Blanton Road Head Start

10A NCAC 09 .1102 · Violation

Name of Operation: BLANTON ROAD HEAD START Facility ID: 26002379 Consultant: RONA DAVIS Operation Type: Center Case Number: Visit Date: 5/2/2024 Number Present: 41 Completed Date: 5/2/2024 Age: From 2 To 4 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 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 compliance for a routine unannounced visit. The previous Annual Compliance Visit was completed December 14, 2023, and prior to today’s visit, the eighteen-month compliance history score was 97%. Your program currently operates with a five-star license issued February 19, 2021. The License was based on the program earning seven points in education standards, six points in program standards, and one quality point by providing staff benefits package and Infrastructure of parent involvement. The information on record with DCDEE was verified as correct by Chiori Lawrence and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed September 17, 2023. Fire Classification of Approved completed February 2, 2024. I was greeted by Shanequa Graham, Education Coordinator, and Qwatisha Dunn, Health Technician. Chiori Lawrence, Center Director, was present and working in a classroom and assisted me as I observed the indoor and outdoor areas. Upon my arrival, there were forty-one (41) children in care. Children in space B, were playing in various activity centers. I observed diaper changing and hand washing procedures. During diaper changing, the teacher explained to a child what she was doing. Children in the block area were observed building with small wooden blocks. A teacher asked a child to share and give a child a toy. One child ran back and forth across the room approximately four times before choosing another activity. Children were observed helping a teacher prepare a table for an art activity. They helped tape paper to the table. Children were given a flowerpot and a paint brush. They painted the flowerpot using the colors red and blue. In space C, children were observed playing with various developmentally age-appropriate materials like, blocks, trucks, wrench, screwdriver, hammer, microphones, musical instruments, and a mirror. A teacher asked Alexa to play toddler songs. Children began dancing and some were given microphone that were made during a prior art activity. They sung to old McDonald had a farm. A child pretended to comb another child’s hair (wash and blow dry). The children used tools to build with blocks. Outdoors, children were observed climbing, sliding, running, and popping bubbles. Positive conversation was observed between the children and teachers. Today’s lunch consists of turkey, cheese, wheat bread, coleslaw, strawberries, and milk. Rest time was observed during the visit. At the completion of the visit, the Visit Summary was reviewed with C. Lawrence. The following violations were observed: Violation Number Comment Rule 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. In space C, there were plastic gloves stored on a shelf next to the refrigerator. There were plastic gloves and baby wipes stored on the diaper changing table. Plastic gloves and baby wipes were stored in a bathroom used for children in space C, on a shelf in between two sinks. All plastic gloves and baby wipes observed were stored less than five feet above the floor. All plastic gloves and baby wipes were placed on shelves higher than five feet above the floor. .0604(q) 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. One staff member (Q.D.) did not have an Emergency Information form on file. The staff member completed the form during today's visit. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member (Q.D.) has not completed first aid training (DOE 12/8/23) .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member (Q.D.) has not completed CPR training (DOE 12/8/23). .1102(d) 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. One staff member (Q.D.) did not have a signed acknowledgement form regarding the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. The staff member signed an acknowledgement form during the visit. .0608(d)(1-4) The violations must be corrected immediately. Mail or email a written, dated, and signed statement to me by 5:00 pm on May 16, 2024, describing how and when the violations were corrected and how the facility plans to maintain compliance in the future. If the compliance letter is not received by the due date, an additional visit will be conducted to verify that violations have been corrected. Mail or email the information to: Rona Davis Child Care Consultant P. O. Box 1218 Raeford, NC 28376 Technical Assistance/Discussions/Reminders: During today’s visit one staff member (Q.D.), Health Technician was observed giving bathroom breaks for staff members. Therefore, she is required to have pertinent information on file upon working in the classrooms. We discussed the requirements and information that must be on file for staff members counted in staff/child ratios: Medical Statement (prior to employment) and Health Questionnaire (annually) TB Test Results CPR and First Aid (after 90 days of hire) Recognizing and Responding to Suspicions of Child Maltreatment (after 90 days of hire) Shaken Baby Head Trauma Policy (prior to employment) Violations were cited for one staff member (Q.D.) not having a CPR and First Aid training certification. Q.D. stated that she missed two trainings and the agency is currently scheduling another training. Refer to child care rules 10A NCAC 09 .1102(a-b). Shaken Baby Syndrome and Abusive Head Trauma Policy: SBS/AHT is the name given to a form of physical child abuse that occurs when an infant or small child is violently shaken and/or there is trauma to the head. Shaking may last only a few seconds but can result in severe injury or even death. According