NC GS 110-90 · Violation

Name of Operation: STEPPING STONES LEARNING ACADEMY #5, LLC Facility ID: 26002552 Consultant: YOLANDA PRIDGEN Operation Type: Center Case Number: Visit Date: 2/12/2025 Number Present: 45 Completed Date: 2/12/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 09:15 AM Time Out: 02:30 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 August 27, 2024, and prior to today’s visit, the eighteen-month compliance history score was 91%, which exceeds requirements by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three (3) Star License issued March 23, 2023. The License was based on the program earning four (4) points in education standards, two (2) points in program standards, and one (1) quality point by choosing to meet an educational option: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Raquel Shaw 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 August 26, 2024. Fire Classification of approved for day time care only completed February 10, 2025. A copy of the report was received during the visit. Raquel Shaw, Administrator, and Nicalda Bruno Smith, were present during the visit and assisted and I observed the indoor area. The outdoor area was not monitored due to active precipitation. I observed preschool-aged children playing with age-appropriate materials both indoors. Children were observed engaged in dramatic play with pretend foods, cooking utensils, and playing with dress-up clothes. A teacher assisted children with building towers with unit and jumbo Lego blocks and pretending to drive toy vehicles on the carpet. I observed staff assist children find the letter Vv for valentine on a handout and color the corresponding objects. In circle time, a group of children identified jumbo letters and objects throughout the classroom that began with the letter. Staff assisted children with completing toileting routines and hand washing at bathrooms located inside each classroom in preparation of mealtime. Lunch, prepared and served by N. Smith, consisted of grilled chicken with crackers, green beans, diced pears, and milk. Following lunch, children completed hand washing routines before preparing for rest time. Children were observed resting on mats with clean linen as soft instrumental music played. A Staff and Training Worksheet was completed during today’s visit for three (3) new staff members. Three (3) staff files were monitored. The most recent fire drill, a lockdown drill, and a recent playground inspection were all conducted on January 31, 2025. At the completion of the visit, the Visit Summary was reviewed with R. Shaw and N. Smith. The following violations were observed: Violation Number Comment Rule 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. First Aid certification for five (5) staff members was not from an approved training organization. .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. CPR certification for five (5) staff members was not from an approved training organization. .1102(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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on February 26, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Yolanda Pridgen Child Care Consultant P.O. Box 25561 Fayetteville, NC 28314 yolanda.pridgen@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Classroom Observation: I observed the classroom where infants were enrolled. Staff members were sitting on the floor as children played with books and soft toys. Teachers sang to children as they made babbling and cooing sounds, mocking the teachers’ sounds. Toys were stored on low open shelves making them accessible to children who were mobile. Positive interactions occurred between staff and children and peers. I encourage teachers to provide opportunities for tummy time and bringing materials to infants during free play. I recommend teachers continue to promote rich conversations with children and having materials prepared for special group projects to avoid laps of time. CPR/First Aid: A violation regarding CPR and First Aid was observed and documented today. Record keeping is one of the most time-consuming tasks associated with administration. It is an important part of licensure. Staff records consist of various documentation such as employment application, medical report, TB test results, Annual Health questionnaire, Emergency contact information, CRC qualification letter, documentation of orientation, in service training hours, CPR and First Aid, and playground safety. I also suggested the administrator use Be a Smart Consumer of Child Care Training and Be a Smart Consumer of CPR and First Aid Training. Both documents can be found on the DCDEE Website underneath the provider and professional development tabs. DCDEE WORKS: The administrator expressed interest in increasing the quality of care and possibly increasing to a higher star rating. I recommended they begin assisting staff members with enrolling and/or updating information in the DCDEE WORKS system using their individual NCIDs. Staff members will need to create a DCDEE WORKS account, upload required certificates, and submit their updated educational transcripts by mail or electronically. The portal is available online and may be accessed via the following link: https://dcdee.works.nc.gov/. NCRLAP I discussed with the administrator their desire to increase quality in the facility and possibly begin preparing for the Environment Rating Scale. I encouraged her to contact the Cumberland County Partnership for Children to request technical assistance. I also encouraged the administrator to utilize the www.ncrlap.org website for additional resources such as handouts, webinars, and videos. School-aged Professional Development Opportunities: The Cumberland County Partnership for Children is sponsoring the “Let’s Get Connected” The School Aged Connection. The in-person event focuses on creating a safe and inclusive community for sharing and learning new concepts. This learning event is for directors and school-age staff only (newly hired and/or seasoned Group Leaders). Training topics to be covered are: growth and development, classroom management, learning environments, building relationships, safety and wellness, positive behaviors, activity planning, and sanitation. For more information on how to register, contact Mary Anders, Lead Coach, at manders@ccpfc.org or (910)826-3018. Please feel free to contact me at yolanda.pridgen@dhhs.nc.gov or 910-305-2371 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

