Fuquay-Varina Kindercare

NC GS 110-90 · Violation

Name of Operation: Fuquay-Varina KinderCare Facility ID: 92004064 Consultant: SHAMEQUA WILKERSON-HARRIS Operation Type: Center Case Number: 0626-056L Visit Date: 6/18/2026 Number Present: 47 Completed Date: 6/18/2026 Age: From 0 To 8 Total Minutes: 135 Time In: 12:30 PM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate a report that was received alleging noncompliance of child care requirements. Erin Keely, the director, was present and assisted me during the visit. There were twelve (12) staff, and forty-seven (47) children present on the visit today. Children throughout the facility were participating in circle time, center activities, transitions, and personal care routines. Limited monitoring of child care requirements was conducted during the visit. Supervision of children, staff/child ratios, nurture/care of children, use of adequate/approved space and permit restrictions were monitored. The License and emergency care plan were posted. During today’s visit, I discussed the allegation with the director and interviewed five staff. They were given an opportunity to provide information surrounding the allegation. Prior to the visit the reporter was interviewed via phone call and was given an opportunity to share further concerns. During the phone call the reporter discussed that it is believed staff members who are working in the infant classroom do not have IT-SIDs certification. ALLEGATION There are concerns about supervision and inappropriate discipline. FINDINGS It was shared that a two-year-old child opened the door and proceeded to walk out of the door, however, the administrators were in the hallway. The child was not out of sight of a staff member. During interviews with staff, it was not told that a teacher or any staff member witnessed a two-year-old child being told to ‘get out of my classroom and go walk home.” During today’s visit I observed six classrooms regarding interactions with children. In the Prek 1 classroom I observed a child having challenging behaviors. The teacher was preparing to transition outside. The child wanted to leave ahead of the teacher. I observed the teacher being able to get the child’s attention in a nurturing manner for his developmental need. The teacher completed the name to face transition and was able to get all the children to the playground safely. I also observed each classroom during naptime. In each classroom each child was resting quietly on his or her mat or reading a book for quiet time. During the visit appropriate discipline and supervision was observed and found in compliance. I requested name to face for the last thirty days for the infant room. I was able to determine all staff members who worked in the infant room for thirty days. I requested to monitor the staff members IT-SIDS training, and CPR/FA training. Two staff members who actively work in the infant room IT-SIDs training were observed expired. Three staff members CPR/FA was also observed expired. The following violations were observed and documented during today’s visit. Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Three staff members First Aid training was observed with an expiration date of 3/2026. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Three staff members CPR training was observed with an expiration date of 3/2026. .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Two staff members who actively work in the infant room ITS-SIDS training was not completed every three years. The ITS-SIDS training expired for the two staff members on 3/1/26 and 3/14/26. .1102(f) To comply with the NC Laws and Rules any violations cited today MUST be corrected immediately. A compliance letter must be received on or before July 2, 2026, letter must address each violation, explain how it has been corrected and how the violation will maintain compliance in the future. Please make sure to include: -Facility name -Facility ID number -Each item number The letter can be emailed to Shamequa.Wilkerson-Harris@dhhs.nc.gov Your compliance history prior to today’s visit was 98%. 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. INVESTIGATION STATUS The investigation was completed during today’s visit. Based on my observations and staff interviews, I was unable to determine that a lapse in compliance with the Child Care Requirements have occurred regarding supervision, therefore this concern is unsubstantiated. Based on my observations and staff interviews, I was unable to determine whether a lapse in discipline occurred therefore this concern is unsubstantiated. Based on my observation of staff files in regard to staff members working in the infant room without proper IT-SIDs training I was able to determine that two staff members did not have a current certificate on file. A concern about the corrective action letter provided from the Director not being followed was brought to my attention. The director stated that they have been actively trying to stay in compliance with what she submitted as a corrective action letter. I discussed with the director that combining children to maintain staff /child ratio for the first and last hour of the day is ok as long as the ratio of the youngest child is maintained. I discussed with the director the deviation from the corrective measure was still in compliance with the licensing rule. Please note that corrective action letters are in place to improve your centers operation. It is in the best interest to consider your corrective action measures before sending them to your consultant. Please contact your consultant to discuss more options that