in the cafeteria engaged in lunch. After lunch, the group combined with the infants in space #4. In space #4, the group of infants were engaged in floor play with soft toys, individual feeding, and nap. Two (2) infants were in the floor engaged in play, one (1) was napping in the crib, and one (1) child was on their cot. Space #5 is currently not in use. In space #6, the group of three year olds were engaged in nap time. The two (2) children were on their cots on each side of the staff member sitting in the floor. Space #7 is the cafeteria space, I observed the group of three to four year old children from space #9 and the group of four to five year old from space #8 engaged in lunch. While monitoring the kitchen space, I observed the cabinet under the sink with hazardous products unlocked. The administrator locked it during the visit. In space #8, the group of four- to five-year-old children were engaged in lunch. After lunch, they transitioned to used the restroom and prepare for nap time. In space #9, the group of three to four year old children were engaged in lunch. After lunch, they transitioned to used the restroom and prepare for nap time. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 is currently being used as the foster care closet. Space #12 is currently being used by the church. All staff were supervising the children and engaging in play and conversations. The lunch today was cheese sticks, corn, fruit cocktail, and milk. The last fire drill was practiced on 7/8/2024. The last emergency drill, lockdown drill, was practiced on 6/5/2024. The last fire inspection was approved on 3/12/2024. The program’s most recent sanitation inspection was completed on 7/18/2024, with ten (10) demerits. The last playground inspection was completed on 7/9/2024. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program does provide transportation. You stated that you do transport school age children ages six to twelve years old during the summer. You did inquire about transporting preschool children and what that would required. We discussed the requirements for off premises activities. I monitored the white and gray van during today’s visit. The vans were not used this year. I stated before the vans can be used by the children, the staff will need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There is two (2) new staff member since the last annual compliance visit. The following violations of child care requirements were observed today: Violation Number Comment Rule 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. Space # 4 four (4) electrical outlets were uncovered, space #9 one electrical outlet was uncovered. 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. The cabinet under the sink in the kitchen that stored hazardous products was unlocked .2820(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outdoor space #2 the mulch around the climber in the middle was compacted and low. .0605(k)(1-4) 9995 A violation was found for which there is no item number. Staff pocketbook was locked in an unlocked cabinet below five (5) feet in the hallway handwashing station between space #3 and #4. Technical assistance was provided as follows: Item # 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. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. -Space # 4 four (4) electrical outlets were uncovered, space #9 one electrical outlet was uncovered. The administrator corrected this during the visit. Item # 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. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. -The cabinet under the sink in the kitchen that stored hazardous products was unlocked. The administrator corrected this during the visit. Item #1867 The depth of the loose surfacing was not based on critical height of the equipment. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. -Outdoor space #2 the mulch around the climber in the middle was compacted and low. The administrator stated that mulch has been delivered but needs to be spread. She stated the maintenance team will get that spread this weekend. Item #9995 Staff pocketbook unlocked and accessible to children. 15A NCAC 18A .2820 STORAGE (f) Employee purses and other personal effects shall be kept out of reach of children. -Staff pocketbook was locked in an unlocked cabinet below five (5) feet in the hallway handwashing station between space #3 and #4. The administrator moved the staff pocketbook up five (5) feet to be inaccessible to the children. Remind staff all personal belonging should be inaccessible to the children or stored under lock and key. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/28/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: - First Aid and CPR is due by 8/20/2024 for staff member hired 5/20/2024. - When children are out for the summer, I recommend updating their paperwork when they return to ensure that you have the most current and up to date information on file, including feeding plans. - Wall mounted AC units, I suggested adding a mesh to ensure that a child does not stick their finger in the vents and get stuck. - The cook asks to confirm the amount of milk needed for three- to four-year-old children. The meal pattern guidelines state that a three- to four-year-old child’s serving is ¾ cup or six (6) ounces of milk. - Any items with heating elements including laminator, hot glue guns, etc. must be stored up five (5) feet inaccessible to children. - When staff complete trainings ensure that you print the updated training certificate to add to the staff members file for review. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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
NC GS 110-90 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/16/2024 Number Present: 31 Completed Date: 8/16/2024 Age: From 0 To 5 Total Minutes: 155 Time In: 11:10 AM Time Out: 01:45 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. The program operates with a Three (3) Star Rated License, issued 4/23/2020. The permit restrictions were in compliance including daytime care only, no children under age three on second floor, meets enhanced ratios, and meets enhanced space. An updated application has been submitted to request a license change. His Kids Child Development Center has requested to go from a star rated license to a Notice of Compliance GS-110-106. The packet has been sent in for approval and awaiting response. Today’s visit was conducted as a star rated license program until the Notice of Compliance GS-110-106 is approved. Samantah Garren, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 1/16/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS-SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed in space #1, the group of one year old children were in the cafeteria having lunch. After lunch the group transitioned back to the classroom to wash hands to prepare for nap. In the classroom during nap, the children were spaced out on their cots and the staff member was sitting in the middle of the room supervising the children. In space #2, the group of two year old children were in the cafeteria having lunch. After lunch the group transitioned back to the classroom to wash hands to prepare for nap. In the classroom during nap, the children were spaced out on their cots and the staff member was walking around the room supervising the children. Space #3 the group of one year old children were in the cafeteria engaged in lunch. After lunch, the group combined with the infants in space #4. In space #4, the group of infants were engaged in floor play with soft toys, individual feeding, and nap. Two (2) infants were in the floor engaged in play, one (1) was napping in the crib, and one (1) child was on their cot. Space #5 is currently not in use. In space #6, the group of three year olds were engaged in nap time. The two (2) children were on their cots on each side of the staff member sitting in the floor. Space #7 is the cafeteria space, I observed the group of three to four year old children from space #9 and the group of four to five year old from space #8 engaged in lunch. While monitoring the kitchen space, I observed the cabinet under the sink with hazardous products unlocked. The administrator locked it during the visit. In space #8, the group of four- to five-year-old children were engaged in lunch. After lunch, they transitioned to used the restroom and prepare for nap time. In space #9, the group of three to four year old children were engaged in lunch. After lunch, they transitioned to used the restroom and prepare for nap time. Space # 10 the space is currently not in use by the facility. It is a church classroom. Space #11 is currently being used as the foster care closet. Space #12 is currently being used by the church. All staff were supervising the children and engaging in play and conversations. The lunch today was cheese sticks, corn, fruit cocktail, and milk. The last fire drill was practiced on 7/8/2024. The last emergency drill, lockdown drill, was practiced on 6/5/2024. The last fire inspection was approved on 3/12/2024. The program’s most recent sanitation inspection was completed on 7/18/2024, with ten (10) demerits. The last playground inspection was completed on 7/9/2024. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program does provide transportation. You stated that you do transport school age children ages six to twelve years old during the summer. You did inquire about transporting preschool children and what that would required. We discussed the requirements for off premises activities. I monitored the white and gray van during today’s visit. The vans were not used this year. I stated before the vans can be used by the children, the staff will need to go through the first aid kit to remove hazardous products and medications, or have a special first aid kit for the child care facility and remove the church first aid kit from the vans when in use. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There is two (2) new staff member since the last annual compliance visit. The following violations of child care requirements were observed today: Violation Number Comment Rule 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. Space # 4 four (4) electrical outlets were uncovered, space #9 one electrical outlet was uncovered. 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. The cabinet under the sink in the kitchen that stored hazardous products was unlocked .2820(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outdoor space #2 the mulch around the climber in the middle was compacted and low. .0605(k)(1-4) 9995 A violation was found for which there is no item number. Staff pocketbook was locked in an unlocked cabinet below five (5) feet in the hallway handwashing station between space #3 and #4. Technical assistance was provided as follows: Item # 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. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. -Space # 4 four (4) electrical outlets were uncovered, space #9 one electrical outlet was uncovered. The administrator corrected this during the visit. Item # 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. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. -The cabinet under the sink in the kitchen that stored hazardous products was unlocked. The administrator corrected this during the visit. Item #1867 The depth of the loose surfacing was not based on critical height of the equipment. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. -Outdoor space #2 the mulch around the climber in the middle was compacted and low. The administrator stated that mulch has been delivered but needs to be spread. She stated the maintenance team will get that spread this weekend. Item #9995 Staff pocketbook unlocked and accessible to children. 15A NCAC 18A .2820 STORAGE (f) Employee purses and other personal effects shall be kept out of reach of children. -Staff pocketbook was locked in an unlocked cabinet below five (5) feet in the hallway handwashing station between space #3 and #4. The administrator moved the staff pocketbook up five (5) feet to be inaccessible to the children. Remind staff all personal belonging should be inaccessible to the children or stored under lock and key. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/28/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: - First Aid and CPR is due by 8/20/2024 for staff member hired 5/20/2024. - When children are out for the summer, I recommend updating their paperwork when they return to ensure that you have the most current and up to date information on file, including feeding plans. - Wall mounted AC units, I suggested adding a mesh to ensure that a child does not stick their finger in the vents and get stuck. - The cook asks to confirm the amount of milk needed for three- to four-year-old children. The meal pattern guidelines state that a three- to four-year-old child’s serving is ¾ cup or six (6) ounces of milk. - Any items with heating elements including laminator, hot glue guns, etc. must be stored up five (5) feet inaccessible to children. - When staff complete trainings ensure that you print the updated training certificate to add to the staff members file for review. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0304 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/16/2024 Number Present: 38 Completed Date: 1/16/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I was greeted by Samantha Garren, Administrator. Ms. Garren was on-site and available to assist me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program operates with a Three (3) Star Rated License, issued 4/23/2020. The permit restrictions were in compliance including daytime care only, no children under age three on second floor, meets enhanced ratios, and meets enhanced space. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two percent (82%) as of 1/12/2024. During today’s visit, I followed up regarding the ownership name being East Flat Rock First Baptist Church or First Baptist Church of East Flat Rock with Ms. Garren. I reviewed with Ms. Garren that on January 9, 2024, the Corporation status for this program was unable to be verified using East Flat Rock First Baptist Church on the NC Department of the Secretary of State website (www.sosnc.gov). The Child Care license is issued to First Baptist Church of East Flat Rock, Inc. The corporation was able to be verified using First Baptist Church of East Flat Rock, Inc. The Non- Profit Corporation First Baptist Church of East Flat Rock, North Carolina, Inc. is current-active and lists Bruce James Arrowood as the registered agent. The application for a child care facility licensed located in my file and submitted to the Division of Child Development August 10, 2022 was completed by Chadwick Knox, Chair and also lists East Flat Rock First Baptist Church as the owner of the licensed facility. If the ownership is First Baptist Church of East Flat Rock, a updated application will need to be completed and submitted in order to ensure that our system matches the Secretary of State website. We also, discussed that the church has decided to go from a Three (3) Star Rated License to a GS 110 Notice of Compliance. A letter of intent will not be needed due to the visit being conducted today. However, I will need a letter requesting the change on church letter head to document that the facility is owned and operated by the church. Ms. Garren stated that she put the letter in the mail to me. I will follow up with the administrator as soon as I receive the letter. The last annual compliance visit was conducted on 1/26/2023. The last fire drill was practiced on 12/18/2023. The last lockdown drill was practiced on 11/8/2023. The last playground inspection was documented on 12/12/2023. The last fire inspection was approved on 3/31/2023. The last sanitation inspection was conducted on 9/11/2023 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 5/19/2023. I recommend updating your plan due to staff and enrollment changes. During the visit, I observed in space #1, the group of one year old children were engaged in free play with soft animals, and books. The staff was meeting the individual needs of each child. The current activity plan was not posted and the staff was unable to locate it. In space #2, the group of two year old children were engaged in a group story time with the staff member. Space #3 is currently closed until March 2024. In space #4, the group of infants were napping and bottle feeding. Two (2) infants were sleeping in their cribs, and one (1) infant was being bottle fed and one (1) was rocking with the staff member. The staff members meeting the individual needs of the children. One (1) over the counter aerosol can nose spray was not stored properly. Space #5 is currently not in use. In space #6, the group of two to three year olds were using the restroom and transitioning back into the classroom for free play. There was a prescription medication that did not have the pharmacy label or original packaging. Space #7 is the cafeteria space, and no children were currently in this space. In space #8, the group of four- to five-year-old children were engaged in free choice center play pretending to ice skate, puzzles, and art. In space #9, the group of three to four year old children were engaged in free choice center play with puzzles, tube links, dramatic play, and art. First aid kit stored contained hazardous products (aspirin, antiseptic wipes, and alcohol wipes). All staff were supervising the children and engaging in play and conversations. Lunch consisted of grilled cheese, tomato soup, oranges, and milk. All medications were monitored, one (1) prescription medication did not have the pharmacy label and original packaging, and one (1) over the counter aerosol can nose spray was not stored properly. The staff and training worksheet was received prior to today's visit via email. Two (2) new staff files were monitored. One (1) existing staff file was monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #1, the activity plans were not current. The activity plans posted were dated 1/8/2024-1/12/2024. GS 110-91(12); .0508(a) 721 All equipment and furnishings were not in good repair. Outdoors, two (2) Tonka trucks with broken windows with sharp edges, two (2) Tonka trucks showing rust. The bench had peeling paint on the seat. G.S. 110-91(6); .0601(b) 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. In space #9, alcohol and antiseptic wipes were located in the first aid kit. Staff removed the wipes during the visit. In space #4, a can of Little Buggies nose spray in an aerosol can was stored in the child’s cubby. The administrator moved the nose spray to a locking cabinet during the visit. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #9, aspirin was located in the first aid kit. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #6, child RW had prescription Avi-Q stored in a Ziploc bag with no pharmacy label or original container. .0803(2)(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outdoor the surfacing at the slide exits and climbing pole was low and measured three to four inches. .0605(k)(1-4) Technical assistance was provided as follows: Item #428 - In space #1, the activity plans were not current. The activity plans posted were dated 1/8/2024-1/12/2024. I suggest posting activity plans on Friday’s prior to leaving for the day. Item #721 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoors, two (2) Tonka trucks with broken windows with sharp edges, two (2) Tonka trucks showing rust. The bench had peeling paint on the seat. I suggest prior to children using the playground having staff conduct a walk through to remove any broken toys or toys showing signs of rust. I recommend removing the bench until it can be repaired. Item #840 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In space #9, alcohol and antiseptic wipes were located in the first aid kit. The staff removed the wipes during the visit. In space #4, a can of Little Buggies nose spray in an aerosol can was stored in the child’s cubby. The administrator moved the nose spray to a locking cabinet during the visit. I suggest removing all alcohol and antiseptic wipes from the first aid kit. Item #841 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. - In space #9, aspirin was located in the first aid kit. The staff removed the aspirin during the visit. I suggest removing all aspirin from the first aid kit and ensuring the kit does not have any hazardous products. Item #844 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; - In space #6, child RW had prescription Avi-Q stored in a Ziploc bag with no pharmacy label or original container. I suggest when checking medications in that you ensure all medications are in the original container. Item #1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. - Outdoor the surfacing at the slide exits and climbing pole was low and measured three to four inches. The administrator stated that the mulch has been ordered but has not arrived yet. I suggest raking mulch from underneath the climbing structure and from the barrier to help increase the mulch depth at the slide exits and climbing pole until the new mulch arrives. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/30/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or (828) 200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0601 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/16/2024 Number Present: 38 Completed Date: 1/16/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I was greeted by Samantha Garren, Administrator. Ms. Garren was on-site and available to assist me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program operates with a Three (3) Star Rated License, issued 4/23/2020. The permit restrictions were in compliance including daytime care only, no children under age three on second floor, meets enhanced ratios, and meets enhanced space. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two percent (82%) as of 1/12/2024. During today’s visit, I followed up regarding the ownership name being East Flat Rock First Baptist Church or First Baptist Church of East Flat Rock with Ms. Garren. I reviewed with Ms. Garren that on January 9, 2024, the Corporation status for this program was unable to be verified using East Flat Rock First Baptist Church on the NC Department of the Secretary of State website (www.sosnc.gov). The Child Care license is issued to First Baptist Church of East Flat Rock, Inc. The corporation was able to be verified using First Baptist Church of East Flat Rock, Inc. The Non- Profit Corporation First Baptist Church of East Flat Rock, North Carolina, Inc. is current-active and lists Bruce James Arrowood as the registered agent. The application for a child care facility licensed located in my file and submitted to the Division of Child Development August 10, 2022 was completed by Chadwick Knox, Chair and also lists East Flat Rock First Baptist Church as the owner of the licensed facility. If the ownership is First Baptist Church of East Flat Rock, a updated application will need to be completed and submitted in order to ensure that our system matches the Secretary of State website. We also, discussed that the church has decided to go from a Three (3) Star Rated License to a GS 110 Notice of Compliance. A letter of intent will not be needed due to the visit being conducted today. However, I will need a letter requesting the change on church letter head to document that the facility is owned and operated by the church. Ms. Garren stated that she put the letter in the mail to me. I will follow up with the administrator as soon as I receive the letter. The last annual compliance visit was conducted on 1/26/2023. The last fire drill was practiced on 12/18/2023. The last lockdown drill was practiced on 11/8/2023. The last playground inspection was documented on 12/12/2023. The last fire inspection was approved on 3/31/2023. The last sanitation inspection was conducted on 9/11/2023 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 5/19/2023. I recommend updating your plan due to staff and enrollment changes. During the visit, I observed in space #1, the group of one year old children were engaged in free play with soft animals, and books. The staff was meeting the individual needs of each child. The current activity plan was not posted and the staff was unable to locate it. In space #2, the group of two year old children were engaged in a group story time with the staff member. Space #3 is currently closed until March 2024. In space #4, the group of infants were napping and bottle feeding. Two (2) infants were sleeping in their cribs, and one (1) infant was being bottle fed and one (1) was rocking with the staff member. The staff members meeting the individual needs of the children. One (1) over the counter aerosol can nose spray was not stored properly. Space #5 is currently not in use. In space #6, the group of two to three year olds were using the restroom and transitioning back into the classroom for free play. There was a prescription medication that did not have the pharmacy label or original packaging. Space #7 is the cafeteria space, and no children were currently in this space. In space #8, the group of four- to five-year-old children were engaged in free choice center play pretending to ice skate, puzzles, and art. In space #9, the group of three to four year old children were engaged in free choice center play with puzzles, tube links, dramatic play, and art. First aid kit stored contained hazardous products (aspirin, antiseptic wipes, and alcohol wipes). All staff were supervising the children and engaging in play and conversations. Lunch consisted of grilled cheese, tomato soup, oranges, and milk. All medications were monitored, one (1) prescription medication did not have the pharmacy label and original packaging, and one (1) over the counter aerosol can nose spray was not stored properly. The staff and training worksheet was received prior to today's visit via email. Two (2) new staff files were monitored. One (1) existing staff file was monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #1, the activity plans were not current. The activity plans posted were dated 1/8/2024-1/12/2024. GS 110-91(12); .0508(a) 721 All equipment and furnishings were not in good repair. Outdoors, two (2) Tonka trucks with broken windows with sharp edges, two (2) Tonka trucks showing rust. The bench had peeling paint on the seat. G.S. 110-91(6); .0601(b) 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. In space #9, alcohol and antiseptic wipes were located in the first aid kit. Staff removed the wipes during the visit. In space #4, a can of Little Buggies nose spray in an aerosol can was stored in the child’s cubby. The administrator moved the nose spray to a locking cabinet during the visit. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #9, aspirin was located in the first aid kit. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #6, child RW had prescription Avi-Q stored in a Ziploc bag with no pharmacy label or original container. .0803(2)(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outdoor the surfacing at the slide exits and climbing pole was low and measured three to four inches. .0605(k)(1-4) Technical assistance was provided as follows: Item #428 - In space #1, the activity plans were not current. The activity plans posted were dated 1/8/2024-1/12/2024. I suggest posting activity plans on Friday’s prior to leaving for the day. Item #721 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoors, two (2) Tonka trucks with broken windows with sharp edges, two (2) Tonka trucks showing rust. The bench had peeling paint on the seat. I suggest prior to children using the playground having staff conduct a walk through to remove any broken toys or toys showing signs of rust. I recommend removing the bench until it can be repaired. Item #840 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In space #9, alcohol and antiseptic wipes were located in the first aid kit. The staff removed the wipes during the visit. In space #4, a can of Little Buggies nose spray in an aerosol can was stored in the child’s cubby. The administrator moved the nose spray to a locking cabinet during the visit. I suggest removing all alcohol and antiseptic wipes from the first aid kit. Item #841 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. - In space #9, aspirin was located in the first aid kit. The staff removed the aspirin during the visit. I suggest removing all aspirin from the first aid kit and ensuring the kit does not have any hazardous products. Item #844 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; - In space #6, child RW had prescription Avi-Q stored in a Ziploc bag with no pharmacy label or original container. I suggest when checking medications in that you ensure all medications are in the original container. Item #1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. - Outdoor the surfacing at the slide exits and climbing pole was low and measured three to four inches. The administrator stated that the mulch has been ordered but has not arrived yet. I suggest raking mulch from underneath the climbing structure and from the barrier to help increase the mulch depth at the slide exits and climbing pole until the new mulch arrives. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/30/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or (828) 200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0605 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/16/2024 Number Present: 38 Completed Date: 1/16/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I was greeted by Samantha Garren, Administrator. Ms. Garren was on-site and available to assist me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program operates with a Three (3) Star Rated License, issued 4/23/2020. The permit restrictions were in compliance including daytime care only, no children under age three on second floor, meets enhanced ratios, and meets enhanced space. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two percent (82%) as of 1/12/2024. During today’s visit, I followed up regarding the ownership name being East Flat Rock First Baptist Church or First Baptist Church of East Flat Rock with Ms. Garren. I reviewed with Ms. Garren that on January 9, 2024, the Corporation status for this program was unable to be verified using East Flat Rock First Baptist Church on the NC Department of the Secretary of State website (www.sosnc.gov). The Child Care license is issued to First Baptist Church of East Flat Rock, Inc. The corporation was able to be verified using First Baptist Church of East Flat Rock, Inc. The Non- Profit Corporation First Baptist Church of East Flat Rock, North Carolina, Inc. is current-active and lists Bruce James Arrowood as the registered agent. The application for a child care facility licensed located in my file and submitted to the Division of Child Development August 10, 2022 was completed by Chadwick Knox, Chair and also lists East Flat Rock First Baptist Church as the owner of the licensed facility. If the ownership is First Baptist Church of East Flat Rock, a updated application will need to be completed and submitted in order to ensure that our system matches the Secretary of State website. We also, discussed that the church has decided to go from a Three (3) Star Rated License to a GS 110 Notice of Compliance. A letter of intent will not be needed due to the visit being conducted today. However, I will need a letter requesting the change on church letter head to document that the facility is owned and operated by the church. Ms. Garren stated that she put the letter in the mail to me. I will follow up with the administrator as soon as I receive the letter. The last annual compliance visit was conducted on 1/26/2023. The last fire drill was practiced on 12/18/2023. The last lockdown drill was practiced on 11/8/2023. The last playground inspection was documented on 12/12/2023. The last fire inspection was approved on 3/31/2023. The last sanitation inspection was conducted on 9/11/2023 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 5/19/2023. I recommend updating your plan due to staff and enrollment changes. During the visit, I observed in space #1, the group of one year old children were engaged in free play with soft animals, and books. The staff was meeting the individual needs of each child. The current activity plan was not posted and the staff was unable to locate it. In space #2, the group of two year old children were engaged in a group story time with the staff member. Space #3 is currently closed until March 2024. In space #4, the group of infants were napping and bottle feeding. Two (2) infants were sleeping in their cribs, and one (1) infant was being bottle fed and one (1) was rocking with the staff member. The staff members meeting the individual needs of the children. One (1) over the counter aerosol can nose spray was not stored properly. Space #5 is currently not in use. In space #6, the group of two to three year olds were using the restroom and transitioning back into the classroom for free play. There was a prescription medication that did not have the pharmacy label or original packaging. Space #7 is the cafeteria space, and no children were currently in this space. In space #8, the group of four- to five-year-old children were engaged in free choice center play pretending to ice skate, puzzles, and art. In space #9, the group of three to four year old children were engaged in free choice center play with puzzles, tube links, dramatic play, and art. First aid kit stored contained hazardous products (aspirin, antiseptic wipes, and alcohol wipes). All staff were supervising the children and engaging in play and conversations. Lunch consisted of grilled cheese, tomato soup, oranges, and milk. All medications were monitored, one (1) prescription medication did not have the pharmacy label and original packaging, and one (1) over the counter aerosol can nose spray was not stored properly. The staff and training worksheet was received prior to today's visit via email. Two (2) new staff files were monitored. One (1) existing staff file was monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #1, the activity plans were not current. The activity plans posted were dated 1/8/2024-1/12/2024. GS 110-91(12); .0508(a) 721 All equipment and furnishings were not in good repair. Outdoors, two (2) Tonka trucks with broken windows with sharp edges, two (2) Tonka trucks showing rust. The bench had peeling paint on the seat. G.S. 110-91(6); .0601(b) 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. In space #9, alcohol and antiseptic wipes were located in the first aid kit. Staff removed the wipes during the visit. In space #4, a can of Little Buggies nose spray in an aerosol can was stored in the child’s cubby. The administrator moved the nose spray to a locking cabinet during the visit. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #9, aspirin was located in the first aid kit. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #6, child RW had prescription Avi-Q stored in a Ziploc bag with no pharmacy label or original container. .0803(2)(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outdoor the surfacing at the slide exits and climbing pole was low and measured three to four inches. .0605(k)(1-4) Technical assistance was provided as follows: Item #428 - In space #1, the activity plans were not current. The activity plans posted were dated 1/8/2024-1/12/2024. I suggest posting activity plans on Friday’s prior to leaving for the day. Item #721 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoors, two (2) Tonka trucks with broken windows with sharp edges, two (2) Tonka trucks showing rust. The bench had peeling paint on the seat. I suggest prior to children using the playground having staff conduct a walk through to remove any broken toys or toys showing signs of rust. I recommend removing the bench until it can be repaired. Item #840 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In space #9, alcohol and antiseptic wipes were located in the first aid kit. The staff removed the wipes during the visit. In space #4, a can of Little Buggies nose spray in an aerosol can was stored in the child’s cubby. The administrator moved the nose spray to a locking cabinet during the visit. I suggest removing all alcohol and antiseptic wipes from the first aid kit. Item #841 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. - In space #9, aspirin was located in the first aid kit. The staff removed the aspirin during the visit. I suggest removing all aspirin from the first aid kit and ensuring the kit does not have any hazardous products. Item #844 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; - In space #6, child RW had prescription Avi-Q stored in a Ziploc bag with no pharmacy label or original container. I suggest when checking medications in that you ensure all medications are in the original container. Item #1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. - Outdoor the surfacing at the slide exits and climbing pole was low and measured three to four inches. The administrator stated that the mulch has been ordered but has not arrived yet. I suggest raking mulch from underneath the climbing structure and from the barrier to help increase the mulch depth at the slide exits and climbing pole until the new mulch arrives. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/30/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or (828) 200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0803 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/16/2024 Number Present: 38 Completed Date: 1/16/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I was greeted by Samantha Garren, Administrator. Ms. Garren was on-site and available to assist me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program operates with a Three (3) Star Rated License, issued 4/23/2020. The permit restrictions were in compliance including daytime care only, no children under age three on second floor, meets enhanced ratios, and meets enhanced space. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two percent (82%) as of 1/12/2024. During today’s visit, I followed up regarding the ownership name being East Flat Rock First Baptist Church or First Baptist Church of East Flat Rock with Ms. Garren. I reviewed with Ms. Garren that on January 9, 2024, the Corporation status for this program was unable to be verified using East Flat Rock First Baptist Church on the NC Department of the Secretary of State website (www.sosnc.gov). The Child Care license is issued to First Baptist Church of East Flat Rock, Inc. The corporation was able to be verified using First Baptist Church of East Flat Rock, Inc. The Non- Profit Corporation First Baptist Church of East Flat Rock, North Carolina, Inc. is current-active and lists Bruce James Arrowood as the registered agent. The application for a child care facility licensed located in my file and submitted to the Division of Child Development August 10, 2022 was completed by Chadwick Knox, Chair and also lists East Flat Rock First Baptist Church as the owner of the licensed facility. If the ownership is First Baptist Church of East Flat Rock, a updated application will need to be completed and submitted in order to ensure that our system matches the Secretary of State website. We also, discussed that the church has decided to go from a Three (3) Star Rated License to a GS 110 Notice of Compliance. A letter of intent will not be needed due to the visit being conducted today. However, I will need a letter requesting the change on church letter head to document that the facility is owned and operated by the church. Ms. Garren stated that she put the letter in the mail to me. I will follow up with the administrator as soon as I receive the letter. The last annual compliance visit was conducted on 1/26/2023. The last fire drill was practiced on 12/18/2023. The last lockdown drill was practiced on 11/8/2023. The last playground inspection was documented on 12/12/2023. The last fire inspection was approved on 3/31/2023. The last sanitation inspection was conducted on 9/11/2023 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 5/19/2023. I recommend updating your plan due to staff and enrollment changes. During the visit, I observed in space #1, the group of one year old children were engaged in free play with soft animals, and books. The staff was meeting the individual needs of each child. The current activity plan was not posted and the staff was unable to locate it. In space #2, the group of two year old children were engaged in a group story time with the staff member. Space #3 is currently closed until March 2024. In space #4, the group of infants were napping and bottle feeding. Two (2) infants were sleeping in their cribs, and one (1) infant was being bottle fed and one (1) was rocking with the staff member. The staff members meeting the individual needs of the children. One (1) over the counter aerosol can nose spray was not stored properly. Space #5 is currently not in use. In space #6, the group of two to three year olds were using the restroom and transitioning back into the classroom for free play. There was a prescription medication that did not have the pharmacy label or original packaging. Space #7 is the cafeteria space, and no children were currently in this space. In space #8, the group of four- to five-year-old children were engaged in free choice center play pretending to ice skate, puzzles, and art. In space #9, the group of three to four year old children were engaged in free choice center play with puzzles, tube links, dramatic play, and art. First aid kit stored contained hazardous products (aspirin, antiseptic wipes, and alcohol wipes). All staff were supervising the children and engaging in play and conversations. Lunch consisted of grilled cheese, tomato soup, oranges, and milk. All medications were monitored, one (1) prescription medication did not have the pharmacy label and original packaging, and one (1) over the counter aerosol can nose spray was not stored properly. The staff and training worksheet was received prior to today's visit via email. Two (2) new staff files were monitored. One (1) existing staff file was monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #1, the activity plans were not current. The activity plans posted were dated 1/8/2024-1/12/2024. GS 110-91(12); .0508(a) 721 All equipment and furnishings were not in good repair. Outdoors, two (2) Tonka trucks with broken windows with sharp edges, two (2) Tonka trucks showing rust. The bench had peeling paint on the seat. G.S. 110-91(6); .0601(b) 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. In space #9, alcohol and antiseptic wipes were located in the first aid kit. Staff removed the wipes during the visit. In space #4, a can of Little Buggies nose spray in an aerosol can was stored in the child’s cubby. The administrator moved the nose spray to a locking cabinet during the visit. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #9, aspirin was located in the first aid kit. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #6, child RW had prescription Avi-Q stored in a Ziploc bag with no pharmacy label or original container. .0803(2)(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outdoor the surfacing at the slide exits and climbing pole was low and measured three to four inches. .0605(k)(1-4) Technical assistance was provided as follows: Item #428 - In space #1, the activity plans were not current. The activity plans posted were dated 1/8/2024-1/12/2024. I suggest posting activity plans on Friday’s prior to leaving for the day. Item #721 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoors, two (2) Tonka trucks with broken windows with sharp edges, two (2) Tonka trucks showing rust. The bench had peeling paint on the seat. I suggest prior to children using the playground having staff conduct a walk through to remove any broken toys or toys showing signs of rust. I recommend removing the bench until it can be repaired. Item #840 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In space #9, alcohol and antiseptic wipes were located in the first aid kit. The staff removed the wipes during the visit. In space #4, a can of Little Buggies nose spray in an aerosol can was stored in the child’s cubby. The administrator moved the nose spray to a locking cabinet during the visit. I suggest removing all alcohol and antiseptic wipes from the first aid kit. Item #841 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. - In space #9, aspirin was located in the first aid kit. The staff removed the aspirin during the visit. I suggest removing all aspirin from the first aid kit and ensuring the kit does not have any hazardous products. Item #844 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; - In space #6, child RW had prescription Avi-Q stored in a Ziploc bag with no pharmacy label or original container. I suggest when checking medications in that you ensure all medications are in the original container. Item #1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. - Outdoor the surfacing at the slide exits and climbing pole was low and measured three to four inches. The administrator stated that the mulch has been ordered but has not arrived yet. I suggest raking mulch from underneath the climbing structure and from the barrier to help increase the mulch depth at the slide exits and climbing pole until the new mulch arrives. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/30/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or (828) 200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1102 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/16/2024 Number Present: 38 Completed Date: 1/16/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I was greeted by Samantha Garren, Administrator. Ms. Garren was on-site and available to assist me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program operates with a Three (3) Star Rated License, issued 4/23/2020. The permit restrictions were in compliance including daytime care only, no children under age three on second floor, meets enhanced ratios, and meets enhanced space. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two percent (82%) as of 1/12/2024. During today’s visit, I followed up regarding the ownership name being East Flat Rock First Baptist Church or First Baptist Church of East Flat Rock with Ms. Garren. I reviewed with Ms. Garren that on January 9, 2024, the Corporation status for this program was unable to be verified using East Flat Rock First Baptist Church on the NC Department of the Secretary of State website (www.sosnc.gov). The Child Care license is issued to First Baptist Church of East Flat Rock, Inc. The corporation was able to be verified using First Baptist Church of East Flat Rock, Inc. The Non- Profit Corporation First Baptist Church of East Flat Rock, North Carolina, Inc. is current-active and lists Bruce James Arrowood as the registered agent. The application for a child care facility licensed located in my file and submitted to the Division of Child Development August 10, 2022 was completed by Chadwick Knox, Chair and also lists East Flat Rock First Baptist Church as the owner of the licensed facility. If the ownership is First Baptist Church of East Flat Rock, a updated application will need to be completed and submitted in order to ensure that our system matches the Secretary of State website. We also, discussed that the church has decided to go from a Three (3) Star Rated License to a GS 110 Notice of Compliance. A letter of intent will not be needed due to the visit being conducted today. However, I will need a letter requesting the change on church letter head to document that the facility is owned and operated by the church. Ms. Garren stated that she put the letter in the mail to me. I will follow up with the administrator as soon as I receive the letter. The last annual compliance visit was conducted on 1/26/2023. The last fire drill was practiced on 12/18/2023. The last lockdown drill was practiced on 11/8/2023. The last playground inspection was documented on 12/12/2023. The last fire inspection was approved on 3/31/2023. The last sanitation inspection was conducted on 9/11/2023 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 5/19/2023. I recommend updating your plan due to staff and enrollment changes. During the visit, I observed in space #1, the group of one year old children were engaged in free play with soft animals, and books. The staff was meeting the individual needs of each child. The current activity plan was not posted and the staff was unable to locate it. In space #2, the group of two year old children were engaged in a group story time with the staff member. Space #3 is currently closed until March 2024. In space #4, the group of infants were napping and bottle feeding. Two (2) infants were sleeping in their cribs, and one (1) infant was being bottle fed and one (1) was rocking with the staff member. The staff members meeting the individual needs of the children. One (1) over the counter aerosol can nose spray was not stored properly. Space #5 is currently not in use. In space #6, the group of two to three year olds were using the restroom and transitioning back into the classroom for free play. There was a prescription medication that did not have the pharmacy label or original packaging. Space #7 is the cafeteria space, and no children were currently in this space. In space #8, the group of four- to five-year-old children were engaged in free choice center play pretending to ice skate, puzzles, and art. In space #9, the group of three to four year old children were engaged in free choice center play with puzzles, tube links, dramatic play, and art. First aid kit stored contained hazardous products (aspirin, antiseptic wipes, and alcohol wipes). All staff were supervising the children and engaging in play and conversations. Lunch consisted of grilled cheese, tomato soup, oranges, and milk. All medications were monitored, one (1) prescription medication did not have the pharmacy label and original packaging, and one (1) over the counter aerosol can nose spray was not stored properly. The staff and training worksheet was received prior to today's visit via email. Two (2) new staff files were monitored. One (1) existing staff file was monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #1, the activity plans were not current. The activity plans posted were dated 1/8/2024-1/12/2024. GS 110-91(12); .0508(a) 721 All equipment and furnishings were not in good repair. Outdoors, two (2) Tonka trucks with broken windows with sharp edges, two (2) Tonka trucks showing rust. The bench had peeling paint on the seat. G.S. 110-91(6); .0601(b) 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. In space #9, alcohol and antiseptic wipes were located in the first aid kit. Staff removed the wipes during the visit. In space #4, a can of Little Buggies nose spray in an aerosol can was stored in the child’s cubby. The administrator moved the nose spray to a locking cabinet during the visit. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #9, aspirin was located in the first aid kit. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #6, child RW had prescription Avi-Q stored in a Ziploc bag with no pharmacy label or original container. .0803(2)(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outdoor the surfacing at the slide exits and climbing pole was low and measured three to four inches. .0605(k)(1-4) Technical assistance was provided as follows: Item #428 - In space #1, the activity plans were not current. The activity plans posted were dated 1/8/2024-1/12/2024. I suggest posting activity plans on Friday’s prior to leaving for the day. Item #721 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoors, two (2) Tonka trucks with broken windows with sharp edges, two (2) Tonka trucks showing rust. The bench had peeling paint on the seat. I suggest prior to children using the playground having staff conduct a walk through to remove any broken toys or toys showing signs of rust. I recommend removing the bench until it can be repaired. Item #840 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In space #9, alcohol and antiseptic wipes were located in the first aid kit. The staff removed the wipes during the visit. In space #4, a can of Little Buggies nose spray in an aerosol can was stored in the child’s cubby. The administrator moved the nose spray to a locking cabinet during the visit. I suggest removing all alcohol and antiseptic wipes from the first aid kit. Item #841 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. - In space #9, aspirin was located in the first aid kit. The staff removed the aspirin during the visit. I suggest removing all aspirin from the first aid kit and ensuring the kit does not have any hazardous products. Item #844 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; - In space #6, child RW had prescription Avi-Q stored in a Ziploc bag with no pharmacy label or original container. I suggest when checking medications in that you ensure all medications are in the original container. Item #1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. - Outdoor the surfacing at the slide exits and climbing pole was low and measured three to four inches. The administrator stated that the mulch has been ordered but has not arrived yet. I suggest raking mulch from underneath the climbing structure and from the barrier to help increase the mulch depth at the slide exits and climbing pole until the new mulch arrives. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/30/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or (828) 200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1703 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/16/2024 Number Present: 38 Completed Date: 1/16/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I was greeted by Samantha Garren, Administrator. Ms. Garren was on-site and available to assist me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program operates with a Three (3) Star Rated License, issued 4/23/2020. The permit restrictions were in compliance including daytime care only, no children under age three on second floor, meets enhanced ratios, and meets enhanced space. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two percent (82%) as of 1/12/2024. During today’s visit, I followed up regarding the ownership name being East Flat Rock First Baptist Church or First Baptist Church of East Flat Rock with Ms. Garren. I reviewed with Ms. Garren that on January 9, 2024, the Corporation status for this program was unable to be verified using East Flat Rock First Baptist Church on the NC Department of the Secretary of State website (www.sosnc.gov). The Child Care license is issued to First Baptist Church of East Flat Rock, Inc. The corporation was able to be verified using First Baptist Church of East Flat Rock, Inc. The Non- Profit Corporation First Baptist Church of East Flat Rock, North Carolina, Inc. is current-active and lists Bruce James Arrowood as the registered agent. The application for a child care facility licensed located in my file and submitted to the Division of Child Development August 10, 2022 was completed by Chadwick Knox, Chair and also lists East Flat Rock First Baptist Church as the owner of the licensed facility. If the ownership is First Baptist Church of East Flat Rock, a updated application will need to be completed and submitted in order to ensure that our system matches the Secretary of State website. We also, discussed that the church has decided to go from a Three (3) Star Rated License to a GS 110 Notice of Compliance. A letter of intent will not be needed due to the visit being conducted today. However, I will need a letter requesting the change on church letter head to document that the facility is owned and operated by the church. Ms. Garren stated that she put the letter in the mail to me. I will follow up with the administrator as soon as I receive the letter. The last annual compliance visit was conducted on 1/26/2023. The last fire drill was practiced on 12/18/2023. The last lockdown drill was practiced on 11/8/2023. The last playground inspection was documented on 12/12/2023. The last fire inspection was approved on 3/31/2023. The last sanitation inspection was conducted on 9/11/2023 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 5/19/2023. I recommend updating your plan due to staff and enrollment changes. During the visit, I observed in space #1, the group of one year old children were engaged in free play with soft animals, and books. The staff was meeting the individual needs of each child. The current activity plan was not posted and the staff was unable to locate it. In space #2, the group of two year old children were engaged in a group story time with the staff member. Space #3 is currently closed until March 2024. In space #4, the group of infants were napping and bottle feeding. Two (2) infants were sleeping in their cribs, and one (1) infant was being bottle fed and one (1) was rocking with the staff member. The staff members meeting the individual needs of the children. One (1) over the counter aerosol can nose spray was not stored properly. Space #5 is currently not in use. In space #6, the group of two to three year olds were using the restroom and transitioning back into the classroom for free play. There was a prescription medication that did not have the pharmacy label or original packaging. Space #7 is the cafeteria space, and no children were currently in this space. In space #8, the group of four- to five-year-old children were engaged in free choice center play pretending to ice skate, puzzles, and art. In space #9, the group of three to four year old children were engaged in free choice center play with puzzles, tube links, dramatic play, and art. First aid kit stored contained hazardous products (aspirin, antiseptic wipes, and alcohol wipes). All staff were supervising the children and engaging in play and conversations. Lunch consisted of grilled cheese, tomato soup, oranges, and milk. All medications were monitored, one (1) prescription medication did not have the pharmacy label and original packaging, and one (1) over the counter aerosol can nose spray was not stored properly. The staff and training worksheet was received prior to today's visit via email. Two (2) new staff files were monitored. One (1) existing staff file was monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #1, the activity plans were not current. The activity plans posted were dated 1/8/2024-1/12/2024. GS 110-91(12); .0508(a) 721 All equipment and furnishings were not in good repair. Outdoors, two (2) Tonka trucks with broken windows with sharp edges, two (2) Tonka trucks showing rust. The bench had peeling paint on the seat. G.S. 110-91(6); .0601(b) 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. In space #9, alcohol and antiseptic wipes were located in the first aid kit. Staff removed the wipes during the visit. In space #4, a can of Little Buggies nose spray in an aerosol can was stored in the child’s cubby. The administrator moved the nose spray to a locking cabinet during the visit. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #9, aspirin was located in the first aid kit. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #6, child RW had prescription Avi-Q stored in a Ziploc bag with no pharmacy label or original container. .0803(2)(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outdoor the surfacing at the slide exits and climbing pole was low and measured three to four inches. .0605(k)(1-4) Technical assistance was provided as follows: Item #428 - In space #1, the activity plans were not current. The activity plans posted were dated 1/8/2024-1/12/2024. I suggest posting activity plans on Friday’s prior to leaving for the day. Item #721 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoors, two (2) Tonka trucks with broken windows with sharp edges, two (2) Tonka trucks showing rust. The bench had peeling paint on the seat. I suggest prior to children using the playground having staff conduct a walk through to remove any broken toys or toys showing signs of rust. I recommend removing the bench until it can be repaired. Item #840 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In space #9, alcohol and antiseptic wipes were located in the first aid kit. The staff removed the wipes during the visit. In space #4, a can of Little Buggies nose spray in an aerosol can was stored in the child’s cubby. The administrator moved the nose spray to a locking cabinet during the visit. I suggest removing all alcohol and antiseptic wipes from the first aid kit. Item #841 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. - In space #9, aspirin was located in the first aid kit. The staff removed the aspirin during the visit. I suggest removing all aspirin from the first aid kit and ensuring the kit does not have any hazardous products. Item #844 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; - In space #6, child RW had prescription Avi-Q stored in a Ziploc bag with no pharmacy label or original container. I suggest when checking medications in that you ensure all medications are in the original container. Item #1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. - Outdoor the surfacing at the slide exits and climbing pole was low and measured three to four inches. The administrator stated that the mulch has been ordered but has not arrived yet. I suggest raking mulch from underneath the climbing structure and from the barrier to help increase the mulch depth at the slide exits and climbing pole until the new mulch arrives. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/30/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or (828) 200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2830 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/16/2024 Number Present: 38 Completed Date: 1/16/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I was greeted by Samantha Garren, Administrator. Ms. Garren was on-site and available to assist me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program operates with a Three (3) Star Rated License, issued 4/23/2020. The permit restrictions were in compliance including daytime care only, no children under age three on second floor, meets enhanced ratios, and meets enhanced space. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two percent (82%) as of 1/12/2024. During today’s visit, I followed up regarding the ownership name being East Flat Rock First Baptist Church or First Baptist Church of East Flat Rock with Ms. Garren. I reviewed with Ms. Garren that on January 9, 2024, the Corporation status for this program was unable to be verified using East Flat Rock First Baptist Church on the NC Department of the Secretary of State website (www.sosnc.gov). The Child Care license is issued to First Baptist Church of East Flat Rock, Inc. The corporation was able to be verified using First Baptist Church of East Flat Rock, Inc. The Non- Profit Corporation First Baptist Church of East Flat Rock, North Carolina, Inc. is current-active and lists Bruce James Arrowood as the registered agent. The application for a child care facility licensed located in my file and submitted to the Division of Child Development August 10, 2022 was completed by Chadwick Knox, Chair and also lists East Flat Rock First Baptist Church as the owner of the licensed facility. If the ownership is First Baptist Church of East Flat Rock, a updated application will need to be completed and submitted in order to ensure that our system matches the Secretary of State website. We also, discussed that the church has decided to go from a Three (3) Star Rated License to a GS 110 Notice of Compliance. A letter of intent will not be needed due to the visit being conducted today. However, I will need a letter requesting the change on church letter head to document that the facility is owned and operated by the church. Ms. Garren stated that she put the letter in the mail to me. I will follow up with the administrator as soon as I receive the letter. The last annual compliance visit was conducted on 1/26/2023. The last fire drill was practiced on 12/18/2023. The last lockdown drill was practiced on 11/8/2023. The last playground inspection was documented on 12/12/2023. The last fire inspection was approved on 3/31/2023. The last sanitation inspection was conducted on 9/11/2023 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 5/19/2023. I recommend updating your plan due to staff and enrollment changes. During the visit, I observed in space #1, the group of one year old children were engaged in free play with soft animals, and books. The staff was meeting the individual needs of each child. The current activity plan was not posted and the staff was unable to locate it. In space #2, the group of two year old children were engaged in a group story time with the staff member. Space #3 is currently closed until March 2024. In space #4, the group of infants were napping and bottle feeding. Two (2) infants were sleeping in their cribs, and one (1) infant was being bottle fed and one (1) was rocking with the staff member. The staff members meeting the individual needs of the children. One (1) over the counter aerosol can nose spray was not stored properly. Space #5 is currently not in use. In space #6, the group of two to three year olds were using the restroom and transitioning back into the classroom for free play. There was a prescription medication that did not have the pharmacy label or original packaging. Space #7 is the cafeteria space, and no children were currently in this space. In space #8, the group of four- to five-year-old children were engaged in free choice center play pretending to ice skate, puzzles, and art. In space #9, the group of three to four year old children were engaged in free choice center play with puzzles, tube links, dramatic play, and art. First aid kit stored contained hazardous products (aspirin, antiseptic wipes, and alcohol wipes). All staff were supervising the children and engaging in play and conversations. Lunch consisted of grilled cheese, tomato soup, oranges, and milk. All medications were monitored, one (1) prescription medication did not have the pharmacy label and original packaging, and one (1) over the counter aerosol can nose spray was not stored properly. The staff and training worksheet was received prior to today's visit via email. Two (2) new staff files were monitored. One (1) existing staff file was monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #1, the activity plans were not current. The activity plans posted were dated 1/8/2024-1/12/2024. GS 110-91(12); .0508(a) 721 All equipment and furnishings were not in good repair. Outdoors, two (2) Tonka trucks with broken windows with sharp edges, two (2) Tonka trucks showing rust. The bench had peeling paint on the seat. G.S. 110-91(6); .0601(b) 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. In space #9, alcohol and antiseptic wipes were located in the first aid kit. Staff removed the wipes during the visit. In space #4, a can of Little Buggies nose spray in an aerosol can was stored in the child’s cubby. The administrator moved the nose spray to a locking cabinet during the visit. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #9, aspirin was located in the first aid kit. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #6, child RW had prescription Avi-Q stored in a Ziploc bag with no pharmacy label or original container. .0803(2)(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outdoor the surfacing at the slide exits and climbing pole was low and measured three to four inches. .0605(k)(1-4) Technical assistance was provided as follows: Item #428 - In space #1, the activity plans were not current. The activity plans posted were dated 1/8/2024-1/12/2024. I suggest posting activity plans on Friday’s prior to leaving for the day. Item #721 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoors, two (2) Tonka trucks with broken windows with sharp edges, two (2) Tonka trucks showing rust. The bench had peeling paint on the seat. I suggest prior to children using the playground having staff conduct a walk through to remove any broken toys or toys showing signs of rust. I recommend removing the bench until it can be repaired. Item #840 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In space #9, alcohol and antiseptic wipes were located in the first aid kit. The staff removed the wipes during the visit. In space #4, a can of Little Buggies nose spray in an aerosol can was stored in the child’s cubby. The administrator moved the nose spray to a locking cabinet during the visit. I suggest removing all alcohol and antiseptic wipes from the first aid kit. Item #841 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. - In space #9, aspirin was located in the first aid kit. The staff removed the aspirin during the visit. I suggest removing all aspirin from the first aid kit and ensuring the kit does not have any hazardous products. Item #844 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; - In space #6, child RW had prescription Avi-Q stored in a Ziploc bag with no pharmacy label or original container. I suggest when checking medications in that you ensure all medications are in the original container. Item #1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. - Outdoor the surfacing at the slide exits and climbing pole was low and measured three to four inches. The administrator stated that the mulch has been ordered but has not arrived yet. I suggest raking mulch from underneath the climbing structure and from the barrier to help increase the mulch depth at the slide exits and climbing pole until the new mulch arrives. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/30/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or (828) 200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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. 110-91 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/16/2024 Number Present: 38 Completed Date: 1/16/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I was greeted by Samantha Garren, Administrator. Ms. Garren was on-site and available to assist me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program operates with a Three (3) Star Rated License, issued 4/23/2020. The permit restrictions were in compliance including daytime care only, no children under age three on second floor, meets enhanced ratios, and meets enhanced space. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two percent (82%) as of 1/12/2024. During today’s visit, I followed up regarding the ownership name being East Flat Rock First Baptist Church or First Baptist Church of East Flat Rock with Ms. Garren. I reviewed with Ms. Garren that on January 9, 2024, the Corporation status for this program was unable to be verified using East Flat Rock First Baptist Church on the NC Department of the Secretary of State website (www.sosnc.gov). The Child Care license is issued to First Baptist Church of East Flat Rock, Inc. The corporation was able to be verified using First Baptist Church of East Flat Rock, Inc. The Non- Profit Corporation First Baptist Church of East Flat Rock, North Carolina, Inc. is current-active and lists Bruce James Arrowood as the registered agent. The application for a child care facility licensed located in my file and submitted to the Division of Child Development August 10, 2022 was completed by Chadwick Knox, Chair and also lists East Flat Rock First Baptist Church as the owner of the licensed facility. If the ownership is First Baptist Church of East Flat Rock, a updated application will need to be completed and submitted in order to ensure that our system matches the Secretary of State website. We also, discussed that the church has decided to go from a Three (3) Star Rated License to a GS 110 Notice of Compliance. A letter of intent will not be needed due to the visit being conducted today. However, I will need a letter requesting the change on church letter head to document that the facility is owned and operated by the church. Ms. Garren stated that she put the letter in the mail to me. I will follow up with the administrator as soon as I receive the letter. The last annual compliance visit was conducted on 1/26/2023. The last fire drill was practiced on 12/18/2023. The last lockdown drill was practiced on 11/8/2023. The last playground inspection was documented on 12/12/2023. The last fire inspection was approved on 3/31/2023. The last sanitation inspection was conducted on 9/11/2023 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 5/19/2023. I recommend updating your plan due to staff and enrollment changes. During the visit, I observed in space #1, the group of one year old children were engaged in free play with soft animals, and books. The staff was meeting the individual needs of each child. The current activity plan was not posted and the staff was unable to locate it. In space #2, the group of two year old children were engaged in a group story time with the staff member. Space #3 is currently closed until March 2024. In space #4, the group of infants were napping and bottle feeding. Two (2) infants were sleeping in their cribs, and one (1) infant was being bottle fed and one (1) was rocking with the staff member. The staff members meeting the individual needs of the children. One (1) over the counter aerosol can nose spray was not stored properly. Space #5 is currently not in use. In space #6, the group of two to three year olds were using the restroom and transitioning back into the classroom for free play. There was a prescription medication that did not have the pharmacy label or original packaging. Space #7 is the cafeteria space, and no children were currently in this space. In space #8, the group of four- to five-year-old children were engaged in free choice center play pretending to ice skate, puzzles, and art. In space #9, the group of three to four year old children were engaged in free choice center play with puzzles, tube links, dramatic play, and art. First aid kit stored contained hazardous products (aspirin, antiseptic wipes, and alcohol wipes). All staff were supervising the children and engaging in play and conversations. Lunch consisted of grilled cheese, tomato soup, oranges, and milk. All medications were monitored, one (1) prescription medication did not have the pharmacy label and original packaging, and one (1) over the counter aerosol can nose spray was not stored properly. The staff and training worksheet was received prior to today's visit via email. Two (2) new staff files were monitored. One (1) existing staff file was monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #1, the activity plans were not current. The activity plans posted were dated 1/8/2024-1/12/2024. GS 110-91(12); .0508(a) 721 All equipment and furnishings were not in good repair. Outdoors, two (2) Tonka trucks with broken windows with sharp edges, two (2) Tonka trucks showing rust. The bench had peeling paint on the seat. G.S. 110-91(6); .0601(b) 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. In space #9, alcohol and antiseptic wipes were located in the first aid kit. Staff removed the wipes during the visit. In space #4, a can of Little Buggies nose spray in an aerosol can was stored in the child’s cubby. The administrator moved the nose spray to a locking cabinet during the visit. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #9, aspirin was located in the first aid kit. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #6, child RW had prescription Avi-Q stored in a Ziploc bag with no pharmacy label or original container. .0803(2)(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outdoor the surfacing at the slide exits and climbing pole was low and measured three to four inches. .0605(k)(1-4) Technical assistance was provided as follows: Item #428 - In space #1, the activity plans were not current. The activity plans posted were dated 1/8/2024-1/12/2024. I suggest posting activity plans on Friday’s prior to leaving for the day. Item #721 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoors, two (2) Tonka trucks with broken windows with sharp edges, two (2) Tonka trucks showing rust. The bench had peeling paint on the seat. I suggest prior to children using the playground having staff conduct a walk through to remove any broken toys or toys showing signs of rust. I recommend removing the bench until it can be repaired. Item #840 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In space #9, alcohol and antiseptic wipes were located in the first aid kit. The staff removed the wipes during the visit. In space #4, a can of Little Buggies nose spray in an aerosol can was stored in the child’s cubby. The administrator moved the nose spray to a locking cabinet during the visit. I suggest removing all alcohol and antiseptic wipes from the first aid kit. Item #841 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. - In space #9, aspirin was located in the first aid kit. The staff removed the aspirin during the visit. I suggest removing all aspirin from the first aid kit and ensuring the kit does not have any hazardous products. Item #844 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; - In space #6, child RW had prescription Avi-Q stored in a Ziploc bag with no pharmacy label or original container. I suggest when checking medications in that you ensure all medications are in the original container. Item #1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. - Outdoor the surfacing at the slide exits and climbing pole was low and measured three to four inches. The administrator stated that the mulch has been ordered but has not arrived yet. I suggest raking mulch from underneath the climbing structure and from the barrier to help increase the mulch depth at the slide exits and climbing pole until the new mulch arrives. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/30/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or (828) 200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/16/2024 Number Present: 38 Completed Date: 1/16/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I was greeted by Samantha Garren, Administrator. Ms. Garren was on-site and available to assist me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program operates with a Three (3) Star Rated License, issued 4/23/2020. The permit restrictions were in compliance including daytime care only, no children under age three on second floor, meets enhanced ratios, and meets enhanced space. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two percent (82%) as of 1/12/2024. During today’s visit, I followed up regarding the ownership name being East Flat Rock First Baptist Church or First Baptist Church of East Flat Rock with Ms. Garren. I reviewed with Ms. Garren that on January 9, 2024, the Corporation status for this program was unable to be verified using East Flat Rock First Baptist Church on the NC Department of the Secretary of State website (www.sosnc.gov). The Child Care license is issued to First Baptist Church of East Flat Rock, Inc. The corporation was able to be verified using First Baptist Church of East Flat Rock, Inc. The Non- Profit Corporation First Baptist Church of East Flat Rock, North Carolina, Inc. is current-active and lists Bruce James Arrowood as the registered agent. The application for a child care facility licensed located in my file and submitted to the Division of Child Development August 10, 2022 was completed by Chadwick Knox, Chair and also lists East Flat Rock First Baptist Church as the owner of the licensed facility. If the ownership is First Baptist Church of East Flat Rock, a updated application will need to be completed and submitted in order to ensure that our system matches the Secretary of State website. We also, discussed that the church has decided to go from a Three (3) Star Rated License to a GS 110 Notice of Compliance. A letter of intent will not be needed due to the visit being conducted today. However, I will need a letter requesting the change on church letter head to document that the facility is owned and operated by the church. Ms. Garren stated that she put the letter in the mail to me. I will follow up with the administrator as soon as I receive the letter. The last annual compliance visit was conducted on 1/26/2023. The last fire drill was practiced on 12/18/2023. The last lockdown drill was practiced on 11/8/2023. The last playground inspection was documented on 12/12/2023. The last fire inspection was approved on 3/31/2023. The last sanitation inspection was conducted on 9/11/2023 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 5/19/2023. I recommend updating your plan due to staff and enrollment changes. During the visit, I observed in space #1, the group of one year old children were engaged in free play with soft animals, and books. The staff was meeting the individual needs of each child. The current activity plan was not posted and the staff was unable to locate it. In space #2, the group of two year old children were engaged in a group story time with the staff member. Space #3 is currently closed until March 2024. In space #4, the group of infants were napping and bottle feeding. Two (2) infants were sleeping in their cribs, and one (1) infant was being bottle fed and one (1) was rocking with the staff member. The staff members meeting the individual needs of the children. One (1) over the counter aerosol can nose spray was not stored properly. Space #5 is currently not in use. In space #6, the group of two to three year olds were using the restroom and transitioning back into the classroom for free play. There was a prescription medication that did not have the pharmacy label or original packaging. Space #7 is the cafeteria space, and no children were currently in this space. In space #8, the group of four- to five-year-old children were engaged in free choice center play pretending to ice skate, puzzles, and art. In space #9, the group of three to four year old children were engaged in free choice center play with puzzles, tube links, dramatic play, and art. First aid kit stored contained hazardous products (aspirin, antiseptic wipes, and alcohol wipes). All staff were supervising the children and engaging in play and conversations. Lunch consisted of grilled cheese, tomato soup, oranges, and milk. All medications were monitored, one (1) prescription medication did not have the pharmacy label and original packaging, and one (1) over the counter aerosol can nose spray was not stored properly. The staff and training worksheet was received prior to today's visit via email. Two (2) new staff files were monitored. One (1) existing staff file was monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #1, the activity plans were not current. The activity plans posted were dated 1/8/2024-1/12/2024. GS 110-91(12); .0508(a) 721 All equipment and furnishings were not in good repair. Outdoors, two (2) Tonka trucks with broken windows with sharp edges, two (2) Tonka trucks showing rust. The bench had peeling paint on the seat. G.S. 110-91(6); .0601(b) 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. In space #9, alcohol and antiseptic wipes were located in the first aid kit. Staff removed the wipes during the visit. In space #4, a can of Little Buggies nose spray in an aerosol can was stored in the child’s cubby. The administrator moved the nose spray to a locking cabinet during the visit. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #9, aspirin was located in the first aid kit. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #6, child RW had prescription Avi-Q stored in a Ziploc bag with no pharmacy label or original container. .0803(2)(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outdoor the surfacing at the slide exits and climbing pole was low and measured three to four inches. .0605(k)(1-4) Technical assistance was provided as follows: Item #428 - In space #1, the activity plans were not current. The activity plans posted were dated 1/8/2024-1/12/2024. I suggest posting activity plans on Friday’s prior to leaving for the day. Item #721 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoors, two (2) Tonka trucks with broken windows with sharp edges, two (2) Tonka trucks showing rust. The bench had peeling paint on the seat. I suggest prior to children using the playground having staff conduct a walk through to remove any broken toys or toys showing signs of rust. I recommend removing the bench until it can be repaired. Item #840 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In space #9, alcohol and antiseptic wipes were located in the first aid kit. The staff removed the wipes during the visit. In space #4, a can of Little Buggies nose spray in an aerosol can was stored in the child’s cubby. The administrator moved the nose spray to a locking cabinet during the visit. I suggest removing all alcohol and antiseptic wipes from the first aid kit. Item #841 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. - In space #9, aspirin was located in the first aid kit. The staff removed the aspirin during the visit. I suggest removing all aspirin from the first aid kit and ensuring the kit does not have any hazardous products. Item #844 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; - In space #6, child RW had prescription Avi-Q stored in a Ziploc bag with no pharmacy label or original container. I suggest when checking medications in that you ensure all medications are in the original container. Item #1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. - Outdoor the surfacing at the slide exits and climbing pole was low and measured three to four inches. The administrator stated that the mulch has been ordered but has not arrived yet. I suggest raking mulch from underneath the climbing structure and from the barrier to help increase the mulch depth at the slide exits and climbing pole until the new mulch arrives. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/30/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or (828) 200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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
