10A NCAC 09 .0604 · Violation

Name of Operation: BRIGHT BEGINNINGS CHILDCARE CENTER Facility ID: 14000307 Consultant: DINAH BROWN Operation Type: Center Case Number: Visit Date: 12/11/2025 Number Present: 68 Completed Date: 12/11/2025 Age: From 0 To 10 Total Minutes: 470 Time In: 10:10 AM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Angie Annas, Director, assisted with today’s visit. Your program currently operates with a four star license effective January 14, 2020. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, children under 2 ½ in rooms with direct exits only and Cap Building #1=84 Building #2=75. The Secretary of State website was checked on December 11, 2025, and your business, Bright Beginnings Childcare Center, LLC, was 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 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. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, lunch, group time, free play, rest time, outdoor play, and departure during the visit. Required Inspections: The last fire inspection was conducted on April 16, 2025. The last sanitation inspection was conducted on February 18, 2025. A “superior” classification was issued with four (4) demerits noted on the grade card. The most recent playground inspection was conducted on November 10, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on March 1, 2024. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is required to conduct a lead-based paint risk assessment and a childcare facility asbestos inspection. You received the results of your most recent lead-based paint assessment testing showing no lead-based paint hazards were identified at your facility, on February 17, 2025. You received the results of your most recent childcare facility asbestos inspection showing no asbestos hazards were identified at your facility, on February 10, 2025. Emergency Drills: The most recent fire drill was conducted on November 26, 2025. The most recent emergency drill was conducted on September 24, 2025. I reviewed the ABCMS Provider portal during the visit. No staff members are listed as employees of your facility. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Two (2) new staff members have been hired since the last visit. The following violations were observed/documented during the visit: Violation Number Comment Rule 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. Two gates had one gap at the bottom of the gate that measured 5” inches on the playground for infants and children one year of age. .0605(g) 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 #3, I observed an electrical outlet that was uncovered behind the trashcan in the bathroom accessible to children. In space #7, I observed an electrical outlet that was uncovered behind a small Christmas tree to the right of the teacher's desk area accessible to children. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In space #1b, one child enrolled March 24, 2025, one child enrolled April 7, 2025, one child enrolled April 28, 2025, one child enrolled May 27, 2025, and three children enrolled on July 14, 2025, had medication authorization forms that were missing information on how to apply Desitin strength paste 40% zinc oxide diaper rash ointment that was provided by the facility. 10A NCAC 09 .0803(4)(6-9) 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 #3, the classroom for children two years of age, I observed three zip lock bags with wet art materials lying on the changing table accessible to children. .0604(q) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. No staff are listed under your roster in the ABCMS system. G.S. 110-90.2 & .2703(r) The violation(s) documented must be corrected immediately. On or before December 25, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. 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, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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 your letter to dinah.brown@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 84%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: Playground Fencing: I suggested that the you measure openings in equipment, steps, decks, handrails, and fencing when modifications are done to the playgrounds to ensure that all openings are not less than 3 ½” inches and greater than 9” inches . I also suggested that the person conducting playground inspections, review child care rules regarding playground safety and entrapment hazards. Electrical Outlets: I suggested that you monitor all spaces throughout the day to ensure all electrical outlets not in use are covered with a safety plug. Instruct staff to check all electrical outlets at the beginning of the day. Medication Authorization: I suggested that you, or a designated staff member, review all medication permission forms to ensure all required information is obtained prior to accepting the medication from the child’s parent or guardian. Choking hazards: I suggested that you monitor all classrooms for children under three years of age daily to ensure plastic grocery bags, plastic packaging, small toys, small art supplies, and other potential choking hazards are inaccessible to children or removed from the classroom. I suggested that you review safety requirements with all staff members individually and during an upcoming staff meeting. ABCMS: I discussed with you that you must notify the Division of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. I reviewed with you the ABCMS Provider Portal Access Guide document and provided you with a copy of the document during the visit. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Consultation We discussed the QRIS Modernization and the Pathway to the Stars. We reviewed all three (3) pathways, as well as the Education standards, Continuous Quality Improvement Standards (CQI), and Family and Community Engagement Standards. I encouraged you to visit the QRIS Modernization website to review information regarding the changes to the rated license process. Information on the three (3) pathway options, as well as links to upcoming webinars may be found on the DCDEE QRIS Modernization website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. We discussed changes to the environmental rating scales and the implementation of the “3’s”. I encouraged you to visit the North Carolina Rated License Assessment Project website for more information regarding the 3’s, as well as webinars and training opportunities: https://ncrlap.org/Resources/pages/get-ready-for-3s/. I also suggested you reach out to Paula Arrowood or Wendy Smith, your technical assistant with the Partnership for Children Caldwell County, to request technical assistance as you prepare to begin the rated license process. Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. DCDEE Website Link to the QRIS Modernization page: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Links for Resources Approved Curriculum: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_Curriculum.pdf?ver=Hxr2QwCIRb8kdaccUr3ETA%3d%3d2023 NC Child Care Commission Approved Formative Assessments: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_EC_Formative_Assessments.pdf?ver=TzSdkUdkhMNoa8W505qTEw%3d%3d DCDEE Provider Documents and Forms: Link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms 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. 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 828-231-2311. Dinah Brown PO Box 6373 Hickory, NC 28601 Dinah.brown@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.

