10A NCAC 09 .0604 · Violation

Name of Operation: TRINITY CHILD CARE II Facility ID: 2659014 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 5/20/2025 Number Present: 125 Completed Date: 5/20/2025 Age: From 2 To 5 Total Minutes: 315 Time In: 09:30 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance visit was completed December 11, 2024 and prior to today’s visit, the eighteen-month compliance history score was 88% 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 08, 2022. The License was based on the program earning 7 points in education standards, 5 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with 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 Linda Vandevender, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 28, 2025. Fire Classification of Approved for Day Time Care Only was completed on November 05, 2024. Linda Vandevender, Administrator, and Denyelle Malloy, Legal Designee, were present while I observed the indoor and outdoor areas. Upon my arrival, one-hundred and twenty-five (125) children and seventeen (17) teachers were present. Spaces #AB2, #C1, #D1, #C2D2, and K1 were not used for child care. The spaces were monitored for general health and safety requirements, and were observed in compliance with applicable child care rules. Groups of children were observed participating in various free-choice, literacy, and outdoor play activities. Children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. In Space #E1, children were observed sitting in a carpeted area while the teacher read a book titled “Hole on a Log”. The group transitioned to exercise, stretching, and mindful breathing activities. Water spots were observed on ceiling tiles, near the cubbies. In Space #F1, children were observed sitting in a carpeted area while the teacher read a book titled “Look Out Kindergarten, Here I Come!” Before reading the book, the teacher reviewed the front, back, and spine of book with children. The teacher also reviewed who the author and illustrator of the book were, including the responsibilities of the author and illustrator. Six electrical outlets were observed without safety covers. In Space # F2, children were observed participating in free-choice activities. The group from Space #G1 was observed in the outdoor learning environment. The children were observed dancing to music, playing the stationary xylophone, exploring the stationary playground equipment, and participating in sand play. In Space #G2, children were observed participating in free-choice activities. In Space #H1, children were observed sitting in a carpeted area while the teacher read a book titled “Harold and the Purple Crayon”. In the story, Harold would draw things with a crayon, and the things would appear out of thin air. A child raised her hand and asked the teacher, “What is ‘thin air’?” The teacher responded by saying, “It means nothing. Like to come up with something out of nothing.” After reading the story, the teacher asked the children, “Can you remember what Harold drew with his crayon?” One child responded by saying, “A building with windows.” Another child responded by saying, “A bed with a pillow and blanket.” A third child responded by saying, “He drew the moon.” The group from Space #H2 was observed in the outdoor learning environment. The children were observed dancing to music, exploring the stationary equipment, and participating in sand play. In Space #L1, children were observed participating in free-choice activities. In Space #L2, children were observed sitting in a carpeted area while listening and clapping to music. The group had transitioned from outdoor play and were in the process of washing their hands. Water spots were observed on several ceiling tiles. Routine care and handwashing practices were observed. Lunch consisted of chicken taco on flour tortilla, pinto beans, pineapple tidbits, and milk. There were no infants or toddlers enrolled at the facility. Files were reviewed for two staff I have never seen before. One staff member did not complete a health questionnaire on or before the first day of work. One staff member did not retake the required Recognizing and Responding to Suspicions of Child Maltreatment training prior to the previous training’s expiration date. Program files were reviewed. The most recent sanitation inspection was not completed within 365 days of the previous inspection. At the completion of the visit, the Visit Summary was reviewed with L. Vandevender. The following violations were observed: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Water spots were observed on the ceilings of Spaces #E1 and #L2. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Six unused electrical outlets were observed without safety covers in Space #F1. When this was brought to the legal designee's attention, she immediately put safety covers over the electrical outlets. 10A NCAC 09 .0604(c) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The most recent sanitation inspection was completed on 4/28/25. The previous inspection was completed on 3/28/24. GS 110-91 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. M. Pratt, Lead Teacher, did not have a completed health questionnaire on file (DOH: 8/12/24). .0701(d) 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. M. Parker, Substitute, had an expired Recognizing and Responding to Suspicions of Child Maltreatment certificate on file. The training was completed on 1/21/2017. .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. Additionally, by 5:00pm on June 03, 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: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@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 Childcare ID# 12345678 TA/Consultation: Conditions of Walls and Ceilings A violation was cited today for the condition of ceiling tiles observed throughout the facility. Children readily engage in play and explore their environments. The physical structure where children spend each day can present caregivers/teachers with special safety concerns if the structure is not kept in good repair and maintained in a safe condition. For example, peeling paint in an older building may be ingested, floor surfaces in disrepair could cause falls and other injury, and bulging ceilings can collapse and cause injuries. The administrator and legal designee both stated that these violations were previously cited on their recent sanitation inspection, and they are in the process of having the ceiling tiles replaced. For more information about wall and ceiling requirements, refer to child care sanitation rule 15A NCAC 18A .2825. Special Training A violation was cited today for a staff member having expired certificate for the required Recognizing and Responding to Suspicions of Child Maltreatment training. Caregivers/teachers should receive initial and ongoing training to assist them in preventing child abuse and neglect and in recognizing signs of child abuse and neglect. Caregivers/teachers are mandated reporters of child abuse and neglect. Every staff member should be oriented to what and how to report. For more information about the requirements for this training, refer to child care rules 10A NCAC 09 .1102(g) and .1103(b). Staff Medical Files A violation was cited today for a staff member not having a health questionnaire on file. Caregivers/teachers need to be physically and emotionally healthy to perform the tasks of providing care to children. All paid and volunteer staff members should have a health appraisal before their first involvement in child care work. The appraisal should identify any accommodations required of the facility for the staff person to function in his or her assigned position. For more information about the requirements for staff medical files, refer to child care rule 10A NCAC 09 .0701. Preschool Observation I discussed the results from my preschool classroom observations with L. Vandevender. I suggested for teachers to continue to have meaningful conversations with children throughout the day and provide opportunities for parallel discussions between children and staff. Self-talk and Parallel talk will both be necessary in providing a language-rich environment. I also recommended that teachers continue to provide open-ended questions, allowing the children to respond to what they think needs to happen, instead of giving directives to children. Reminders: 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. Register now through May 23, 2025. 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. For more information and for registration, please visit https://www.pbsnc.org/education/impact-summit/. 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 DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: TRINITY CHILD CARE II Facility ID: 2659014 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 5/20/2025 Number Present: 125 Completed Date: 5/20/2025 Age: From 2 To 5 Total Minutes: 315 Time In: 09:30 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance visit was completed December 11, 2024 and prior to today’s visit, the eighteen-month compliance history score was 88% 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 08, 2022. The License was based on the program earning 7 points in education standards, 5 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with 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 Linda Vandevender, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 28, 2025. Fire Classification of Approved for Day Time Care Only was completed on November 05, 2024. Linda Vandevender, Administrator, and Denyelle Malloy, Legal Designee, were present while I observed the indoor and outdoor areas. Upon my arrival, one-hundred and twenty-five (125) children and seventeen (17) teachers were present. Spaces #AB2, #C1, #D1, #C2D2, and K1 were not used for child care. The spaces were monitored for general health and safety requirements, and were observed in compliance with applicable child care rules. Groups of children were observed participating in various free-choice, literacy, and outdoor play activities. Children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. In Space #E1, children were observed sitting in a carpeted area while the teacher read a book titled “Hole on a Log”. The group transitioned to exercise, stretching, and mindful breathing activities. Water spots were observed on ceiling tiles, near the cubbies. In Space #F1, children were observed sitting in a carpeted area while the teacher read a book titled “Look Out Kindergarten, Here I Come!” Before reading the book, the teacher reviewed the front, back, and spine of book with children. The teacher also reviewed who the author and illustrator of the book were, including the responsibilities of the author and illustrator. Six electrical outlets were observed without safety covers. In Space # F2, children were observed participating in free-choice activities. The group from Space #G1 was observed in the outdoor learning environment. The children were observed dancing to music, playing the stationary xylophone, exploring the stationary playground equipment, and participating in sand play. In Space #G2, children were observed participating in free-choice activities. In Space #H1, children were observed sitting in a carpeted area while the teacher read a book titled “Harold and the Purple Crayon”. In the story, Harold would draw things with a crayon, and the things would appear out of thin air. A child raised her hand and asked the teacher, “What is ‘thin air’?” The teacher responded by saying, “It means nothing. Like to come up with something out of nothing.” After reading the story, the teacher asked the children, “Can you remember what Harold drew with his crayon?” One child responded by saying, “A building with windows.” Another child responded by saying, “A bed with a pillow and blanket.” A third child responded by saying, “He drew the moon.” The group from Space #H2 was observed in the outdoor learning environment. The children were observed dancing to music, exploring the stationary equipment, and participating in sand play. In Space #L1, children were observed participating in free-choice activities. In Space #L2, children were observed sitting in a carpeted area while listening and clapping to music. The group had transitioned from outdoor play and were in the process of washing their hands. Water spots were observed on several ceiling tiles. Routine care and handwashing practices were observed. Lunch consisted of chicken taco on flour tortilla, pinto beans, pineapple tidbits, and milk. There were no infants or toddlers enrolled at the facility. Files were reviewed for two staff I have never seen before. One staff member did not complete a health questionnaire on or before the first day of work. One staff member did not retake the required Recognizing and Responding to Suspicions of Child Maltreatment training prior to the previous training’s expiration date. Program files were reviewed. The most recent sanitation inspection was not completed within 365 days of the previous inspection. At the completion of the visit, the Visit Summary was reviewed with L. Vandevender. The following violations were observed: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Water spots were observed on the ceilings of Spaces #E1 and #L2. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Six unused electrical outlets were observed without safety covers in Space #F1. When this was brought to the legal designee's attention, she immediately put safety covers over the electrical outlets. 10A NCAC 09 .0604(c) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The most recent sanitation inspection was completed on 4/28/25. The previous inspection was completed on 3/28/24. GS 110-91 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. M. Pratt, Lead Teacher, did not have a completed health questionnaire on file (DOH: 8/12/24). .0701(d) 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. M. Parker, Substitute, had an expired Recognizing and Responding to Suspicions of Child Maltreatment certificate on file. The training was completed on 1/21/2017. .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. Additionally, by 5:00pm on June 03, 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: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@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 Childcare ID# 12345678 TA/Consultation: Conditions of Walls and Ceilings A violation was cited today for the condition of ceiling tiles observed throughout the facility. Children readily engage in play and explore their environments. The physical structure where children spend each day can present caregivers/teachers with special safety concerns if the structure is not kept in good repair and maintained in a safe condition. For example, peeling paint in an older building may be ingested, floor surfaces in disrepair could cause falls and other injury, and bulging ceilings can collapse and cause injuries. The administrator and legal designee both stated that these violations were previously cited on their recent sanitation inspection, and they are in the process of having the ceiling tiles replaced. For more information about wall and ceiling requirements, refer to child care sanitation rule 15A NCAC 18A .2825. Special Training A violation was cited today for a staff member having expired certificate for the required Recognizing and Responding to Suspicions of Child Maltreatment training. Caregivers/teachers should receive initial and ongoing training to assist them in preventing child abuse and neglect and in recognizing signs of child abuse and neglect. Caregivers/teachers are mandated reporters of child abuse and neglect. Every staff member should be oriented to what and how to report. For more information about the requirements for this training, refer to child care rules 10A NCAC 09 .1102(g) and .1103(b). Staff Medical Files A violation was cited today for a staff member not having a health questionnaire on file. Caregivers/teachers need to be physically and emotionally healthy to perform the tasks of providing care to children. All paid and volunteer staff members should have a health appraisal before their first involvement in child care work. The appraisal should identify any accommodations required of the facility for the staff person to function in his or her assigned position. For more information about the requirements for staff medical files, refer to child care rule 10A NCAC 09 .0701. Preschool Observation I discussed the results from my preschool classroom observations with L. Vandevender. I suggested for teachers to continue to have meaningful conversations with children throughout the day and provide opportunities for parallel discussions between children and staff. Self-talk and Parallel talk will both be necessary in providing a language-rich environment. I also recommended that teachers continue to provide open-ended questions, allowing the children to respond to what they think needs to happen, instead of giving directives to children. Reminders: 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. Register now through May 23, 2025. 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. For more information and for registration, please visit https://www.pbsnc.org/education/impact-summit/. 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 DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: TRINITY CHILD CARE II Facility ID: 2659014 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 5/20/2025 Number Present: 125 Completed Date: 5/20/2025 Age: From 2 To 5 Total Minutes: 315 Time In: 09:30 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance visit was completed December 11, 2024 and prior to today’s visit, the eighteen-month compliance history score was 88% 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 08, 2022. The License was based on the program earning 7 points in education standards, 5 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with 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 Linda Vandevender, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 28, 2025. Fire Classification of Approved for Day Time Care Only was completed on November 05, 2024. Linda Vandevender, Administrator, and Denyelle Malloy, Legal Designee, were present while I observed the indoor and outdoor areas. Upon my arrival, one-hundred and twenty-five (125) children and seventeen (17) teachers were present. Spaces #AB2, #C1, #D1, #C2D2, and K1 were not used for child care. The spaces were monitored for general health and safety requirements, and were observed in compliance with applicable child care rules. Groups of children were observed participating in various free-choice, literacy, and outdoor play activities. Children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. In Space #E1, children were observed sitting in a carpeted area while the teacher read a book titled “Hole on a Log”. The group transitioned to exercise, stretching, and mindful breathing activities. Water spots were observed on ceiling tiles, near the cubbies. In Space #F1, children were observed sitting in a carpeted area while the teacher read a book titled “Look Out Kindergarten, Here I Come!” Before reading the book, the teacher reviewed the front, back, and spine of book with children. The teacher also reviewed who the author and illustrator of the book were, including the responsibilities of the author and illustrator. Six electrical outlets were observed without safety covers. In Space # F2, children were observed participating in free-choice activities. The group from Space #G1 was observed in the outdoor learning environment. The children were observed dancing to music, playing the stationary xylophone, exploring the stationary playground equipment, and participating in sand play. In Space #G2, children were observed participating in free-choice activities. In Space #H1, children were observed sitting in a carpeted area while the teacher read a book titled “Harold and the Purple Crayon”. In the story, Harold would draw things with a crayon, and the things would appear out of thin air. A child raised her hand and asked the teacher, “What is ‘thin air’?” The teacher responded by saying, “It means nothing. Like to come up with something out of nothing.” After reading the story, the teacher asked the children, “Can you remember what Harold drew with his crayon?” One child responded by saying, “A building with windows.” Another child responded by saying, “A bed with a pillow and blanket.” A third child responded by saying, “He drew the moon.” The group from Space #H2 was observed in the outdoor learning environment. The children were observed dancing to music, exploring the stationary equipment, and participating in sand play. In Space #L1, children were observed participating in free-choice activities. In Space #L2, children were observed sitting in a carpeted area while listening and clapping to music. The group had transitioned from outdoor play and were in the process of washing their hands. Water spots were observed on several ceiling tiles. Routine care and handwashing practices were observed. Lunch consisted of chicken taco on flour tortilla, pinto beans, pineapple tidbits, and milk. There were no infants or toddlers enrolled at the facility. Files were reviewed for two staff I have never seen before. One staff member did not complete a health questionnaire on or before the first day of work. One staff member did not retake the required Recognizing and Responding to Suspicions of Child Maltreatment training prior to the previous training’s expiration date. Program files were reviewed. The most recent sanitation inspection was not completed within 365 days of the previous inspection. At the completion of the visit, the Visit Summary was reviewed with L. Vandevender. The following violations were observed: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Water spots were observed on the ceilings of Spaces #E1 and #L2. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Six unused electrical outlets were observed without safety covers in Space #F1. When this was brought to the legal designee's attention, she immediately put safety covers over the electrical outlets. 10A NCAC 09 .0604(c) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The most recent sanitation inspection was completed on 4/28/25. The previous inspection was completed on 3/28/24. GS 110-91 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. M. Pratt, Lead Teacher, did not have a completed health questionnaire on file (DOH: 8/12/24). .0701(d) 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. M. Parker, Substitute, had an expired Recognizing and Responding to Suspicions of Child Maltreatment certificate on file. The training was completed on 1/21/2017. .