GS 110-91 · Violation

Name of Operation: RHODE ISLAND MILL EARLY LEARNING CENTER Facility ID: 79000323 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 22 Completed Date: 12/19/2024 Age: From 1 To 3 Total Minutes: 166 Time In: 09:24 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this child care center to monitor compliance with applicable child care requirements. This visit was conducted by Sally Allen, Child Care Consultant, with Rashanda Penn, Lead Teacher. Currently this center operates with a Five (5) star license. The restrictions include daytime care only and meets all enhanced requirements and reduced ratios. The sanitation inspection was completed on October 10, 2024, with a “superior” classification with no demerits. The fire inspection was completed on November 4, 2024. I received a copy today. The facility is owned and operated by GenerationEd. The Secretary of State website was checked prior to today’s visit and the corporation was listed as current and active. Twenty-two (22) children were present. The children were observed playing indoors, playing outdoors, completing routine tasks and eating lunch. All indoor and outdoor areas were monitored. Fire drill reports and playground inspections were monitored during today's visit. The last fire drill was conducted on December 2, 2024. It took the children forty-five (45) seconds to evacuate. The last emergency drill, a shelter in place drill, was conducted on December 2, 2024. The emergency drills must be conducted every three (3) months. The staff and children’s files were monitored in accordance with the Division of Child Development and Early Education policies and procedures. The new director, hired December 16, 2024, did not have a file available for review. Some documents were faxed to the facility but it did not contain all the required information. A preservice form for administrator was emailed to me but it contained inaccurate information. Please complete the form accurately and email me a signed copy with the compliance letter. Ms. Penn stated children enrolled have emergency medications. The facility does not provide transportation. The following violations were observed during today's visit. Violation Number Comment Rule 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. In space 4 one cot was not labeled with the child's name. 15A NCAC 18A .2821(b) & (c) 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. Cots were stored in the bathroom located in between spaces 2 and 3. 15A NCAC 18A .2821(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. There was no playground inspection for November 2024. .0605(q) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child did not have a medical record on file. GS 110-91(1);.0302(d)(2); .0304(g) 1739 All records required were not available for review by a representative of the Division. The new director, hired December 16, 2024, did not have a completed file available for review. .2318(1-8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. On the review it stated that the staff knew the location of the EPR plan. Ms. Penn did not know where the EPR plan was during today's visit. .0607(f) Technical Assistance: Files must be complete and available on the staff’s first day of employment. Consultation: 1-The health and safety trainings are required to be completed within the first year of employment, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment, CPR and First Aid training. These three (3) trainings must be completed within ninety (90) days of employment. Following the initial completion of the health and safety trainings they must be completed within the next five years of employment or prior to expiration (CPR and First Aid). There is a training log available on the Division’s website to document the completion of the trainings. All topics must be covered. You may access health and safety trainings for free on the Division’s website under moodle. 2-Child Care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members • Run a printable report of the staff roster to assist with compliance visits • See new background check applicants and add to staff roster To get started, complete the ABCMS Child Care Provider Portal Training in Moodle. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 3-The Emergency medical care plan must be updated, posted and reviewed with the staff. 4-The new director has four (4) months to complete the EPR training. Once the training is complete she must review the facility’s EPR plan and see if any information needs to be updated. If any information is updated she must review the plan with all staff. All staff must be aware of the location of the EPR plan. Compliance letter: You must correct the violations found during today's visit immediately. Please send me two (2) letters verifying compliance. The letters must be received by January 2, 2025. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 1305, Eden, NC 27289. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Failure to correct these violations in a timely manner may result in an administrative action. Thank you for your time and assistance during today's visit. You may e-mail me at sally.allen@dhhs.nc.gov or call me at 336-580-3782 if you have questions or concerns or you may contact my supervisor, Pam Hauser, at (336) 317-5003. 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 .0902 · Violation

Name of Operation: RHODE ISLAND MILL EARLY LEARNING CENTER Facility ID: 79000323 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 1/18/2024 Number Present: 18 Completed Date: 1/18/2024 Age: From 1 To 3 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this child care center to monitor compliance with applicable child care requirements. This visit was conducted by Sally Allen, Child Care Consultant, with Odette Webster, Director. Currently this center operates with a Five (5) Star license issued February 16, 2022. Restrictions include daytime care only and meets all enhanced requirements and reduced ratios. The last annual compliance visit was conducted on January 30, 2023. The sanitation inspection was completed on October 3, 2023, with a “superior” classification with no demerits. The fire inspection was completed on November 14, 2023. I received a copy during today’s visit. The facility is owned and operated by Children and Families First. The Secretary of State website was checked and the corporation is listed as current and active. Eighteen (18) children were present. The children were observed playing in activity areas, playing outdoors, completing routine tasks, having diapers changed and eating lunch. There are no infants enrolled at this time. Fire drill reports and playground inspections were monitored during today's visit. The last fire drill was conducted on January 4, 2024. It took the children forty-five (45) seconds to evacuate. The last emergency drill, a shelter-in-place drill, was conducted on December 4, 2023. The emergency drills must be conducted every three (3) months. Ms. Webster stated that there is a child enrolled that has emergency medication. The facility does not provide transportation. The following violations were observed during today's visit. Violation Number Comment Rule 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. The activity plan posted in space 4, did not have teacher activities listed. It states "we will follow child's lead". .0508(b)(1-5) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) In space 2, a thirteen (13) month old child did not have a written feeding plan provided and posted. 10A NCAC 09 .0902(a) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. In space 3, the surface was sprayed with only disinfectant and it was immediately wiped after two (2) different diaper changes. 15A NCAC 18A .2819(c) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space 4, the permission for an epi-pen did not include the dosage, times to be given, and route. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance and other topics discussed during today's visit: 1-The health and safety trainings are required to be completed within the first year of employment, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment, CPR and First Aid training. These three (3) trainings must be completed within ninety (90) days of employment. Following the initial completion of the health and safety trainings they must be completed within the next five years of employment or prior to expiration (CPR and First Aid). There is a training log available on the Division’s website to document the completion of the trainings. All topics must be covered. 2. This is a resource provided by NC Child Care Health & Safety Resource Center to assist in finding needed trainings. Find a Trainer Page (for a list of active EPR, ITS-SIDS, Medication Administration Trainers as well as the new Training Guidance): https://healthychildcare.unc.edu/for-early-educators/find-a-trainer/ . 3-The railings on both playgrounds are beginning to rust. Please make sure that the rust areas are sanded and painted. 4-We reviewed the diapering procedure today. 5-For medications that are for chronic conditions the permission to administer is valid for six (6) months. The permission must include the child's name; the subject medical conditions or allergic reactions; the names of the authorized over-the-counter medications; the criteria for the administration of the medication; the amount and frequency of the dosages; the manner in which the medication shall be administered; the signature of the parent; the date the authorization was signed by the parent; (i) the length of time the authorization is valid, if less than six months. Also, there must be a medical action plan on file. The medical action plan must be updated annually or when changes are made. Compliance letter: You must correct the violations found during today's visit immediately. Please send me two (2) letters verifying compliance. The letters must be received by February 1, 2024. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 1305, Eden, NC 27289. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Failure to correct these violations in a timely manner may result in an administrative action. Thank you for your time and assistance during today's visit. You may e-mail me at sally.allen@dhhs.nc.gov or call me at 336-580-3782 if you have questions or concerns or you may contact my supervisor, Pam Hauser, at (336) 317-5003. 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.