10A NCAC 09 .0803 · Violation

Name of Operation: BRIGHT BEGINNINGS CHILDCARE CENTER Facility ID: 14000307 Consultant: DINAH BROWN Operation Type: Center Case Number: Visit Date: 12/11/2025 Number Present: 68 Completed Date: 12/11/2025 Age: From 0 To 10 Total Minutes: 470 Time In: 10:10 AM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Angie Annas, Director, assisted with today’s visit. Your program currently operates with a four star license effective January 14, 2020. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, children under 2 ½ in rooms with direct exits only and Cap Building #1=84 Building #2=75. The Secretary of State website was checked on December 11, 2025, and your business, Bright Beginnings Childcare Center, LLC, was 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 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. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, lunch, group time, free play, rest time, outdoor play, and departure during the visit. Required Inspections: The last fire inspection was conducted on April 16, 2025. The last sanitation inspection was conducted on February 18, 2025. A “superior” classification was issued with four (4) demerits noted on the grade card. The most recent playground inspection was conducted on November 10, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on March 1, 2024. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is required to conduct a lead-based paint risk assessment and a childcare facility asbestos inspection. You received the results of your most recent lead-based paint assessment testing showing no lead-based paint hazards were identified at your facility, on February 17, 2025. You received the results of your most recent childcare facility asbestos inspection showing no asbestos hazards were identified at your facility, on February 10, 2025. Emergency Drills: The most recent fire drill was conducted on November 26, 2025. The most recent emergency drill was conducted on September 24, 2025. I reviewed the ABCMS Provider portal during the visit. No staff members are listed as employees of your facility. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Two (2) new staff members have been hired since the last visit. The following violations were observed/documented during the visit: Violation Number Comment Rule 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. Two gates had one gap at the bottom of the gate that measured 5” inches on the playground for infants and children one year of age. .0605(g) 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 #3, I observed an electrical outlet that was uncovered behind the trashcan in the bathroom accessible to children. In space #7, I observed an electrical outlet that was uncovered behind a small Christmas tree to the right of the teacher's desk area accessible to children. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In space #1b, one child enrolled March 24, 2025, one child enrolled April 7, 2025, one child enrolled April 28, 2025, one child enrolled May 27, 2025, and three children enrolled on July 14, 2025, had medication authorization forms that were missing information on how to apply Desitin strength paste 40% zinc oxide diaper rash ointment that was provided by the facility. 10A NCAC 09 .0803(4)(6-9) 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 #3, the classroom for children two years of age, I observed three zip lock bags with wet art materials lying on the changing table accessible to children. .0604(q) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. No staff are listed under your roster in the ABCMS system. G.S. 110-90.2 & .2703(r) The violation(s) documented must be corrected immediately. On or before December 25, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. 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, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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 your letter to dinah.brown@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 84%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: Playground Fencing: I suggested that the you measure openings in equipment, steps, decks, handrails, and fencing when modifications are done to the playgrounds to ensure that all openings are not less than 3 ½” inches and greater than 9” inches . I also suggested that the person conducting playground inspections, review child care rules regarding playground safety and entrapment hazards. Electrical Outlets: I suggested that you monitor all spaces throughout the day to ensure all electrical outlets not in use are covered with a safety plug. Instruct staff to check all electrical outlets at the beginning of the day. Medication Authorization: I suggested that you, or a designated staff member, review all medication permission forms to ensure all required information is obtained prior to accepting the medication from the child’s parent or guardian. Choking hazards: I suggested that you monitor all classrooms for children under three years of age daily to ensure plastic grocery bags, plastic packaging, small toys, small art supplies, and other potential choking hazards are inaccessible to children or removed from the classroom. I suggested that you review safety requirements with all staff members individually and during an upcoming staff meeting. ABCMS: I discussed with you that you must notify the Division of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. I reviewed with you the ABCMS Provider Portal Access Guide document and provided you with a copy of the document during the visit. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Consultation We discussed the QRIS Modernization and the Pathway to the Stars. We reviewed all three (3) pathways, as well as the Education standards, Continuous Quality Improvement Standards (CQI), and Family and Community Engagement Standards. I encouraged you to visit the QRIS Modernization website to review information regarding the changes to the rated license process. Information on the three (3) pathway options, as well as links to upcoming webinars may be found on the DCDEE QRIS Modernization website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. We discussed changes to the environmental rating scales and the implementation of the “3’s”. I encouraged you to visit the North Carolina Rated License Assessment Project website for more information regarding the 3’s, as well as webinars and training opportunities: https://ncrlap.org/Resources/pages/get-ready-for-3s/. I also suggested you reach out to Paula Arrowood or Wendy Smith, your technical assistant with the Partnership for Children Caldwell County, to request technical assistance as you prepare to begin the rated license process. Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. DCDEE Website Link to the QRIS Modernization page: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Links for Resources Approved Curriculum: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_Curriculum.pdf?ver=Hxr2QwCIRb8kdaccUr3ETA%3d%3d2023 NC Child Care Commission Approved Formative Assessments: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_EC_Formative_Assessments.pdf?ver=TzSdkUdkhMNoa8W505qTEw%3d%3d DCDEE Provider Documents and Forms: Link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms 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. 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 828-231-2311. Dinah Brown PO Box 6373 Hickory, NC 28601 Dinah.brown@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