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .0601 · Violation

Name of Operation: STEPPING STONES LEARNING ACADEMY #5, LLC Facility ID: 26002552 Consultant: YOLANDA PRIDGEN Operation Type: Center Case Number: Visit Date: 8/27/2024 Number Present: 34 Completed Date: 8/27/2024 Age: From 1 To 5 Total Minutes: 375 Time In: 09:00 AM Time Out: 03:15 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 including health and safety training requirements. The previous Annual Compliance Visit was completed September 12, 2023, and prior to today’s visit, the eighteen-month compliance history score was 90%, which exceeds requirements by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three (3) Star License issued March 23, 2023. The License was based on the program earning four (4) points in education standards, two (2) points in program standards, and one (1) quality point by choosing to meet an educational option: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Raquel Shaw 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 August 26, 2024. A copy of the inspection report was received during today’s visit. Fire Classification of approved for day time care only completed February 12, 2024. Raquel Shaw, Administrator, and Nicalda Bruno Smith, were present during the visit and assisted and I observed the indoor and outdoor areas. I observed preschool-aged children playing with age-appropriate materials both indoors and outdoors. Children were observed playing in dramatic play with pretend foods, cooking utensils, and playing with dress-up clothes and dolls. A small group of children built structures using unit blocks, Lincoln Logs, and farm animals. I observed a teacher assisting children with their individual “Who Am I” art project. In the outdoor play area, children climbed stationary equipment and played in toy houses. Toddlers were observed pushing and pulling toy lawnmowers, playing in the sandpit with sand toys and Tonka trucks. Upon return indoors, staff assisted children with completing toileting routines and hand washing at bathrooms located inside each classroom. Lunch, prepared and served by N. Smith, consisted of grilled cheese sandwich on wheat bread, garden peas, pears, and milk. Following lunch, children completed hand washing routines before preparing for rest time. Children were observed resting on mats with clean linen as soft instrumental music played. A checklist was used to note the requirements I monitored today. The facility’s Staff and Training Worksheets were received on August 19, 2024 and updated during today’s visit. Six (6) children records were reviewed and five (5) staff files were monitored. The most recent fire drill was completed on July 31, 2024 and a lockdown drill was completed on July 30, 2024. The most recent playground inspection was conducted July 31, 2024. At the completion of the visit, the Visit Summary was reviewed with R. Shaw. The following violations were observed: Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. On the playground used by infants and toddlers, a resin climber measuring 24 inches, was not installed over protective surfacing. The violation was corrected when the administrator moved the climber inside of the sandpit where the surfacing measured 6 inches. .0605(j) 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor play area, an electrical security pole from the electric company had a metal cover attached to the pole that was not secured and exposed black pipes and wires. 10A NCAC 09 .0601(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Accessible to children in space #7, containers of Desitin cream, Aquaphor, sunblock cream, and a bottle of insect repellent was stored in an unlocked cabinet near the diapering changing area. The violation was corrected when the administrator removed all medications and placed them into the locked medication storage box that was inside the same cabinet. This is a repeat violation cited on September 12, 2023. 15A NCAC 18A .2820(d) 858 Plastic bags, materials that could be torn apart and parts small enough to be swallowed were accessible to children under three years of age. Accessible to children under three years of age in space #6, a box of plastic gloves were stored on the diaper changing table and broken crayons were in a bin on an open shelf. The violation was corrected when the administrator placed the box of gloves on a shelf that was 5 feet from the fished floor. The administrator removed the broken crayons from the shelf and replaced them with new crayons. .0604(q) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two staff members, N.S. and J.M., did not completed the required Recognizing and Responding the Suspicions of Child Maltreatment training within five years of completing the previous health and safety training topic. .1103(b) 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on September 10, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Yolanda Pridgen Child Care Consultant P.O. Box 25561 Fayetteville, NC 28314 yolanda.pridgen@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Indoor/Outdoor Environment: The violation for safe indoor and outdoor environment was cited today. Providing a safe environment is important for children’s growth and development. I shared that additional information regarding Safe Environments for Child Care Centers can be found in Child Care Rules section .600. We also discussed the following strategies for achieving and maintaining compliance: review the rule section with staff at your next staff meeting and have staff report hazardous issues to administration staff immediately. Choking Hazards: A violation was cited during today’s visit for items that were potential choking hazards accessible to children under three years of age. I recommended the administrator train staff to remove all materials accessible to children that could be choking hazards in all spaces used for children under three years old. Additional information regarding plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart can be found in NC Child Care rule 10A NCAC .0604 (q). Storage of Medication: The violation for storage of medication was cited today. This includes both medicated and over the counter medication. Properly storing medication is important because if in reach of children, may present a poison hazard. I shared that additional information regarding the storage of medication can be found in Sanitation Rule .2028(d) and a copy of the “Hazardous Items Storage for Child Care” resource can be obtained from the DCDEE website. We also discussed the following strategies for achieving and maintaining compliance: review the resource with staff at your next staff meeting; have staff practice administering medicine and return to locked storage before completing the administration record (practice helps create and reinforce a routine); remind each team of staff to check behind the other; and/or periodically visit classrooms throughout the day and check medication boxes to ensure they are locked. Natural Outdoor Learning Initiative: 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. School-aged Professional Development Opportunities: The Cumberland County Partnership for Children is sponsoring the “Let’s Get Connected” The School Aged Connection. The in-person event focuses on creating a safe and inclusive community for sharing and learning new concepts. This learning event is for directors and school-age staff only (newly hired and/or seasoned Group Leaders). Training topics to be covered are: growth and development, classroom management, learning environments, building relationships, safety and wellness, positive behaviors, activity planning, and sanitation. For more information on how to register, contact Mary Anders, Lead Coach, at manders@ccpfc.org or (910)826-3018. Please feel free to contact me at yolanda.pridgen@dhhs.nc.gov or 910-305-2371 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