to NC Child Care Rule 10A NCAC 09.0608, each child care facility licensed to care for children up to five years of age shall develop and adopt a policy to prevent SBS/AHT. This policy must be provided to parents and staff working at the facility and an acknowledgement signed by both parents and staff verifying receipt of the policy. AHT can occur in children up to 5 years of age. Shaken baby syndrome can lead to serious conditions including brain damage, problems with memory and attention, blindness, or hearing loss; intellectual, speech or learning disabilities; and developmental delays. The signed acknowledgement form must be on file for staff and children on day one. One staff member (Q.D.) counted in staff child ratios did not have the signed acknowledgement form on file. This was corrected during today’s visit. Reminder: One staff member’s (F.C.) Criminal Background Check (CBC) qualifying letter expires on 12/13/24. Required information can be submitted to the CBC Unit anytime within six months before the qualifying letter expires. Observation Suggestions: Children’s thinking skills can be promoted throughout the school day in many classroom activities including centers, whole group instruction, meal and snack time, as well as transition. This is important when teachers are intentionally thinking about finding opportunities to do this at different times during the day, and not just during a structured instructional activity. Create opportunities for children to solve problems, experiment, and figure out how things work. • When children are building towers with blocks, the teacher asks, “What do you think will happen if we add more blocks? Why do you think that?” The teacher then asks children to add more blocks and talk about what happens. This allows children to experiment and learn more from the activity. Make learning meaningful and connected to children’s lives. • When going outside for a spring nature walk, a child notices flowers blooming. The teacher says, “Tell me about what you see coming out of the ground. Why are the flowers coming out now? Why didn’t we see them last month? Have you seen flowers like this at home or somewhere else?” This helps children deepen their understanding of their world. Use how and why questions that help children think about ideas. • When reading a story, the teacher asks questions, such as: “How do you think that made her feel? Why do you think that?” to help children think more deeply about the book. Link understanding with something previously learned. • Children are in a center time and playing store, buying and selling various items. The teacher reminds the children about their visit to a store the day before and connects what they saw and did with the current activity. Predict what may happen next. • When reading a book, the teacher asks questions, such as: “What do you think will happen next?” to help children with their prediction skills. Brainstorm new ideas, make something in a new way. • When coloring, the teacher asks children to draw pictures of animals that lay eggs. After the children are done with drawing, the teacher and children sit together and make a list of all the animals they came up with. The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at 910-309-2480 or rona.davis@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: BLANTON ROAD HEAD START Facility ID: 26002379 Consultant: RONA DAVIS Operation Type: Center Case Number: Visit Date: 5/2/2024 Number Present: 41 Completed Date: 5/2/2024 Age: From 2 To 4 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 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 compliance for a routine unannounced visit. The previous Annual Compliance Visit was completed December 14, 2023, and prior to today’s visit, the eighteen-month compliance history score was 97%. Your program currently operates with a five-star license issued February 19, 2021. The License was based on the program earning seven points in education standards, six points in program standards, and one quality point by providing staff benefits package and Infrastructure of parent involvement. The information on record with DCDEE was verified as correct by Chiori Lawrence and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed September 17, 2023. Fire Classification of Approved completed February 2, 2024. I was greeted by Shanequa Graham, Education Coordinator, and Qwatisha Dunn, Health Technician. Chiori Lawrence, Center Director, was present and working in a classroom and assisted me as I observed the indoor and outdoor areas. Upon my arrival, there were forty-one (41) children in care. Children in space B, were playing in various activity centers. I observed diaper changing and hand washing procedures. During diaper changing, the teacher explained to a child what she was doing. Children in the block area were observed building with small wooden blocks. A teacher asked a child to share and give a child a toy. One child ran back and forth across the room approximately four times before choosing another activity. Children were observed helping a teacher prepare a table for an art activity. They helped tape paper to the table. Children were given a flowerpot and a paint brush. They painted the flowerpot using the colors red and blue. In space C, children were observed playing with various developmentally age-appropriate materials like, blocks, trucks, wrench, screwdriver, hammer, microphones, musical instruments, and a mirror. A teacher asked Alexa to play toddler songs. Children began dancing and some were given microphone that were made during a prior art activity. They sung to old McDonald had a farm. A child pretended to comb another child’s hair (wash and blow dry). The children used tools to build with blocks. Outdoors, children were observed climbing, sliding, running, and popping