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. Additionally, by 5:00pm on June 03, 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: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@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 Childcare ID# 12345678 TA/Consultation: Conditions of Walls and Ceilings A violation was cited today for the condition of ceiling tiles observed throughout the facility. Children readily engage in play and explore their environments. The physical structure where children spend each day can present caregivers/teachers with special safety concerns if the structure is not kept in good repair and maintained in a safe condition. For example, peeling paint in an older building may be ingested, floor surfaces in disrepair could cause falls and other injury, and bulging ceilings can collapse and cause injuries. The administrator and legal designee both stated that these violations were previously cited on their recent sanitation inspection, and they are in the process of having the ceiling tiles replaced. For more information about wall and ceiling requirements, refer to child care sanitation rule 15A NCAC 18A .2825. Special Training A violation was cited today for a staff member having expired certificate for the required Recognizing and Responding to Suspicions of Child Maltreatment training. Caregivers/teachers should receive initial and ongoing training to assist them in preventing child abuse and neglect and in recognizing signs of child abuse and neglect. Caregivers/teachers are mandated reporters of child abuse and neglect. Every staff member should be oriented to what and how to report. For more information about the requirements for this training, refer to child care rules 10A NCAC 09 .1102(g) and .1103(b). Staff Medical Files A violation was cited today for a staff member not having a health questionnaire on file. Caregivers/teachers need to be physically and emotionally healthy to perform the tasks of providing care to children. All paid and volunteer staff members should have a health appraisal before their first involvement in child care work. The appraisal should identify any accommodations required of the facility for the staff person to function in his or her assigned position. For more information about the requirements for staff medical files, refer to child care rule 10A NCAC 09 .0701. Preschool Observation I discussed the results from my preschool classroom observations with L. Vandevender. I suggested for teachers to continue to have meaningful conversations with children throughout the day and provide opportunities for parallel discussions between children and staff. Self-talk and Parallel talk will both be necessary in providing a language-rich environment. I also recommended that teachers continue to provide open-ended questions, allowing the children to respond to what they think needs to happen, instead of giving directives to children. Reminders: 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. Register now through May 23, 2025. 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. For more information and for registration, please visit https://www.pbsnc.org/education/impact-summit/. 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 DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: TRINITY CHILD CARE II Facility ID: 2659014 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 5/20/2025 Number Present: 125 Completed Date: 5/20/2025 Age: From 2 To 5 Total Minutes: 315 Time In: 09:30 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance visit was completed December 11, 2024 and prior to today’s visit, the eighteen-month compliance history score was 88% 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 08, 2022. The License was based on the program earning 7 points in education standards, 5 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with 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 Linda Vandevender, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 28, 2025. Fire Classification of Approved for Day Time Care Only was completed on November 05, 2024. Linda Vandevender, Administrator, and Denyelle Malloy, Legal Designee, were present while I observed the indoor and outdoor areas. Upon my arrival, one-hundred and twenty-five (125) children and seventeen (17) teachers were present. Spaces #AB2, #C1, #D1, #C2D2, and K1 were not used for child care. The spaces were monitored for general health and safety requirements, and were observed in compliance with applicable child care rules. Groups of children were observed participating in various free-choice, literacy, and outdoor play activities. Children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. In Space #E1, children were observed sitting in a carpeted area while the teacher read a book titled “Hole on a Log”. The group transitioned to exercise, stretching, and mindful breathing activities. Water spots were observed on ceiling tiles, near the cubbies. In Space #F1, children were observed sitting in a carpeted area while the teacher read a book titled “Look Out Kindergarten, Here I Come!” Before reading the book, the teacher reviewed the front, back, and spine of book with children. The teacher also reviewed who the author and illustrator of the book were, including the responsibilities of the author and illustrator. Six electrical outlets were observed without safety covers. In Space # F2, children were observed participating in free-choice activities. The group from Space #G1 was observed in the outdoor learning environment. The children were observed dancing to music, playing the stationary xylophone, exploring the stationary playground equipment, and participating in sand play. In Space #G2, children were observed participating in free-choice activities. In Space #H1, children were observed sitting in a carpeted area while the teacher read a book titled “Harold and the Purple Crayon”. In the story, Harold would draw things with a crayon, and the things would appear out of thin air. A child raised her hand and asked the teacher, “What is ‘thin air’?” The teacher responded by saying, “It means nothing. Like to come up with something out of nothing.” After reading the story, the teacher asked the children, “Can you remember what Harold drew with his crayon?” One child responded by saying, “A building with windows.” Another child responded by saying, “A bed with a pillow and blanket.” A third child responded by saying, “He drew the moon.” The group from Space #H2 was observed in the outdoor learning environment. The children were observed dancing to music, exploring the stationary equipment, and participating in sand play. In Space #L1, children were observed participating in free-choice activities. In Space #L2, children were observed sitting in a carpeted area while listening and clapping to music. The group had transitioned from outdoor play and were in the process of washing their hands. Water spots were observed on several ceiling tiles. Routine care and handwashing practices were observed. Lunch consisted of chicken taco on flour tortilla, pinto beans, pineapple tidbits, and milk. There were no infants or toddlers enrolled at the facility. Files were reviewed for two staff I have never seen before. One staff member did not complete a health questionnaire on or before the first day of work. One staff member did not retake the required Recognizing and Responding to Suspicions of Child Maltreatment training prior to the previous training’s expiration date. Program files were reviewed. The most recent sanitation inspection was not completed within 365 days of the previous inspection. At the completion of the visit, the Visit Summary was reviewed with L. Vandevender. The following violations were observed: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Water spots were observed on the ceilings of Spaces #E1 and #L2. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Six unused electrical outlets were observed without safety covers in Space #F1. When this was brought to the legal designee's attention, she immediately put safety covers over the electrical outlets. 10A NCAC 09 .0604(c) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The most recent sanitation inspection was completed on 4/28/25. The previous inspection was completed on 3/28/24. GS 110-91 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. M. Pratt, Lead Teacher, did not have a completed health questionnaire on file (DOH: 8/12/24). .0701(d) 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. M. Parker, Substitute, had an expired Recognizing and Responding to Suspicions of Child Maltreatment certificate on file. The training was completed on 1/21/2017. .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. Additionally, by 5:00pm on June 03, 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: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@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 Childcare ID# 12345678 TA/Consultation: Conditions of Walls and Ceilings A violation was cited today for the condition of ceiling tiles observed throughout the facility. Children readily engage in play and explore their environments. The physical structure where children spend each day can present caregivers/teachers with special safety concerns if the structure is not kept in good repair and maintained in a safe condition. For example, peeling paint in an older building may be ingested, floor surfaces in disrepair could cause falls and other injury, and bulging ceilings can collapse and cause injuries. The administrator and legal designee both stated that these violations were previously cited on their recent sanitation inspection, and they are in the process of having the ceiling tiles replaced. For more information about wall and ceiling requirements, refer to child care sanitation rule 15A NCAC 18A .2825. Special Training A violation was cited today for a staff member having expired certificate for the required Recognizing and Responding to Suspicions of Child Maltreatment training. Caregivers/teachers should receive initial and ongoing training to assist them in preventing child abuse and neglect and in recognizing signs of child abuse and neglect. Caregivers/teachers are mandated reporters of child abuse and neglect. Every staff member should be oriented to what and how to report. For more information about the requirements for this training, refer to child care rules 10A NCAC 09 .1102(g) and .1103(b). Staff Medical Files A violation was cited today for a staff member not having a health questionnaire on file. Caregivers/teachers need to be physically and emotionally healthy to perform the tasks of providing care to children. All paid and volunteer staff members should have a health appraisal before their first involvement in child care work. The appraisal should identify any accommodations required of the facility for the staff person to function in his or her assigned position. For more information about the requirements for staff medical files, refer to child care rule 10A NCAC 09 .0701. Preschool Observation I discussed the results from my preschool classroom observations with L. Vandevender. I suggested for teachers to continue to have meaningful conversations with children throughout the day and provide opportunities for parallel discussions between children and staff. Self-talk and Parallel talk will both be necessary in providing a language-rich environment. I also recommended that teachers continue to provide open-ended questions, allowing the children to respond to what they think needs to happen, instead of giving directives to children. Reminders: 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. Register now through May 23, 2025. 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. For more information and for registration, please visit https://www.pbsnc.org/education/impact-summit/. 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 DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: TRINITY CHILD CARE II Facility ID: 2659014 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 5/20/2025 Number Present: 125 Completed Date: 5/20/2025 Age: From 2 To 5 Total Minutes: 315 Time In: 09:30 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance visit was completed December 11, 2024 and prior to today’s visit, the eighteen-month compliance history score was 88% 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 08, 2022. The License was based on the program earning 7 points in education standards, 5 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with 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 Linda Vandevender, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 28, 2025. Fire Classification of Approved for Day Time Care Only was completed on November 05, 2024. Linda Vandevender, Administrator, and Denyelle Malloy, Legal Designee, were present while I observed the indoor and outdoor areas. Upon my arrival, one-hundred and twenty-five (125) children and seventeen (17) teachers were present. Spaces #AB2, #C1, #D1, #C2D2, and K1 were not used for child care. The spaces were monitored for general health and safety requirements, and were observed in compliance with applicable child care rules. Groups of children were observed participating in various free-choice, literacy, and outdoor play activities. Children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. In Space #E1, children were observed sitting in a carpeted area while the teacher read a book titled “Hole on a Log”. The group transitioned to exercise, stretching, and mindful breathing activities. Water spots were observed on ceiling tiles, near the cubbies. In Space #F1, children were observed sitting in a carpeted area while the teacher read a book titled “Look Out Kindergarten, Here I Come!” Before reading the book, the teacher reviewed the front, back, and spine of book with children. The teacher also reviewed who the author and illustrator of the book were, including the responsibilities of the author and illustrator. Six electrical outlets were observed without safety covers. In Space # F2, children were observed participating in free-choice activities. The group from Space #G1 was observed in the outdoor learning environment. The children were observed dancing to music, playing the stationary xylophone, exploring the stationary playground equipment, and participating in sand play. In Space #G2, children were observed participating in free-choice activities. In Space #H1, children were observed sitting in a carpeted area while the teacher read a book titled “Harold and the Purple Crayon”. In the story, Harold would draw things with a crayon, and the things would appear out of thin air. A child raised her hand and asked the teacher, “What is ‘thin air’?” The teacher responded by saying, “It means nothing. Like to come up with something out of nothing.” After reading the story, the teacher asked the children, “Can you remember what Harold drew with his crayon?” One child responded by saying, “A building with windows.” Another child responded by saying, “A bed with a pillow and blanket.” A third child responded by saying, “He drew the moon.” The group from Space #H2 was observed in the outdoor learning environment. The children were observed dancing to music, exploring the stationary equipment, and participating in sand play. In Space #L1, children were observed participating in free-choice activities. In Space #L2, children were observed sitting in a carpeted area while listening and clapping to music. The group had transitioned from outdoor play and were in the process of washing their hands. Water spots were observed on several ceiling tiles. Routine care and handwashing practices were observed. Lunch consisted of chicken taco on flour tortilla, pinto beans, pineapple tidbits, and milk. There were no infants or toddlers enrolled at the facility. Files were reviewed for two staff I have never seen before. One staff member did not complete a health questionnaire on or before the first day of work. One staff member did not retake the required Recognizing and Responding to Suspicions of Child Maltreatment training prior to the previous training’s expiration date. Program files were reviewed. The most recent sanitation inspection was not completed within 365 days of the previous inspection. At the completion of the visit, the Visit Summary was reviewed with L. Vandevender. The following violations were observed: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Water spots were observed on the ceilings of Spaces #E1 and #L2. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Six unused electrical outlets were observed without safety covers in Space #F1. When this was brought to the legal designee's attention, she immediately put safety covers over the electrical outlets. 10A NCAC 09 .0604(c) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The most recent sanitation inspection was completed on 4/28/25. The previous inspection was completed on 3/28/24. GS 110-91 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. M. Pratt, Lead Teacher, did not have a completed health questionnaire on file (DOH: 8/12/24). .0701(d) 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. M. Parker, Substitute, had an expired Recognizing and Responding to Suspicions of Child Maltreatment certificate on file. The training was completed on 1/21/2017. .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. Additionally, by 5:00pm on June 03, 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: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@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 Childcare ID# 12345678 TA/Consultation: Conditions of Walls and Ceilings A violation was cited today for the condition of ceiling tiles observed throughout the facility. Children readily engage in play and explore their environments. The physical structure where children spend each day can present caregivers/teachers with special safety concerns if the structure is not kept in good repair and maintained in a safe condition. For example, peeling paint in an older building may be ingested, floor surfaces in disrepair could cause falls and other injury, and bulging ceilings can collapse and cause injuries. The administrator and legal designee both stated that these violations were previously cited on their recent sanitation inspection, and they are in the process of having the ceiling tiles replaced. For more information about wall and ceiling requirements, refer to child care sanitation rule 15A NCAC 18A .2825. Special Training A violation was cited today for a staff member having expired certificate for the required Recognizing and Responding to Suspicions of Child Maltreatment training. Caregivers/teachers should receive initial and ongoing training to assist them in preventing child abuse and neglect and in recognizing signs of child abuse and neglect. Caregivers/teachers are mandated reporters of child abuse and neglect. Every staff member should be oriented to what and how to report. For more information about the requirements for this training, refer to child care rules 10A NCAC 09 .1102(g) and .1103(b). Staff Medical Files A violation was cited today for a staff member not having a health questionnaire on file. Caregivers/teachers need to be physically and emotionally healthy to perform the tasks of providing care to children. All paid and volunteer staff members should have a health appraisal before their first involvement in child care work. The appraisal should identify any accommodations required of the facility for the staff person to function in his or her assigned position. For more information about the requirements for staff medical files, refer to child care rule 10A NCAC 09 .0701. Preschool Observation I discussed the results from my preschool classroom observations with L. Vandevender. I suggested for teachers to continue to have meaningful conversations with children throughout the day and provide opportunities for parallel discussions between children and staff. Self-talk and Parallel talk will both be necessary in providing a language-rich environment. I also recommended that teachers continue to provide open-ended questions, allowing the children to respond to what they think needs to happen, instead of giving directives to children. Reminders: 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. Register now through May 23, 2025. 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. For more information and for registration, please visit https://www.pbsnc.org/education/impact-summit/. 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 DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: TRINITY CHILD CARE II Facility ID: 2659014 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 12/11/2024 Number Present: 122 Completed Date: 12/11/2024 Age: From 2 To 5 Total Minutes: 420 Time In: 10:00 AM Time Out: 03:00 PM Time In: 04:00 PM Time Out: 06:00 PM 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 and the NC Pre-K program using Child Care Rules Section .3000 pertinent to an Annual Compliance visit. The previous Annual Compliance visit was completed on December 18, 2023, and prior to today’s visit, the eighteen-month compliance history score was 94% 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 08, 2022. The License was based on the program earning 7 points in education standards, 5 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with 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 and the owner’s corporation status was listed as current – active. Current Inspections are as follows: Sanitation Classification of Superior was completed on March 28, 2024. Fire Classification of Approved for Daytime Care Only was completed on November 05, 2024. Denyelle Malloy, Legal Designee, was present while I observed the indoor and outdoor areas. Linda Vandevender, Administrator, and Mary Mathis, Administrator, arrived later during the visit. One-hundred-and-twenty-two (122) children and sixteen (16) teachers were present upon my arrival. Children were observed participating in free-choice activities, literacy activities, and indoor gross motor activities. Children had access to blocks, fine motor, dramatic play, art, music, and literacy materials. In Space #E1, children were observed participating in a tree decorating activity with ice cream cones, frosting, marshmallows, M&M’s candy, and sprinkles. In the classroom bathrooms, three electrical outlets were observed uncovered and accessible to children. In Space #F1, children were observed participating in a candy cane art activity and free-choice activities. A plug-in air freshener was observed in an outlet, below five feet from the finished floor. In Space #F2, children were observed participating in free-choice activities. In Space #G1, the teacher assistant read a book to children on the carpet, while the lead teacher cleaned and sanitized tables, preparing for lunch. In Space #G2, children were observed participating in a watercolor art activity. In Space #H1, children were observed participating in a dance activity, before transitioning to a game of alphabet Bingo. A reptile was observed in a tank and was being kept as a classroom pet. In Space #H2, children were observed eating lunch. In Space #L1, children were observed eating lunch before transitioning to free-choice activities. In Space #L2, children were observed eating lunch before transitioning to rest time and quiet activities. Routine care and handwashing practices were observed. Lunch consisted of cheeseburger on whole wheat bun, tater tots, applesauce, and milk. Due to rainy weather, children were not observed in the outdoor learning environment. However, it was monitored for playground safety requirements. Six staff files were reviewed. Two staff members did not complete all required health and safety training topics within five years of completing their previous health and safety training. Three staff members did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member did not have a valid medical report on file. One staff member did not have a valid TB test indicating negative results on file. Fourteen children’s records were reviewed, and all documentation was in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed. The most recent fire drill was completed on November 25, 2024. The most recent shelter-in-place/lockdown drill was completed on April 18, 2024. A copy of the most recent fire inspection report was received during today’s visit. NC Pre-K program requirements were reviewed. The Creative Curriculum was implemented in the classroom activities. Teaching Strategies GOLD was used to create activity plans. Teaching Strategies GOLD was also used to assess children. Twelve NC Pre-K children’s records were reviewed. A health assessment and hearing/vision screening was on file for each child. Dental screenings were not on file for six children enrolled in the NC Pre-K program. Developmental screenings were completed for each enrolled child and were available for review on the ASQ online portal. At the completion of the visit, the visit summary was reviewed with D. Malloy. The following violations were observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection report was not submitted to DCDEE within one week of the inspection. The most recent fire inspection was completed on November 05, 2024. The most recent fire inspection was submitted to the child care consultant during today's visit. 