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: STEPPING STONES LEARNING ACADEMY #5, LLC Facility ID: 26002552 Consultant: YOLANDA PRIDGEN Operation Type: Center Case Number: Visit Date: 8/27/2024 Number Present: 34 Completed Date: 8/27/2024 Age: From 1 To 5 Total Minutes: 375 Time In: 09:00 AM Time Out: 03:15 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 including health and safety training requirements. The previous Annual Compliance Visit was completed September 12, 2023, and prior to today’s visit, the eighteen-month compliance history score was 90%, which exceeds requirements by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three (3) Star License issued March 23, 2023. The License was based on the program earning four (4) points in education standards, two (2) points in program standards, and one (1) quality point by choosing to meet an educational option: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Raquel Shaw 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 August 26, 2024. A copy of the inspection report was received during today’s visit. Fire Classification of approved for day time care only completed February 12, 2024. Raquel Shaw, Administrator, and Nicalda Bruno Smith, were present during the visit and assisted and I observed the indoor and outdoor areas. I observed preschool-aged children playing with age-appropriate materials both indoors and outdoors. Children were observed playing in dramatic play with pretend foods, cooking utensils, and playing with dress-up clothes and dolls. A small group of children built structures using unit blocks, Lincoln Logs, and farm animals. I observed a teacher assisting children with their individual “Who Am I” art project. In the outdoor play area, children climbed stationary equipment and played in toy houses. Toddlers were observed pushing and pulling toy lawnmowers, playing in the sandpit with sand toys and Tonka trucks. Upon return indoors, staff assisted children with completing toileting routines and hand washing at bathrooms located inside each classroom. Lunch, prepared and served by N. Smith, consisted of grilled cheese sandwich on wheat bread, garden peas, pears, and milk. Following lunch, children completed hand washing routines before preparing for rest time. Children were observed resting on mats with clean linen as soft instrumental music played. A checklist was used to note the requirements I monitored today. The facility’s Staff and Training Worksheets were received on August 19, 2024 and updated during today’s visit. Six (6) children records were reviewed and five (5) staff files were monitored. The most recent fire drill was completed on July 31, 2024 and a lockdown drill was completed on July 30, 2024. The most recent playground inspection was conducted July 31, 2024. At the completion of the visit, the Visit Summary was reviewed with R. Shaw. The following violations were observed: Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. On the playground used by infants and toddlers, a resin climber measuring 24 inches, was not installed over protective surfacing. The violation was corrected when the administrator moved the climber inside of the sandpit where the surfacing measured 6 inches. .0605(j) 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor play area, an electrical security pole from the electric company had a metal cover attached to the pole that was not secured and exposed black pipes and wires. 10A NCAC 09 .0601(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Accessible to children in space #7, containers of Desitin cream, Aquaphor, sunblock cream, and a bottle of insect repellent was stored in an unlocked cabinet near the diapering changing area. The violation was corrected when the administrator removed all medications and placed them into the locked medication storage box that was inside the same cabinet. This is a repeat violation cited on September 12, 2023. 15A NCAC 18A .2820(d) 858 Plastic bags, materials that could be torn apart and parts small enough to be swallowed were accessible to children under three years of age. Accessible to children under three years of age in space #6, a box of plastic gloves were stored on the diaper changing table and broken crayons were in a bin on an open shelf. The violation was corrected when the administrator placed the box of gloves on a shelf that was 5 feet from the fished floor. The administrator removed the broken crayons from the shelf and replaced them with new crayons. .0604(q) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two staff members, N.S. and J.M., did not completed the required Recognizing and Responding the Suspicions of Child Maltreatment training within five years of completing the previous health and safety training topic. .1103(b) 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on September 10, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Yolanda Pridgen Child Care Consultant P.O. Box 25561 Fayetteville, NC 28314 yolanda.pridgen@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Indoor/Outdoor Environment: The violation for safe indoor and outdoor environment was cited today. Providing a safe environment is important for children’s growth and development. I shared that additional information regarding Safe Environments for Child Care Centers can be found in Child Care Rules section .600. We also discussed the following strategies for achieving and maintaining compliance: review the rule section with staff at your next staff meeting and have staff report hazardous issues to administration staff immediately. Choking Hazards: A violation was cited during today’s visit for items that were potential choking hazards accessible to children under three years of age. I recommended the administrator train staff to remove all materials accessible to children that could be choking hazards in all spaces used for children under three years old. Additional information regarding plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart can be found in NC Child Care rule 10A NCAC .0604 (q). Storage of Medication: The violation for storage of medication was cited today. This includes both medicated and over the counter medication. Properly storing medication is important because if in reach of children, may present a poison hazard. I shared that additional information regarding the storage of medication can be found in Sanitation Rule .2028(d) and a copy of the “Hazardous Items Storage for Child Care” resource can be obtained from the DCDEE website. We also discussed the following strategies for achieving and maintaining compliance: review the resource with staff at your next staff meeting; have staff practice administering medicine and return to locked storage before completing the administration record (practice helps create and reinforce a routine); remind each team of staff to check behind the other; and/or periodically visit classrooms throughout the day and check medication boxes to ensure they are locked. Natural Outdoor Learning Initiative: 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. School-aged Professional Development Opportunities: The Cumberland County Partnership for Children is sponsoring the “Let’s Get Connected” The School Aged Connection. The in-person event focuses on creating a safe and inclusive community for sharing and learning new concepts. This learning event is for directors and school-age staff only (newly hired and/or seasoned Group Leaders). Training topics to be covered are: growth and development, classroom management, learning environments, building relationships, safety and wellness, positive behaviors, activity planning, and sanitation. For more information on how to register, contact Mary Anders, Lead Coach, at manders@ccpfc.org or (910)826-3018. Please feel free to contact me at yolanda.pridgen@dhhs.nc.gov or 910-305-2371 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

10A NCAC 09 .0601 · Violation

Name of Operation: STEPPING STONES LEARNING ACADEMY #5, LLC Facility ID: 26002552 Consultant: STACEY EATON Operation Type: Center Case Number: 0424-449A Visit Date: 5/2/2024 Number Present: 57 Completed Date: 5/2/2024 Age: From 0 To 5 Total Minutes: 150 Time In: 10:45 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Raquel Shaw, Administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Shaw, and two additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. The Children's Allergy and Medical Notice form was posted in the kitchen and classroom where the meal was prepared and the child was eating; however, staff members failed to review the form prior to serving a child a food item with a known allergy ingredient. .0901(g) 807 A safe indoor and outdoor environment was not provided for the children. Staff members placed a twenty-month-old child in an unsafe environment when they fed the child a known allergen and the child had an allergic reaction. In addition, staff members failed to follow the child's medical action plan, further placing the child at risk for harm and/or injury. 10A NCAC 09 .0601(a) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. The application had a medical action plan attached for a known allergy; however, staff members failed to follow the action plan. .0801(b) Violations must be corrected immediately. Within one week ( May 9, 2024) you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Stacey Eaton, Investigations Consultant, Phone#: (910)260-2071, Fax#: (910)425-7124, Email Address: stacey.eaton@dhhs.nc.gov. You may contact me at Stacey Eaton, Investigations Consultant, Phone#: (910)260-2071, Fax#: (910)425-7124, Email Address: stacey.eaton@dhhs.nc.gov or Melissa Loehr, Southeastern Investigations Supervisor, Phone#: Email Address: melissa.loehr@dhhs.nc.gov. Thank you for your time. 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 .0901 · Violation

