10A NCAC 09 .1003 · Violation

Name of Operation: CHOICE CARE QUEST Facility ID: 81000320 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 8/21/2024 Number Present: 36 Completed Date: 8/21/2024 Age: From 5 To 11 Total Minutes: 165 Time In: 02:30 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Hailey Sturgill, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five star license effective May 20, 2019. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, meets enhanced space minus one, and fireplace not used during operating hours. The Secretary of State website was checked on August 21, 2024, and your business Choice Care Playschool, LLC, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in snack time, outdoor play, and homework time. The center's compliance history was at 98% prior to today’s visit. 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. Any violation(s) documented may impact the compliance history score. A sample of five children’s files were reviewed. One new staff member has been hired and one staff member has transferred from another Choice Care location since the last monitoring visit. A sample of one existing staff file was reviewed. The last monthly fire drill was practiced on 8/14/24. The last lockdown drill was practiced on 8/13/24. The last monthly playground inspection was completed on 8/20/24. The most recent lead water testing results were completed on August 14, 2023. Lead testing must be completed every three years. The most recent sanitation inspection for your facility was conducted on June 10, 2024. A superior sanitation classification was issued with no demerits. The most recent fire inspection for your facility was conducted on February 1, 2024. The facility was approved for daytime care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. One child enrolled 5/28/24, did not have emergency and identifying information in the vehicle that provided transportation for the child. Photographs for seven children were not in the vehicle that provided transportation for the children. 10A NCAC 09 .1003(d) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. One child enrolled 6/10/24 and one child enrolled 6/24/24 did not have the date of enrollment for the child on the verification of the discipline policy review form. .1804(b) The violation(s) documented must be corrected immediately. On or before September 4, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Emergency information including the child’s name, photograph, and emergency contact information must be in the vehicle that the child is being transported in. You added the needed information for the child that enrolled 5/28/24 to the transportation vehicle during the visit. We discussed that missing photographs for seven children will need to be added to the transportation vehicle within the next two weeks. The discipline policy must be given to the child’s parent and explained to each child’s parent at the time of enrollment. A statement attesting that the center’s written discipline policy was be given to, discussed with the parent, and be on file for review. The statement must include the child’s name, the date of enrollment and the date that the parent signed the statement. You reported that each parent is given a copy of the center's policy and asked to sign. This form includes all the required information needed. You also have parents to sign another verification form that includes multiple policies on one form. This form does not include the date of enrollment for the child. You may choose to continue to use a signed copy of your discipline policy and/or your own policy authorization form. The chosen form will need to include all required information in order to meet the discipline policy requirement. Consultation or other topics discussed today: Rake and fluff the sand product that is used around the fall zone for the castle play structure to ensure a safe play environment. We discussed that the manufacturer’s information must be read for all outdoor equipment to ensure proper usage. The Dirt Bike Big Kid Dually Tricycles are for ages 7 and up. Make a plan for how the tricycles will be used for the proper age group only and used for single riders, unless information can be provided to verify that the tricycle can be used for tandem riders. Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. For natural learning environment resources, consider using The Green Desk that is provided by the Natural Learning Initiative. The Green Desk contains numerous resources meant to improve outdoor learning environments and promote health, natural child development, physical activity, and nature-based learning. To access this page, Go to www.naturalearning.org, hover on the link for ‘resources’, click on the link for ‘The Green Desk’. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Due to time constraints, a hand written visit summary was issued, reviewed and a copy was given to you for your records. A computer-generated visit summary was emailed to you on August 22, 2024 for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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: CHOICE CARE QUEST Facility ID: 81000320 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 8/21/2024 Number Present: 36 Completed Date: 8/21/2024 Age: From 5 To 11 Total Minutes: 165 Time In: 02:30 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Hailey Sturgill, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five star license effective May 20, 2019. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, meets enhanced space minus one, and fireplace not used during operating hours. The Secretary of State website was checked on August 21, 2024, and your business Choice Care Playschool, LLC, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in snack time, outdoor play, and homework time. The center's compliance history was at 98% prior to today’s visit. 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. Any violation(s) documented may impact the compliance history score. A sample of five children’s files were reviewed. One new staff member has been hired and one staff member has transferred from another Choice Care location since the last monitoring visit. A sample of one existing staff file was reviewed. The last monthly fire drill was practiced on 8/14/24. The last lockdown drill was practiced on 8/13/24. The last monthly playground inspection was completed on 8/20/24. The most recent lead water testing results were completed on August 14, 2023. Lead testing must be completed every three years. The most recent sanitation inspection for your facility was conducted on June 10, 2024. A superior sanitation classification was issued with no demerits. The most recent fire inspection for your facility was conducted on February 1, 2024. The facility was approved for daytime care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. One child enrolled 5/28/24, did not have emergency and identifying information in the vehicle that provided transportation for the child. Photographs for seven children were not in the vehicle that provided transportation for the children. 