10A NCAC 09 .0304(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #E1, in the bathrooms, three electrical outlets were observed uncovered and accessible to children. The legal designee immediately found three outlet covers and placed them into the uncovered outlets. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #F1, a plug-in air freshener was observed in an outlet, below five feet from the finished floor. The legal designee had a staff member remove the air freshener plug-in from the classroom and replaced it with an outlet cover. .2820(b) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. In Space #H1, a reptile was observed being kept as a pet in a tank. GS 110-91 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (G.M.) did not have a valid medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member (G.M.) did not have a valid TB test indicating negative results on file. .0701(a) 1769 The health assessment did not include a dental screening. Six children, enrolled in the NC Pre-K program, did not have a dental screening on file. .3005 (a)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the emergency drill log reviewed, the most recent shelter-in-place/lockdown drill was completed on April 18, 2024. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Three staff members (H.J., M.P., and L.R.) did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 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 (M.M. and T.J.) did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within five years of completing the previous training. .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 December 25, 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: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@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 Childcare ID# 12345678 Facility Specific TA Medical Records A violation was cited today for a staff member not having a current medical report on file. According to Child Care Rule .0701(a), child care providers and uncompensated providers who are not substitute providers or volunteers, including the director, shall obtain a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children prior to employment. When submitted, the medical statement shall not be older than 12 months. A violation was also cited today for a staff member not having current TB test/screening results on file. According to Child Care Rule .0701(a), all staff, including the director and individuals who volunteer more than once per week, shall obtain Tuberculin (TB) Test or Screening results indicating the individual is free of active tuberculosis on or before the first day of work. When submitted, the TB test or screening results shall not be older than 12 months. We discussed utilizing the staff file checklist to ensure that all medical requirements are completed before their specified deadlines. Safe Indoor Environment A violation was cited today for uncovered electrical outlets observed in your facility. According to child care rule 10A NCAC 09 .0604(c), when not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. We discussed the possibility of implementing a daily safety checklist to ensure all safety requirements are in compliance before children arrive for the day. Hazardous Items Storage A violation was cited for an air-freshener plug-in being accessible to children. According to child care sanitation rule 15A NCAC 18A .2820(b), all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. A copy of the DCDEE Hazardous Items Storage printout was left with the legal designee. Emergency Drills A violation was cited today for not completing quarterly shelter-in-place or lockdown drills. According to child care rule 10A NCAC 09 .0604(u), a "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). We discussed having a staff member review the emergency drill log monthly to ensure that quarterly drills are completed at least once every three months. Animal and Vermin Control A violation was cited today for a reptile being kept as a classroom pet. According to child care sanitation rule 15A NCAC 18A .2831(a), turtles, iguanas, frogs, salamanders, and other reptiles or amphibians are not allowed to be kept as pets on the premises. The reptile needs to be removed from the premises immediately. Health and Safety Training A violation was cited for two staff members not completing all required health and safety training topics within five years of their previous health and safety training. According to child care rule 10A NCAC 09 .1103(b), Health and safety training shall be completed as part of on-going training so that every five years, all of the following topic areas will have been covered: (1)Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Required Special Training A violation was cited today for three staff members not completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. According to child care rule 10A NCAC 09 .1102(g), the child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. NC Pre-K Requirements A violation was cited today for children not having dental screenings on file. According to child care rule 10A NCAC 09 .3005(a)(5), a health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. Reminders Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Training Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .0102 · Violation

Name of Operation: TRINITY CHILD CARE II Facility ID: 2659014 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 12/11/2024 Number Present: 122 Completed Date: 12/11/2024 Age: From 2 To 5 Total Minutes: 420 Time In: 10:00 AM Time Out: 03:00 PM Time In: 04:00 PM Time Out: 06:00 PM 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 and the NC Pre-K program using Child Care Rules Section .3000 pertinent to an Annual Compliance visit. The previous Annual Compliance visit was completed on December 18, 2023, and prior to today’s visit, the eighteen-month compliance history score was 94% 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 08, 2022. The License was based on the program earning 7 points in education standards, 5 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with 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 and the owner’s corporation status was listed as current – active. Current Inspections are as follows: Sanitation Classification of Superior was completed on March 28, 2024. Fire Classification of Approved for Daytime Care Only was completed on November 05, 2024. Denyelle Malloy, Legal Designee, was present while I observed the indoor and outdoor areas. Linda Vandevender, Administrator, and Mary Mathis, Administrator, arrived later during the visit. One-hundred-and-twenty-two (122) children and sixteen (16) teachers were present upon my arrival. Children were observed participating in free-choice activities, literacy activities, and indoor gross motor activities. Children had access to blocks, fine motor, dramatic play, art, music, and literacy materials. In Space #E1, children were observed participating in a tree decorating activity with ice cream cones, frosting, marshmallows, M&M’s candy, and sprinkles. In the classroom bathrooms, three electrical outlets were observed uncovered and accessible to children. In Space #F1, children were observed participating in a candy cane art activity and free-choice activities. A plug-in air freshener was observed in an outlet, below five feet from the finished floor. In Space #F2, children were observed participating in free-choice activities. In Space #G1, the teacher assistant read a book to children on the carpet, while the lead teacher cleaned and sanitized tables, preparing for lunch. In Space #G2, children were observed participating in a watercolor art activity. In Space #H1, children were observed participating in a dance activity, before transitioning to a game of alphabet Bingo. A reptile was observed in a tank and was being kept as a classroom pet. In Space #H2, children were observed eating lunch. In Space #L1, children were observed eating lunch before transitioning to free-choice activities. In Space #L2, children were observed eating lunch before transitioning to rest time and quiet activities. Routine care and handwashing practices were observed. Lunch consisted of cheeseburger on whole wheat bun, tater tots, applesauce, and milk. Due to rainy weather, children were not observed in the outdoor learning environment. However, it was monitored for playground safety requirements. Six staff files were reviewed. Two staff members did not complete all required health and safety training topics within five years of completing their previous health and safety training. Three staff members did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member did not have a valid medical report on file. One staff member did not have a valid TB test indicating negative results on file. Fourteen children’s records were reviewed, and all documentation was in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed. The most recent fire drill was completed on November 25, 2024. The most recent shelter-in-place/lockdown drill was completed on April 18, 2024. A copy of the most recent fire inspection report was received during today’s visit. NC Pre-K program requirements were reviewed. The Creative Curriculum was implemented in the classroom activities. Teaching Strategies GOLD was used to create activity plans. Teaching Strategies GOLD was also used to assess children. Twelve NC Pre-K children’s records were reviewed. A health assessment and hearing/vision screening was on file for each child. Dental screenings were not on file for six children enrolled in the NC Pre-K program. Developmental screenings were completed for each enrolled child and were available for review on the ASQ online portal. At the completion of the visit, the visit summary was reviewed with D. Malloy. The following violations were observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection report was not submitted to DCDEE within one week of the inspection. The most recent fire inspection was completed on November 05, 2024. The most recent fire inspection was submitted to the child care consultant during today's visit. 10A NCAC 09 .0304(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #E1, in the bathrooms, three electrical outlets were observed uncovered and accessible to children. The legal designee immediately found three outlet covers and placed them into the uncovered outlets. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #F1, a plug-in air freshener was observed in an outlet, below five feet from the finished floor. The legal designee had a staff member remove the air freshener plug-in from the classroom and replaced it with an outlet cover. .2820(b) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. In Space #H1, a reptile was observed being kept as a pet in a tank. GS 110-91 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (G.M.) did not have a valid medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member (G.M.) did not have a valid TB test indicating negative results on file. .0701(a) 1769 The health assessment did not include a dental screening. Six children, enrolled in the NC Pre-K program, did not have a dental screening on file. .3005 (a)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the emergency drill log reviewed, the most recent shelter-in-place/lockdown drill was completed on April 18, 2024. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Three staff members (H.J., M.P., and L.R.) did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 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 (M.M. and T.J.) did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within five years of completing the previous training. .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 December 25, 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: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@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 Childcare ID# 12345678 Facility Specific TA Medical Records A violation was cited today for a staff member not having a current medical report on file. According to Child Care Rule .0701(a), child care providers and uncompensated providers who are not substitute providers or volunteers, including the director, shall obtain a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children prior to employment. When submitted, the medical statement shall not be older than 12 months. A violation was also cited today for a staff member not having current TB test/screening results on file. According to Child Care Rule .0701(a), all staff, including the director and individuals who volunteer more than once per week, shall obtain Tuberculin (TB) Test or Screening results indicating the individual is free of active tuberculosis on or before the first day of work. When submitted, the TB test or screening results shall not be older than 12 months. We discussed utilizing the staff file checklist to ensure that all medical requirements are completed before their specified deadlines. Safe Indoor Environment A violation was cited today for uncovered electrical outlets observed in your facility. According to child care rule 10A NCAC 09 .0604(c), when not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. We discussed the possibility of implementing a daily safety checklist to ensure all safety requirements are in compliance before children arrive for the day. Hazardous Items Storage A violation was cited for an air-freshener plug-in being accessible to children. According to child care sanitation rule 15A NCAC 18A .2820(b), all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. A copy of the DCDEE Hazardous Items Storage printout was left with the legal designee. Emergency Drills A violation was cited today for not completing quarterly shelter-in-place or lockdown drills. According to child care rule 10A NCAC 09 .0604(u), a "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). We discussed having a staff member review the emergency drill log monthly to ensure that quarterly drills are completed at least once every three months. Animal and Vermin Control A violation was cited today for a reptile being kept as a classroom pet. According to child care sanitation rule 15A NCAC 18A .2831(a), turtles, iguanas, frogs, salamanders, and other reptiles or amphibians are not allowed to be kept as pets on the premises. The reptile needs to be removed from the premises immediately. Health and Safety Training A violation was cited for two staff members not completing all required health and safety training topics within five years of their previous health and safety training. According to child care rule 10A NCAC 09 .1103(b), Health and safety training shall be completed as part of on-going training so that every five years, all of the following topic areas will have been covered: (1)Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Required Special Training A violation was cited today for three staff members not completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. According to child care rule 10A NCAC 09 .1102(g), the child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. NC Pre-K Requirements A violation was cited today for children not having dental screenings on file. According to child care rule 10A NCAC 09 .3005(a)(5), a health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. Reminders Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Training Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: TRINITY CHILD CARE II Facility ID: 2659014 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 12/11/2024 Number Present: 122 Completed Date: 12/11/2024 Age: From 2 To 5 Total Minutes: 420 Time In: 10:00 AM Time Out: 03:00 PM Time In: 04:00 PM Time Out: 06:00 PM 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 and the NC Pre-K program using Child Care Rules Section .3000 pertinent to an Annual Compliance visit. The previous Annual Compliance visit was completed on December 18, 2023, and prior to today’s visit, the eighteen-month compliance history score was 94% 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 08, 2022. The License was based on the program earning 7 points in education standards, 5 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with 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 and the owner’s corporation status was listed as current – active. Current Inspections are as follows: Sanitation Classification of Superior was completed on March 28, 2024. Fire Classification of Approved for Daytime Care Only was completed on November 05, 2024. Denyelle Malloy, Legal Designee, was present while I observed the indoor and outdoor areas. Linda Vandevender, Administrator, and Mary Mathis, Administrator, arrived later during the visit. One-hundred-and-twenty-two (122) children and sixteen (16) teachers were present upon my arrival. Children were observed participating in free-choice activities, literacy activities, and indoor gross motor activities. Children had access to blocks, fine motor, dramatic play, art, music, and literacy materials. In Space #E1, children were observed participating in a tree decorating activity with ice cream cones, frosting, marshmallows, M&M’s candy, and sprinkles. In the classroom bathrooms, three electrical outlets were observed uncovered and accessible to children. In Space #F1, children were observed participating in a candy cane art activity and free-choice activities. A plug-in air freshener was observed in an outlet, below five feet from the finished floor. In Space #F2, children were observed participating in free-choice activities. In Space #G1, the teacher assistant read a book to children on the carpet, while the lead teacher cleaned and sanitized tables, preparing for lunch. In Space #G2, children were observed participating in a watercolor art activity. In Space #H1, children were observed participating in a dance activity, before transitioning to a game of alphabet Bingo. A reptile was observed in a tank and was being kept as a classroom pet. In Space #H2, children were observed eating lunch. In Space #L1, children were observed eating lunch before transitioning to free-choice activities. In Space #L2, children were observed eating lunch before transitioning to rest time and quiet activities. Routine care and handwashing practices were observed. Lunch consisted of cheeseburger on whole wheat bun, tater tots, applesauce, and milk. Due to rainy weather, children were not observed in the outdoor learning environment. However, it was monitored for playground safety requirements. Six staff files were reviewed. Two staff members did not complete all required health and safety training topics within five years of completing their previous health and safety training. Three staff members did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member did not have a valid medical report on file. One staff member did not have a valid TB test indicating negative results on file. Fourteen children’s records were reviewed, and all documentation was in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed. The most recent fire drill was completed on November 25, 2024. The most recent shelter-in-place/lockdown drill was completed on April 18, 2024. A copy of the most recent fire inspection report was received during today’s visit. NC Pre-K program requirements were reviewed. The Creative Curriculum was implemented in the classroom activities. Teaching Strategies GOLD was used to create activity plans. Teaching Strategies GOLD was also used to assess children. Twelve NC Pre-K children’s records were reviewed. A health assessment and hearing/vision screening was on file for each child. Dental screenings were not on file for six children enrolled in the NC Pre-K program. Developmental screenings were completed for each enrolled child and were available for review on the ASQ online portal. At the completion of the visit, the visit summary was reviewed with D. Malloy. The following violations were observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection report was not submitted to DCDEE within one week of the inspection. The most recent fire inspection was completed on November 05, 2024. The most recent fire inspection was submitted to the child care consultant during today's visit. 10A NCAC 09 .0304(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #E1, in the bathrooms, three electrical outlets were observed uncovered and accessible to children. The legal designee immediately found three outlet covers and placed them into the uncovered outlets. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #F1, a plug-in air freshener was observed in an outlet, below five feet from the finished floor. The legal designee had a staff member remove the air freshener plug-in from the classroom and replaced it with an outlet cover. .2820(b) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. In Space #H1, a reptile was observed being kept as a pet in a tank. GS 110-91 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (G.M.) did not have a valid medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member (G.M.) did not have a valid TB test indicating negative results on file. .0701(a) 1769 The health assessment did not include a dental screening. Six children, enrolled in the NC Pre-K program, did not have a dental screening on file. .3005 (a)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the emergency drill log reviewed, the most recent shelter-in-place/lockdown drill was completed on April 18, 2024. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Three staff members (H.J., M.P., and L.R.) did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 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 (M.M. and T.J.) did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within five years of completing the previous training. .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 December 25, 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: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@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 Childcare ID# 12345678 Facility Specific TA Medical Records A violation was cited today for a staff member not having a current medical report on file. According to Child Care Rule .0701(a), child care providers and uncompensated providers who are not substitute providers or volunteers, including the director, shall obtain a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children prior to employment. When submitted, the medical statement shall not be older than 12 months. A violation was also cited today for a staff member not having current TB test/screening results on file. According to Child Care Rule .0701(a), all staff, including the director and individuals who volunteer more than once per week, shall obtain Tuberculin (TB) Test or Screening results indicating the individual is free of active tuberculosis on or before the first day of work. When submitted, the TB test or screening results shall not be older than 12 months. We discussed utilizing the staff file checklist to ensure that all medical requirements are completed before their specified deadlines. Safe Indoor Environment A violation was cited today for uncovered electrical outlets observed in your facility. According to child care rule 10A NCAC 09 .0604(c), when not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. We discussed the possibility of implementing a daily safety checklist to ensure all safety requirements are in compliance before children arrive for the day. Hazardous Items Storage A violation was cited for an air-freshener plug-in being accessible to children. According to child care sanitation rule 15A NCAC 18A .2820(b), all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. A copy of the DCDEE Hazardous Items Storage printout was left with the legal designee. Emergency Drills A violation was cited today for not completing quarterly shelter-in-place or lockdown drills. According to child care rule 10A NCAC 09 .0604(u), a "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). We discussed having a staff member review the emergency drill log monthly to ensure that quarterly drills are completed at least once every three months. Animal and Vermin Control A violation was cited today for a reptile being kept as a classroom pet. According to child care sanitation rule 15A NCAC 18A .2831(a), turtles, iguanas, frogs, salamanders, and other reptiles or amphibians are not allowed to be kept as pets on the premises. The reptile needs to be removed from the premises immediately. Health and Safety Training A violation was cited for two staff members not completing all required health and safety training topics within five years of their previous health and safety training. According to child care rule 10A NCAC 09 .1103(b), Health and safety training shall be completed as part of on-going training so that every five years, all of the following topic areas will have been covered: (1)Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Required Special Training A violation was cited today for three staff members not completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. According to child care rule 10A NCAC 09 .1102(g), the child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. NC Pre-K Requirements A violation was cited today for children not having dental screenings on file. According to child care rule 10A NCAC 09 .3005(a)(5), a health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. Reminders Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Training Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: TRINITY CHILD CARE II Facility ID: 2659014 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 12/11/2024 Number Present: 122 Completed Date: 12/11/2024 Age: From 2 To 5 Total Minutes: 420 Time In: 10:00 AM Time Out: 03:00 PM Time In: 04:00 PM Time Out: 06:00 PM 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 and the NC Pre-K program using Child Care Rules Section .3000 pertinent to an Annual Compliance visit. The previous Annual Compliance visit was completed on December 18, 2023, and prior to today’s visit, the eighteen-month compliance history score was 94% 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 08, 2022. The License was based on the program earning 7 points in education standards, 5 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with 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 and the owner’s corporation status was listed as current – active. Current Inspections are as follows: Sanitation Classification of Superior was completed on March 28, 2024. Fire Classification of Approved for Daytime Care Only was completed on November 05, 2024. Denyelle Malloy, Legal Designee, was present while I observed the indoor and outdoor areas. Linda Vandevender, Administrator, and Mary Mathis, Administrator, arrived later during the visit. One-hundred-and-twenty-two (122) children and sixteen (16) teachers were present upon my arrival. Children were observed participating in free-choice activities, literacy activities, and indoor gross motor activities. Children had access to blocks, fine motor, dramatic play, art, music, and literacy materials. In Space #E1, children were observed participating in a tree decorating activity with ice cream cones, frosting, marshmallows, M&M’s candy, and sprinkles. In the classroom bathrooms, three electrical outlets were observed uncovered and accessible to children. In Space #F1, children were observed participating in a candy cane art activity and free-choice activities. A plug-in air freshener was observed in an outlet, below five feet from the finished floor. In Space #F2, children were observed participating in free-choice activities. In Space #G1, the teacher assistant read a book to children on the carpet, while the lead teacher cleaned and sanitized tables, preparing for lunch. In Space #G2, children were observed participating in a watercolor art activity. In Space #H1, children were observed participating in a dance activity, before transitioning to a game of alphabet Bingo. A reptile was observed in a tank and was being kept as a classroom pet. In Space #H2, children were observed eating lunch. In Space #L1, children were observed eating lunch before transitioning to free-choice activities. In Space #L2, children were observed eating lunch before transitioning to rest time and quiet activities. Routine care and handwashing practices were observed. Lunch consisted of cheeseburger on whole wheat bun, tater tots, applesauce, and milk. Due to rainy weather, children were not observed in the outdoor learning environment. However, it was monitored for playground safety requirements. Six staff files were reviewed. Two staff members did not complete all required health and safety training topics within five years of completing their previous health and safety training. Three staff members did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member did not have a valid medical report on file. One staff member did not have a valid TB test indicating negative results on file. Fourteen children’s records were reviewed, and all documentation was in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed. The most recent fire drill was completed on November 25, 2024. The most recent shelter-in-place/lockdown drill was completed on April 18, 2024. A copy of the most recent fire inspection report was received during today’s visit. NC Pre-K program requirements were reviewed. The Creative Curriculum was implemented in the classroom activities. Teaching Strategies GOLD was used to create activity plans. Teaching Strategies GOLD was also used to assess children. Twelve NC Pre-K children’s records were reviewed. A health assessment and hearing/vision screening was on file for each child. Dental screenings were not on file for six children enrolled in the NC Pre-K program. Developmental screenings were completed for each enrolled child and were available for review on the ASQ online portal. At the completion of the visit, the visit summary was reviewed with D. Malloy. The following violations were observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection report was not submitted to DCDEE within one week of the inspection. The most recent fire inspection was completed on November 05, 2024. The most recent fire inspection was submitted to the child care consultant during today's visit. 10A NCAC 09 .0304(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #E1, in the bathrooms, three electrical outlets were observed uncovered and accessible to children. The legal designee immediately found three outlet covers and placed them into the uncovered outlets. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #F1, a plug-in air freshener was observed in an outlet, below five feet from the finished floor. The legal designee had a staff member remove the air freshener plug-in from the classroom and replaced it with an outlet cover. .2820(b) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. In Space #H1, a reptile was observed being kept as a pet in a tank. GS 110-91 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (G.M.) did not have a valid medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member (G.M.) did not have a valid TB test indicating negative results on file. .0701(a) 1769 The health assessment did not include a dental screening. Six children, enrolled in the NC Pre-K program, did not have a dental screening on file. .3005 (a)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the emergency drill log reviewed, the most recent shelter-in-place/lockdown drill was completed on April 18, 2024. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Three staff members (H.J., M.P., and L.R.) did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 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 (M.M. and T.J.) did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within five years of completing the previous training. .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 December 25, 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: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@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 Childcare ID# 12345678 Facility Specific TA Medical Records A violation was cited today for a staff member not having a current medical report on file. According to Child Care Rule .0701(a), child care providers and uncompensated providers who are not substitute providers or volunteers, including the director, shall obtain a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children prior to employment. When submitted, the medical statement shall not be older than 12 months. A violation was also cited today for a staff member not having current TB test/screening results on file. According to Child Care Rule .0701(a), all staff, including the director and individuals who volunteer more than once per week, shall obtain Tuberculin (TB) Test or Screening results indicating the individual is free of active tuberculosis on or before the first day of work. When submitted, the TB test or screening results shall not be older than 12 months. We discussed utilizing the staff file checklist to ensure that all medical requirements are completed before their specified deadlines. Safe Indoor Environment A violation was cited today for uncovered electrical outlets observed in your facility. According to child care rule 10A NCAC 09 .0604(c), when not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. We discussed the possibility of implementing a daily safety checklist to ensure all safety requirements are in compliance before children arrive for the day. Hazardous Items Storage A violation was cited for an air-freshener plug-in being accessible to children. According to child care sanitation rule 15A NCAC 18A .2820(b), all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. A copy of the DCDEE Hazardous Items Storage printout was left with the legal designee. Emergency Drills A violation was cited today for not completing quarterly shelter-in-place or lockdown drills. According to child care rule 10A NCAC 09 .0604(u), a "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). We discussed having a staff member review the emergency drill log monthly to ensure that quarterly drills are completed at least once every three months. Animal and Vermin Control A violation was cited today for a reptile being kept as a classroom pet. According to child care sanitation rule 15A NCAC 18A .2831(a), turtles, iguanas, frogs, salamanders, and other reptiles or amphibians are not allowed to be kept as pets on the premises. The reptile needs to be removed from the premises immediately. Health and Safety Training A violation was cited for two staff members not completing all required health and safety training topics within five years of their previous health and safety training. According to child care rule 10A NCAC 09 .1103(b), Health and safety training shall be completed as part of on-going training so that every five years, all of the following topic areas will have been covered: (1)Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Required Special Training A violation was cited today for three staff members not completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. According to child care rule 10A NCAC 09 .1102(g), the child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. NC Pre-K Requirements A violation was cited today for children not having dental screenings on file. According to child care rule 10A NCAC 09 .3005(a)(5), a health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. Reminders Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Training Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: TRINITY CHILD CARE II Facility ID: 2659014 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 12/11/2024 Number Present: 122 Completed Date: 12/11/2024 Age: From 2 To 5 Total Minutes: 420 Time In: 10:00 AM Time Out: 03:00 PM Time In: 04:00 PM Time Out: 06:00 PM 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 and the NC Pre-K program using Child Care Rules Section .3000 pertinent to an Annual Compliance visit. The previous Annual Compliance visit was completed on December 18, 2023, and prior to today’s visit, the eighteen-month compliance history score was 94% 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 08, 2022. The License was based on the program earning 7 points in education standards, 5 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with 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 and the owner’s corporation status was listed as current – active. Current Inspections are as follows: Sanitation Classification of Superior was completed on March 28, 2024. Fire Classification of Approved for Daytime Care Only was completed on November 05, 2024. Denyelle Malloy, Legal Designee, was present while I observed the indoor and outdoor areas. Linda Vandevender, Administrator, and Mary Mathis, Administrator, arrived later during the visit. One-hundred-and-twenty-two (122) children and sixteen (16) teachers were present upon my arrival. Children were observed participating in free-choice activities, literacy activities, and indoor gross motor activities. Children had access to blocks, fine motor, dramatic play, art, music, and literacy materials. In Space #E1, children were observed participating in a tree decorating activity with ice cream cones, frosting, marshmallows, M&M’s candy, and sprinkles. In the classroom bathrooms, three electrical outlets were observed uncovered and accessible to children. In Space #F1, children were observed participating in a candy cane art activity and free-choice activities. A plug-in air freshener was observed in an outlet, below five feet from the finished floor. In Space #F2, children were observed participating in free-choice activities. In Space #G1, the teacher assistant read a book to children on the carpet, while the lead teacher cleaned and sanitized tables, preparing for lunch. In Space #G2, children were observed participating in a watercolor art activity. In Space #H1, children were observed participating in a dance activity, before transitioning to a game of alphabet Bingo. A reptile was observed in a tank and was being kept as a classroom pet. In Space #H2, children were observed eating lunch. In Space #L1, children were observed eating lunch before transitioning to free-choice activities. In Space #L2, children were observed eating lunch before transitioning to rest time and quiet activities. Routine care and handwashing practices were observed. Lunch consisted of cheeseburger on whole wheat bun, tater tots, applesauce, and milk. Due to rainy weather, children were not observed in the outdoor learning environment. However, it was monitored for playground safety requirements. Six staff files were reviewed. Two staff members did not complete all required health and safety training topics within five years of completing their previous health and safety training. Three staff members did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member did not have a valid medical report on file. One staff member did not have a valid TB test indicating negative results on file. Fourteen children’s records were reviewed, and all documentation was in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed. The most recent fire drill was completed on November 25, 2024. The most recent shelter-in-place/lockdown drill was completed on April 18, 2024. A copy of the most recent fire inspection report was received during today’s visit. NC Pre-K program requirements were reviewed. The Creative Curriculum was implemented in the classroom activities. Teaching Strategies GOLD was used to create activity plans. Teaching Strategies GOLD was also used to assess children. Twelve NC Pre-K children’s records were reviewed. A health assessment and hearing/vision screening was on file for each child. Dental screenings were not on file for six children enrolled in the NC Pre-K program. Developmental screenings were completed for each enrolled child and were available for review on the ASQ online portal. At the completion of the visit, the visit summary was reviewed with D. Malloy. The following violations were observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection report was not submitted to DCDEE within one week of the inspection. The most recent fire inspection was completed on November 05, 2024. The most recent fire inspection was submitted to the child care consultant during today's visit. 10A NCAC 09 .0304(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #E1, in the bathrooms, three electrical outlets were observed uncovered and accessible to children. The legal designee immediately found three outlet covers and placed them into the uncovered outlets. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #F1, a plug-in air freshener was observed in an outlet, below five feet from the finished floor. The legal designee had a staff member remove the air freshener plug-in from the classroom and replaced it with an outlet cover. .2820(b) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. In Space #H1, a reptile was observed being kept as a pet in a tank. GS 110-91 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (G.M.) did not have a valid medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member (G.M.) did not have a valid TB test indicating negative results on file. .0701(a) 1769 The health assessment did not include a dental screening. Six children, enrolled in the NC Pre-K program, did not have a dental screening on file. .3005 (a)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the emergency drill log reviewed, the most recent shelter-in-place/lockdown drill was completed on April 18, 2024. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Three staff members (H.J., M.P., and L.R.) did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 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 (M.M. and T.J.) did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within five years of completing the previous training. .