Name of Operation: STEPPING STONES LEARNING ACADEMY #5, LLC Facility ID: 26002552 Consultant: YOLANDA PRIDGEN Operation Type: Center Case Number: Visit Date: 4/10/2024 Number Present: 62 Completed Date: 4/10/2024 Age: From 0 To 5 Total Minutes: 345 Time In: 09:15 AM Time Out: 03:00 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 September 12, 2023, and prior to today’s visit, the eighteen-month compliance history score was 89%, which exceeds requirements by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three (3) Star License issued March 23, 2023. The License was based on the program earning four (4) points in education standards, two (2) points in program standards, and one (1) quality point by choosing to meet an educational option: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Raquel Shaw 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 February 27, 2024. Fire Classification of approved for day time care only completed February 12, 2024. Raquel Shaw, Administrator, and Nicalda Bruno Smith, were present during the visit and working in classrooms due to staffing issues. I observed the indoor and outdoor areas unaccompanied by a staff member. I observed preschool-aged children playing with age-appropriate materials both indoors and outdoors. Children in space #1 were observed creating AB patterns by tapping their hands on the table. In space #4, the teacher assisted children who were creating individual paintings on construction paper using tempera paint and brushes. In the outdoor play area, children climbed stationary equipment and played in toy houses with dried leaves and pinecones. I observed children playing with giant checker pieces, tossing balls to each other, and playing in the sand with toy vehicles. Toddlers were observed climbing on push/pull toys and riding toy rockers. In space #7, infants were observed cruising furniture and exploring the classroom space. Teachers were observed sitting on the floor with infants as they received tummy time and played with soft materials. Upon return indoors, staff assisted children with completing toileting routines and hand washing at bathrooms located inside each classroom. Lunch, prepared and served by R. Shaw, consisted of hotdog on bun, tater tots, banana, and milk. Following lunch, children completed hand washing routines before preparing for rest time. Children were observed resting on mats with clean linen as soft instrumental music played. A Staff and Training Worksheet was completed during today’s visit for three (3) new staff members. The most recent fire drill was completed on March 28, 2024 and a shelter-in-place drill was completed on January 31, 2024. The most recent playground inspection was conducted April 3, 2024. An incident report was received via email from R. Shaw on April 8, 2024 regarding a child who received medical treatment. Based on the report, the child who has a known food allergy was served peanut butter. During today’s visit, I reviewed the child’s file including the current medical action plan. At the completion of the visit, the Visit Summary was reviewed with R. Shaw. The following violation was observed: Violation Number Comment Rule 509 Food required for any special diet was not provided by parent or center. Based on an incident report that was received from the administrator, a child with a know food allergy was served peanut butter crackers for snack on April 4, 2024. Food required for the child's special diet or food substitution was not provided by the parent or the center. .0901(h) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The current menu posted in the food preparation area stated children were served cheese crackers for snack on April 4, 2024. Based on an incident report submitted by the administrator, it was confirmed that peanut butter crackers were served for snack on April 4, 2024. The violation was corrected when the administrator corrected the menu in the food prep area to reflect the snack that was served on April 4, 2024. 10A NCAC 09 .0901(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Documentation was not on file verifying that three (3) new staff members received six clock hours of training in required topic areas within the first two weeks of employment. .1101(a)(b) 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on April 24, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Yolanda Pridgen Child Care Consultant P.O. Box 25561 Fayetteville, NC 28314 yolanda.pridgen@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Classroom Observation: I observed space #1 from 9:30am to 9:50am. The teacher and R. Shaw were observed guiding children in creating AB patterns by tapping their hands on the tables as if they were tapping a drum. Children were encouraged to listen carefully to R. Shaw as she tapped out a pattern and ask them to repeat it alternating their left and right hand. Teachers transitioned children to story time by asking them if they brought a book from home for show and tell. Children shared their personal books with the class and R. Shaw read them to everyone discussing each book. I discussed with the administrator the positive interactions and various learning opportunities available to children throughout the classroom. I recommend staff remain flexible in activities based on children’s interest and attention span. I suggest teachers continue to have meaningful conversations and interactions with children. I encourage teachers to give children opportunities to respond to their statement or question and encourage peer conversations. New Staff Orientation: A violation for Documentation of Staff Orientation was cited during today’s visit. Each center shall ensure that each new employee who is expected to have contact with children receives a minimum of 16 clock hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six clock hours of orientation within the first two weeks of employment as listed in the top section of this chart. As a reminder, new staff orientation may not be counted toward annual on-going training requirements. Refer to child care rule 10A NCAC 09 .1101. Child Care Health Consultant: The Cumberland County Department of Public Health current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov. Visit the website https://nccchcassociation.org/resources/, under resources there are several links that may be beneficial for your Family Child Care Home. For example, Caring for Our Children, My Plate, Safe Kids NC, and many others. The following website will also provide more information about the Child Care Health Consultants. The Child Care Health Consultant provides support in the following areas, but not limited to: oral health, illness, infectious disease, emergency preparedness, health related areas, nutrition, environmental health, and physical activity. For addition information areas, visit the website, https://healthychildcare.unc.edu/child-care-health-consultants/about-cchc/. Natural Outdoor Learning Initiative: 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 feel free to contact me at yolanda.pridgen@dhhs.nc.gov or 910-305-2371 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