10A NCAC 09 .1003(d) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. One child enrolled 6/10/24 and one child enrolled 6/24/24 did not have the date of enrollment for the child on the verification of the discipline policy review form. .1804(b) The violation(s) documented must be corrected immediately. On or before September 4, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Emergency information including the child’s name, photograph, and emergency contact information must be in the vehicle that the child is being transported in. You added the needed information for the child that enrolled 5/28/24 to the transportation vehicle during the visit. We discussed that missing photographs for seven children will need to be added to the transportation vehicle within the next two weeks. The discipline policy must be given to the child’s parent and explained to each child’s parent at the time of enrollment. A statement attesting that the center’s written discipline policy was be given to, discussed with the parent, and be on file for review. The statement must include the child’s name, the date of enrollment and the date that the parent signed the statement. You reported that each parent is given a copy of the center's policy and asked to sign. This form includes all the required information needed. You also have parents to sign another verification form that includes multiple policies on one form. This form does not include the date of enrollment for the child. You may choose to continue to use a signed copy of your discipline policy and/or your own policy authorization form. The chosen form will need to include all required information in order to meet the discipline policy requirement. Consultation or other topics discussed today: Rake and fluff the sand product that is used around the fall zone for the castle play structure to ensure a safe play environment. We discussed that the manufacturer’s information must be read for all outdoor equipment to ensure proper usage. The Dirt Bike Big Kid Dually Tricycles are for ages 7 and up. Make a plan for how the tricycles will be used for the proper age group only and used for single riders, unless information can be provided to verify that the tricycle can be used for tandem riders. Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. For natural learning environment resources, consider using The Green Desk that is provided by the Natural Learning Initiative. The Green Desk contains numerous resources meant to improve outdoor learning environments and promote health, natural child development, physical activity, and nature-based learning. To access this page, Go to www.naturalearning.org, hover on the link for ‘resources’, click on the link for ‘The Green Desk’. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Due to time constraints, a hand written visit summary was issued, reviewed and a copy was given to you for your records. A computer-generated visit summary was emailed to you on August 22, 2024 for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 .0601 · Violation

Name of Operation: CHOICE CARE QUEST Facility ID: 81000320 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/6/2023 Number Present: 28 Completed Date: 9/6/2023 Age: From 5 To 11 Total Minutes: 165 Time In: 02:10 PM Time Out: 04:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Hailey Sturgill, Administrator. Your program currently operates with a five star license effective May 20, 2019. The permit restrictions were in compliance including 1st shift, school age only, fireplace/woodstove not used during operating hours, meets enhanced ratios, meets enhanced space and meets enhanced ratios minus one. The NC Secretary of State website was reviewed on September 6, 2023 and Choice Care Playschool, LLC. was listed as current/active. You reported no changes to the ownership of the facility. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time and free play in activity areas. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 100 percent as of September 6, 2023. 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. Any violation(s) documented may impact the compliance history score. Four staff files were reviewed, with three new staff files. Six children’s records were reviewed. Rated license requirements were reviewed to ensure compliance was maintained with current program and education components as well as the quality point. The most recent sanitation inspection for your facility was conducted on May 1, 2023. A superior sanitation classification was issued with no demerits. The most recent fire inspection for your facility was conducted on February 13, 2023. The facility was approved for day time care. The following violation was observed today: Violation Number Comment Rule 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. No manufacturer’s instructions were not available for the new play structure on Outdoor Space #2. .0601(b) The violation(s) documented must be corrected immediately. On or before September 20, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Manufacturer’s Instructions: All commercially manufactured equipment must be assembled and installed according to procedures specified by the manufacturer and the manufacturer's instructions must on file or electronically accessible, if available. 10A NCAC 09 .0601(b) You reported that you are working with the playground equipment company to get the needed information. Consultation or other topics discussed today (the following items reviewed were in compliance today): Your facility is not in Cohort 1 for rated license reevaluation. We discussed that facilities may begin to prepare for resuming rated license reassessments by making sure that all staff have updated WORKS education evaluations and begin to request technical assistance as needed. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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: CHOICE CARE QUEST Facility ID: 81000320 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/6/2023 Number Present: 28 Completed Date: 9/6/2023 Age: From 5 To 11 Total Minutes: 165 Time In: 02:10 PM Time Out: 04:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Hailey Sturgill, Administrator. Your program currently operates with a five star license effective May 20, 2019. The permit restrictions were in compliance including 1st shift, school age only, fireplace/woodstove not used during operating hours, meets enhanced ratios, meets enhanced space and meets enhanced ratios minus one. The NC Secretary of State website was reviewed on September 6, 2023 and Choice Care Playschool, LLC. was listed as current/active. You reported no changes to the ownership of the facility. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time and free play in activity areas. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 100 percent as of September 6, 2023. 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. Any violation(s) documented may impact the compliance history score. Four staff files were reviewed, with three new staff files. Six children’s records were reviewed. Rated license requirements were reviewed to ensure compliance was maintained with current program and education components as well as the quality point. The most recent sanitation inspection for your facility was conducted on May 1, 2023. A superior sanitation classification was issued with no demerits. The most recent fire inspection for your facility was conducted on February 13, 2023. The facility was approved for day time care. The following violation was observed today: Violation Number Comment Rule 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. No manufacturer’s instructions were not available for the new play structure on Outdoor Space #2. .0601(b) The violation(s) documented must be corrected immediately. On or before September 20, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Manufacturer’s Instructions: All commercially manufactured equipment must be assembled and installed according to procedures specified by the manufacturer and the manufacturer's instructions must on file or electronically accessible, if available. 10A NCAC 09 .0601(b) You reported that you are working with the playground equipment company to get the needed information. Consultation or other topics discussed today (the following items reviewed were in compliance today): Your facility is not in Cohort 1 for rated license reevaluation. We discussed that facilities may begin to prepare for resuming rated license reassessments by making sure that all staff have updated WORKS education evaluations and begin to request technical assistance as needed. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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