will be able to work for your center’s dynamics. TECHNICAL ASSISTANCE The following items were discussed during today’s visit. You may want to consider them in order to avoid violations in the future: During the visit today two staff members who actively work in the infant room ITs-SIDs training was observed expired on 3/2026. Three staff members CPR/FA training was observed expired 3/2026. It is important that staff have the proper training and certifications completed when working with infants. A significant percentage of sleep related infant deaths happen in childcare settings. ITS-SIDs equips caregivers with the necessary tools and knowledge to recognize early signs of distress and prevent hazards like suffocation and strangulation. I would recommend you utilize an outlook calendar or a simple reminder tool to remind you when training is needed. If you have any questions or need additional information concerning this visit summary, I can be reached at Shamequa.Wilkerson-Harris@dhhs.nc.gov, 919.417.2872. Corrine Fulp will continue to be your consultant. Please contact her for additional information and assistance. My supervisor, Holli Hemby can be reached at holli.hemby@dhhs.nc.gov, 919.819.9363. 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 .1801 · Violation

Name of Operation: Fuquay-Varina KinderCare Facility ID: 92004064 Consultant: CORRINE FULP Operation Type: Center Case Number: 0526-021L Visit Date: 5/12/2026 Number Present: 30 Completed Date: 5/12/2026 Age: From 0 To 5 Total Minutes: 195 Time In: 11:45 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor concerns regarding non-compliance child care requirements. The director, Erin Keeley, assisted me in a walkthrough of the building. There were 42 children present, ranging from ages 0 to 5 years of age. OBSERVATIONS: Upon arrival at 11:45 a.m., the director and I discussed the purpose of the visit. Following our discussion, we completed a walkthrough of the building. The children were transitioning to nap time. In a classroom serving children ages 0–12 months, a child was observed receiving a diaper change and having their hands washed afterward. MONITORING Only partial monitoring of child care requirements was conducted during today’s visit. The following items were monitored: supervision of children, capacity, general safety, adequate/approved space, general licensing requirements, and license posted. The caller expressed concern that inadequate supervision of a two-year-old child has occurred on two occasions. I spoke with the administrators and asked if they were aware of an incident in which a child left the classroom without the teacher’s knowledge. The administrator stated that occasionally the older sibling would call out to the child during pickup and the child would leave the room, but the teacher was aware that the child had left the classroom. The administrator stated that the parent had made her aware of the incident and had addressed the concerns with both parents. The teacher was also asked to make sure that the door to the classroom is closed during pick-up so that a child would not see their parents and walk out of the classroom. I spoke with the teacher, who stated that on April 22 she was preparing her classroom for closing while two children were sitting near the open classroom door. She stated that she was not aware the child had left the classroom. The teacher further stated that the child’s father returned the child to the classroom and informed her that the child had not been supervised. I reviewed the face-to-name attendance sheets for April 22, 2026, and April 28, 2026. The face-to-name forms had been completed; however, on April 22, 2026, the form did not indicate the name of the individual who picked up the child. On April 28, 2026, the face-to-name form documented that the child was picked up by the mother at 6:00 p.m. I inquired whether camera footage was available for review, and the director stated that she did not have access to the footage. The caller expressed concern regarding the lack of timely communication and reporting to families when staff and children become ill. I interviewed the administrator and asked whether she was aware of a situation in which caregivers and children became ill, as well as the facility’s policy regarding illness occurring during operating hours. You stated that you recall an incident in April when two caregivers became ill with a virus and had to be out for at least one week. You stated that if a child becomes ill during the day, the child is removed from the classroom upon notification and kept in an area without direct contact with other children until picked up by a parent or guardian. You further stated that children are not permitted to return until they have been symptom-free for 24 hours or have provided a doctor’s note. In viewing the center policy for reporting illness, it did not specify a timeframe for notifying parents, the director stated that upon receiving confirmation of the illness from a parent, she immediately notified families through the app. There were concerns that parents were not given access to the facility to drop off and pick up children. I spoke with the administrator regarding the center pick up and drop off policy. I was also able to view the child’s emergency contacts information. The following violations of the Child Care Requirements were observed during today’s visit. Violation Number Comment Rule 101 Parent or guardian of child was not allowed access to the center during operating hours for the purpose of contacting the child or evaluating the caregiving space at the center and the care