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .1101 · Violation

Name of Operation: STEPPING STONES LEARNING ACADEMY #5, LLC Facility ID: 26002552 Consultant: YOLANDA PRIDGEN Operation Type: Center Case Number: Visit Date: 4/10/2024 Number Present: 62 Completed Date: 4/10/2024 Age: From 0 To 5 Total Minutes: 345 Time In: 09:15 AM Time Out: 03:00 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 September 12, 2023, and prior to today’s visit, the eighteen-month compliance history score was 89%, which exceeds requirements by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three (3) Star License issued March 23, 2023. The License was based on the program earning four (4) points in education standards, two (2) points in program standards, and one (1) quality point by choosing to meet an educational option: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Raquel Shaw 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 February 27, 2024. Fire Classification of approved for day time care only completed February 12, 2024. Raquel Shaw, Administrator, and Nicalda Bruno Smith, were present during the visit and working in classrooms due to staffing issues. I observed the indoor and outdoor areas unaccompanied by a staff member. I observed preschool-aged children playing with age-appropriate materials both indoors and outdoors. Children in space #1 were observed creating AB patterns by tapping their hands on the table. In space #4, the teacher assisted children who were creating individual paintings on construction paper using tempera paint and brushes. In the outdoor play area, children climbed stationary equipment and played in toy houses with dried leaves and pinecones. I observed children playing with giant checker pieces, tossing balls to each other, and playing in the sand with toy vehicles. Toddlers were observed climbing on push/pull toys and riding toy rockers. In space #7, infants were observed cruising furniture and exploring the classroom space. Teachers were observed sitting on the floor with infants as they received tummy time and played with soft materials. Upon return indoors, staff assisted children with completing toileting routines and hand washing at bathrooms located inside each classroom. Lunch, prepared and served by R. Shaw, consisted of hotdog on bun, tater tots, banana, and milk. Following lunch, children completed hand washing routines before preparing for rest time. Children were observed resting on mats with clean linen as soft instrumental music played. A Staff and Training Worksheet was completed during today’s visit for three (3) new staff members. The most recent fire drill was completed on March 28, 2024 and a shelter-in-place drill was completed on January 31, 2024. The most recent playground inspection was conducted April 3, 2024. An incident report was received via email from R. Shaw on April 8, 2024 regarding a child who received medical treatment. Based on the report, the child who has a known food allergy was served peanut butter. During today’s visit, I reviewed the child’s file including the current medical action plan. At the completion of the visit, the Visit Summary was reviewed with R. Shaw. The following violation was observed: Violation Number Comment Rule 509 Food required for any special diet was not provided by parent or center. Based on an incident report that was received from the administrator, a child with a know food allergy was served peanut butter crackers for snack on April 4, 2024. Food required for the child's special diet or food substitution was not provided by the parent or the center. .0901(h) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The current menu posted in the food preparation area stated children were served cheese crackers for snack on April 4, 2024. Based on an incident report submitted by the administrator, it was confirmed that peanut butter crackers were served for snack on April 4, 2024. The violation was corrected when the administrator corrected the menu in the food prep area to reflect the snack that was served on April 4, 2024. 10A NCAC 09 .0901(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Documentation was not on file verifying that three (3) new staff members received six clock hours of training in required topic areas within the first two weeks of employment. .1101(a)(b) 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on April 24, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Yolanda Pridgen Child Care Consultant P.O. Box 25561 Fayetteville, NC 28314 yolanda.pridgen@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Classroom Observation: I observed space #1 from 9:30am to 9:50am. The teacher and R. Shaw were observed guiding children in creating AB patterns by tapping their hands on the tables as if they were tapping a drum. Children were encouraged to listen carefully to R. Shaw as she tapped out a pattern and ask them to repeat it alternating their left and right hand. Teachers transitioned children to story time by asking them if they brought a book from home for show and tell. Children shared their personal books with the class and R. Shaw read them to everyone discussing each book. I discussed with the administrator the positive interactions and various learning opportunities available to children throughout the classroom. I recommend staff remain flexible in activities based on children’s interest and attention span. I suggest teachers continue to have meaningful conversations and interactions with children. I encourage teachers to give children opportunities to respond to their statement or question and encourage peer conversations. New Staff Orientation: A violation for Documentation of Staff Orientation was cited during today’s visit. Each center shall ensure that each new employee who is expected to have contact with children receives a minimum of 16 clock hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six clock hours of orientation within the first two weeks of employment as listed in the top section of this chart. As a reminder, new staff orientation may not be counted toward annual on-going training requirements. Refer to child care rule 10A NCAC 09 .1101. Child Care Health Consultant: The Cumberland County Department of Public Health current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov. Visit the website https://nccchcassociation.org/resources/, under resources there are several links that may be beneficial for your Family Child Care Home. For example, Caring for Our Children, My Plate, Safe Kids NC, and many others. The following website will also provide more information about the Child Care Health Consultants. The Child Care Health Consultant provides support in the following areas, but not limited to: oral health, illness, infectious disease, emergency preparedness, health related areas, nutrition, environmental health, and physical activity. For addition information areas, visit the website, https://healthychildcare.unc.edu/child-care-health-consultants/about-cchc/. Natural Outdoor Learning Initiative: 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 feel free to contact me at yolanda.pridgen@dhhs.nc.gov or 910-305-2371 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

