NC GS 110-90 · Violation

Name of Operation: HOWARD HALL PRIME TIME Facility ID: 26001607 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 5/5/2025 Number Present: 70 Completed Date: 5/5/2025 Age: From 5 To 12 Total Minutes: 165 Time In: 02:15 PM Time Out: 05:00 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 with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance visit was completed on December 03, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 100% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three-Star License issued on January 10, 2020. The license was based on the program earning 4 points in education standards, 2 points in program standards, and one quality point by choosing to meet an educational option of having an administrator with 10 years of documented child care administration work experience in a licensed program. The information on record was verified as correct by LaTonya Campbell, Program Coordinator. Current Inspections are as follows: Sanitation Classification of Superior was completed on November 19, 2024. The most recent fire inspection was completed on March 14, 2025. L. Campbell, Program Coordinator, greeted me upon my arrival. The indoor and outdoor areas were observed. Three group leaders prepared for the children’s arrival by sanitizing tables and setting up various activities at tables. Between 2:25pm and 2:40pm, children entered the cafeteria, put their belongings in their assigned container and washed their hands. The children sat down at tables while the program coordinator completed a roll call while completing the attendance record. After the attendance was taken, children were served snack. Snack consisted of graham crackers and 100% fruit juice. After the children finished their snack, they lined up to use the bathroom before going to the outdoor learning environment for outdoor play. Disposable paper towels were not stocked and available in the boys' bathroom and girls' bathroom prior to use by children. A group leader was given emergency medication, in an emergency bag, to take outside with the group of children. Instead of the group leader holding and carrying the emergency bag of medication, he gave the emergency bag to the child, for the child to carry, on two separate occasions. In the outdoor learning environment, children had access to basketballs, soccer balls, sand play toys, and cones. Children were observed playing freeze tag, playing basketball, playing red-light-green-light, and sitting in the shade while talking amongst each other. As groups returned inside, they used the bathroom, washed their hands, and returned to the designated child care space for free-choice activities. In the designated child care space, children had access to various literacy materials, dramatic-play materials, manipulatives, board games, card games, and creative art materials. At the completion of the visit, the Visit Summary was reviewed with L. Campbell. The following violations were observed: Violation Number Comment Rule 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. A hand drying device was not available and disposable paper towels were not stocked and available in the boys' bathroom and girls' bathroom prior to children's use. When this was brought to the program coordinator's attention, she immediately found a school custodian and asked him to restock the bathrooms with paper towels. The paper towels were immediately restocked in each bathroom. 15A NCAC 18A .2818(b) & (d) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A group leader gave a bag with emergency medication to a child, for the child to carry outside. When the program coordinator observed this, she immediately corrected the group leader and told him to carry the bag. When a parent came to pick up their child, the group leader gave the child the bag with emergency medication again, to carry inside. The program coordinator took the bag from the child when the child returned inside the building. 15A NCAC 18A .2820(d) 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. The violations that were observed and documented today may impact your compliance history score. Technical Assistance/Reminders Hand Washing A violation was cited today for bathrooms not being stocked with paper towel or a hand drying device prior to use by children. Hand hygiene is the most important way to reduce the spread of infection. Many studies have shown that improperly cleansed hands are the primary carriers of infections. Deficiencies in hand hygiene have contributed to many outbreaks of diarrhea among children and caregivers/teachers in schools and child care centers. We discussed ensuring the bathrooms are stocked prior to children's arrival for the afterschool program. Please refer to child care sanitation rule 15A NCAC 18A .2818(d) for more information about hand washing requirements. Medication Storage A violation was cited today for emergency medication not being made inaccessible to children. Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. Prevention is the key to prevent poisonings by making sure medications are inaccessible to children. Please refer to child care sanitation rule 15A NCAC 18A .2820(d) for more information about medication storage requirements. School Age Observation I discussed the results of my observation in Space #1 with L. Campbell. Several children were observed horseplaying and hitting each other. The noise level got loud, and the program coordinator asked the children to quiet down three times. I encouraged L. Campbell to have staff clearly and consistently state what they expect from children, reminding them they are a part of a community with rules and expectations that guide each of them so all will benefit. I also encouraged L. Campbell to have staff use a range of techniques to remind children of the expectations. For example, when it gets loud they can say a chant that children will repeat, and they would know that it means to lower their voices. Children should not be required to sit more than two minutes with nothing to do. They can participate in singing songs, having a discussion, playing a game etc. Sitting for long periods of time with nothing to do can lead to constant re-direction and the use of positive discipline. PBS NC Impact Early Childhood Education Summit PBS North Carolina’s fourth annual Impact Early Childhood Education Summit will be held Saturday, June 7, at Winston-Salem State University’s Albert H. Anderson Conference Center. This full-day conference aims to empower educators, childcare providers, parents and caregivers to lay a strong foundation for young learners. Educators can earn professional credit hours for attending. Date: Saturday, June 7, 2025 Time: 9:00 a.m. - 5:00 p.m. Location: Winston-Salem State University Albert H. Anderson Jr. Conference Center 1545 Reynolds Park Road Winston-Salem, NC 27110 Register now through May 23 Secure your spot early for a powerful day of learning, connection, and inspiration. If you’re an educator from a Western NC county affected by Hurricane Helene, free ticket registration is available. PBS NC also offers discounted group ticket options to make it easier for more educators to attend. DCDEE Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, 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