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 December 25, 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: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@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 Childcare ID# 12345678 Facility Specific TA Medical Records A violation was cited today for a staff member not having a current medical report on file. According to Child Care Rule .0701(a), child care providers and uncompensated providers who are not substitute providers or volunteers, including the director, shall obtain a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children prior to employment. When submitted, the medical statement shall not be older than 12 months. A violation was also cited today for a staff member not having current TB test/screening results on file. According to Child Care Rule .0701(a), all staff, including the director and individuals who volunteer more than once per week, shall obtain Tuberculin (TB) Test or Screening results indicating the individual is free of active tuberculosis on or before the first day of work. When submitted, the TB test or screening results shall not be older than 12 months. We discussed utilizing the staff file checklist to ensure that all medical requirements are completed before their specified deadlines. Safe Indoor Environment A violation was cited today for uncovered electrical outlets observed in your facility. According to child care rule 10A NCAC 09 .0604(c), when not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. We discussed the possibility of implementing a daily safety checklist to ensure all safety requirements are in compliance before children arrive for the day. Hazardous Items Storage A violation was cited for an air-freshener plug-in being accessible to children. According to child care sanitation rule 15A NCAC 18A .2820(b), all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. A copy of the DCDEE Hazardous Items Storage printout was left with the legal designee. Emergency Drills A violation was cited today for not completing quarterly shelter-in-place or lockdown drills. According to child care rule 10A NCAC 09 .0604(u), a "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). We discussed having a staff member review the emergency drill log monthly to ensure that quarterly drills are completed at least once every three months. Animal and Vermin Control A violation was cited today for a reptile being kept as a classroom pet. According to child care sanitation rule 15A NCAC 18A .2831(a), turtles, iguanas, frogs, salamanders, and other reptiles or amphibians are not allowed to be kept as pets on the premises. The reptile needs to be removed from the premises immediately. Health and Safety Training A violation was cited for two staff members not completing all required health and safety training topics within five years of their previous health and safety training. According to child care rule 10A NCAC 09 .1103(b), Health and safety training shall be completed as part of on-going training so that every five years, all of the following topic areas will have been covered: (1)Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Required Special Training A violation was cited today for three staff members not completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. According to child care rule 10A NCAC 09 .1102(g), the child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. NC Pre-K Requirements A violation was cited today for children not having dental screenings on file. According to child care rule 10A NCAC 09 .3005(a)(5), a health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. Reminders Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Training Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: TRINITY CHILD CARE II Facility ID: 2659014 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 12/11/2024 Number Present: 122 Completed Date: 12/11/2024 Age: From 2 To 5 Total Minutes: 420 Time In: 10:00 AM Time Out: 03:00 PM Time In: 04:00 PM Time Out: 06:00 PM 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 and the NC Pre-K program using Child Care Rules Section .3000 pertinent to an Annual Compliance visit. The previous Annual Compliance visit was completed on December 18, 2023, and prior to today’s visit, the eighteen-month compliance history score was 94% 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 08, 2022. The License was based on the program earning 7 points in education standards, 5 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with 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 and the owner’s corporation status was listed as current – active. Current Inspections are as follows: Sanitation Classification of Superior was completed on March 28, 2024. Fire Classification of Approved for Daytime Care Only was completed on November 05, 2024. Denyelle Malloy, Legal Designee, was present while I observed the indoor and outdoor areas. Linda Vandevender, Administrator, and Mary Mathis, Administrator, arrived later during the visit. One-hundred-and-twenty-two (122) children and sixteen (16) teachers were present upon my arrival. Children were observed participating in free-choice activities, literacy activities, and indoor gross motor activities. Children had access to blocks, fine motor, dramatic play, art, music, and literacy materials. In Space #E1, children were observed participating in a tree decorating activity with ice cream cones, frosting, marshmallows, M&M’s candy, and sprinkles. In the classroom bathrooms, three electrical outlets were observed uncovered and accessible to children. In Space #F1, children were observed participating in a candy cane art activity and free-choice activities. A plug-in air freshener was observed in an outlet, below five feet from the finished floor. In Space #F2, children were observed participating in free-choice activities. In Space #G1, the teacher assistant read a book to children on the carpet, while the lead teacher cleaned and sanitized tables, preparing for lunch. In Space #G2, children were observed participating in a watercolor art activity. In Space #H1, children were observed participating in a dance activity, before transitioning to a game of alphabet Bingo. A reptile was observed in a tank and was being kept as a classroom pet. In Space #H2, children were observed eating lunch. In Space #L1, children were observed eating lunch before transitioning to free-choice activities. In Space #L2, children were observed eating lunch before transitioning to rest time and quiet activities. Routine care and handwashing practices were observed. Lunch consisted of cheeseburger on whole wheat bun, tater tots, applesauce, and milk. Due to rainy weather, children were not observed in the outdoor learning environment. However, it was monitored for playground safety requirements. Six staff files were reviewed. Two staff members did not complete all required health and safety training topics within five years of completing their previous health and safety training. Three staff members did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member did not have a valid medical report on file. One staff member did not have a valid TB test indicating negative results on file. Fourteen children’s records were reviewed, and all documentation was in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed. The most recent fire drill was completed on November 25, 2024. The most recent shelter-in-place/lockdown drill was completed on April 18, 2024. A copy of the most recent fire inspection report was received during today’s visit. NC Pre-K program requirements were reviewed. The Creative Curriculum was implemented in the classroom activities. Teaching Strategies GOLD was used to create activity plans. Teaching Strategies GOLD was also used to assess children. Twelve NC Pre-K children’s records were reviewed. A health assessment and hearing/vision screening was on file for each child. Dental screenings were not on file for six children enrolled in the NC Pre-K program. Developmental screenings were completed for each enrolled child and were available for review on the ASQ online portal. At the completion of the visit, the visit summary was reviewed with D. Malloy. The following violations were observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection report was not submitted to DCDEE within one week of the inspection. The most recent fire inspection was completed on November 05, 2024. The most recent fire inspection was submitted to the child care consultant during today's visit. 10A NCAC 09 .0304(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #E1, in the bathrooms, three electrical outlets were observed uncovered and accessible to children. The legal designee immediately found three outlet covers and placed them into the uncovered outlets. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #F1, a plug-in air freshener was observed in an outlet, below five feet from the finished floor. The legal designee had a staff member remove the air freshener plug-in from the classroom and replaced it with an outlet cover. .2820(b) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. In Space #H1, a reptile was observed being kept as a pet in a tank. GS 110-91 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (G.M.) did not have a valid medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member (G.M.) did not have a valid TB test indicating negative results on file. .0701(a) 1769 The health assessment did not include a dental screening. Six children, enrolled in the NC Pre-K program, did not have a dental screening on file. .3005 (a)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the emergency drill log reviewed, the most recent shelter-in-place/lockdown drill was completed on April 18, 2024. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Three staff members (H.J., M.P., and L.R.) did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 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 (M.M. and T.J.) did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within five years of completing the previous training. .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 December 25, 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: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@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 Childcare ID# 12345678 Facility Specific TA Medical Records A violation was cited today for a staff member not having a current medical report on file. According to Child Care Rule .0701(a), child care providers and uncompensated providers who are not substitute providers or volunteers, including the director, shall obtain a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children prior to employment. When submitted, the medical statement shall not be older than 12 months. A violation was also cited today for a staff member not having current TB test/screening results on file. According to Child Care Rule .0701(a), all staff, including the director and individuals who volunteer more than once per week, shall obtain Tuberculin (TB) Test or Screening results indicating the individual is free of active tuberculosis on or before the first day of work. When submitted, the TB test or screening results shall not be older than 12 months. We discussed utilizing the staff file checklist to ensure that all medical requirements are completed before their specified deadlines. Safe Indoor Environment A violation was cited today for uncovered electrical outlets observed in your facility. According to child care rule 10A NCAC 09 .0604(c), when not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. We discussed the possibility of implementing a daily safety checklist to ensure all safety requirements are in compliance before children arrive for the day. Hazardous Items Storage A violation was cited for an air-freshener plug-in being accessible to children. According to child care sanitation rule 15A NCAC 18A .2820(b), all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. A copy of the DCDEE Hazardous Items Storage printout was left with the legal designee. Emergency Drills A violation was cited today for not completing quarterly shelter-in-place or lockdown drills. According to child care rule 10A NCAC 09 .0604(u), a "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). We discussed having a staff member review the emergency drill log monthly to ensure that quarterly drills are completed at least once every three months. Animal and Vermin Control A violation was cited today for a reptile being kept as a classroom pet. According to child care sanitation rule 15A NCAC 18A .2831(a), turtles, iguanas, frogs, salamanders, and other reptiles or amphibians are not allowed to be kept as pets on the premises. The reptile needs to be removed from the premises immediately. Health and Safety Training A violation was cited for two staff members not completing all required health and safety training topics within five years of their previous health and safety training. According to child care rule 10A NCAC 09 .1103(b), Health and safety training shall be completed as part of on-going training so that every five years, all of the following topic areas will have been covered: (1)Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Required Special Training A violation was cited today for three staff members not completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. According to child care rule 10A NCAC 09 .1102(g), the child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. NC Pre-K Requirements A violation was cited today for children not having dental screenings on file. According to child care rule 10A NCAC 09 .3005(a)(5), a health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. Reminders Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Training Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: TRINITY CHILD CARE II Facility ID: 2659014 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 12/11/2024 Number Present: 122 Completed Date: 12/11/2024 Age: From 2 To 5 Total Minutes: 420 Time In: 10:00 AM Time Out: 03:00 PM Time In: 04:00 PM Time Out: 06:00 PM 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 and the NC Pre-K program using Child Care Rules Section .3000 pertinent to an Annual Compliance visit. The previous Annual Compliance visit was completed on December 18, 2023, and prior to today’s visit, the eighteen-month compliance history score was 94% 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 08, 2022. The License was based on the program earning 7 points in education standards, 5 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with 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 and the owner’s corporation status was listed as current – active. Current Inspections are as follows: Sanitation Classification of Superior was completed on March 28, 2024. Fire Classification of Approved for Daytime Care Only was completed on November 05, 2024. Denyelle Malloy, Legal Designee, was present while I observed the indoor and outdoor areas. Linda Vandevender, Administrator, and Mary Mathis, Administrator, arrived later during the visit. One-hundred-and-twenty-two (122) children and sixteen (16) teachers were present upon my arrival. Children were observed participating in free-choice activities, literacy activities, and indoor gross motor activities. Children had access to blocks, fine motor, dramatic play, art, music, and literacy materials. In Space #E1, children were observed participating in a tree decorating activity with ice cream cones, frosting, marshmallows, M&M’s candy, and sprinkles. In the classroom bathrooms, three electrical outlets were observed uncovered and accessible to children. In Space #F1, children were observed participating in a candy cane art activity and free-choice activities. A plug-in air freshener was observed in an outlet, below five feet from the finished floor. In Space #F2, children were observed participating in free-choice activities. In Space #G1, the teacher assistant read a book to children on the carpet, while the lead teacher cleaned and sanitized tables, preparing for lunch. In Space #G2, children were observed participating in a watercolor art activity. In Space #H1, children were observed participating in a dance activity, before transitioning to a game of alphabet Bingo. A reptile was observed in a tank and was being kept as a classroom pet. In Space #H2, children were observed eating lunch. In Space #L1, children were observed eating lunch before transitioning to free-choice activities. In Space #L2, children were observed eating lunch before transitioning to rest time and quiet activities. Routine care and handwashing practices were observed. Lunch consisted of cheeseburger on whole wheat bun, tater tots, applesauce, and milk. Due to rainy weather, children were not observed in the outdoor learning environment. However, it was monitored for playground safety requirements. Six staff files were reviewed. Two staff members did not complete all required health and safety training topics within five years of completing their previous health and safety training. Three staff members did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member did not have a valid medical report on file. One staff member did not have a valid TB test indicating negative results on file. Fourteen children’s records were reviewed, and all documentation was in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed. The most recent fire drill was completed on November 25, 2024. The most recent shelter-in-place/lockdown drill was completed on April 18, 2024. A copy of the most recent fire inspection report was received during today’s visit. NC Pre-K program requirements were reviewed. The Creative Curriculum was implemented in the classroom activities. Teaching Strategies GOLD was used to create activity plans. Teaching Strategies GOLD was also used to assess children. Twelve NC Pre-K children’s records were reviewed. A health assessment and hearing/vision screening was on file for each child. Dental screenings were not on file for six children enrolled in the NC Pre-K program. Developmental screenings were completed for each enrolled child and were available for review on the ASQ online portal. At the completion of the visit, the visit summary was reviewed with D. Malloy. The following violations were observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection report was not submitted to DCDEE within one week of the inspection. The most recent fire inspection was completed on November 05, 2024. The most recent fire inspection was submitted to the child care consultant during today's visit. 10A NCAC 09 .0304(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #E1, in the bathrooms, three electrical outlets were observed uncovered and accessible to children. The legal designee immediately found three outlet covers and placed them into the uncovered outlets. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #F1, a plug-in air freshener was observed in an outlet, below five feet from the finished floor. The legal designee had a staff member remove the air freshener plug-in from the classroom and replaced it with an outlet cover. .2820(b) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. In Space #H1, a reptile was observed being kept as a pet in a tank. GS 110-91 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (G.M.) did not have a valid medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member (G.M.) did not have a valid TB test indicating negative results on file. .0701(a) 1769 The health assessment did not include a dental screening. Six children, enrolled in the NC Pre-K program, did not have a dental screening on file. .3005 (a)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the emergency drill log reviewed, the most recent shelter-in-place/lockdown drill was completed on April 18, 2024. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Three staff members (H.J., M.P., and L.R.) did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 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 (M.M. and T.J.) did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within five years of completing the previous training. .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 December 25, 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: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@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 Childcare ID# 12345678 Facility Specific TA Medical Records A violation was cited today for a staff member not having a current medical report on file. According to Child Care Rule .0701(a), child care providers and uncompensated providers who are not substitute providers or volunteers, including the director, shall obtain a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children prior to employment. When submitted, the medical statement shall not be older than 12 months. A violation was also cited today for a staff member not having current TB test/screening results on file. According to Child Care Rule .0701(a), all staff, including the director and individuals who volunteer more than once per week, shall obtain Tuberculin (TB) Test or Screening results indicating the individual is free of active tuberculosis on or before the first day of work. When submitted, the TB test or screening results shall not be older than 12 months. We discussed utilizing the staff file checklist to ensure that all medical requirements are completed before their specified deadlines. Safe Indoor Environment A violation was cited today for uncovered electrical outlets observed in your facility. According to child care rule 10A NCAC 09 .0604(c), when not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. We discussed the possibility of implementing a daily safety checklist to ensure all safety requirements are in compliance before children arrive for the day. Hazardous Items Storage A violation was cited for an air-freshener plug-in being accessible to children. According to child care sanitation rule 15A NCAC 18A .2820(b), all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. A copy of the DCDEE Hazardous Items Storage printout was left with the legal designee. Emergency Drills A violation was cited today for not completing quarterly shelter-in-place or lockdown drills. According to child care rule 10A NCAC 09 .0604(u), a "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). We discussed having a staff member review the emergency drill log monthly to ensure that quarterly drills are completed at least once every three months. Animal and Vermin Control A violation was cited today for a reptile being kept as a classroom pet. According to child care sanitation rule 15A NCAC 18A .2831(a), turtles, iguanas, frogs, salamanders, and other reptiles or amphibians are not allowed to be kept as pets on the premises. The reptile needs to be removed from the premises immediately. Health and Safety Training A violation was cited for two staff members not completing all required health and safety training topics within five years of their previous health and safety training. According to child care rule 10A NCAC 09 .1103(b), Health and safety training shall be completed as part of on-going training so that every five years, all of the following topic areas will have been covered: (1)Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Required Special Training A violation was cited today for three staff members not completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. According to child care rule 10A NCAC 09 .1102(g), the child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. NC Pre-K Requirements A violation was cited today for children not having dental screenings on file. According to child care rule 10A NCAC 09 .3005(a)(5), a health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. Reminders Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Training Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@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 .1103 · Violation