NC GS 110-90 · Violation

Name of Operation: STEPPING STONES LEARNING ACADEMY #5, LLC Facility ID: 26002552 Consultant: YOLANDA PRIDGEN Operation Type: Center Case Number: Visit Date: 4/10/2024 Number Present: 62 Completed Date: 4/10/2024 Age: From 0 To 5 Total Minutes: 345 Time In: 09:15 AM Time Out: 03:00 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 September 12, 2023, and prior to today’s visit, the eighteen-month compliance history score was 89%, which exceeds requirements by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three (3) Star License issued March 23, 2023. The License was based on the program earning four (4) points in education standards, two (2) points in program standards, and one (1) quality point by choosing to meet an educational option: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Raquel Shaw 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 February 27, 2024. Fire Classification of approved for day time care only completed February 12, 2024. Raquel Shaw, Administrator, and Nicalda Bruno Smith, were present during the visit and working in classrooms due to staffing issues. I observed the indoor and outdoor areas unaccompanied by a staff member. I observed preschool-aged children playing with age-appropriate materials both indoors and outdoors. Children in space #1 were observed creating AB patterns by tapping their hands on the table. In space #4, the teacher assisted children who were creating individual paintings on construction paper using tempera paint and brushes. In the outdoor play area, children climbed stationary equipment and played in toy houses with dried leaves and pinecones. I observed children playing with giant checker pieces, tossing balls to each other, and playing in the sand with toy vehicles. Toddlers were observed climbing on push/pull toys and riding toy rockers. In space #7, infants were observed cruising furniture and exploring the classroom space. Teachers were observed sitting on the floor with infants as they received tummy time and played with soft materials. Upon return indoors, staff assisted children with completing toileting routines and hand washing at bathrooms located inside each classroom. Lunch, prepared and served by R. Shaw, consisted of hotdog on bun, tater tots, banana, and milk. Following lunch, children completed hand washing routines before preparing for rest time. Children were observed resting on mats with clean linen as soft instrumental music played. A Staff and Training Worksheet was completed during today’s visit for three (3) new staff members. The most recent fire drill was completed on March 28, 2024 and a shelter-in-place drill was completed on January 31, 2024. The most recent playground inspection was conducted April 3, 2024. An incident report was received via email from R. Shaw on April 8, 2024 regarding a child who received medical treatment. Based on the report, the child who has a known food allergy was served peanut butter. During today’s visit, I reviewed the child’s file including the current medical action plan. At the completion of the visit, the Visit Summary was reviewed with R. Shaw. The following violation was observed: Violation Number Comment Rule 509 Food required for any special diet was not provided by parent or center. Based on an incident report that was received from the administrator, a child with a know food allergy was served peanut butter crackers for snack on April 4, 2024. Food required for the child's special diet or food substitution was not provided by the parent or the center. .0901(h) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The current menu posted in the food preparation area stated children were served cheese crackers for snack on April 4, 2024. Based on an incident report submitted by the administrator, it was confirmed that peanut butter crackers were served for snack on April 4, 2024. The violation was corrected when the administrator corrected the menu in the food prep area to reflect the snack that was served on April 4, 2024. 10A NCAC 09 .0901(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Documentation was not on file verifying that three (3) new staff members received six clock hours of training in required topic areas within the first two weeks of employment. .1101(a)(b) 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on April 24, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Yolanda Pridgen Child Care Consultant P.O. Box 25561 Fayetteville, NC 28314 yolanda.pridgen@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Classroom Observation: I observed space #1 from 9:30am to 9:50am. The teacher and R. Shaw were observed guiding children in creating AB patterns by tapping their hands on the tables as if they were tapping a drum. Children were encouraged to listen carefully to R. Shaw as she tapped out a pattern and ask them to repeat it alternating their left and right hand. Teachers transitioned children to story time by asking them if they brought a book from home for show and tell. Children shared their personal books with the class and R. Shaw read them to everyone discussing each book. I discussed with the administrator the positive interactions and various learning opportunities available to children throughout the classroom. I recommend staff remain flexible in activities based on children’s interest and attention span. I suggest teachers continue to have meaningful conversations and interactions with children. I encourage teachers to give children opportunities to respond to their statement or question and encourage peer conversations. New Staff Orientation: A violation for Documentation of Staff Orientation was cited during today’s visit. Each center shall ensure that each new employee who is expected to have contact with children receives a minimum of 16 clock hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six clock hours of orientation within the first two weeks of employment as listed in the top section of this chart. As a reminder, new staff orientation may not be counted toward annual on-going training requirements. Refer to child care rule 10A NCAC 09 .1101. Child Care Health Consultant: The Cumberland County Department of Public Health current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov. Visit the website https://nccchcassociation.org/resources/, under resources there are several links that may be beneficial for your Family Child Care Home. For example, Caring for Our Children, My Plate, Safe Kids NC, and many others. The following website will also provide more information about the Child Care Health Consultants. The Child Care Health Consultant provides support in the following areas, but not limited to: oral health, illness, infectious disease, emergency preparedness, health related areas, nutrition, environmental health, and physical activity. For addition information areas, visit the website, https://healthychildcare.unc.edu/child-care-health-consultants/about-cchc/. Natural Outdoor Learning Initiative: 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 feel free to contact me at yolanda.pridgen@dhhs.nc.gov or 910-305-2371 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