NC GS 110-90 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/16/2024 Number Present: 38 Completed Date: 1/16/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I was greeted by Samantha Garren, Administrator. Ms. Garren was on-site and available to assist me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program operates with a Three (3) Star Rated License, issued 4/23/2020. The permit restrictions were in compliance including daytime care only, no children under age three on second floor, meets enhanced ratios, and meets enhanced space. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two percent (82%) as of 1/12/2024. During today’s visit, I followed up regarding the ownership name being East Flat Rock First Baptist Church or First Baptist Church of East Flat Rock with Ms. Garren. I reviewed with Ms. Garren that on January 9, 2024, the Corporation status for this program was unable to be verified using East Flat Rock First Baptist Church on the NC Department of the Secretary of State website (www.sosnc.gov). The Child Care license is issued to First Baptist Church of East Flat Rock, Inc. The corporation was able to be verified using First Baptist Church of East Flat Rock, Inc. The Non- Profit Corporation First Baptist Church of East Flat Rock, North Carolina, Inc. is current-active and lists Bruce James Arrowood as the registered agent. The application for a child care facility licensed located in my file and submitted to the Division of Child Development August 10, 2022 was completed by Chadwick Knox, Chair and also lists East Flat Rock First Baptist Church as the owner of the licensed facility. If the ownership is First Baptist Church of East Flat Rock, a updated application will need to be completed and submitted in order to ensure that our system matches the Secretary of State website. We also, discussed that the church has decided to go from a Three (3) Star Rated License to a GS 110 Notice of Compliance. A letter of intent will not be needed due to the visit being conducted today. However, I will need a letter requesting the change on church letter head to document that the facility is owned and operated by the church. Ms. Garren stated that she put the letter in the mail to me. I will follow up with the administrator as soon as I receive the letter. The last annual compliance visit was conducted on 1/26/2023. The last fire drill was practiced on 12/18/2023. The last lockdown drill was practiced on 11/8/2023. The last playground inspection was documented on 12/12/2023. The last fire inspection was approved on 3/31/2023. The last sanitation inspection was conducted on 9/11/2023 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 5/19/2023. I recommend updating your plan due to staff and enrollment changes. During the visit, I observed in space #1, the group of one year old children were engaged in free play with soft animals, and books. The staff was meeting the individual needs of each child. The current activity plan was not posted and the staff was unable to locate it. In space #2, the group of two year old children were engaged in a group story time with the staff member. Space #3 is currently closed until March 2024. In space #4, the group of infants were napping and bottle feeding. Two (2) infants were sleeping in their cribs, and one (1) infant was being bottle fed and one (1) was rocking with the staff member. The staff members meeting the individual needs of the children. One (1) over the counter aerosol can nose spray was not stored properly. Space #5 is currently not in use. In space #6, the group of two to three year olds were using the restroom and transitioning back into the classroom for free play. There was a prescription medication that did not have the pharmacy label or original packaging. Space #7 is the cafeteria space, and no children were currently in this space. In space #8, the group of four- to five-year-old children were engaged in free choice center play pretending to ice skate, puzzles, and art. In space #9, the group of three to four year old children were engaged in free choice center play with puzzles, tube links, dramatic play, and art. First aid kit stored contained hazardous products (aspirin, antiseptic wipes, and alcohol wipes). All staff were supervising the children and engaging in play and conversations. Lunch consisted of grilled cheese, tomato soup, oranges, and milk. All medications were monitored, one (1) prescription medication did not have the pharmacy label and original packaging, and one (1) over the counter aerosol can nose spray was not stored properly. The staff and training worksheet was received prior to today's visit via email. Two (2) new staff files were monitored. One (1) existing staff file was monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #1, the activity plans were not current. The activity plans posted were dated 1/8/2024-1/12/2024. GS 110-91(12); .0508(a) 721 All equipment and furnishings were not in good repair. Outdoors, two (2) Tonka trucks with broken windows with sharp edges, two (2) Tonka trucks showing rust. The bench had peeling paint on the seat. G.S. 110-91(6); .0601(b) 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. In space #9, alcohol and antiseptic wipes were located in the first aid kit. Staff removed the wipes during the visit. In space #4, a can of Little Buggies nose spray in an aerosol can was stored in the child’s cubby. The administrator moved the nose spray to a locking cabinet during the visit. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #9, aspirin was located in the first aid kit. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #6, child RW had prescription Avi-Q stored in a Ziploc bag with no pharmacy label or original container. .0803(2)(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outdoor the surfacing at the slide exits and climbing pole was low and measured three to four inches. .0605(k)(1-4) Technical assistance was provided as follows: Item #428 - In space #1, the activity plans were not current. The activity plans posted were dated 1/8/2024-1/12/2024. I suggest posting activity plans on Friday’s prior to leaving for the day. Item #721 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoors, two (2) Tonka trucks with broken windows with sharp edges, two (2) Tonka trucks showing rust. The bench had peeling paint on the seat. I suggest prior to children using the playground having staff conduct a walk through to remove any broken toys or toys showing signs of rust. I recommend removing the bench until it can be repaired. Item #840 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In space #9, alcohol and antiseptic wipes were located in the first aid kit. The staff removed the wipes during the visit. In space #4, a can of Little Buggies nose spray in an aerosol can was stored in the child’s cubby. The administrator moved the nose spray to a locking cabinet during the visit. I suggest removing all alcohol and antiseptic wipes from the first aid kit. Item #841 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. - In space #9, aspirin was located in the first aid kit. The staff removed the aspirin during the visit. I suggest removing all aspirin from the first aid kit and ensuring the kit does not have any hazardous products. Item #844 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; - In space #6, child RW had prescription Avi-Q stored in a Ziploc bag with no pharmacy label or original container. I suggest when checking medications in that you ensure all medications are in the original container. Item #1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. - Outdoor the surfacing at the slide exits and climbing pole was low and measured three to four inches. The administrator stated that the mulch has been ordered but has not arrived yet. I suggest raking mulch from underneath the climbing structure and from the barrier to help increase the mulch depth at the slide exits and climbing pole until the new mulch arrives. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/30/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or (828) 200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/15/2023 Number Present: 30 Completed Date: 8/15/2023 Age: From 0 To 5 Total Minutes: 215 Time In: 10:05 AM Time Out: 01:40 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Three (3) Star Rated License effective 4/23/2020. The permit restrictions were in compliance including first shift, meets enhanced ratio, meets enhanced space, no children under age three (3) on the second floor. Samantha Garren, Administrator, was on-site and assisted with questions. The program’s annual compliance visit was conducted on 1/2/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I introduced myself to the Administrator. In space #1, the group of one- and two-year-old children were engaged in screen time when I arrived with the laptop on top of the shelf playing a music video. I discussed with the staff member and administrator that children under three years old are prohibited from the use of screen time. The administrator turned off and closed the laptop and the staff member moved the laptop up inaccessible to the children. The children then began free play in centers and the staff member was conducting routine diaper changing. In space #2, the group of two- and three-year-old children were transitioning to outdoor gross motor play. In space #3, the group of one year olds were engaged in free play and a teacher directed book reading. In space #4, the group of infants were engaged in free choice play on the floor with teething toys, rattles, and soft blocks. The staff member was meeting the individual needs of the children and engaging in play. Space #5 is currently closed. In space #6, the group of two- and three-year-old children were outside engaged in gross motor play. Space #7 is the cafeteria space, and no children were currently in this space. Space #8 is currently closed due to painting. In space #9, the group of four- to five-year-old children were transitioning outdoors for gross motor play. Once outside, the children engaged in play with the sand, dump trucks, buckets, and climbing equipment. All staff were supervising the children and engaging in play and conversations. All caregiving interactions were positive and nurturing. The lunch today was kielbasa sausage, mixed vegetables, pears, rolls, and milk. There is two (2) new staff member since the last annual compliance visit. The staff and training worksheet was completed during the visit for the two (2) new staff members. The last fire drill was practiced on 6/28/23. The last emergency drill, lockdown drill, was practiced on 5/23/23. The last fire inspection was approved on 3/21/2023. The program’s most recent sanitation inspection was completed on 5/26/2023, with nine (9) demerits. The Emergency Preparedness and Response plan is current as of 5/19/23. The Emergency Medical Care Plan is posted and was updated 0n 6/26/23. The following violations of child care requirements were observed today: Violation Number Comment Rule 544 Screen time was offered to children under three years of age. In space #1, the group of one year old children were gathered around the laptop that was sitting on top of the shelf watching the video that was playing with music. The administrator turned off and closed the laptop and the staff member moved the laptop up to shelf inaccessible to the children. .0510(f) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drill for the month of July was not conducted. .0604(t); .0302(d)(5) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member MW hired 2/6/2023 did not have a TB test or screening on file indicating that they were free of active TB. .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. Staff member KW hired 6/12/2023 did not have a completed emergency information form on file on or before the first day of work. The emergency information on file was dated 7/15/2023. .0701(a) 1301 Center did not maintain a record of daily attendance. In space #1, the attendance for August 14th and 15th was not completed. The administrator corrected the attendance during the visit. GS 110-91(9) 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. Staff members MW hired 2/6/2023 and KW hired 6/12/2023 Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not on file. The administrator corrected this during the visit. .0608(d)(1-4) 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. Staff member MW hired 2/6/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first ninety (90) days of employment. The training was due by 5/7/2023 and the certificate on file was dated 6/21/2023. .1102(g) 9995 A violation was found for which there is no item number. In space #1, staff personal bag was sitting on top of the shelf. The staff member moved their personal bag to a shelf inaccessible to the children. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/29/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #544 Screen time was offered to children under three years of age. 10A NCAC 09 .0510 ACTIVITY AREAS (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. - In space #1, the group of one year old children were gathered around the laptop that was sitting on top of the shelf watching the video that was playing with music. Item #805 Fire drills were not practiced monthly and/or the drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). - Fire drill for the month of July was not conducted. Item #1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. - Staff member MW hired 2/6/2023 did not have a TB test or screening on file indicating that they were free of active TB. Item #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. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member KW hired 6/12/2023 did not have a completed emergency information form on file on or before the first day of work. The emergency information on file was dated 7/15/2023. Item #1301 Center did not maintain a record of daily attendance. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (3) daily attendance records; - In space #1, the attendance for August 14th and 15th was not completed. The administrator corrected the attendance during the visit. Item #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. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff members MW hired 2/6/2023 and KW hired 6/12/2023 Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not on file. The administrator corrected this during the visit. Item #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. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member MW hired 2/6/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first ninety (90) days of employment. The training was due by 5/7/2023 and the certificate on file was dated 6/21/2023. Item #9995 A violation was found for which there is no item number. 15A NCAC 18A .2820 STORAGE (f) Employee purses and other personal effects shall be kept out of reach of children. - In space #1, staff personal bag was sitting on top of the shelf. The staff member moved their personal bag to a shelf inaccessible to the children. This was corrected during the visit. Consultation: Today, we discussed the following: - Resuming Rated License- the facility is in cohort two (2). The year of preparation is 7/1/24 to 6/30/25. The assessment year is 7/1/25 to 6/30/26. - Recognizing and Responding to Suspicions of Child Maltreatment training for staff member KW is due by 9/10/2023. - Emergency drill is due to be conducted by 8/30/2023. -Review diaper changing and handwashing procedures with staff. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0304 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/15/2023 Number Present: 30 Completed Date: 8/15/2023 Age: From 0 To 5 Total Minutes: 215 Time In: 10:05 AM Time Out: 01:40 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Three (3) Star Rated License effective 4/23/2020. The permit restrictions were in compliance including first shift, meets enhanced ratio, meets enhanced space, no children under age three (3) on the second floor. Samantha Garren, Administrator, was on-site and assisted with questions. The program’s annual compliance visit was conducted on 1/2/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I introduced myself to the Administrator. In space #1, the group of one- and two-year-old children were engaged in screen time when I arrived with the laptop on top of the shelf playing a music video. I discussed with the staff member and administrator that children under three years old are prohibited from the use of screen time. The administrator turned off and closed the laptop and the staff member moved the laptop up inaccessible to the children. The children then began free play in centers and the staff member was conducting routine diaper changing. In space #2, the group of two- and three-year-old children were transitioning to outdoor gross motor play. In space #3, the group of one year olds were engaged in free play and a teacher directed book reading. In space #4, the group of infants were engaged in free choice play on the floor with teething toys, rattles, and soft blocks. The staff member was meeting the individual needs of the children and engaging in play. Space #5 is currently closed. In space #6, the group of two- and three-year-old children were outside engaged in gross motor play. Space #7 is the cafeteria space, and no children were currently in this space. Space #8 is currently closed due to painting. In space #9, the group of four- to five-year-old children were transitioning outdoors for gross motor play. Once outside, the children engaged in play with the sand, dump trucks, buckets, and climbing equipment. All staff were supervising the children and engaging in play and conversations. All caregiving interactions were positive and nurturing. The lunch today was kielbasa sausage, mixed vegetables, pears, rolls, and milk. There is two (2) new staff member since the last annual compliance visit. The staff and training worksheet was completed during the visit for the two (2) new staff members. The last fire drill was practiced on 6/28/23. The last emergency drill, lockdown drill, was practiced on 5/23/23. The last fire inspection was approved on 3/21/2023. The program’s most recent sanitation inspection was completed on 5/26/2023, with nine (9) demerits. The Emergency Preparedness and Response plan is current as of 5/19/23. The Emergency Medical Care Plan is posted and was updated 0n 6/26/23. The following violations of child care requirements were observed today: Violation Number Comment Rule 544 Screen time was offered to children under three years of age. In space #1, the group of one year old children were gathered around the laptop that was sitting on top of the shelf watching the video that was playing with music. The administrator turned off and closed the laptop and the staff member moved the laptop up to shelf inaccessible to the children. .0510(f) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drill for the month of July was not conducted. .0604(t); .0302(d)(5) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member MW hired 2/6/2023 did not have a TB test or screening on file indicating that they were free of active TB. .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. Staff member KW hired 6/12/2023 did not have a completed emergency information form on file on or before the first day of work. The emergency information on file was dated 7/15/2023. .0701(a) 1301 Center did not maintain a record of daily attendance. In space #1, the attendance for August 14th and 15th was not completed. The administrator corrected the attendance during the visit. GS 110-91(9) 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. Staff members MW hired 2/6/2023 and KW hired 6/12/2023 Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not on file. The administrator corrected this during the visit. .0608(d)(1-4) 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. Staff member MW hired 2/6/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first ninety (90) days of employment. The training was due by 5/7/2023 and the certificate on file was dated 6/21/2023. .1102(g) 9995 A violation was found for which there is no item number. In space #1, staff personal bag was sitting on top of the shelf. The staff member moved their personal bag to a shelf inaccessible to the children. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/29/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #544 Screen time was offered to children under three years of age. 10A NCAC 09 .0510 ACTIVITY AREAS (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. - In space #1, the group of one year old children were gathered around the laptop that was sitting on top of the shelf watching the video that was playing with music. Item #805 Fire drills were not practiced monthly and/or the drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). - Fire drill for the month of July was not conducted. Item #1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. - Staff member MW hired 2/6/2023 did not have a TB test or screening on file indicating that they were free of active TB. Item #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. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member KW hired 6/12/2023 did not have a completed emergency information form on file on or before the first day of work. The emergency information on file was dated 7/15/2023. Item #1301 Center did not maintain a record of daily attendance. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (3) daily attendance records; - In space #1, the attendance for August 14th and 15th was not completed. The administrator corrected the attendance during the visit. Item #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. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff members MW hired 2/6/2023 and KW hired 6/12/2023 Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not on file. The administrator corrected this during the visit. Item #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. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member MW hired 2/6/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first ninety (90) days of employment. The training was due by 5/7/2023 and the certificate on file was dated 6/21/2023. Item #9995 A violation was found for which there is no item number. 15A NCAC 18A .2820 STORAGE (f) Employee purses and other personal effects shall be kept out of reach of children. - In space #1, staff personal bag was sitting on top of the shelf. The staff member moved their personal bag to a shelf inaccessible to the children. This was corrected during the visit. Consultation: Today, we discussed the following: - Resuming Rated License- the facility is in cohort two (2). The year of preparation is 7/1/24 to 6/30/25. The assessment year is 7/1/25 to 6/30/26. - Recognizing and Responding to Suspicions of Child Maltreatment training for staff member KW is due by 9/10/2023. - Emergency drill is due to be conducted by 8/30/2023. -Review diaper changing and handwashing procedures with staff. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0510 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/15/2023 Number Present: 30 Completed Date: 8/15/2023 Age: From 0 To 5 Total Minutes: 215 Time In: 10:05 AM Time Out: 01:40 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Three (3) Star Rated License effective 4/23/2020. The permit restrictions were in compliance including first shift, meets enhanced ratio, meets enhanced space, no children under age three (3) on the second floor. Samantha Garren, Administrator, was on-site and assisted with questions. The program’s annual compliance visit was conducted on 1/2/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I introduced myself to the Administrator. In space #1, the group of one- and two-year-old children were engaged in screen time when I arrived with the laptop on top of the shelf playing a music video. I discussed with the staff member and administrator that children under three years old are prohibited from the use of screen time. The administrator turned off and closed the laptop and the staff member moved the laptop up inaccessible to the children. The children then began free play in centers and the staff member was conducting routine diaper changing. In space #2, the group of two- and three-year-old children were transitioning to outdoor gross motor play. In space #3, the group of one year olds were engaged in free play and a teacher directed book reading. In space #4, the group of infants were engaged in free choice play on the floor with teething toys, rattles, and soft blocks. The staff member was meeting the individual needs of the children and engaging in play. Space #5 is currently closed. In space #6, the group of two- and three-year-old children were outside engaged in gross motor play. Space #7 is the cafeteria space, and no children were currently in this space. Space #8 is currently closed due to painting. In space #9, the group of four- to five-year-old children were transitioning outdoors for gross motor play. Once outside, the children engaged in play with the sand, dump trucks, buckets, and climbing equipment. All staff were supervising the children and engaging in play and conversations. All caregiving interactions were positive and nurturing. The lunch today was kielbasa sausage, mixed vegetables, pears, rolls, and milk. There is two (2) new staff member since the last annual compliance visit. The staff and training worksheet was completed during the visit for the two (2) new staff members. The last fire drill was practiced on 6/28/23. The last emergency drill, lockdown drill, was practiced on 5/23/23. The last fire inspection was approved on 3/21/2023. The program’s most recent sanitation inspection was completed on 5/26/2023, with nine (9) demerits. The Emergency Preparedness and Response plan is current as of 5/19/23. The Emergency Medical Care Plan is posted and was updated 0n 6/26/23. The following violations of child care requirements were observed today: Violation Number Comment Rule 544 Screen time was offered to children under three years of age. In space #1, the group of one year old children were gathered around the laptop that was sitting on top of the shelf watching the video that was playing with music. The administrator turned off and closed the laptop and the staff member moved the laptop up to shelf inaccessible to the children. .0510(f) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drill for the month of July was not conducted. .0604(t); .0302(d)(5) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member MW hired 2/6/2023 did not have a TB test or screening on file indicating that they were free of active TB. .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. Staff member KW hired 6/12/2023 did not have a completed emergency information form on file on or before the first day of work. The emergency information on file was dated 7/15/2023. .0701(a) 1301 Center did not maintain a record of daily attendance. In space #1, the attendance for August 14th and 15th was not completed. The administrator corrected the attendance during the visit. GS 110-91(9) 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. Staff members MW hired 2/6/2023 and KW hired 6/12/2023 Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not on file. The administrator corrected this during the visit. .0608(d)(1-4) 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. Staff member MW hired 2/6/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first ninety (90) days of employment. The training was due by 5/7/2023 and the certificate on file was dated 6/21/2023. .1102(g) 9995 A violation was found for which there is no item number. In space #1, staff personal bag was sitting on top of the shelf. The staff member moved their personal bag to a shelf inaccessible to the children. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/29/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #544 Screen time was offered to children under three years of age. 10A NCAC 09 .0510 ACTIVITY AREAS (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. - In space #1, the group of one year old children were gathered around the laptop that was sitting on top of the shelf watching the video that was playing with music. Item #805 Fire drills were not practiced monthly and/or the drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). - Fire drill for the month of July was not conducted. Item #1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. - Staff member MW hired 2/6/2023 did not have a TB test or screening on file indicating that they were free of active TB. Item #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. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member KW hired 6/12/2023 did not have a completed emergency information form on file on or before the first day of work. The emergency information on file was dated 7/15/2023. Item #1301 Center did not maintain a record of daily attendance. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (3) daily attendance records; - In space #1, the attendance for August 14th and 15th was not completed. The administrator corrected the attendance during the visit. Item #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. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff members MW hired 2/6/2023 and KW hired 6/12/2023 Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not on file. The administrator corrected this during the visit. Item #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. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member MW hired 2/6/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first ninety (90) days of employment. The training was due by 5/7/2023 and the certificate on file was dated 6/21/2023. Item #9995 A violation was found for which there is no item number. 15A NCAC 18A .2820 STORAGE (f) Employee purses and other personal effects shall be kept out of reach of children. - In space #1, staff personal bag was sitting on top of the shelf. The staff member moved their personal bag to a shelf inaccessible to the children. This was corrected during the visit. Consultation: Today, we discussed the following: - Resuming Rated License- the facility is in cohort two (2). The year of preparation is 7/1/24 to 6/30/25. The assessment year is 7/1/25 to 6/30/26. - Recognizing and Responding to Suspicions of Child Maltreatment training for staff member KW is due by 9/10/2023. - Emergency drill is due to be conducted by 8/30/2023. -Review diaper changing and handwashing procedures with staff. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0604 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/15/2023 Number Present: 30 Completed Date: 8/15/2023 Age: From 0 To 5 Total Minutes: 215 Time In: 10:05 AM Time Out: 01:40 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Three (3) Star Rated License effective 4/23/2020. The permit restrictions were in compliance including first shift, meets enhanced ratio, meets enhanced space, no children under age three (3) on the second floor. Samantha Garren, Administrator, was on-site and assisted with questions. The program’s annual compliance visit was conducted on 1/2/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I introduced myself to the Administrator. In space #1, the group of one- and two-year-old children were engaged in screen time when I arrived with the laptop on top of the shelf playing a music video. I discussed with the staff member and administrator that children under three years old are prohibited from the use of screen time. The administrator turned off and closed the laptop and the staff member moved the laptop up inaccessible to the children. The children then began free play in centers and the staff member was conducting routine diaper changing. In space #2, the group of two- and three-year-old children were transitioning to outdoor gross motor play. In space #3, the group of one year olds were engaged in free play and a teacher directed book reading. In space #4, the group of infants were engaged in free choice play on the floor with teething toys, rattles, and soft blocks. The staff member was meeting the individual needs of the children and engaging in play. Space #5 is currently closed. In space #6, the group of two- and three-year-old children were outside engaged in gross motor play. Space #7 is the cafeteria space, and no children were currently in this space. Space #8 is currently closed due to painting. In space #9, the group of four- to five-year-old children were transitioning outdoors for gross motor play. Once outside, the children engaged in play with the sand, dump trucks, buckets, and climbing equipment. All staff were supervising the children and engaging in play and conversations. All caregiving interactions were positive and nurturing. The lunch today was kielbasa sausage, mixed vegetables, pears, rolls, and milk. There is two (2) new staff member since the last annual compliance visit. The staff and training worksheet was completed during the visit for the two (2) new staff members. The last fire drill was practiced on 6/28/23. The last emergency drill, lockdown drill, was practiced on 5/23/23. The last fire inspection was approved on 3/21/2023. The program’s most recent sanitation inspection was completed on 5/26/2023, with nine (9) demerits. The Emergency Preparedness and Response plan is current as of 5/19/23. The Emergency Medical Care Plan is posted and was updated 0n 6/26/23. The following violations of child care requirements were observed today: Violation Number Comment Rule 544 Screen time was offered to children under three years of age. In space #1, the group of one year old children were gathered around the laptop that was sitting on top of the shelf watching the video that was playing with music. The administrator turned off and closed the laptop and the staff member moved the laptop up to shelf inaccessible to the children. .0510(f) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drill for the month of July was not conducted. .0604(t); .0302(d)(5) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member MW hired 2/6/2023 did not have a TB test or screening on file indicating that they were free of active TB. .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. Staff member KW hired 6/12/2023 did not have a completed emergency information form on file on or before the first day of work. The emergency information on file was dated 7/15/2023. .0701(a) 1301 Center did not maintain a record of daily attendance. In space #1, the attendance for August 14th and 15th was not completed. The administrator corrected the attendance during the visit. GS 110-91(9) 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. Staff members MW hired 2/6/2023 and KW hired 6/12/2023 Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not on file. The administrator corrected this during the visit. .0608(d)(1-4) 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. Staff member MW hired 2/6/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first ninety (90) days of employment. The training was due by 5/7/2023 and the certificate on file was dated 6/21/2023. .1102(g) 9995 A violation was found for which there is no item number. In space #1, staff personal bag was sitting on top of the shelf. The staff member moved their personal bag to a shelf inaccessible to the children. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/29/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #544 Screen time was offered to children under three years of age. 10A NCAC 09 .0510 ACTIVITY AREAS (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. - In space #1, the group of one year old children were gathered around the laptop that was sitting on top of the shelf watching the video that was playing with music. Item #805 Fire drills were not practiced monthly and/or the drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). - Fire drill for the month of July was not conducted. Item #1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. - Staff member MW hired 2/6/2023 did not have a TB test or screening on file indicating that they were free of active TB. Item #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. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member KW hired 6/12/2023 did not have a completed emergency information form on file on or before the first day of work. The emergency information on file was dated 7/15/2023. Item #1301 Center did not maintain a record of daily attendance. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (3) daily attendance records; - In space #1, the attendance for August 14th and 15th was not completed. The administrator corrected the attendance during the visit. Item #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. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff members MW hired 2/6/2023 and KW hired 6/12/2023 Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not on file. The administrator corrected this during the visit. Item #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. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member MW hired 2/6/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first ninety (90) days of employment. The training was due by 5/7/2023 and the certificate on file was dated 6/21/2023. Item #9995 A violation was found for which there is no item number. 15A NCAC 18A .2820 STORAGE (f) Employee purses and other personal effects shall be kept out of reach of children. - In space #1, staff personal bag was sitting on top of the shelf. The staff member moved their personal bag to a shelf inaccessible to the children. This was corrected during the visit. Consultation: Today, we discussed the following: - Resuming Rated License- the facility is in cohort two (2). The year of preparation is 7/1/24 to 6/30/25. The assessment year is 7/1/25 to 6/30/26. - Recognizing and Responding to Suspicions of Child Maltreatment training for staff member KW is due by 9/10/2023. - Emergency drill is due to be conducted by 8/30/2023. -Review diaper changing and handwashing procedures with staff. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0608 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/15/2023 Number Present: 30 Completed Date: 8/15/2023 Age: From 0 To 5 Total Minutes: 215 Time In: 10:05 AM Time Out: 01:40 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Three (3) Star Rated License effective 4/23/2020. The permit restrictions were in compliance including first shift, meets enhanced ratio, meets enhanced space, no children under age three (3) on the second floor. Samantha Garren, Administrator, was on-site and assisted with questions. The program’s annual compliance visit was conducted on 1/2/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I introduced myself to the Administrator. In space #1, the group of one- and two-year-old children were engaged in screen time when I arrived with the laptop on top of the shelf playing a music video. I discussed with the staff member and administrator that children under three years old are prohibited from the use of screen time. The administrator turned off and closed the laptop and the staff member moved the laptop up inaccessible to the children. The children then began free play in centers and the staff member was conducting routine diaper changing. In space #2, the group of two- and three-year-old children were transitioning to outdoor gross motor play. In space #3, the group of one year olds were engaged in free play and a teacher directed book reading. In space #4, the group of infants were engaged in free choice play on the floor with teething toys, rattles, and soft blocks. The staff member was meeting the individual needs of the children and engaging in play. Space #5 is currently closed. In space #6, the group of two- and three-year-old children were outside engaged in gross motor play. Space #7 is the cafeteria space, and no children were currently in this space. Space #8 is currently closed due to painting. In space #9, the group of four- to five-year-old children were transitioning outdoors for gross motor play. Once outside, the children engaged in play with the sand, dump trucks, buckets, and climbing equipment. All staff were supervising the children and engaging in play and conversations. All caregiving interactions were positive and nurturing. The lunch today was kielbasa sausage, mixed vegetables, pears, rolls, and milk. There is two (2) new staff member since the last annual compliance visit. The staff and training worksheet was completed during the visit for the two (2) new staff members. The last fire drill was practiced on 6/28/23. The last emergency drill, lockdown drill, was practiced on 5/23/23. The last fire inspection was approved on 3/21/2023. The program’s most recent sanitation inspection was completed on 5/26/2023, with nine (9) demerits. The Emergency Preparedness and Response plan is current as of 5/19/23. The Emergency Medical Care Plan is posted and was updated 0n 6/26/23. The following violations of child care requirements were observed today: Violation Number Comment Rule 544 Screen time was offered to children under three years of age. In space #1, the group of one year old children were gathered around the laptop that was sitting on top of the shelf watching the video that was playing with music. The administrator turned off and closed the laptop and the staff member moved the laptop up to shelf inaccessible to the children. .0510(f) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drill for the month of July was not conducted. .0604(t); .0302(d)(5) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member MW hired 2/6/2023 did not have a TB test or screening on file indicating that they were free of active TB. .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. Staff member KW hired 6/12/2023 did not have a completed emergency information form on file on or before the first day of work. The emergency information on file was dated 7/15/2023. .0701(a) 1301 Center did not maintain a record of daily attendance. In space #1, the attendance for August 14th and 15th was not completed. The administrator corrected the attendance during the visit. GS 110-91(9) 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. Staff members MW hired 2/6/2023 and KW hired 6/12/2023 Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not on file. The administrator corrected this during the visit. .0608(d)(1-4) 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. Staff member MW hired 2/6/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first ninety (90) days of employment. The training was due by 5/7/2023 and the certificate on file was dated 6/21/2023. .1102(g) 9995 A violation was found for which there is no item number. In space #1, staff personal bag was sitting on top of the shelf. The staff member moved their personal bag to a shelf inaccessible to the children. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/29/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #544 Screen time was offered to children under three years of age. 10A NCAC 09 .0510 ACTIVITY AREAS (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. - In space #1, the group of one year old children were gathered around the laptop that was sitting on top of the shelf watching the video that was playing with music. Item #805 Fire drills were not practiced monthly and/or the drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). - Fire drill for the month of July was not conducted. Item #1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. - Staff member MW hired 2/6/2023 did not have a TB test or screening on file indicating that they were free of active TB. Item #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. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member KW hired 6/12/2023 did not have a completed emergency information form on file on or before the first day of work. The emergency information on file was dated 7/15/2023. Item #1301 Center did not maintain a record of daily attendance. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (3) daily attendance records; - In space #1, the attendance for August 14th and 15th was not completed. The administrator corrected the attendance during the visit. Item #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. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff members MW hired 2/6/2023 and KW hired 6/12/2023 Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not on file. The administrator corrected this during the visit. Item #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. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member MW hired 2/6/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first ninety (90) days of employment. The training was due by 5/7/2023 and the certificate on file was dated 6/21/2023. Item #9995 A violation was found for which there is no item number. 15A NCAC 18A .2820 STORAGE (f) Employee purses and other personal effects shall be kept out of reach of children. - In space #1, staff personal bag was sitting on top of the shelf. The staff member moved their personal bag to a shelf inaccessible to the children. This was corrected during the visit. Consultation: Today, we discussed the following: - Resuming Rated License- the facility is in cohort two (2). The year of preparation is 7/1/24 to 6/30/25. The assessment year is 7/1/25 to 6/30/26. - Recognizing and Responding to Suspicions of Child Maltreatment training for staff member KW is due by 9/10/2023. - Emergency drill is due to be conducted by 8/30/2023. -Review diaper changing and handwashing procedures with staff. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0701 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/15/2023 Number Present: 30 Completed Date: 8/15/2023 Age: From 0 To 5 Total Minutes: 215 Time In: 10:05 AM Time Out: 01:40 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Three (3) Star Rated License effective 4/23/2020. The permit restrictions were in compliance including first shift, meets enhanced ratio, meets enhanced space, no children under age three (3) on the second floor. Samantha Garren, Administrator, was on-site and assisted with questions. The program’s annual compliance visit was conducted on 1/2/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I introduced myself to the Administrator. In space #1, the group of one- and two-year-old children were engaged in screen time when I arrived with the laptop on top of the shelf playing a music video. I discussed with the staff member and administrator that children under three years old are prohibited from the use of screen time. The administrator turned off and closed the laptop and the staff member moved the laptop up inaccessible to the children. The children then began free play in centers and the staff member was conducting routine diaper changing. In space #2, the group of two- and three-year-old children were transitioning to outdoor gross motor play. In space #3, the group of one year olds were engaged in free play and a teacher directed book reading. In space #4, the group of infants were engaged in free choice play on the floor with teething toys, rattles, and soft blocks. The staff member was meeting the individual needs of the children and engaging in play. Space #5 is currently closed. In space #6, the group of two- and three-year-old children were outside engaged in gross motor play. Space #7 is the cafeteria space, and no children were currently in this space. Space #8 is currently closed due to painting. In space #9, the group of four- to five-year-old children were transitioning outdoors for gross motor play. Once outside, the children engaged in play with the sand, dump trucks, buckets, and climbing equipment. All staff were supervising the children and engaging in play and conversations. All caregiving interactions were positive and nurturing. The lunch today was kielbasa sausage, mixed vegetables, pears, rolls, and milk. There is two (2) new staff member since the last annual compliance visit. The staff and training worksheet was completed during the visit for the two (2) new staff members. The last fire drill was practiced on 6/28/23. The last emergency drill, lockdown drill, was practiced on 5/23/23. The last fire inspection was approved on 3/21/2023. The program’s most recent sanitation inspection was completed on 5/26/2023, with nine (9) demerits. The Emergency Preparedness and Response plan is current as of 5/19/23. The Emergency Medical Care Plan is posted and was updated 0n 6/26/23. The following violations of child care requirements were observed today: Violation Number Comment Rule 544 Screen time was offered to children under three years of age. In space #1, the group of one year old children were gathered around the laptop that was sitting on top of the shelf watching the video that was playing with music. The administrator turned off and closed the laptop and the staff member moved the laptop up to shelf inaccessible to the children. .0510(f) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drill for the month of July was not conducted. .0604(t); .0302(d)(5) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member MW hired 2/6/2023 did not have a TB test or screening on file indicating that they were free of active TB. .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. Staff member KW hired 6/12/2023 did not have a completed emergency information form on file on or before the first day of work. The emergency information on file was dated 7/15/2023. .0701(a) 1301 Center did not maintain a record of daily attendance. In space #1, the attendance for August 14th and 15th was not completed. The administrator corrected the attendance during the visit. GS 110-91(9) 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. Staff members MW hired 2/6/2023 and KW hired 6/12/2023 Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not on file. The administrator corrected this during the visit. .0608(d)(1-4) 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. Staff member MW hired 2/6/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first ninety (90) days of employment. The training was due by 5/7/2023 and the certificate on file was dated 6/21/2023. .1102(g) 9995 A violation was found for which there is no item number. In space #1, staff personal bag was sitting on top of the shelf. The staff member moved their personal bag to a shelf inaccessible to the children. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/29/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #544 Screen time was offered to children under three years of age. 10A NCAC 09 .0510 ACTIVITY AREAS (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. - In space #1, the group of one year old children were gathered around the laptop that was sitting on top of the shelf watching the video that was playing with music. Item #805 Fire drills were not practiced monthly and/or the drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). - Fire drill for the month of July was not conducted. Item #1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. - Staff member MW hired 2/6/2023 did not have a TB test or screening on file indicating that they were free of active TB. Item #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. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member KW hired 6/12/2023 did not have a completed emergency information form on file on or before the first day of work. The emergency information on file was dated 7/15/2023. Item #1301 Center did not maintain a record of daily attendance. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (3) daily attendance records; - In space #1, the attendance for August 14th and 15th was not completed. The administrator corrected the attendance during the visit. Item #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. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff members MW hired 2/6/2023 and KW hired 6/12/2023 Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not on file. The administrator corrected this during the visit. Item #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. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member MW hired 2/6/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first ninety (90) days of employment. The training was due by 5/7/2023 and the certificate on file was dated 6/21/2023. Item #9995 A violation was found for which there is no item number. 15A NCAC 18A .2820 STORAGE (f) Employee purses and other personal effects shall be kept out of reach of children. - In space #1, staff personal bag was sitting on top of the shelf. The staff member moved their personal bag to a shelf inaccessible to the children. This was corrected during the visit. Consultation: Today, we discussed the following: - Resuming Rated License- the facility is in cohort two (2). The year of preparation is 7/1/24 to 6/30/25. The assessment year is 7/1/25 to 6/30/26. - Recognizing and Responding to Suspicions of Child Maltreatment training for staff member KW is due by 9/10/2023. - Emergency drill is due to be conducted by 8/30/2023. -Review diaper changing and handwashing procedures with staff. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1102 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/15/2023 Number Present: 30 Completed Date: 8/15/2023 Age: From 0 To 5 Total Minutes: 215 Time In: 10:05 AM Time Out: 01:40 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Three (3) Star Rated License effective 4/23/2020. The permit restrictions were in compliance including first shift, meets enhanced ratio, meets enhanced space, no children under age three (3) on the second floor. Samantha Garren, Administrator, was on-site and assisted with questions. The program’s annual compliance visit was conducted on 1/2/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I introduced myself to the Administrator. In space #1, the group of one- and two-year-old children were engaged in screen time when I arrived with the laptop on top of the shelf playing a music video. I discussed with the staff member and administrator that children under three years old are prohibited from the use of screen time. The administrator turned off and closed the laptop and the staff member moved the laptop up inaccessible to the children. The children then began free play in centers and the staff member was conducting routine diaper changing. In space #2, the group of two- and three-year-old children were transitioning to outdoor gross motor play. In space #3, the group of one year olds were engaged in free play and a teacher directed book reading. In space #4, the group of infants were engaged in free choice play on the floor with teething toys, rattles, and soft blocks. The staff member was meeting the individual needs of the children and engaging in play. Space #5 is currently closed. In space #6, the group of two- and three-year-old children were outside engaged in gross motor play. Space #7 is the cafeteria space, and no children were currently in this space. Space #8 is currently closed due to painting. In space #9, the group of four- to five-year-old children were transitioning outdoors for gross motor play. Once outside, the children engaged in play with the sand, dump trucks, buckets, and climbing equipment. All staff were supervising the children and engaging in play and conversations. All caregiving interactions were positive and nurturing. The lunch today was kielbasa sausage, mixed vegetables, pears, rolls, and milk. There is two (2) new staff member since the last annual compliance visit. The staff and training worksheet was completed during the visit for the two (2) new staff members. The last fire drill was practiced on 6/28/23. The last emergency drill, lockdown drill, was practiced on 5/23/23. The last fire inspection was approved on 3/21/2023. The program’s most recent sanitation inspection was completed on 5/26/2023, with nine (9) demerits. The Emergency Preparedness and Response plan is current as of 5/19/23. The Emergency Medical Care Plan is posted and was updated 0n 6/26/23. The following violations of child care requirements were observed today: Violation Number Comment Rule 544 Screen time was offered to children under three years of age. In space #1, the group of one year old children were gathered around the laptop that was sitting on top of the shelf watching the video that was playing with music. The administrator turned off and closed the laptop and the staff member moved the laptop up to shelf inaccessible to the children. .0510(f) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drill for the month of July was not conducted. .0604(t); .0302(d)(5) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member MW hired 2/6/2023 did not have a TB test or screening on file indicating that they were free of active TB. .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. Staff member KW hired 6/12/2023 did not have a completed emergency information form on file on or before the first day of work. The emergency information on file was dated 7/15/2023. .0701(a) 1301 Center did not maintain a record of daily attendance. In space #1, the attendance for August 14th and 15th was not completed. The administrator corrected the attendance during the visit. GS 110-91(9) 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. Staff members MW hired 2/6/2023 and KW hired 6/12/2023 Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not on file. The administrator corrected this during the visit. .0608(d)(1-4) 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. Staff member MW hired 2/6/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first ninety (90) days of employment. The training was due by 5/7/2023 and the certificate on file was dated 6/21/2023. .1102(g) 9995 A violation was found for which there is no item number. In space #1, staff personal bag was sitting on top of the shelf. The staff member moved their personal bag to a shelf inaccessible to the children. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/29/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #544 Screen time was offered to children under three years of age. 10A NCAC 09 .0510 ACTIVITY AREAS (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. - In space #1, the group of one year old children were gathered around the laptop that was sitting on top of the shelf watching the video that was playing with music. Item #805 Fire drills were not practiced monthly and/or the drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). - Fire drill for the month of July was not conducted. Item #1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. - Staff member MW hired 2/6/2023 did not have a TB test or screening on file indicating that they were free of active TB. Item #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. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member KW hired 6/12/2023 did not have a completed emergency information form on file on or before the first day of work. The emergency information on file was dated 7/15/2023. Item #1301 Center did not maintain a record of daily attendance. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (3) daily attendance records; - In space #1, the attendance for August 14th and 15th was not completed. The administrator corrected the attendance during the visit. Item #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. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff members MW hired 2/6/2023 and KW hired 6/12/2023 Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not on file. The administrator corrected this during the visit. Item #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. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member MW hired 2/6/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first ninety (90) days of employment. The training was due by 5/7/2023 and the certificate on file was dated 6/21/2023. Item #9995 A violation was found for which there is no item number. 15A NCAC 18A .2820 STORAGE (f) Employee purses and other personal effects shall be kept out of reach of children. - In space #1, staff personal bag was sitting on top of the shelf. The staff member moved their personal bag to a shelf inaccessible to the children. This was corrected during the visit. Consultation: Today, we discussed the following: - Resuming Rated License- the facility is in cohort two (2). The year of preparation is 7/1/24 to 6/30/25. The assessment year is 7/1/25 to 6/30/26. - Recognizing and Responding to Suspicions of Child Maltreatment training for staff member KW is due by 9/10/2023. - Emergency drill is due to be conducted by 8/30/2023. -Review diaper changing and handwashing procedures with staff. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1703 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/15/2023 Number Present: 30 Completed Date: 8/15/2023 Age: From 0 To 5 Total Minutes: 215 Time In: 10:05 AM Time Out: 01:40 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Three (3) Star Rated License effective 4/23/2020. The permit restrictions were in compliance including first shift, meets enhanced ratio, meets enhanced space, no children under age three (3) on the second floor. Samantha Garren, Administrator, was on-site and assisted with questions. The program’s annual compliance visit was conducted on 1/2/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I introduced myself to the Administrator. In space #1, the group of one- and two-year-old children were engaged in screen time when I arrived with the laptop on top of the shelf playing a music video. I discussed with the staff member and administrator that children under three years old are prohibited from the use of screen time. The administrator turned off and closed the laptop and the staff member moved the laptop up inaccessible to the children. The children then began free play in centers and the staff member was conducting routine diaper changing. In space #2, the group of two- and three-year-old children were transitioning to outdoor gross motor play. In space #3, the group of one year olds were engaged in free play and a teacher directed book reading. In space #4, the group of infants were engaged in free choice play on the floor with teething toys, rattles, and soft blocks. The staff member was meeting the individual needs of the children and engaging in play. Space #5 is currently closed. In space #6, the group of two- and three-year-old children were outside engaged in gross motor play. Space #7 is the cafeteria space, and no children were currently in this space. Space #8 is currently closed due to painting. In space #9, the group of four- to five-year-old children were transitioning outdoors for gross motor play. Once outside, the children engaged in play with the sand, dump trucks, buckets, and climbing equipment. All staff were supervising the children and engaging in play and conversations. All caregiving interactions were positive and nurturing. The lunch today was kielbasa sausage, mixed vegetables, pears, rolls, and milk. There is two (2) new staff member since the last annual compliance visit. The staff and training worksheet was completed during the visit for the two (2) new staff members. The last fire drill was practiced on 6/28/23. The last emergency drill, lockdown drill, was practiced on 5/23/23. The last fire inspection was approved on 3/21/2023. The program’s most recent sanitation inspection was completed on 5/26/2023, with nine (9) demerits. The Emergency Preparedness and Response plan is current as of 5/19/23. The Emergency Medical Care Plan is posted and was updated 0n 6/26/23. The following violations of child care requirements were observed today: Violation Number Comment Rule 544 Screen time was offered to children under three years of age. In space #1, the group of one year old children were gathered around the laptop that was sitting on top of the shelf watching the video that was playing with music. The administrator turned off and closed the laptop and the staff member moved the laptop up to shelf inaccessible to the children. .0510(f) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drill for the month of July was not conducted. .0604(t); .0302(d)(5) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member MW hired 2/6/2023 did not have a TB test or screening on file indicating that they were free of active TB. .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. Staff member KW hired 6/12/2023 did not have a completed emergency information form on file on or before the first day of work. The emergency information on file was dated 7/15/2023. .0701(a) 1301 Center did not maintain a record of daily attendance. In space #1, the attendance for August 14th and 15th was not completed. The administrator corrected the attendance during the visit. GS 110-91(9) 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. Staff members MW hired 2/6/2023 and KW hired 6/12/2023 Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not on file. The administrator corrected this during the visit. .0608(d)(1-4) 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. Staff member MW hired 2/6/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first ninety (90) days of employment. The training was due by 5/7/2023 and the certificate on file was dated 6/21/2023. .1102(g) 9995 A violation was found for which there is no item number. In space #1, staff personal bag was sitting on top of the shelf. The staff member moved their personal bag to a shelf inaccessible to the children. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/29/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #544 Screen time was offered to children under three years of age. 10A NCAC 09 .0510 ACTIVITY AREAS (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. - In space #1, the group of one year old children were gathered around the laptop that was sitting on top of the shelf watching the video that was playing with music. Item #805 Fire drills were not practiced monthly and/or the drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). - Fire drill for the month of July was not conducted. Item #1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. - Staff member MW hired 2/6/2023 did not have a TB test or screening on file indicating that they were free of active TB. Item #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. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member KW hired 6/12/2023 did not have a completed emergency information form on file on or before the first day of work. The emergency information on file was dated 7/15/2023. Item #1301 Center did not maintain a record of daily attendance. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (3) daily attendance records; - In space #1, the attendance for August 14th and 15th was not completed. The administrator corrected the attendance during the visit. Item #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. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff members MW hired 2/6/2023 and KW hired 6/12/2023 Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not on file. The administrator corrected this during the visit. Item #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. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member MW hired 2/6/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first ninety (90) days of employment. The training was due by 5/7/2023 and the certificate on file was dated 6/21/2023. Item #9995 A violation was found for which there is no item number. 15A NCAC 18A .2820 STORAGE (f) Employee purses and other personal effects shall be kept out of reach of children. - In space #1, staff personal bag was sitting on top of the shelf. The staff member moved their personal bag to a shelf inaccessible to the children. This was corrected during the visit. Consultation: Today, we discussed the following: - Resuming Rated License- the facility is in cohort two (2). The year of preparation is 7/1/24 to 6/30/25. The assessment year is 7/1/25 to 6/30/26. - Recognizing and Responding to Suspicions of Child Maltreatment training for staff member KW is due by 9/10/2023. - Emergency drill is due to be conducted by 8/30/2023. -Review diaper changing and handwashing procedures with staff. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2830 · Violation