bubbles. Positive conversation was observed between the children and teachers. Today’s lunch consists of turkey, cheese, wheat bread, coleslaw, strawberries, and milk. Rest time was observed during the visit. At the completion of the visit, the Visit Summary was reviewed with C. Lawrence. The following violations were observed: Violation Number Comment Rule 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. In space C, there were plastic gloves stored on a shelf next to the refrigerator. There were plastic gloves and baby wipes stored on the diaper changing table. Plastic gloves and baby wipes were stored in a bathroom used for children in space C, on a shelf in between two sinks. All plastic gloves and baby wipes observed were stored less than five feet above the floor. All plastic gloves and baby wipes were placed on shelves higher than five feet above the floor. .0604(q) 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. One staff member (Q.D.) did not have an Emergency Information form on file. The staff member completed the form during today's visit. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member (Q.D.) has not completed first aid training (DOE 12/8/23) .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member (Q.D.) has not completed CPR training (DOE 12/8/23). .1102(d) 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. One staff member (Q.D.) did not have a signed acknowledgement form regarding the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. The staff member signed an acknowledgement form during the visit. .0608(d)(1-4) The violations must be corrected immediately. Mail or email a written, dated, and signed statement to me by 5:00 pm on May 16, 2024, describing how and when the violations were corrected and how the facility plans to maintain compliance in the future. If the compliance letter is not received by the due date, an additional visit will be conducted to verify that violations have been corrected. Mail or email the information to: Rona Davis Child Care Consultant P. O. Box 1218 Raeford, NC 28376 Technical Assistance/Discussions/Reminders: During today’s visit one staff member (Q.D.), Health Technician was observed giving bathroom breaks for staff members. Therefore, she is required to have pertinent information on file upon working in the classrooms. We discussed the requirements and information that must be on file for staff members counted in staff/child ratios: Medical Statement (prior to employment) and Health Questionnaire (annually) TB Test Results CPR and First Aid (after 90 days of hire) Recognizing and Responding to Suspicions of Child Maltreatment (after 90 days of hire) Shaken Baby Head Trauma Policy (prior to employment) Violations were cited for one staff member (Q.D.) not having a CPR and First Aid training certification. Q.D. stated that she missed two trainings and the agency is currently scheduling another training. Refer to child care rules 10A NCAC 09 .1102(a-b). Shaken Baby Syndrome and Abusive Head Trauma Policy: SBS/AHT is the name given to a form of physical child abuse that occurs when an infant or small child is violently shaken and/or there is trauma to the head. Shaking may last only a few seconds but can result in severe injury or even death. According to NC Child Care Rule 10A NCAC 09.0608, each child care facility licensed to care for children up to five years of age shall develop and adopt a policy to prevent SBS/AHT. This policy must be provided to parents and staff working at the facility and an acknowledgement signed by both parents and staff verifying receipt of the policy. AHT can occur in children up to 5 years of age. Shaken baby syndrome can lead to serious conditions including brain damage, problems with memory and attention, blindness, or hearing loss; intellectual, speech or learning disabilities; and developmental delays. The signed acknowledgement form must be on file for staff and children on day one. One staff member (Q.D.) counted in staff child ratios did not have the signed acknowledgement form on file. This was corrected during today’s visit. Reminder: One staff member’s (F.C.) Criminal Background Check (CBC) qualifying letter expires on 12/13/24. Required information can be submitted to the CBC Unit anytime within six months before the qualifying letter expires. Observation Suggestions: Children’s thinking skills can be promoted throughout the school day in many classroom activities including centers, whole group instruction, meal and snack time, as well as transition. This is important when teachers are intentionally thinking about finding opportunities to do this at different times during the day, and not just during a structured instructional activity. Create opportunities for children to solve problems, experiment, and figure out how things work. • When children are building towers with blocks, the teacher asks, “What do you think will happen if we add more blocks? Why do you think that?” The teacher then asks children to add more blocks and talk about what happens. This allows children to experiment and learn more from the activity. Make learning meaningful and connected to children’s lives. • When going outside for a spring nature walk, a child notices flowers blooming. The teacher says, “Tell me about what you see coming out of the ground. Why are the flowers coming out now? Why didn’t we see them last month? Have you seen flowers like this at home or somewhere else?” This helps children deepen their understanding of their world. Use how and why questions that help children think about ideas. • When reading a story, the teacher asks questions, such as: “How do you think that made her feel? Why do you think that?” to help children think more deeply about the book. Link understanding with something previously learned. • Children are in a center time and playing store, buying and selling various items. The teacher reminds the children about their visit to a store the day before and connects what they saw and did with the current activity. Predict what may happen next. • When reading a book, the teacher asks questions, such as: “What do you think will happen next?” to help children with their prediction skills. Brainstorm new ideas, make something in a new way. • When coloring, the teacher asks children to draw pictures of animals that lay eggs. After the children are done with drawing, the teacher and children sit together and make a list of all the animals they came up with. The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at 910-309-2480 or rona.davis@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 .110 · Violation