10A NCAC 09 .0802 · Violation

Name of Operation: STEPPING STONES LEARNING ACADEMY #5, LLC Facility ID: 26002552 Consultant: STACEY EATON Operation Type: Center Case Number: 0723-059A Visit Date: 1/18/2024 Number Present: 58 Completed Date: 1/18/2024 Age: From 1 To 5 Total Minutes: 110 Time In: 10:55 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up A/N Announced/Unannounced: Unannounced The purpose of this unannounced visit was to monitor compliance with the Corrective Action Plan (CAP), included in the Written Warning, issued on December 13, 2023. Raquel Shaw, Administrator, was unable to accompany me during a walk-through of the facility. I spoke with Ms. Shaw, Administrator, and discussed the purpose of the visit. I observed a copy of the administrative action, cover letter, and CAP posted as required located on a bulletin board near the front entrance of the facility. I also reminded Ms. Shaw that the information must remain posted for three months or until receipt of a closure letter from the Division. Limited monitoring of child care requirements occurred during today’s visit. I reviewed a copy of the staff training worksheet and verified that Criminal background check qualification letters, First Aid/CPR and ITS-SIDS were current for all staff members except for one staff member whose First Aid/CPR should have been renewed by November 27, 2023, however, she has been registered and scheduled for February 24, 2024. I was informed that two staff are no longer employed at facility and one new staff member (hire date December 13, 2023) has been hired within the last thirty days who is in the process of scheduling First Aid/CPR which expires on January 19, 2024. Two violations were cited during today’s visit. Violation Number Comment Rule 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 whose start date was August 22, 2023 did not have a current First Aid certification on file that should have been completed by November 27, 2023. During today's visit the staff member scheduled to renew the First Aid Training on February 24, 2024. .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 did not have a current CPR Training certification on file, the staff member date of employment was on August 22, 2023 and should have completed the training by November 22, 2023. During today's visit, the staff member scheduled the CPR training for February 24, 2024. .1102(d) Violations must be corrected immediately. Within one week February 8, 2024 you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at. Stacey Eaton, Investigations Consultant, Phone#: (910)260-2071, Fax#: (910)425-7124, Email Address: stacey.eaton@dhhs.nc.gov. 1.The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: •Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision •Child Care Rule 10A NCAC 09 .0802(a) regarding Emergency Medical Care Plan •Child Care Rule 10A NCAC 09 .0802(g)(1-6) regarding program records 1/18/24- No violations regarding the basis of the action were cited during today’s visit. This Stipulation is in compliance. 2.Within one (1) week after this Notice is received, Raquel Shaw, administrator, shall contact Julanda Jett, Partnership for Children of Cumberland County, telephone number 910-826-3055, to arrange for training regarding supervision of children. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory training. Documentation of the training shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. 1/18/24-Ms. Shaw attempted to contact Ms. Jett on December 19, 2023 and left a message and spoke to Ms. Jett on December 20, 2023. On January 3, Ms. Shaw spoke to Ms. Jett again who referred her to Silvia Murphy. Ms. Shaw spoke to Ms. Murphy on January 8, 2024, as Ms. Murphy provided two training dates (2/1/24 or 2/10/24). On January 12, 2024, Ms. Shaw and Ms. Murphy scheduled training for February 1, 2024. This stipulation is complete as required by the Division. 3.Within two (2) weeks after the training is completed, Ms. Shaw shall develop supplementary written policies and procedures to the facility’s existing Emergency Medical Care (EMC) plan that provides clear instructions to staff members regarding implementation of the EMC plan. The written policies and procedures regarding the EMC plan shall include, but not be limited to, the following: •Information about the types of illnesses and injuries that require immediate implementation of the EMC plan •Procedures for responding to burns •Detailed instructions describing what steps the staff members will take to thoroughly assess a child when an incident occurs •A requirement and procedures for staff members to immediately notify the facility director, or a designated person in the director’s absence, when a child is suspected of having an injury •Procedures for ensuring a person listed on the EMC plan is on site and available to assess injuries during all operating hours •A requirement and procedures for notifying parents, guardians, or documented emergency contacts of any incidents during which children may be injured or become ill; including the timeframe and method for notification and documentation of what information was provided, and to whom, during the notification process •A plan for completing an incident report, obtaining parent’s signature, and submitting to the Division within 7 days if medical treatment is obtained •A plan for entering information on the incident log at the time of injury •A plan to regularly review policies with all staff members, including during new employee orientation before they assume child care responsibilities •Requirement for all staff members to refer to and follow the first aid information sheet when first aid is needed •Plan to ensure the first aid poster remains current and contains the most up to date first aid information The written policies and procedures shall be submitted to Stacey Eaton, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-260-2071, email: stacey.eaton@dhhs.nc.gov, for approval. Ms. Eaton shall notify Ms. Shaw, orally and in writing, as to whether the written policies and procedures are approved or if modifications are needed. Once approved the written policies and procedures shall be immediately implemented and incorporated into the facility’s permanent operating procedures. A copy of the approved policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. 1/18/24-Ms. Shaw was reminded that two weeks following the training in Stipulation #2 on February 1, 2024, the revised EMC Policy and Procedures must be submitted to the Division by February 15, 2024 for approval. This Stipulation is not complete. 4.Within two (2) weeks after approval of the supplementary policies and procedures to the EMC plan, Ms. Shaw shall conduct a mandatory staff meeting to review the approved policies and procedures. Documentation of the staff meeting shall be an attendance roster with the printed and signed names of each participant and include the date, time, agenda, and minutes of the meeting. All documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. 1/18/24-Ms. Shaw was reminded once the revised EMC Policy and Procedures in Stipulation #3 is approved by the Division, she must have a mandatory staff meeting within two weeks of the approval. This Stipulation is not complete. 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 .1801 · Violation