provided. The administrator stated that she told a parent that he could no longer enter the building; there were no legal documents on file to deny him access. .0205(a) 303 Children were not adequately supervised at all times. On April 22, 2026 a caregiver stated that a child left her classroom for 5 minutes and she was unaware that the child had left until the parent returned the child to the classroom and stated that the child was not being supervised. .1801(a)(1-5) Please submit a corrective action letter for the above violations. While the Division allows you time to explain how you have corrected violations when they are documented, it is expected that you will correct all violations immediately. Your corrective action letter must include the following: Name of your program, Id number of your program, Date of Letter, Violation(s) number(s), and How and When each violation was corrected. If I do not receive your letter by 5/26/26, and/or if you do not address all violations, I will be making a return visit to your program to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. Your compliance letter should be sent to me at the following email address: corrine.fulp@dhhs.nc.gov., or mailed to 1781 Indian Camp Road Clayton, NC 27520. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history score was 99%. Substantiation of the alleged reports may result in administrative action being taken against the center. A follow-up visit could be made. RESOLUTION: Based on observations and information provided by staff, I was unable to determine whether lapses in compliance with the Child Care Rules have occurred, therefore the concerns related to a lack of communication occurred therefore this allegation UNSUBSTANTIATED. Based on observations and information provided by staff, it was determined that inadequate supervision and denial of parent access to the building occurred. Therefore, these allegations are substantiated, and violations have been documented. TECHNICAL ASSISTANCE During today’s visit I did not observe any children being unsupervised. However, rule 10A NCAC 09 .1801 states that (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times;(4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. Reporting Illness: For daycare facilities specifically, North Carolina regulations require that: •A child who becomes too ill to participate is separated from other children until picked up; •The child’s parents be contacted; and •Communicable disease reporting requirements to public health authorities be followed, when applicable. North Carolina does not appear to have a statewide rule requiring daycare facilities to notify all parents within a specific timeframe whenever a child becomes ill. Parent-notification procedures of that nature are often addressed in the daycare facility’s own handbook or policies. Get smarter responses, upload files and images, and more. Restricting parents access to the facility- Rule NCAC 09 .0205 states that: (a) the parent of a child enrolled in a child care center shall be allowed access to the center during its operating hours for the purposes of contacting the child or evaluating caregiving space at the center and the care provided by the center for the child. The parent shall notify the on-site administrator of his or her presence upon entering the premises. (b) Parents subject to court orders related to custody of a child enrolled in a child care center shall only be allowed access to the center in accordance with the court order. (c) The child care operator shall not knowingly permit a person on the premises of a child care center who has been convicted of a "reportable conviction" as defined in G.S. 14-208.6(4). It can be tough when someone takes their frustration out on you. Handling any angry situation requires staying calm, listening actively without interrupting, and not taking the frustration personally. Use empathy to acknowledge their feelings, apologize sincerely for the issue, and focus on providing a swift, actionable solution. Key steps include letting the person be heard, restating the problem, and setting clear, professional boundaries if necessary. When you have arrived at a solution remember to follow up to ensure their needs were met. There is an excellent video on LinkedIn Learning “Working with Upset Customers”. I think it would help you get a wonder perspective on triggers signs and what not to say or do. The website is https://www.linkedin.com/learning-login/share?; you may have to open an account to watch it. CONTACT INFORMATION If you have any questions about today’s visit, I can be reached at: 919-606-2388 or email me at corrine.fulp@dhhs.nc.gov. My supervisor, Holli Hemby, can be reached at (919)819-9363, holli.hemby@dhhs.nc.gov. if I am unavailable. 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: Fuquay-Varina KinderCare Facility ID: 92004064 Consultant: ANGELA ALGER-WALKER Operation Type: Center Case Number: 0326-096L Visit Date: 3/19/2026 Number Present: 43 Completed Date: 3/19/2026 Age: From 0 To 5 Total Minutes: 240 Time In: 10:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to obtain information regarding alleged violations of child care requirements at this child care facility. Holli Hemby, Licensing Supervisor, accompanied me during this visit. Erin Keeley, administrator, greeted us upon our arrival and accompanied us during a walk-through of the facility. LICENSE STATUS : The facility currently has a Temporary Time Period License that was issued on 10/18/25 and expires on 4/18/26. During the visit, we discussed the allegations with the director and additional staff members. Limited