Name of Operation: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/15/2023 Number Present: 30 Completed Date: 8/15/2023 Age: From 0 To 5 Total Minutes: 215 Time In: 10:05 AM Time Out: 01:40 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Three (3) Star Rated License effective 4/23/2020. The permit restrictions were in compliance including first shift, meets enhanced ratio, meets enhanced space, no children under age three (3) on the second floor. Samantha Garren, Administrator, was on-site and assisted with questions. The program’s annual compliance visit was conducted on 1/2/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I introduced myself to the Administrator. In space #1, the group of one- and two-year-old children were engaged in screen time when I arrived with the laptop on top of the shelf playing a music video. I discussed with the staff member and administrator that children under three years old are prohibited from the use of screen time. The administrator turned off and closed the laptop and the staff member moved the laptop up inaccessible to the children. The children then began free play in centers and the staff member was conducting routine diaper changing. In space #2, the group of two- and three-year-old children were transitioning to outdoor gross motor play. In space #3, the group of one year olds were engaged in free play and a teacher directed book reading. In space #4, the group of infants were engaged in free choice play on the floor with teething toys, rattles, and soft blocks. The staff member was meeting the individual needs of the children and engaging in play. Space #5 is currently closed. In space #6, the group of two- and three-year-old children were outside engaged in gross motor play. Space #7 is the cafeteria space, and no children were currently in this space. Space #8 is currently closed due to painting. In space #9, the group of four- to five-year-old children were transitioning outdoors for gross motor play. Once outside, the children engaged in play with the sand, dump trucks, buckets, and climbing equipment. All staff were supervising the children and engaging in play and conversations. All caregiving interactions were positive and nurturing. The lunch today was kielbasa sausage, mixed vegetables, pears, rolls, and milk. There is two (2) new staff member since the last annual compliance visit. The staff and training worksheet was completed during the visit for the two (2) new staff members. The last fire drill was practiced on 6/28/23. The last emergency drill, lockdown drill, was practiced on 5/23/23. The last fire inspection was approved on 3/21/2023. The program’s most recent sanitation inspection was completed on 5/26/2023, with nine (9) demerits. The Emergency Preparedness and Response plan is current as of 5/19/23. The Emergency Medical Care Plan is posted and was updated 0n 6/26/23. The following violations of child care requirements were observed today: Violation Number Comment Rule 544 Screen time was offered to children under three years of age. In space #1, the group of one year old children were gathered around the laptop that was sitting on top of the shelf watching the video that was playing with music. The administrator turned off and closed the laptop and the staff member moved the laptop up to shelf inaccessible to the children. .0510(f) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drill for the month of July was not conducted. .0604(t); .0302(d)(5) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member MW hired 2/6/2023 did not have a TB test or screening on file indicating that they were free of active TB. .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. Staff member KW hired 6/12/2023 did not have a completed emergency information form on file on or before the first day of work. The emergency information on file was dated 7/15/2023. .0701(a) 1301 Center did not maintain a record of daily attendance. In space #1, the attendance for August 14th and 15th was not completed. The administrator corrected the attendance during the visit. GS 110-91(9) 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. Staff members MW hired 2/6/2023 and KW hired 6/12/2023 Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not on file. The administrator corrected this during the visit. .0608(d)(1-4) 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. Staff member MW hired 2/6/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first ninety (90) days of employment. The training was due by 5/7/2023 and the certificate on file was dated 6/21/2023. .1102(g) 9995 A violation was found for which there is no item number. In space #1, staff personal bag was sitting on top of the shelf. The staff member moved their personal bag to a shelf inaccessible to the children. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/29/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #544 Screen time was offered to children under three years of age. 10A NCAC 09 .0510 ACTIVITY AREAS (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. - In space #1, the group of one year old children were gathered around the laptop that was sitting on top of the shelf watching the video that was playing with music. Item #805 Fire drills were not practiced monthly and/or the drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). - Fire drill for the month of July was not conducted. Item #1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. - Staff member MW hired 2/6/2023 did not have a TB test or screening on file indicating that they were free of active TB. Item #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. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member KW hired 6/12/2023 did not have a completed emergency information form on file on or before the first day of work. The emergency information on file was dated 7/15/2023. Item #1301 Center did not maintain a record of daily attendance. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (3) daily attendance records; - In space #1, the attendance for August 14th and 15th was not completed. The administrator corrected the attendance during the visit. Item #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. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff members MW hired 2/6/2023 and KW hired 6/12/2023 Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not on file. The administrator corrected this during the visit. Item #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. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member MW hired 2/6/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first ninety (90) days of employment. The training was due by 5/7/2023 and the certificate on file was dated 6/21/2023. Item #9995 A violation was found for which there is no item number. 15A NCAC 18A .2820 STORAGE (f) Employee purses and other personal effects shall be kept out of reach of children. - In space #1, staff personal bag was sitting on top of the shelf. The staff member moved their personal bag to a shelf inaccessible to the children. This was corrected during the visit. Consultation: Today, we discussed the following: - Resuming Rated License- the facility is in cohort two (2). The year of preparation is 7/1/24 to 6/30/25. The assessment year is 7/1/25 to 6/30/26. - Recognizing and Responding to Suspicions of Child Maltreatment training for staff member KW is due by 9/10/2023. - Emergency drill is due to be conducted by 8/30/2023. -Review diaper changing and handwashing procedures with staff. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/15/2023 Number Present: 30 Completed Date: 8/15/2023 Age: From 0 To 5 Total Minutes: 215 Time In: 10:05 AM Time Out: 01:40 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Three (3) Star Rated License effective 4/23/2020. The permit restrictions were in compliance including first shift, meets enhanced ratio, meets enhanced space, no children under age three (3) on the second floor. Samantha Garren, Administrator, was on-site and assisted with questions. The program’s annual compliance visit was conducted on 1/2/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I introduced myself to the Administrator. In space #1, the group of one- and two-year-old children were engaged in screen time when I arrived with the laptop on top of the shelf playing a music video. I discussed with the staff member and administrator that children under three years old are prohibited from the use of screen time. The administrator turned off and closed the laptop and the staff member moved the laptop up inaccessible to the children. The children then began free play in centers and the staff member was conducting routine diaper changing. In space #2, the group of two- and three-year-old children were transitioning to outdoor gross motor play. In space #3, the group of one year olds were engaged in free play and a teacher directed book reading. In space #4, the group of infants were engaged in free choice play on the floor with teething toys, rattles, and soft blocks. The staff member was meeting the individual needs of the children and engaging in play. Space #5 is currently closed. In space #6, the group of two- and three-year-old children were outside engaged in gross motor play. Space #7 is the cafeteria space, and no children were currently in this space. Space #8 is currently closed due to painting. In space #9, the group of four- to five-year-old children were transitioning outdoors for gross motor play. Once outside, the children engaged in play with the sand, dump trucks, buckets, and climbing equipment. All staff were supervising the children and engaging in play and conversations. All caregiving interactions were positive and nurturing. The lunch today was kielbasa sausage, mixed vegetables, pears, rolls, and milk. There is two (2) new staff member since the last annual compliance visit. The staff and training worksheet was completed during the visit for the two (2) new staff members. The last fire drill was practiced on 6/28/23. The last emergency drill, lockdown drill, was practiced on 5/23/23. The last fire inspection was approved on 3/21/2023. The program’s most recent sanitation inspection was completed on 5/26/2023, with nine (9) demerits. The Emergency Preparedness and Response plan is current as of 5/19/23. The Emergency Medical Care Plan is posted and was updated 0n 6/26/23. The following violations of child care requirements were observed today: Violation Number Comment Rule 544 Screen time was offered to children under three years of age. In space #1, the group of one year old children were gathered around the laptop that was sitting on top of the shelf watching the video that was playing with music. The administrator turned off and closed the laptop and the staff member moved the laptop up to shelf inaccessible to the children. .0510(f) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drill for the month of July was not conducted. .0604(t); .0302(d)(5) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member MW hired 2/6/2023 did not have a TB test or screening on file indicating that they were free of active TB. .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. Staff member KW hired 6/12/2023 did not have a completed emergency information form on file on or before the first day of work. The emergency information on file was dated 7/15/2023. .0701(a) 1301 Center did not maintain a record of daily attendance. In space #1, the attendance for August 14th and 15th was not completed. The administrator corrected the attendance during the visit. GS 110-91(9) 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. Staff members MW hired 2/6/2023 and KW hired 6/12/2023 Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not on file. The administrator corrected this during the visit. .0608(d)(1-4) 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. Staff member MW hired 2/6/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first ninety (90) days of employment. The training was due by 5/7/2023 and the certificate on file was dated 6/21/2023. .1102(g) 9995 A violation was found for which there is no item number. In space #1, staff personal bag was sitting on top of the shelf. The staff member moved their personal bag to a shelf inaccessible to the children. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/29/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #544 Screen time was offered to children under three years of age. 10A NCAC 09 .0510 ACTIVITY AREAS (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. - In space #1, the group of one year old children were gathered around the laptop that was sitting on top of the shelf watching the video that was playing with music. Item #805 Fire drills were not practiced monthly and/or the drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). - Fire drill for the month of July was not conducted. Item #1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. - Staff member MW hired 2/6/2023 did not have a TB test or screening on file indicating that they were free of active TB. Item #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. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member KW hired 6/12/2023 did not have a completed emergency information form on file on or before the first day of work. The emergency information on file was dated 7/15/2023. Item #1301 Center did not maintain a record of daily attendance. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (3) daily attendance records; - In space #1, the attendance for August 14th and 15th was not completed. The administrator corrected the attendance during the visit. Item #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. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff members MW hired 2/6/2023 and KW hired 6/12/2023 Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not on file. The administrator corrected this during the visit. Item #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. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member MW hired 2/6/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first ninety (90) days of employment. The training was due by 5/7/2023 and the certificate on file was dated 6/21/2023. Item #9995 A violation was found for which there is no item number. 15A NCAC 18A .2820 STORAGE (f) Employee purses and other personal effects shall be kept out of reach of children. - In space #1, staff personal bag was sitting on top of the shelf. The staff member moved their personal bag to a shelf inaccessible to the children. This was corrected during the visit. Consultation: Today, we discussed the following: - Resuming Rated License- the facility is in cohort two (2). The year of preparation is 7/1/24 to 6/30/25. The assessment year is 7/1/25 to 6/30/26. - Recognizing and Responding to Suspicions of Child Maltreatment training for staff member KW is due by 9/10/2023. - Emergency drill is due to be conducted by 8/30/2023. -Review diaper changing and handwashing procedures with staff. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: HIS KIDS CHILD DEVELOPMENT CENTER Facility ID: 4559000 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/15/2023 Number Present: 30 Completed Date: 8/15/2023 Age: From 0 To 5 Total Minutes: 215 Time In: 10:05 AM Time Out: 01:40 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 monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Samantha Garren, Administrator. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Samantha Garren, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Three (3) Star Rated License effective 4/23/2020. The permit restrictions were in compliance including first shift, meets enhanced ratio, meets enhanced space, no children under age three (3) on the second floor. Samantha Garren, Administrator, was on-site and assisted with questions. The program’s annual compliance visit was conducted on 1/2/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I introduced myself to the Administrator. In space #1, the group of one- and two-year-old children were engaged in screen time when I arrived with the laptop on top of the shelf playing a music video. I discussed with the staff member and administrator that children under three years old are prohibited from the use of screen time. The administrator turned off and closed the laptop and the staff member moved the laptop up inaccessible to the children. The children then began free play in centers and the staff member was conducting routine diaper changing. In space #2, the group of two- and three-year-old children were transitioning to outdoor gross motor play. In space #3, the group of one year olds were engaged in free play and a teacher directed book reading. In space #4, the group of infants were engaged in free choice play on the floor with teething toys, rattles, and soft blocks. The staff member was meeting the individual needs of the children and engaging in play. Space #5 is currently closed. In space #6, the group of two- and three-year-old children were outside engaged in gross motor play. Space #7 is the cafeteria space, and no children were currently in this space. Space #8 is currently closed due to painting. In space #9, the group of four- to five-year-old children were transitioning outdoors for gross motor play. Once outside, the children engaged in play with the sand, dump trucks, buckets, and climbing equipment. All staff were supervising the children and engaging in play and conversations. All caregiving interactions were positive and nurturing. The lunch today was kielbasa sausage, mixed vegetables, pears, rolls, and milk. There is two (2) new staff member since the last annual compliance visit. The staff and training worksheet was completed during the visit for the two (2) new staff members. The last fire drill was practiced on 6/28/23. The last emergency drill, lockdown drill, was practiced on 5/23/23. The last fire inspection was approved on 3/21/2023. The program’s most recent sanitation inspection was completed on 5/26/2023, with nine (9) demerits. The Emergency Preparedness and Response plan is current as of 5/19/23. The Emergency Medical Care Plan is posted and was updated 0n 6/26/23. The following violations of child care requirements were observed today: Violation Number Comment Rule 544 Screen time was offered to children under three years of age. In space #1, the group of one year old children were gathered around the laptop that was sitting on top of the shelf watching the video that was playing with music. The administrator turned off and closed the laptop and the staff member moved the laptop up to shelf inaccessible to the children. .0510(f) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drill for the month of July was not conducted. .0604(t); .0302(d)(5) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member MW hired 2/6/2023 did not have a TB test or screening on file indicating that they were free of active TB. .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. Staff member KW hired 6/12/2023 did not have a completed emergency information form on file on or before the first day of work. The emergency information on file was dated 7/15/2023. .0701(a) 1301 Center did not maintain a record of daily attendance. In space #1, the attendance for August 14th and 15th was not completed. The administrator corrected the attendance during the visit. GS 110-91(9) 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. Staff members MW hired 2/6/2023 and KW hired 6/12/2023 Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not on file. The administrator corrected this during the visit. .0608(d)(1-4) 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. Staff member MW hired 2/6/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first ninety (90) days of employment. The training was due by 5/7/2023 and the certificate on file was dated 6/21/2023. .1102(g) 9995 A violation was found for which there is no item number. In space #1, staff personal bag was sitting on top of the shelf. The staff member moved their personal bag to a shelf inaccessible to the children. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/29/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #544 Screen time was offered to children under three years of age. 10A NCAC 09 .0510 ACTIVITY AREAS (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. - In space #1, the group of one year old children were gathered around the laptop that was sitting on top of the shelf watching the video that was playing with music. Item #805 Fire drills were not practiced monthly and/or the drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). - Fire drill for the month of July was not conducted. Item #1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. - Staff member MW hired 2/6/2023 did not have a TB test or screening on file indicating that they were free of active TB. Item #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. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member KW hired 6/12/2023 did not have a completed emergency information form on file on or before the first day of work. The emergency information on file was dated 7/15/2023. Item #1301 Center did not maintain a record of daily attendance. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (3) daily attendance records; - In space #1, the attendance for August 14th and 15th was not completed. The administrator corrected the attendance during the visit. Item #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. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff members MW hired 2/6/2023 and KW hired 6/12/2023 Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not on file. The administrator corrected this during the visit. Item #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. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member MW hired 2/6/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first ninety (90) days of employment. The training was due by 5/7/2023 and the certificate on file was dated 6/21/2023. Item #9995 A violation was found for which there is no item number. 15A NCAC 18A .2820 STORAGE (f) Employee purses and other personal effects shall be kept out of reach of children. - In space #1, staff personal bag was sitting on top of the shelf. The staff member moved their personal bag to a shelf inaccessible to the children. This was corrected during the visit. Consultation: Today, we discussed the following: - Resuming Rated License- the facility is in cohort two (2). The year of preparation is 7/1/24 to 6/30/25. The assessment year is 7/1/25 to 6/30/26. - Recognizing and Responding to Suspicions of Child Maltreatment training for staff member KW is due by 9/10/2023. - Emergency drill is due to be conducted by 8/30/2023. -Review diaper changing and handwashing procedures with staff. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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
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