Name of Operation: TRINITY CHILD CARE II Facility ID: 2659014 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 12/11/2024 Number Present: 122 Completed Date: 12/11/2024 Age: From 2 To 5 Total Minutes: 420 Time In: 10:00 AM Time Out: 03:00 PM Time In: 04:00 PM Time Out: 06:00 PM 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 and the NC Pre-K program using Child Care Rules Section .3000 pertinent to an Annual Compliance visit. The previous Annual Compliance visit was completed on December 18, 2023, and prior to today’s visit, the eighteen-month compliance history score was 94% 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 08, 2022. The License was based on the program earning 7 points in education standards, 5 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with 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 and the owner’s corporation status was listed as current – active. Current Inspections are as follows: Sanitation Classification of Superior was completed on March 28, 2024. Fire Classification of Approved for Daytime Care Only was completed on November 05, 2024. Denyelle Malloy, Legal Designee, was present while I observed the indoor and outdoor areas. Linda Vandevender, Administrator, and Mary Mathis, Administrator, arrived later during the visit. One-hundred-and-twenty-two (122) children and sixteen (16) teachers were present upon my arrival. Children were observed participating in free-choice activities, literacy activities, and indoor gross motor activities. Children had access to blocks, fine motor, dramatic play, art, music, and literacy materials. In Space #E1, children were observed participating in a tree decorating activity with ice cream cones, frosting, marshmallows, M&M’s candy, and sprinkles. In the classroom bathrooms, three electrical outlets were observed uncovered and accessible to children. In Space #F1, children were observed participating in a candy cane art activity and free-choice activities. A plug-in air freshener was observed in an outlet, below five feet from the finished floor. In Space #F2, children were observed participating in free-choice activities. In Space #G1, the teacher assistant read a book to children on the carpet, while the lead teacher cleaned and sanitized tables, preparing for lunch. In Space #G2, children were observed participating in a watercolor art activity. In Space #H1, children were observed participating in a dance activity, before transitioning to a game of alphabet Bingo. A reptile was observed in a tank and was being kept as a classroom pet. In Space #H2, children were observed eating lunch. In Space #L1, children were observed eating lunch before transitioning to free-choice activities. In Space #L2, children were observed eating lunch before transitioning to rest time and quiet activities. Routine care and handwashing practices were observed. Lunch consisted of cheeseburger on whole wheat bun, tater tots, applesauce, and milk. Due to rainy weather, children were not observed in the outdoor learning environment. However, it was monitored for playground safety requirements. Six staff files were reviewed. Two staff members did not complete all required health and safety training topics within five years of completing their previous health and safety training. Three staff members did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member did not have a valid medical report on file. One staff member did not have a valid TB test indicating negative results on file. Fourteen children’s records were reviewed, and all documentation was in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed. The most recent fire drill was completed on November 25, 2024. The most recent shelter-in-place/lockdown drill was completed on April 18, 2024. A copy of the most recent fire inspection report was received during today’s visit. NC Pre-K program requirements were reviewed. The Creative Curriculum was implemented in the classroom activities. Teaching Strategies GOLD was used to create activity plans. Teaching Strategies GOLD was also used to assess children. Twelve NC Pre-K children’s records were reviewed. A health assessment and hearing/vision screening was on file for each child. Dental screenings were not on file for six children enrolled in the NC Pre-K program. Developmental screenings were completed for each enrolled child and were available for review on the ASQ online portal. At the completion of the visit, the visit summary was reviewed with D. Malloy. The following violations were observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection report was not submitted to DCDEE within one week of the inspection. The most recent fire inspection was completed on November 05, 2024. The most recent fire inspection was submitted to the child care consultant during today's visit. 10A NCAC 09 .0304(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #E1, in the bathrooms, three electrical outlets were observed uncovered and accessible to children. The legal designee immediately found three outlet covers and placed them into the uncovered outlets. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #F1, a plug-in air freshener was observed in an outlet, below five feet from the finished floor. The legal designee had a staff member remove the air freshener plug-in from the classroom and replaced it with an outlet cover. .2820(b) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. In Space #H1, a reptile was observed being kept as a pet in a tank. GS 110-91 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (G.M.) did not have a valid medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member (G.M.) did not have a valid TB test indicating negative results on file. .0701(a) 1769 The health assessment did not include a dental screening. Six children, enrolled in the NC Pre-K program, did not have a dental screening on file. .3005 (a)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the emergency drill log reviewed, the most recent shelter-in-place/lockdown drill was completed on April 18, 2024. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Three staff members (H.J., M.P., and L.R.) did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 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 (M.M. and T.J.) did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within five years of completing the previous training. .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 December 25, 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: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@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 Childcare ID# 12345678 Facility Specific TA Medical Records A violation was cited today for a staff member not having a current medical report on file. According to Child Care Rule .0701(a), child care providers and uncompensated providers who are not substitute providers or volunteers, including the director, shall obtain a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children prior to employment. When submitted, the medical statement shall not be older than 12 months. A violation was also cited today for a staff member not having current TB test/screening results on file. According to Child Care Rule .0701(a), all staff, including the director and individuals who volunteer more than once per week, shall obtain Tuberculin (TB) Test or Screening results indicating the individual is free of active tuberculosis on or before the first day of work. When submitted, the TB test or screening results shall not be older than 12 months. We discussed utilizing the staff file checklist to ensure that all medical requirements are completed before their specified deadlines. Safe Indoor Environment A violation was cited today for uncovered electrical outlets observed in your facility. According to child care rule 10A NCAC 09 .0604(c), when not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. We discussed the possibility of implementing a daily safety checklist to ensure all safety requirements are in compliance before children arrive for the day. Hazardous Items Storage A violation was cited for an air-freshener plug-in being accessible to children. According to child care sanitation rule 15A NCAC 18A .2820(b), all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. A copy of the DCDEE Hazardous Items Storage printout was left with the legal designee. Emergency Drills A violation was cited today for not completing quarterly shelter-in-place or lockdown drills. According to child care rule 10A NCAC 09 .0604(u), a "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). We discussed having a staff member review the emergency drill log monthly to ensure that quarterly drills are completed at least once every three months. Animal and Vermin Control A violation was cited today for a reptile being kept as a classroom pet. According to child care sanitation rule 15A NCAC 18A .2831(a), turtles, iguanas, frogs, salamanders, and other reptiles or amphibians are not allowed to be kept as pets on the premises. The reptile needs to be removed from the premises immediately. Health and Safety Training A violation was cited for two staff members not completing all required health and safety training topics within five years of their previous health and safety training. According to child care rule 10A NCAC 09 .1103(b), Health and safety training shall be completed as part of on-going training so that every five years, all of the following topic areas will have been covered: (1)Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Required Special Training A violation was cited today for three staff members not completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. According to child care rule 10A NCAC 09 .1102(g), the child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. NC Pre-K Requirements A violation was cited today for children not having dental screenings on file. According to child care rule 10A NCAC 09 .3005(a)(5), a health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. Reminders Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Training Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@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 .3005 · Violation

Name of Operation: TRINITY CHILD CARE II Facility ID: 2659014 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 12/11/2024 Number Present: 122 Completed Date: 12/11/2024 Age: From 2 To 5 Total Minutes: 420 Time In: 10:00 AM Time Out: 03:00 PM Time In: 04:00 PM Time Out: 06:00 PM 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 and the NC Pre-K program using Child Care Rules Section .3000 pertinent to an Annual Compliance visit. The previous Annual Compliance visit was completed on December 18, 2023, and prior to today’s visit, the eighteen-month compliance history score was 94% 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 08, 2022. The License was based on the program earning 7 points in education standards, 5 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with 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 and the owner’s corporation status was listed as current – active. Current Inspections are as follows: Sanitation Classification of Superior was completed on March 28, 2024. Fire Classification of Approved for Daytime Care Only was completed on November 05, 2024. Denyelle Malloy, Legal Designee, was present while I observed the indoor and outdoor areas. Linda Vandevender, Administrator, and Mary Mathis, Administrator, arrived later during the visit. One-hundred-and-twenty-two (122) children and sixteen (16) teachers were present upon my arrival. Children were observed participating in free-choice activities, literacy activities, and indoor gross motor activities. Children had access to blocks, fine motor, dramatic play, art, music, and literacy materials. In Space #E1, children were observed participating in a tree decorating activity with ice cream cones, frosting, marshmallows, M&M’s candy, and sprinkles. In the classroom bathrooms, three electrical outlets were observed uncovered and accessible to children. In Space #F1, children were observed participating in a candy cane art activity and free-choice activities. A plug-in air freshener was observed in an outlet, below five feet from the finished floor. In Space #F2, children were observed participating in free-choice activities. In Space #G1, the teacher assistant read a book to children on the carpet, while the lead teacher cleaned and sanitized tables, preparing for lunch. In Space #G2, children were observed participating in a watercolor art activity. In Space #H1, children were observed participating in a dance activity, before transitioning to a game of alphabet Bingo. A reptile was observed in a tank and was being kept as a classroom pet. In Space #H2, children were observed eating lunch. In Space #L1, children were observed eating lunch before transitioning to free-choice activities. In Space #L2, children were observed eating lunch before transitioning to rest time and quiet activities. Routine care and handwashing practices were observed. Lunch consisted of cheeseburger on whole wheat bun, tater tots, applesauce, and milk. Due to rainy weather, children were not observed in the outdoor learning environment. However, it was monitored for playground safety requirements. Six staff files were reviewed. Two staff members did not complete all required health and safety training topics within five years of completing their previous health and safety training. Three staff members did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member did not have a valid medical report on file. One staff member did not have a valid TB test indicating negative results on file. Fourteen children’s records were reviewed, and all documentation was in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed. The most recent fire drill was completed on November 25, 2024. The most recent shelter-in-place/lockdown drill was completed on April 18, 2024. A copy of the most recent fire inspection report was received during today’s visit. NC Pre-K program requirements were reviewed. The Creative Curriculum was implemented in the classroom activities. Teaching Strategies GOLD was used to create activity plans. Teaching Strategies GOLD was also used to assess children. Twelve NC Pre-K children’s records were reviewed. A health assessment and hearing/vision screening was on file for each child. Dental screenings were not on file for six children enrolled in the NC Pre-K program. Developmental screenings were completed for each enrolled child and were available for review on the ASQ online portal. At the completion of the visit, the visit summary was reviewed with D. Malloy. The following violations were observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection report was not submitted to DCDEE within one week of the inspection. The most recent fire inspection was completed on November 05, 2024. The most recent fire inspection was submitted to the child care consultant during today's visit. 10A NCAC 09 .0304(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #E1, in the bathrooms, three electrical outlets were observed uncovered and accessible to children. The legal designee immediately found three outlet covers and placed them into the uncovered outlets. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #F1, a plug-in air freshener was observed in an outlet, below five feet from the finished floor. The legal designee had a staff member remove the air freshener plug-in from the classroom and replaced it with an outlet cover. .2820(b) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. In Space #H1, a reptile was observed being kept as a pet in a tank. GS 110-91 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (G.M.) did not have a valid medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member (G.M.) did not have a valid TB test indicating negative results on file. .0701(a) 1769 The health assessment did not include a dental screening. Six children, enrolled in the NC Pre-K program, did not have a dental screening on file. .3005 (a)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the emergency drill log reviewed, the most recent shelter-in-place/lockdown drill was completed on April 18, 2024. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Three staff members (H.J., M.P., and L.R.) did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 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 (M.M. and T.J.) did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within five years of completing the previous training. .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 December 25, 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: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@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 Childcare ID# 12345678 Facility Specific TA Medical Records A violation was cited today for a staff member not having a current medical report on file. According to Child Care Rule .0701(a), child care providers and uncompensated providers who are not substitute providers or volunteers, including the director, shall obtain a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children prior to employment. When submitted, the medical statement shall not be older than 12 months. A violation was also cited today for a staff member not having current TB test/screening results on file. According to Child Care Rule .0701(a), all staff, including the director and individuals who volunteer more than once per week, shall obtain Tuberculin (TB) Test or Screening results indicating the individual is free of active tuberculosis on or before the first day of work. When submitted, the TB test or screening results shall not be older than 12 months. We discussed utilizing the staff file checklist to ensure that all medical requirements are completed before their specified deadlines. Safe Indoor Environment A violation was cited today for uncovered electrical outlets observed in your facility. According to child care rule 10A NCAC 09 .0604(c), when not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. We discussed the possibility of implementing a daily safety checklist to ensure all safety requirements are in compliance before children arrive for the day. Hazardous Items Storage A violation was cited for an air-freshener plug-in being accessible to children. According to child care sanitation rule 15A NCAC 18A .2820(b), all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. A copy of the DCDEE Hazardous Items Storage printout was left with the legal designee. Emergency Drills A violation was cited today for not completing quarterly shelter-in-place or lockdown drills. According to child care rule 10A NCAC 09 .0604(u), a "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). We discussed having a staff member review the emergency drill log monthly to ensure that quarterly drills are completed at least once every three months. Animal and Vermin Control A violation was cited today for a reptile being kept as a classroom pet. According to child care sanitation rule 15A NCAC 18A .2831(a), turtles, iguanas, frogs, salamanders, and other reptiles or amphibians are not allowed to be kept as pets on the premises. The reptile needs to be removed from the premises immediately. Health and Safety Training A violation was cited for two staff members not completing all required health and safety training topics within five years of their previous health and safety training. According to child care rule 10A NCAC 09 .1103(b), Health and safety training shall be completed as part of on-going training so that every five years, all of the following topic areas will have been covered: (1)Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Required Special Training A violation was cited today for three staff members not completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. According to child care rule 10A NCAC 09 .1102(g), the child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. NC Pre-K Requirements A violation was cited today for children not having dental screenings on file. According to child care rule 10A NCAC 09 .3005(a)(5), a health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. Reminders Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Training Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: TRINITY CHILD CARE II Facility ID: 2659014 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 12/11/2024 Number Present: 122 Completed Date: 12/11/2024 Age: From 2 To 5 Total Minutes: 420 Time In: 10:00 AM Time Out: 03:00 PM Time In: 04:00 PM Time Out: 06:00 PM 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 and the NC Pre-K program using Child Care Rules Section .3000 pertinent to an Annual Compliance visit. The previous Annual Compliance visit was completed on December 18, 2023, and prior to today’s visit, the eighteen-month compliance history score was 94% 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 08, 2022. The License was based on the program earning 7 points in education standards, 5 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with 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 and the owner’s corporation status was listed as current – active. Current Inspections are as follows: Sanitation Classification of Superior was completed on March 28, 2024. Fire Classification of Approved for Daytime Care Only was completed on November 05, 2024. Denyelle Malloy, Legal Designee, was present while I observed the indoor and outdoor areas. Linda Vandevender, Administrator, and Mary Mathis, Administrator, arrived later during the visit. One-hundred-and-twenty-two (122) children and sixteen (16) teachers were present upon my arrival. Children were observed participating in free-choice activities, literacy activities, and indoor gross motor activities. Children had access to blocks, fine motor, dramatic play, art, music, and literacy materials. In Space #E1, children were observed participating in a tree decorating activity with ice cream cones, frosting, marshmallows, M&M’s candy, and sprinkles. In the classroom bathrooms, three electrical outlets were observed uncovered and accessible to children. In Space #F1, children were observed participating in a candy cane art activity and free-choice activities. A plug-in air freshener was observed in an outlet, below five feet from the finished floor. In Space #F2, children were observed participating in free-choice activities. In Space #G1, the teacher assistant read a book to children on the carpet, while the lead teacher cleaned and sanitized tables, preparing for lunch. In Space #G2, children were observed participating in a watercolor art activity. In Space #H1, children were observed participating in a dance activity, before transitioning to a game of alphabet Bingo. A reptile was observed in a tank and was being kept as a classroom pet. In Space #H2, children were observed eating lunch. In Space #L1, children were observed eating lunch before transitioning to free-choice activities. In Space #L2, children were observed eating lunch before transitioning to rest time and quiet activities. Routine care and handwashing practices were observed. Lunch consisted of cheeseburger on whole wheat bun, tater tots, applesauce, and milk. Due to rainy weather, children were not observed in the outdoor learning environment. However, it was monitored for playground safety requirements. Six staff files were reviewed. Two staff members did not complete all required health and safety training topics within five years of completing their previous health and safety training. Three staff members did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member did not have a valid medical report on file. One staff member did not have a valid TB test indicating negative results on file. Fourteen children’s records were reviewed, and all documentation was in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed. The most recent fire drill was completed on November 25, 2024. The most recent shelter-in-place/lockdown drill was completed on April 18, 2024. A copy of the most recent fire inspection report was received during today’s visit. NC Pre-K program requirements were reviewed. The Creative Curriculum was implemented in the classroom activities. Teaching Strategies GOLD was used to create activity plans. Teaching Strategies GOLD was also used to assess children. Twelve NC Pre-K children’s records were reviewed. A health assessment and hearing/vision screening was on file for each child. Dental screenings were not on file for six children enrolled in the NC Pre-K program. Developmental screenings were completed for each enrolled child and were available for review on the ASQ online portal. At the completion of the visit, the visit summary was reviewed with D. Malloy. The following violations were observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection report was not submitted to DCDEE within one week of the inspection. The most recent fire inspection was completed on November 05, 2024. The most recent fire inspection was submitted to the child care consultant during today's visit. 