monitoring of child care requirements was conducted during the visit. The following requirements were monitored during this visit: Staff-to-Child Ratios and group sizes, Supervision of Children, Safe Sleep records, Staff Qualifications, Criminal Background Check Compliance, Child records, Infant Feeding Plans, Sanitation, Handwashing, Safe Environment, Transportation Records, Storage of Hazardous Supplies, and Permit Restrictions were monitored. The license and emergency care plan were posted. Children throughout the facility were participating in center activities, transitions, playing in the outdoor learning environment, and personal care routines. Infants were observed in free play activities with their teacher, having tummy time, and being held to be fed a bottle. During today’s visit, there were 43 children, and 14 staff members present. ALLEGATION There are concerns of staff-to-child ratios, supervision of children, safe sleep records, staff use of personal devices and photographing children for personal social media, staff qualifications and personnel files, criminal background check compliance, child files, infant feeding plans, food safety and allergen awareness, sanitation in food prep and diapering areas, handwashing supplies, safe environment, playground safety, transportation, interaction, and storage of hazardous supplies. During today’s walk through, attendance was obtained and documented. Staff-to-Child ratios were in accordance with Child Care Rule .3208. A review of the submitted attendance records was completed during the visit. That review indicated that the center was consistently documenting compliance with ratios. It was noted that records reviewed did not show lapses in maintenance of required staff-child ratios. During today’s visit, observations were conducted in 6 classrooms for approximately 15 minutes each. Throughout the observation teachers were actively engaged with the children and were observant about where they children were and what they were doing. They quickly intervened when conflicts arose or a child needed assistance. I also observed numerous positive and developmentally appropriate redirections. The teachers reminded children of classroom rules, using gentle hands and assisted the children in learning to share toys and play with each other. I then interviewed staff members separately, asking questions about classroom management techniques and discipline. Each staff member interviewed was asked if they had any concerns regarding supervision of children over the past five months and if any children were left unsupervised at any time. None of the staff had any concerns regarding supervision and no one remembers a child being left alone without adult supervision. Adequate supervision was being maintained indoors and outdoors. During the observation the teachers maintained a warm and caring environment, talking with the children on their level with a pleasant tone, and were attentive to their needs. We obtained and reviewed safe sleep records for classrooms serving children under 12 months of age. A review of the submitted records was completed during the visit. That review indicated that the center was not consistently documenting compliance with safe sleep requirements. It was noted that there had been lapses in documenting sleep checks. The center recently went through a change of ownership. During the previous ownership and through most of the transition, the staff used paper documents to verify that the safe sleep charts had been conducted every 15 minutes that an infant was asleep. The new owner transitioned the documentation into an app that only allows the staff to enter the time a child falls asleep and wakes up, not the in-between safe sleep checks. Staff were asked about the use of personal devices in the classrooms and staff stated that the use of personal electronic devices during working hours is prohibited and that there is a disciplinary process that can lead to termination of employment. During the visit, we did not observe any in use that would impact the supervision or care of children. When asked how pictures/videos are used, staff stated that pictures are only sent through the corporate app for parents to see. The corporate marketing group does not use the pictures of currently enrolled children for marketing purposes. We reviewed four staff files. The result of that review indicated that the staff met minimum preservice requirements, including criminal background checks. Each staff file reviewed did contain the required records. We reviewed 7 children’s files. A result of that review indicated file did contain the required records. We obtained and reviewed infant feeding records for classrooms serving children under 15 months of age. A review of the submitted records was completed during the visit. That review indicated that the center was consistently documenting compliance with infant feeding requirements. It was noted that there had not been lapses in documenting. We observed the kitchen and classrooms where children eat. Each area was monitored for compliance with licensing and sanitation requirements for equipment and required record-keeping. Each area was equipped with the appropriate equipment and was being used in a sanitary manner. We reviewed the children’s records for information on allergies; the center does have children with known food allergies. According to the records reviewed, the center is following requirements to ensure children’s safety regarding allergies; up to date allergy lists were posted in the kitchen and appropriate classrooms. We observed the food prep and diapering