Name of Operation: BLANTON ROAD HEAD START Facility ID: 26002379 Consultant: RONA DAVIS Operation Type: Center Case Number: Visit Date: 12/14/2023 Number Present: 35 Completed Date: 12/14/2023 Age: From 1 To 4 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 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 with applicable child care requirements pertinent to an annual compliance visit. The previous Annual Compliance Visit was completed January 23, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 98%, which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Five-Star License issued February 19, 2021. The License was based on the program earning seven points in education standards, six points in program standards, and one quality point by choosing to meet a programmatic option of staff benefits package and infrastructure of parent involvement. The information on record with DCDEE was verified as correct by Amy Emanuel and the owner’s corporation status, Action Pathways, Inc. was verified on the Secretary of State’s website as current-active. LaWanda Thomas, Administrator, last day of employment was November 24, 2023. The administrator’s information was updated in the Regulatory System during today’s visit. Current Inspections are as follows: Sanitation Classification of Superior completed October 17, 2023. Fire Classification of Approved completed January 23, 2023. I was greeted by Veronica Portlock, Family Advocate. Amy Emanuel, Assistant Center Director, accompanied me while I observed the indoor and outdoor areas. Upon my arrival, there were thirty-five (35) children present. In space A, I observed hand washing, sanitation, and a group activity. Children were sitting on the carpet counting with their teacher as she pointed to numbers on a board. In space B, children were observed pushing a popper across the floor. I observed clean-up time, preparation for outdoors, and outdoor activities. In space C, children were observed sweeping the floor using a broom and dustpan. Other children used various sizes of cakes in the dramatic play area. One teacher read a book to a child and the child read a different book to the teacher. In space D, children were playing in various activity centers. They used playdough with rolling pins, played in the sand table, used blocks, Legos, and dramatic play materials. Outdoors children were observed, riding bikes, climbing, sliding, running, jumping, and walking. I also observed toileting, hand washing, sanitation, lunch, and rest time. Lunch consisted of Salisbury steak, rice, green beans, orange tropical fruit, and milk. At the completion of the visit, the Visit Summary was reviewed with A. Emanuel. The following violations were observed. Violation Number Comment Rule 603 All floors and floor coverings were not constructed of nonabsorbant, easily cleanable material. There were approximately forty-eight cracked or broken floor tiles in the hallyway leading to the classrooms. 15A NCAC 18A .2824(a)&(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff member (A.E. DOE 6/26/23) orientation was not completed within the first two weeks of employment. The orientation was completed 8/9/23. .1101(a)(b) The violation(s) must be corrected immediately. Mail or email a written, dated, and signed statement to me by 5:00 pm on December 28, 2023, describing how and when the violations were corrected and how the facility plans to maintain compliance in the future. If the compliance letter is not received by the deadline, an annual compliance follow-up visit will be conducted to verify that all violation(s) have been corrected. Mail or email the information to: Rona Davis Child Care Consultant P.O. Box 1218 Raeford, NC 28376 Technical Assistance/Reminders LaWanda Thomas, Administrator last day of employment was 11/24/23. Therefore, you have until 5/24/23 to hire another administrator. A Preservice Requirements for Administrator of a Child Care Center form was left with you during today’s visit. The administrator’s page in Regulatory was updated. There were approximately forty-eight floor tiles cracked or broken in the hallway leading to the classrooms. Refer to Sanitation rule 15A NCAC 18A .2824 (a-b). All floor walls, and ceilings, shall be cleaned and in good repair. You stated that a work order has been submitted. The facility received demerits from an environmental health sanitation inspection two times on October 10, 2023 and October 17, 2023. If you are unable to correct the violation by December 28, 2023, contact me with a scheduled maintenance date for repairs and request an extension. A violation was cited for you not completing your orientation within the first two weeks of employment. It was completed on 8/9/23 and your date of employment was 6/26/23. Refer to child care rule 10A NCAC 09 .110(a)(b). Visit the DCDEE website (www.ncchildcare.nc.gov) for updated requirements, forms, and other pertinent information. Please feel free to contact me at rona.davis@dhhs.nc.gov or 910-309-2480 if you have any questions or concerns. 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