Name of Operation: STEPPING STONES LEARNING ACADEMY #5, LLC Facility ID: 26002552 Consultant: STACEY EATON Operation Type: Center Case Number: 0723-059A Visit Date: 1/18/2024 Number Present: 58 Completed Date: 1/18/2024 Age: From 1 To 5 Total Minutes: 110 Time In: 10:55 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up A/N Announced/Unannounced: Unannounced The purpose of this unannounced visit was to monitor compliance with the Corrective Action Plan (CAP), included in the Written Warning, issued on December 13, 2023. Raquel Shaw, Administrator, was unable to accompany me during a walk-through of the facility. I spoke with Ms. Shaw, Administrator, and discussed the purpose of the visit. I observed a copy of the administrative action, cover letter, and CAP posted as required located on a bulletin board near the front entrance of the facility. I also reminded Ms. Shaw that the information must remain posted for three months or until receipt of a closure letter from the Division. Limited monitoring of child care requirements occurred during today’s visit. I reviewed a copy of the staff training worksheet and verified that Criminal background check qualification letters, First Aid/CPR and ITS-SIDS were current for all staff members except for one staff member whose First Aid/CPR should have been renewed by November 27, 2023, however, she has been registered and scheduled for February 24, 2024. I was informed that two staff are no longer employed at facility and one new staff member (hire date December 13, 2023) has been hired within the last thirty days who is in the process of scheduling First Aid/CPR which expires on January 19, 2024. Two violations were cited during today’s visit. Violation Number Comment Rule 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 whose start date was August 22, 2023 did not have a current First Aid certification on file that should have been completed by November 27, 2023. During today's visit the staff member scheduled to renew the First Aid Training on February 24, 2024. .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 did not have a current CPR Training certification on file, the staff member date of employment was on August 22, 2023 and should have completed the training by November 22, 2023. During today's visit, the staff member scheduled the CPR training for February 24, 2024. .1102(d) Violations must be corrected immediately. Within one week February 8, 2024 you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at. Stacey Eaton, Investigations Consultant, Phone#: (910)260-2071, Fax#: (910)425-7124, Email Address: stacey.eaton@dhhs.nc.gov. 1.The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: •Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision •Child Care Rule 10A NCAC 09 .0802(a) regarding Emergency Medical Care Plan •Child Care Rule 10A NCAC 09 .0802(g)(1-6) regarding program records 1/18/24- No violations regarding the basis of the action were cited during today’s visit. This Stipulation is in compliance. 2.Within one (1) week after this Notice is received, Raquel Shaw, administrator, shall contact Julanda Jett, Partnership for Children of Cumberland County, telephone number 910-826-3055, to arrange for training regarding supervision of children. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory training. Documentation of the training shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. 1/18/24-Ms. Shaw attempted to contact Ms. Jett on December 19, 2023 and left a message and spoke to Ms. Jett on December 20, 2023. On January 3, Ms. Shaw spoke to Ms. Jett again who referred her to Silvia Murphy. Ms. Shaw spoke to Ms. Murphy on January 8, 2024, as Ms. Murphy provided two training dates (2/1/24 or 2/10/24). On January 12, 2024, Ms. Shaw and Ms. Murphy scheduled training for February 1, 2024. This stipulation is complete as required by the Division. 3.Within two (2) weeks after the training is completed, Ms. Shaw shall develop supplementary written policies and procedures to the facility’s existing Emergency Medical Care (EMC) plan that provides clear instructions to staff members regarding implementation of the EMC plan. The written policies and procedures regarding the EMC plan shall include, but not be limited to, the following: •Information about the types of illnesses and injuries that require immediate implementation of the EMC plan •Procedures for responding to burns •Detailed instructions describing what steps the staff members will take to thoroughly assess a child when an incident occurs •A requirement and procedures for staff members to immediately notify the facility director, or a designated person in the director’s absence, when a child is suspected of having an injury •Procedures for ensuring a person listed on the EMC plan is on site and available to assess injuries during all operating hours •A requirement and procedures for notifying parents, guardians, or documented emergency contacts of any incidents during which children may be injured or become ill; including the timeframe and method for notification and documentation of what information was provided, and to whom, during the notification process •A plan for completing an incident report, obtaining parent’s signature, and submitting to the Division within 7 days if medical treatment is obtained •A plan for entering information on the incident log at the time of injury •A plan to regularly review policies with all staff members, including during new employee orientation before they assume child care responsibilities •Requirement for all staff members to refer to and follow the first aid information sheet when first aid is needed •Plan to ensure the first aid poster remains current and contains the most up to date first aid information The written policies and procedures shall be submitted to Stacey Eaton, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-260-2071, email: stacey.eaton@dhhs.nc.gov, for approval. Ms. Eaton shall notify Ms. Shaw, orally and in writing, as to whether the written policies and procedures are approved or if modifications are needed. Once approved the written policies and procedures shall be immediately implemented and incorporated into the facility’s permanent operating procedures. A copy of the approved policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. 1/18/24-Ms. Shaw was reminded that two weeks following the training in Stipulation #2 on February 1, 2024, the revised EMC Policy and Procedures must be submitted to the Division by February 15, 2024 for approval. This Stipulation is not complete. 4.Within two (2) weeks after approval of the supplementary policies and procedures to the EMC plan, Ms. Shaw shall conduct a mandatory staff meeting to review the approved policies and procedures. Documentation of the staff meeting shall be an attendance roster with the printed and signed names of each participant and include the date, time, agenda, and minutes of the meeting. All documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. 1/18/24-Ms. Shaw was reminded once the revised EMC Policy and Procedures in Stipulation #3 is approved by the Division, she must have a mandatory staff meeting within two weeks of the approval. This Stipulation is not complete. 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 09.0802 · Violation

Name of Operation: STEPPING STONES LEARNING ACADEMY #5, LLC Facility ID: 26002552 Consultant: STACEY EATON Operation Type: Center Case Number: 0723-059A Visit Date: 7/18/2023 Number Present: 62 Completed Date: 7/18/2023 Age: From 0 To 9 Total Minutes: 120 Time In: 10:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Raquel Shaw, Director, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Shaw and three other staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. One-year-old child was not adequately supervised after falling off a table multiple times causing a mark/injury to chin and staff member found a deep cut on the child's hand, cause of injury unknown. .1801(a)(1-5) 873 Center staff did not follow the EMC plan. EMC plan not followed regarding delay in contacting parents for at least four hours after child got sand/dirt in eyes causing severe swelling. 10A NCAC 09.0802(a) You may contact me at Stacey Eaton, Investigations Consultant, Phone#: (910)260-2071, Fax#: (910)425-7124, Email Address: stacey.eaton@dhhs.nc.gov or Melissa Loehr, Southeastern Investigations Supervisor, Email Address: melissa.loehr@dhhs.nc.gov. Thank you for your time. 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.