areas in each classroom providing for those caregiving needs. Each area was monitored for compliance with licensing and sanitation requirements for equipment and use. Each area was equipped with the appropriate equipment and was being used in a sanitary manner. During today’s walk through, one bathroom where children were observed washing their hands had a jammed paper towel dispenser. All the other bathrooms through out the building were observed to have adequate soap and paper towels. General observations for all indoor and outdoor areas were conducted. We observed no interior concerns. Safety concerns were observed in the outdoor learning environments that would impact children. The outdoor learning environment has vines growing through the chain link fencing, debris piled up alongside the perimeter fence that reduces the height of the fence in a small section that is near the construction next door. A plastic storage unit that is falling apart, has a hinge that exposes a hazard to the children. The garden hose was laying on the ground in a large pile. During a walk-through of the center, we monitored for appropriate storage of potentially hazardous items and supplies. Each classroom had a place to store cleaning supplies and they were appropriately handled. Throughout the center, potentially hazardous items were stored appropriately. In the center office, we observed some fast dry spackling on the desk. When asked, the center administration stated that children did not come into the office alone and if they did come in it was for less than five minutes or when they are sick and that the door remains locked when she is not in the office. The center does provide transportation services. We monitored all transportation requirements. We monitored the vehicles used and all required record-keeping. The director will be submitting the corporate policy for staff who transport children. Additional information is needed on the type of background checks that are conducted when transporting children. The following violations of the Child Care Requirements were observed or confirmed during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. . The outdoor learning environment has vines growing through the chain link fencing, debris piled up alongside the perimeter fence that reduces the height of the fence in a small section that is near the construction next door. A plastic storage unit that is falling apart, has a hinge that exposes a hazard to the children. The garden hose was laying on the ground in a large pile. 10A NCAC 09 .0601(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. The last documented safe sleep check was in January 2026. .0606(g) Please submit a corrective action letter for the above violations. While the Division allows you time to explain how you have corrected violations when they are documented, it is expected that you will correct all violations immediately. Your corrective action letter must include the following: Name of your program, Id number of your program, Date of Letter, Violation(s) number(s), and How and When each violation was corrected. If I do not receive your letter by 3/25/26, and/or if you do not address all violations, I will be making a return visit to your program to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. Your compliance letter should be sent to me at the following email address: angela.algerwalker@dhhs.nc.gov. The facility’s overall Compliance History Score, which is currently 100%. An updated Compliance History Score will be generated after today’s visit, and you will be informed of the results if it drops below the required 75%. INVESTIGATION STATUS Based on observations, information provided by staff and a review of the center’s policies, I was unable to determine whether lapses in compliance with the Child Care Requirements have occurred. Therefore, the concerns related staff-to-child ratios, supervision of children, staff use of personal devices and photographing children for personal social media, staff qualifications and personnel files, criminal background check compliance, child files, infant feeding plans, food safety and allergen awareness, sanitation in food prep and diapering areas, handwashing supplies, interaction, and storage of hazardous supplies are UNSUBSTANTIATED. Based on observations during today’s visit, the concerns regarding safe environment and safe sleep practices are SUBSTANTIATED. The concerns regarding transportation will remain open for further investigation. Additional visits may be conducted and/or additional documentation requested to determine the outcome of the investigation. TECHNICAL ASSISTANCE The following items were discussed during today's visit. You may want to consider them to avoid potential violations or improve the quality of your program. One of the biggest challenges that early childhood educators and administrators face is children’s behavior. Even behaviors that are developmentally appropriate can be difficult for a teacher to manage. Providing technical assistance, coaching and professional development for staff to prevent and address these challenging behaviors, as well as promoting the children’s social competence can be beneficial. If you would like assistance with dealing with challenging behaviors of children in your care, you can contact a Healthy Social Behavior Specialist at Early Years; they can be reached at (919) 403-6950 or Project Enlightenment at (919) 856-7774. All staff may benefit by participating in training to assist with appropriately responding to challenging behaviors in the classroom. Positive Reinforcement: The use of praise to help children feel good about themselves, which builds confidence and positive self-esteem. Routines and schedules may ease anxiety and stress among children because they will know what is expected of them and what to expect during the day. A positive learning environment is important for children’s emotional and social well-being. Redirection: When children are engaging in inappropriate behavior, you should remind children about behavior expectations and invite them to “try again.” If a child is not successful, you should try giving the child choices of other activities to try. When a child meets behavior expectations, you should describe the behavior and praise the child. Feedback should be more than saying “Good job!”