10A NCAC 09 .0304(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #E1, in the bathrooms, three electrical outlets were observed uncovered and accessible to children. The legal designee immediately found three outlet covers and placed them into the uncovered outlets. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #F1, a plug-in air freshener was observed in an outlet, below five feet from the finished floor. The legal designee had a staff member remove the air freshener plug-in from the classroom and replaced it with an outlet cover. .2820(b) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. In Space #H1, a reptile was observed being kept as a pet in a tank. GS 110-91 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (G.M.) did not have a valid medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member (G.M.) did not have a valid TB test indicating negative results on file. .0701(a) 1769 The health assessment did not include a dental screening. Six children, enrolled in the NC Pre-K program, did not have a dental screening on file. .3005 (a)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the emergency drill log reviewed, the most recent shelter-in-place/lockdown drill was completed on April 18, 2024. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Three staff members (H.J., M.P., and L.R.) did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 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 (M.M. and T.J.) did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within five years of completing the previous training. .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 December 25, 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: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@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 Childcare ID# 12345678 Facility Specific TA Medical Records A violation was cited today for a staff member not having a current medical report on file. According to Child Care Rule .0701(a), child care providers and uncompensated providers who are not substitute providers or volunteers, including the director, shall obtain a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children prior to employment. When submitted, the medical statement shall not be older than 12 months. A violation was also cited today for a staff member not having current TB test/screening results on file. According to Child Care Rule .0701(a), all staff, including the director and individuals who volunteer more than once per week, shall obtain Tuberculin (TB) Test or Screening results indicating the individual is free of active tuberculosis on or before the first day of work. When submitted, the TB test or screening results shall not be older than 12 months. We discussed utilizing the staff file checklist to ensure that all medical requirements are completed before their specified deadlines. Safe Indoor Environment A violation was cited today for uncovered electrical outlets observed in your facility. According to child care rule 10A NCAC 09 .0604(c), when not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. We discussed the possibility of implementing a daily safety checklist to ensure all safety requirements are in compliance before children arrive for the day. Hazardous Items Storage A violation was cited for an air-freshener plug-in being accessible to children. According to child care sanitation rule 15A NCAC 18A .2820(b), all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. A copy of the DCDEE Hazardous Items Storage printout was left with the legal designee. Emergency Drills A violation was cited today for not completing quarterly shelter-in-place or lockdown drills. According to child care rule 10A NCAC 09 .0604(u), a "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). We discussed having a staff member review the emergency drill log monthly to ensure that quarterly drills are completed at least once every three months. Animal and Vermin Control A violation was cited today for a reptile being kept as a classroom pet. According to child care sanitation rule 15A NCAC 18A .2831(a), turtles, iguanas, frogs, salamanders, and other reptiles or amphibians are not allowed to be kept as pets on the premises. The reptile needs to be removed from the premises immediately. Health and Safety Training A violation was cited for two staff members not completing all required health and safety training topics within five years of their previous health and safety training. According to child care rule 10A NCAC 09 .1103(b), Health and safety training shall be completed as part of on-going training so that every five years, all of the following topic areas will have been covered: (1)Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Required Special Training A violation was cited today for three staff members not completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. According to child care rule 10A NCAC 09 .1102(g), the child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. NC Pre-K Requirements A violation was cited today for children not having dental screenings on file. According to child care rule 10A NCAC 09 .3005(a)(5), a health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. Reminders Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Training Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: TRINITY CHILD CARE II Facility ID: 2659014 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 12/11/2024 Number Present: 122 Completed Date: 12/11/2024 Age: From 2 To 5 Total Minutes: 420 Time In: 10:00 AM Time Out: 03:00 PM Time In: 04:00 PM Time Out: 06:00 PM 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 and the NC Pre-K program using Child Care Rules Section .3000 pertinent to an Annual Compliance visit. The previous Annual Compliance visit was completed on December 18, 2023, and prior to today’s visit, the eighteen-month compliance history score was 94% 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 08, 2022. The License was based on the program earning 7 points in education standards, 5 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with 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 and the owner’s corporation status was listed as current – active. Current Inspections are as follows: Sanitation Classification of Superior was completed on March 28, 2024. Fire Classification of Approved for Daytime Care Only was completed on November 05, 2024. Denyelle Malloy, Legal Designee, was present while I observed the indoor and outdoor areas. Linda Vandevender, Administrator, and Mary Mathis, Administrator, arrived later during the visit. One-hundred-and-twenty-two (122) children and sixteen (16) teachers were present upon my arrival. Children were observed participating in free-choice activities, literacy activities, and indoor gross motor activities. Children had access to blocks, fine motor, dramatic play, art, music, and literacy materials. In Space #E1, children were observed participating in a tree decorating activity with ice cream cones, frosting, marshmallows, M&M’s candy, and sprinkles. In the classroom bathrooms, three electrical outlets were observed uncovered and accessible to children. In Space #F1, children were observed participating in a candy cane art activity and free-choice activities. A plug-in air freshener was observed in an outlet, below five feet from the finished floor. In Space #F2, children were observed participating in free-choice activities. In Space #G1, the teacher assistant read a book to children on the carpet, while the lead teacher cleaned and sanitized tables, preparing for lunch. In Space #G2, children were observed participating in a watercolor art activity. In Space #H1, children were observed participating in a dance activity, before transitioning to a game of alphabet Bingo. A reptile was observed in a tank and was being kept as a classroom pet. In Space #H2, children were observed eating lunch. In Space #L1, children were observed eating lunch before transitioning to free-choice activities. In Space #L2, children were observed eating lunch before transitioning to rest time and quiet activities. Routine care and handwashing practices were observed. Lunch consisted of cheeseburger on whole wheat bun, tater tots, applesauce, and milk. Due to rainy weather, children were not observed in the outdoor learning environment. However, it was monitored for playground safety requirements. Six staff files were reviewed. Two staff members did not complete all required health and safety training topics within five years of completing their previous health and safety training. Three staff members did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member did not have a valid medical report on file. One staff member did not have a valid TB test indicating negative results on file. Fourteen children’s records were reviewed, and all documentation was in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed. The most recent fire drill was completed on November 25, 2024. The most recent shelter-in-place/lockdown drill was completed on April 18, 2024. A copy of the most recent fire inspection report was received during today’s visit. NC Pre-K program requirements were reviewed. The Creative Curriculum was implemented in the classroom activities. Teaching Strategies GOLD was used to create activity plans. Teaching Strategies GOLD was also used to assess children. Twelve NC Pre-K children’s records were reviewed. A health assessment and hearing/vision screening was on file for each child. Dental screenings were not on file for six children enrolled in the NC Pre-K program. Developmental screenings were completed for each enrolled child and were available for review on the ASQ online portal. At the completion of the visit, the visit summary was reviewed with D. Malloy. The following violations were observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection report was not submitted to DCDEE within one week of the inspection. The most recent fire inspection was completed on November 05, 2024. The most recent fire inspection was submitted to the child care consultant during today's visit. 10A NCAC 09 .0304(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #E1, in the bathrooms, three electrical outlets were observed uncovered and accessible to children. The legal designee immediately found three outlet covers and placed them into the uncovered outlets. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #F1, a plug-in air freshener was observed in an outlet, below five feet from the finished floor. The legal designee had a staff member remove the air freshener plug-in from the classroom and replaced it with an outlet cover. .2820(b) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. In Space #H1, a reptile was observed being kept as a pet in a tank. GS 110-91 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (G.M.) did not have a valid medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member (G.M.) did not have a valid TB test indicating negative results on file. .0701(a) 1769 The health assessment did not include a dental screening. Six children, enrolled in the NC Pre-K program, did not have a dental screening on file. .3005 (a)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the emergency drill log reviewed, the most recent shelter-in-place/lockdown drill was completed on April 18, 2024. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Three staff members (H.J., M.P., and L.R.) did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 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 (M.M. and T.J.) did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within five years of completing the previous training. .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 December 25, 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: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@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 Childcare ID# 12345678 Facility Specific TA Medical Records A violation was cited today for a staff member not having a current medical report on file. According to Child Care Rule .0701(a), child care providers and uncompensated providers who are not substitute providers or volunteers, including the director, shall obtain a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children prior to employment. When submitted, the medical statement shall not be older than 12 months. A violation was also cited today for a staff member not having current TB test/screening results on file. According to Child Care Rule .0701(a), all staff, including the director and individuals who volunteer more than once per week, shall obtain Tuberculin (TB) Test or Screening results indicating the individual is free of active tuberculosis on or before the first day of work. When submitted, the TB test or screening results shall not be older than 12 months. We discussed utilizing the staff file checklist to ensure that all medical requirements are completed before their specified deadlines. Safe Indoor Environment A violation was cited today for uncovered electrical outlets observed in your facility. According to child care rule 10A NCAC 09 .0604(c), when not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. We discussed the possibility of implementing a daily safety checklist to ensure all safety requirements are in compliance before children arrive for the day. Hazardous Items Storage A violation was cited for an air-freshener plug-in being accessible to children. According to child care sanitation rule 15A NCAC 18A .2820(b), all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. A copy of the DCDEE Hazardous Items Storage printout was left with the legal designee. Emergency Drills A violation was cited today for not completing quarterly shelter-in-place or lockdown drills. According to child care rule 10A NCAC 09 .0604(u), a "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). We discussed having a staff member review the emergency drill log monthly to ensure that quarterly drills are completed at least once every three months. Animal and Vermin Control A violation was cited today for a reptile being kept as a classroom pet. According to child care sanitation rule 15A NCAC 18A .2831(a), turtles, iguanas, frogs, salamanders, and other reptiles or amphibians are not allowed to be kept as pets on the premises. The reptile needs to be removed from the premises immediately. Health and Safety Training A violation was cited for two staff members not completing all required health and safety training topics within five years of their previous health and safety training. According to child care rule 10A NCAC 09 .1103(b), Health and safety training shall be completed as part of on-going training so that every five years, all of the following topic areas will have been covered: (1)Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Required Special Training A violation was cited today for three staff members not completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. According to child care rule 10A NCAC 09 .1102(g), the child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. NC Pre-K Requirements A violation was cited today for children not having dental screenings on file. According to child care rule 10A NCAC 09 .3005(a)(5), a health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. Reminders Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Training Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: TRINITY CHILD CARE II Facility ID: 2659014 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 117 Completed Date: 5/15/2024 Age: From 2 To 5 Total Minutes: 370 Time In: 09:30 AM Time Out: 03:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance visit was completed December 18, 2023 and prior to today’s visit, the eighteen-month compliance history score was 94% 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 08, 2022. The License was based on the program earning 7 points in education standards, 5 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with 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 Linda Vandevender, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on March 28, 2024. Fire Classification of Approved for Day Time Care Only was completed on November 16, 2023. Linda Vandevender, Administrator, and Mary Mathis, Administrator, were present while I observed the indoor and outdoor areas. Upon my arrival, one-hundred and seventeen (117) children and eighteen (18) teachers were present. Spaces #AB2, #C1, #D1, and #C2D2, were not used for child care. The spaces were monitored for general health and safety requirements, and were observed in compliance with applicable child care rules. In Space #E1, children and teachers were observed dancing to music on a CD player, before transitioning to a hot potato game on the carpet. The children sat on the floor in a circle, passed around a toy turtle while music played. When the music stopped, the child who was holding the turtle had to get out of the circle. The children who got out of the circle danced to the music until the game was over. In Space #F1, children were observed participating in free-choice activities. Children had access to fine motor, blocks, dramatic play, creative art, and literacy materials. A water spot and peeling tiles were observed on the ceiling. In Space #G1, children were observed participating in free-choice activities. Children had access to literacy, fine motor, blocks, dramatic play, and creative art materials. While a child was sitting at a table coloring with crayons on construction paper, the teacher walked to the table and asked the child, “What are you drawing?” The child responded by saying, “My Daddy.” In Space #G2, children were observed participating in free-choice activities. Children had access to literacy, fine motor, blocks, dramatic play, and creative art materials. The lead teacher and a group of children were observed sitting at a table drawing various pictures. The teacher asked a child, “What are you drawing?” The child responded by saying, “A rainy day.” Another child said, “I’m drawing a flower.” The teacher asked, “What happens to the grass and flowers when it rains?” A child responded by saying, “It grows!” In Space #H1, children were observed participating in outdoor play activities. The children were observed running and racing in a grassy area. The children were not observed using the stationary equipment or riding toys because they were wet from the rain. In Space #H2, children were observed participating in free-choice activities. Children had access to dramatic play, creative art, blocks, fine motor, and literacy materials. The children were observed drawing ladybugs with crayons and construction paper, completing puzzles, writing their names on sheets of paper, and building structures with waffle blocks. In Space #K1, children were observed eating lunch and discussing the food items they were served. The teacher asked, “What color are our peas?” The children responded by saying, “Green!” The teacher asked, “What color is our milk?” The children responded by saying, "White!” The teacher asked, “Why is milk good for our bodies?” The children responded by saying, “It makes our bones strong!” A hole was observed in a floor tile in the bathroom. In Space #L1, children were observed eating lunch before transitioning to quiet activities and rest time. Peeling paint was observed on the bathroom wall. In Space #L2, children were observed eating lunch before transitioning to quiet activities and rest time. Seven plastic bags, containing diapers and pull-ups, were stored in cubby shelves, below five feet from the finished floor. Three packets of wipes, labeled “keep out of reach of children”, were stored in cubby shelves, below five feet from the finished floor. Routine care and handwashing practices were observed. Lunch consisted of spaghetti with meat sauce, peas, pineapple tidbits, whole wheat roll, and milk. There were no infants or toddlers enrolled at the facility. One recently hired staff file and two substitute staff files were reviewed. Two staff members did not have a signed Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgment on file, stating that the policy was reviewed prior to working with children aged 0 to 5 years old. Legal Designee information was updated during today’s visit, which added two staff to the facility's list of legal designees. At the completion of the visit, the Visit Summary was reviewed with Denyelle Malloy, Legal Designee. The following violations were observed: Violation Number Comment Rule 603 All floors and floor coverings were not constructed of nonabsorbent material and/or were not kept clean and in good repair. In Space #K1, a hole was observed in the bathroom floor tile. 15A NCAC 18A .2824(a)&(b) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In Space #F1, the ceiling near the bathroom was observed with peeling tiles and water spots. 15A NCAC 18A .2825(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #L2, three packets of wipes labeled "keep out of reach of children" were stored in cubby shelves, below five feet from the finished floor. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space #L2, plastic bags containing diapers and pull-ups were observed in cubby shelves, below five feet from the finished floor. .0604(q) 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 acknowledgment with all the required information was not maintained in the staff person's file. Two staff members did not have a signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma acknowledgment on file. .0608(d)(1-4) 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. Additionally, by 5:00pm on May 29, 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: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@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 Childcare ID# 12345678 TA/Consultation: Conditions of Floors A violation was cited for the condition of the floor in a classroom bathroom. According to Child Care Sanitation Rule 15A NCAC 18A .2824(e), all floors and floor coverings shall be kept clean and maintained in good repair. Conditions of Walls and Ceilings A violation was cited for the condition of walls and ceilings in your facility. According to Child Care Sanitation Rule 15A NCAC 18A .2825(a), in child care centers, the walls and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be easily cleanable and free of peeling, flaking, chalking, or otherwise deteriorating paint. Hazardous Storage A violation was cited today for the storage of hazardous products. According to Child Care Sanitation Rule 15A NCAC 18A .2820(b), any product that is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. We discussed possibly providing Space #L2 with additional storage space and/or cabinets. Safe Indoor Environment A violation was cited for plastic being accessible to children under the age of three. According to Child Care Rule 10A NCAC 09 .0604(q), plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. We discussed possibly providing Space #L2 with additional storage space and/or cabinets. Preschool Observation I discussed the results from my preschool classroom observations with M. Mathis. I suggested for teachers to continue to have meaningful conversations with children throughout the day and provide opportunities for parallel discussions between children and staff. Self-talk and Parallel talk will both be necessary in providing a language-rich environment. I also recommended that teachers continue to provide open-ended questions, allowing the children to respond to what they think needs to happen, instead of giving directives to children. Reminders: 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 DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: TRINITY CHILD CARE II Facility ID: 2659014 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 117 Completed Date: 5/15/2024 Age: From 2 To 5 Total Minutes: 370 Time In: 09:30 AM Time Out: 03:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance visit was completed December 18, 2023 and prior to today’s visit, the eighteen-month compliance history score was 94% 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 08, 2022. The License was based on the program earning 7 points in education standards, 5 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with 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 Linda Vandevender, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on March 28, 2024. Fire Classification of Approved for Day Time Care Only was completed on November 16, 2023. Linda Vandevender, Administrator, and Mary Mathis, Administrator, were present while I observed the indoor and outdoor areas. Upon my arrival, one-hundred and seventeen (117) children and eighteen (18) teachers were present. Spaces #AB2, #C1, #D1, and #C2D2, were not used for child care. The spaces were monitored for general health and safety requirements, and were observed in compliance with applicable child care rules. In Space #E1, children and teachers were observed dancing to music on a CD player, before transitioning to a hot potato game on the carpet. The children sat on the floor in a circle, passed around a toy turtle while music played. When the music stopped, the child who was holding the turtle had to get out of the circle. The children who got out of the circle danced to the music until the game was over. In Space #F1, children were observed participating in free-choice activities. Children had access to fine motor, blocks, dramatic play, creative art, and literacy materials. A water spot and peeling tiles were observed on the ceiling. In Space #G1, children were observed participating in free-choice activities. Children had access to literacy, fine motor, blocks, dramatic play, and creative art materials. While a child was sitting at a table coloring with crayons on construction paper, the teacher walked to the table and asked the child, “What are you drawing?” The child responded by saying, “My Daddy.” In Space #G2, children were observed participating in free-choice activities. Children had access to literacy, fine motor, blocks, dramatic play, and creative art materials. The lead teacher and a group of children were observed sitting at a table drawing various pictures. The teacher asked a child, “What are you drawing?” The child responded by saying, “A rainy day.” Another child said, “I’m drawing a flower.” The teacher asked, “What happens to the grass and flowers when it rains?” A child responded by saying, “It grows!” In Space #H1, children were observed participating in outdoor play activities. The children were observed running and racing in a grassy area. The children were not observed using the stationary equipment or riding toys because they were wet from the rain. In Space #H2, children were observed participating in free-choice activities. Children had access to dramatic play, creative art, blocks, fine motor, and literacy materials. The children were observed drawing ladybugs with crayons and construction paper, completing puzzles, writing their names on sheets of paper, and building structures with waffle blocks. In Space #K1, children were observed eating lunch and discussing the food items they were served. The teacher asked, “What color are our peas?” The children responded by saying, “Green!” The teacher asked, “What color is our milk?” The children responded by saying, "White!” The teacher asked, “Why is milk good for our bodies?” The children responded by saying, “It makes our bones strong!” A hole was observed in a floor tile in the bathroom. In Space #L1, children were observed eating lunch before transitioning to quiet activities and rest time. Peeling paint was observed on the bathroom wall. In Space #L2, children were observed eating lunch before transitioning to quiet activities and rest time. Seven plastic bags, containing diapers and pull-ups, were stored in cubby shelves, below five feet from the finished floor. Three packets of wipes, labeled “keep out of reach of children”, were stored in cubby shelves, below five feet from the finished floor. Routine care and handwashing practices were observed. Lunch consisted of spaghetti with meat sauce, peas, pineapple tidbits, whole wheat roll, and milk. There were no infants or toddlers enrolled at the facility. One recently hired staff file and two substitute staff files were reviewed. Two staff members did not have a signed Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgment on file, stating that the policy was reviewed prior to working with children aged 0 to 5 years old. Legal Designee information was updated during today’s visit, which added two staff to the facility's list of legal designees. At the completion of the visit, the Visit Summary was reviewed with Denyelle Malloy, Legal Designee. The following violations were observed: Violation Number Comment Rule 603 All floors and floor coverings were not constructed of nonabsorbent material and/or were not kept clean and in good repair. In Space #K1, a hole was observed in the bathroom floor tile. 15A NCAC 18A .2824(a)&(b) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In Space #F1, the ceiling near the bathroom was observed with peeling tiles and water spots. 15A NCAC 18A .2825(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #L2, three packets of wipes labeled "keep out of reach of children" were stored in cubby shelves, below five feet from the finished floor. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space #L2, plastic bags containing diapers and pull-ups were observed in cubby shelves, below five feet from the finished floor. .0604(q) 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 acknowledgment with all the required information was not maintained in the staff person's file. Two staff members did not have a signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma acknowledgment on file. .0608(d)(1-4) 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. Additionally, by 5:00pm on May 29, 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: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@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 Childcare ID# 12345678 TA/Consultation: Conditions of Floors A violation was cited for the condition of the floor in a classroom bathroom. According to Child Care Sanitation Rule 15A NCAC 18A .2824(e), all floors and floor coverings shall be kept clean and maintained in good repair. Conditions of Walls and Ceilings A violation was cited for the condition of walls and ceilings in your facility. According to Child Care Sanitation Rule 15A NCAC 18A .2825(a), in child care centers, the walls and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be easily cleanable and free of peeling, flaking, chalking, or otherwise deteriorating paint. Hazardous Storage A violation was cited today for the storage of hazardous products. According to Child Care Sanitation Rule 15A NCAC 18A .2820(b), any product that is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. We discussed possibly providing Space #L2 with additional storage space and/or cabinets. Safe Indoor Environment A violation was cited for plastic being accessible to children under the age of three. According to Child Care Rule 10A NCAC 09 .0604(q), plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. We discussed possibly providing Space #L2 with additional storage space and/or cabinets. Preschool Observation I discussed the results from my preschool classroom observations with M. Mathis. I suggested for teachers to continue to have meaningful conversations with children throughout the day and provide opportunities for parallel discussions between children and staff. Self-talk and Parallel talk will both be necessary in providing a language-rich environment. I also recommended that teachers continue to provide open-ended questions, allowing the children to respond to what they think needs to happen, instead of giving directives to children. Reminders: 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 DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: TRINITY CHILD CARE II Facility ID: 2659014 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 12/18/2023 Number Present: 83 Completed Date: 12/18/2023 Age: From 2 To 5 Total Minutes: 315 Time In: 10:00 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 and the NC Pre-K program using Child Care Rules Section .3000 pertinent to an Annual Compliance visit. The previous Annual Compliance visit was completed on January 04, 2023, and prior to today’s visit, the eighteen-month compliance history score was 95% 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 08, 2022. The License was based on the program earning 7 points in education standards, 5 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program. The owner’s corporation status was verified on the Secretary of State’s website as current-active. The information on record with DCDEE was verified as correct and the owner’s corporation status was listed as current – active. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 20, 2023. Fire Classification of Approved for Daytime Care Only was completed on November 16, 2023. Denyelle Malloy, Administrative Assistant, was present while I observed the indoor and outdoor areas. Linda Vandevender, Administrator, arrived later during the visit. Eighty-three (83) children and twelve (12) teachers were present upon my arrival. Children were observed participating in free-choice activities, literacy activities, and gross motor activities. Children had access to blocks, fine motor, dramatic play, art, music, and literacy materials. In Space #F1, a bottle of sanitizer was stored on a shelf, below five feet from the finished floor. In Space #L1, a plastic bag was stored on a cubby hook, below five feet from the finished floor. Routine care and handwashing practices were observed. Lunch consisted of chicken nuggets, French fries, mixed fruit, mixed vegetables, and milk. Five staff files were reviewed. Three staff did not have a medical report on file. Two staff did not have a TB test/screening with negative results on file. Fourteen children’s records were reviewed, and all documentation was in compliance. Program files, including the EPR Plan, were reviewed and all documentation was in compliance. NC Pre-K program requirements were reviewed. The Creative Curriculum was implemented in the classroom activities. Teaching Strategies GOLD was used to create activity plans. Teaching Strategies GOLD was also used to assess children. Two NC Pre-K children’s records were reviewed. A health assessment, hearing/vision screening, and dental screening was on file for each child. Developmental screenings were completed for each enrolled child and were available for review on the ASQ online portal. Children were observed listening to books that the teachers read while sitting on the carpet. Children were also observed coloring with crayons on construction paper, and dancing to music on a CD player. A copy of the visit summary was reviewed with L. Vandevender. The following violations were observed: Violation Number Comment Rule 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. In Space #F1, a bottle of hand sanitizer was stored on a shelf, below five feet from the finished floor. .0604(a) 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 #L1, an empty plastic bag was stored on a cubby hook, below five feet from the finished floor. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Three recently-hired staff did not have medical reports on file [Raiona Griffin (DOE: 12/04/23); Miesha Jones (DOE: 12/04/23); Shanik Whitted (DOE: 10/03/23)]. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two staff members did not have a TB test or screening with negative results on file [Miesha Jones (DOE: 12/04/23); Shanik Whitted (DOE: 10/03/23)]. .0701(a) 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 January 01, 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: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@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 Childcare ID# 12345678 Facility Specific TA Safe Indoor Environment A violation was cited today for plastic bags being accessible to children under the age of three. According to Child Care Rule .0604(q), plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. Hazardous Items Storage A violation was cited today for the unsafe storage of hand sanitizer. According to Child Care Sanitation Rule .2820(c), non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use, but are not required to be in locked storage. A copy of the DCDEE Hazardous Items Storage printout was left with the administrator. Medical Records A violation was cited today for staff members not having a medical report on file. According to Child Care Rule .0701(a), child care providers and uncompensated providers who are not substitute providers or volunteers, including the director, shall obtain a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children prior to employment. When submitted, the medical statement shall not be older than 12 months. A violation was cited today for staff members not having current TB test/screening results on file. According to Child Care Rule .0701(a), all staff, including the director and individuals who volunteer more than once per week, shall obtain Tuberculin (TB) Test or Screening results indicating the individual is free of active tuberculosis on or before the first day of work. When submitted, the TB test or screening results shall not be older than 12 months. Reminders July 2023 Child Care Rule Changes The DCDEE is excited to share information about the July 2023 child care rule changes. The NC Child Care Commission revised rules related to staff/child ratios for multi-age groups; cooperative arrangements; and enhanced space requirements. These rule changes may or may not impact your facility. The multi-age group staff/child ratio changes support a previous rule change submitted by Early Head Start and the new rule for defining cooperative arrangements provides clarification to a previous change in statute. July 2023 New Child Care Rule Rollout A New Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, learn how to navigate Moodle. To access Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814- 6326. Challenging Behaviors Hotline: Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. DCDEE Child Care Consultant Contact Information 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

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: TRINITY CHILD CARE II Facility ID: 2659014 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 12/18/2023 Number Present: 83 Completed Date: 12/18/2023 Age: From 2 To 5 Total Minutes: 315 Time In: 10:00 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 and the NC Pre-K program using Child Care Rules Section .3000 pertinent to an Annual Compliance visit. The previous Annual Compliance visit was completed on January 04, 2023, and prior to today’s visit, the eighteen-month compliance history score was 95% 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 08, 2022. The License was based on the program earning 7 points in education standards, 5 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program. The owner’s corporation status was verified on the Secretary of State’s website as current-active. The information on record with DCDEE was verified as correct and the owner’s corporation status was listed as current – active. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 20, 2023. Fire Classification of Approved for Daytime Care Only was completed on November 16, 2023. Denyelle Malloy, Administrative Assistant, was present while I observed the indoor and outdoor areas. Linda Vandevender, Administrator, arrived later during the visit. Eighty-three (83) children and twelve (12) teachers were present upon my arrival. Children were observed participating in free-choice activities, literacy activities, and gross motor activities. Children had access to blocks, fine motor, dramatic play, art, music, and literacy materials. In Space #F1, a bottle of sanitizer was stored on a shelf, below five feet from the finished floor. In Space #L1, a plastic bag was stored on a cubby hook, below five feet from the finished floor. Routine care and handwashing practices were observed. Lunch consisted of chicken nuggets, French fries, mixed fruit, mixed vegetables, and milk. Five staff files were reviewed. Three staff did not have a medical report on file. Two staff did not have a TB test/screening with negative results on file. Fourteen children’s records were reviewed, and all documentation was in compliance. Program files, including the EPR Plan, were reviewed and all documentation was in compliance. NC Pre-K program requirements were reviewed. The Creative Curriculum was implemented in the classroom activities. Teaching Strategies GOLD was used to create activity plans. Teaching Strategies GOLD was also used to assess children. Two NC Pre-K children’s records were reviewed. A health assessment, hearing/vision screening, and dental screening was on file for each child. Developmental screenings were completed for each enrolled child and were available for review on the ASQ online portal. Children were observed listening to books that the teachers read while sitting on the carpet. Children were also observed coloring with crayons on construction paper, and dancing to music on a CD player. A copy of the visit summary was reviewed with L. Vandevender. The following violations were observed: Violation Number Comment Rule 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. In Space #F1, a bottle of hand sanitizer was stored on a shelf, below five feet from the finished floor. .0604(a) 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 #L1, an empty plastic bag was stored on a cubby hook, below five feet from the finished floor. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Three recently-hired staff did not have medical reports on file [Raiona Griffin (DOE: 12/04/23); Miesha Jones (DOE: 12/04/23); Shanik Whitted (DOE: 10/03/23)]. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two staff members did not have a TB test or screening with negative results on file [Miesha Jones (DOE: 12/04/23); Shanik Whitted (DOE: 10/03/23)]. .0701(a) 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 January 01, 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: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@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 Childcare ID# 12345678 Facility Specific TA Safe Indoor Environment A violation was cited today for plastic bags being accessible to children under the age of three. According to Child Care Rule .0604(q), plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. Hazardous Items Storage A violation was cited today for the unsafe storage of hand sanitizer. According to Child Care Sanitation Rule .2820(c), non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use, but are not required to be in locked storage. A copy of the DCDEE Hazardous Items Storage printout was left with the administrator. Medical Records A violation was cited today for staff members not having a medical report on file. According to Child Care Rule .0701(a), child care providers and uncompensated providers who are not substitute providers or volunteers, including the director, shall obtain a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children prior to employment. When submitted, the medical statement shall not be older than 12 months. A violation was cited today for staff members not having current TB test/screening results on file. According to Child Care Rule .0701(a), all staff, including the director and individuals who volunteer more than once per week, shall obtain Tuberculin (TB) Test or Screening results indicating the individual is free of active tuberculosis on or before the first day of work. When submitted, the TB test or screening results shall not be older than 12 months. Reminders July 2023 Child Care Rule Changes The DCDEE is excited to share information about the July 2023 child care rule changes. The NC Child Care Commission revised rules related to staff/child ratios for multi-age groups; cooperative arrangements; and enhanced space requirements. These rule changes may or may not impact your facility. The multi-age group staff/child ratio changes support a previous rule change submitted by Early Head Start and the new rule for defining cooperative arrangements provides clarification to a previous change in statute. July 2023 New Child Care Rule Rollout A New Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, learn how to navigate Moodle. To access Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814- 6326. Challenging Behaviors Hotline: Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. DCDEE Child Care Consultant Contact Information 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