. Help children learn how it feels to be seen and celebrated. For example, when two children are playing well with block you can say, “Wow! I like how you stack the blocks up one at a time. Thank you for taking turns!” Please note the “Early Years” offers virtual training that could potentially help staff when facing challenging situations. - Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. We discussed today that when hazardous items are stored below five feet, the storage must be locked with an approved locking device. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. A plastic safety first latch of any type/style is not considered a locking device. The latches slow a child down from gaining access but does not restrict access. Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. It is important to perform safety checks at arrival each morning to ensure all hazardous items are properly stored. Consumer product labels contain valuable use instructions and precautions that can help you keep the children in your care safe. By reading the label first you can prevent accidents from occurring. Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information and parental permission to participate in specific activities. This information is the basis for meeting each child's physical, emotional, cognitive and social needs. Knowing what to do in an emergency medical situation can mean the difference between life or death. Being trained in CPR and first aid can be invaluable when someone is in serious medical distress. Therefore, it is so important that all staff working directly with children have current CPR and First Aid Certification. Staff have 90 days from the day of hire to complete the required trainings. Log onto the DCDEE website at www.ncchildcare.ncdhhs.gov and click on “Provider,” Training and Professional Development,” and then in a blue box on the screen will be a link to “ Be a Smart Consumer of First Aid and CPR.” This link will provide a list of approved CPR/First Aid agencies in NC. During today’s visit, it was observed that paper towels were not available at every handwashing area. Please note that according to sanitation rule 15A NCAC 18A .2818 (d), liquid soap and disposable towels or other approved hand-drying devices must be provided at every handwash lavatory area. Please ensure all handwashing stations are consistently stocked to remain in compliance. CONSULTATION While we do not have a specific Child Care Rule preventing staff from photographing children in care, it should be considered best practice not to distribute the photos over social media without prior written consent from the child’s parent or legal guardian. We would recommend annually reviewing your corporate policy on media and children with your staff during a staff meeting. Child Care Health Consultants are available to provide information and training regarding various health and safety topics to child care staff. Please visit their website at www.healthychildcare.unc.edu to learn more and find the contact information for the CCHC assigned to your zip code. You can also find the stand-up diapering procedures poster at this website. ACCESS THE ABCMS PORTAL North Carolina Child Care Providers must obtain access to the ABCMS Provider Portal in order to meet the requirement to report new employees within five days of hire. The Division no longer recognizes or accepts Change of Information forms. Access to the Provider Portal is granted by CBC Unit staff after providers have completed the required Moodle training and submit the signed Powerform available at the conclusion of the training. Once you have been notified that access has been granted, log into the provider portal to locate the unique provider code for your facility. Applicants and employees will use this code to create a connecting application to be associated with your facility or Family Child Care Home. The links include a help document to assist you. It is your responsibility to ensure that all staff currently working for you have their ABCMS account and application linked to your facility. Instructions for your staff to connect themselves to your facility begin on PAGE 3 of this document: ABCMS Provider Portal Technical Assistance Providers needing assistance with the Provider Portal can utilize the ABCMS Provider Portal Technical Assistance document to associate staff or household members, make payments, and create rosters. This document contains helpful information on navigating the portal so make sure to review it as you begin setting up your program’s ABCMS Provider Portal account. CONTACT INFORMATION If you have any questions or need additional information, I can be reached at 919 819-9350 or angela.algerwalker@dhhs.nc.gov. My supervisor, Holli Hemby, can be reached at holli.hemby@dhhs.nc.gov or 919 819-9363 if I am unavailable. 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