G.S. 110-90 · Violation

Name of Operation: BRIGHT BEGINNINGS CHILDCARE CENTER Facility ID: 14000307 Consultant: DINAH BROWN Operation Type: Center Case Number: Visit Date: 12/11/2025 Number Present: 68 Completed Date: 12/11/2025 Age: From 0 To 10 Total Minutes: 470 Time In: 10:10 AM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Angie Annas, Director, assisted with today’s visit. Your program currently operates with a four star license effective January 14, 2020. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, children under 2 ½ in rooms with direct exits only and Cap Building #1=84 Building #2=75. The Secretary of State website was checked on December 11, 2025, and your business, Bright Beginnings Childcare Center, LLC, was 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 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. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, lunch, group time, free play, rest time, outdoor play, and departure during the visit. Required Inspections: The last fire inspection was conducted on April 16, 2025. The last sanitation inspection was conducted on February 18, 2025. A “superior” classification was issued with four (4) demerits noted on the grade card. The most recent playground inspection was conducted on November 10, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on March 1, 2024. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is required to conduct a lead-based paint risk assessment and a childcare facility asbestos inspection. You received the results of your most recent lead-based paint assessment testing showing no lead-based paint hazards were identified at your facility, on February 17, 2025. You received the results of your most recent childcare facility asbestos inspection showing no asbestos hazards were identified at your facility, on February 10, 2025. Emergency Drills: The most recent fire drill was conducted on November 26, 2025. The most recent emergency drill was conducted on September 24, 2025. I reviewed the ABCMS Provider portal during the visit. No staff members are listed as employees of your facility. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Two (2) new staff members have been hired since the last visit. The following violations were observed/documented during the visit: Violation Number Comment Rule 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. Two gates had one gap at the bottom of the gate that measured 5” inches on the playground for infants and children one year of age. .0605(g) 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 #3, I observed an electrical outlet that was uncovered behind the trashcan in the bathroom accessible to children. In space #7, I observed an electrical outlet that was uncovered behind a small Christmas tree to the right of the teacher's desk area accessible to children. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In space #1b, one child enrolled March 24, 2025, one child enrolled April 7, 2025, one child enrolled April 28, 2025, one child enrolled May 27, 2025, and three children enrolled on July 14, 2025, had medication authorization forms that were missing information on how to apply Desitin strength paste 40% zinc oxide diaper rash ointment that was provided by the facility. 10A NCAC 09 .0803(4)(6-9) 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 #3, the classroom for children two years of age, I observed three zip lock bags with wet art materials lying on the changing table accessible to children. .0604(q) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. No staff are listed under your roster in the ABCMS system. G.S. 110-90.2 & .2703(r) The violation(s) documented must be corrected immediately. On or before December 25, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. 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, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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 your letter to dinah.brown@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 84%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: Playground Fencing: I suggested that the you measure openings in equipment, steps, decks, handrails, and fencing when modifications are done to the playgrounds to ensure that all openings are not less than 3 ½” inches and greater than 9” inches . I also suggested that the person conducting playground inspections, review child care rules regarding playground safety and entrapment hazards. Electrical Outlets: I suggested that you monitor all spaces throughout the day to ensure all electrical outlets not in use are covered with a safety plug. Instruct staff to check all electrical outlets at the beginning of the day. Medication Authorization: I suggested that you, or a designated staff member, review all medication permission forms to ensure all required information is obtained prior to accepting the medication from the child’s parent or guardian. Choking hazards: I suggested that you monitor all classrooms for children under three years of age daily to ensure plastic grocery bags, plastic packaging, small toys, small art supplies, and other potential choking hazards are inaccessible to children or removed from the classroom. I suggested that you review safety requirements with all staff members individually and during an upcoming staff meeting. ABCMS: I discussed with you that you must notify the Division of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. I reviewed with you the ABCMS Provider Portal Access Guide document and provided you with a copy of the document during the visit. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Consultation We discussed the QRIS Modernization and the Pathway to the Stars. We reviewed all three (3) pathways, as well as the Education standards, Continuous Quality Improvement Standards (CQI), and Family and Community Engagement Standards. I encouraged you to visit the QRIS Modernization website to review information regarding the changes to the rated license process. Information on the three (3) pathway options, as well as links to upcoming webinars may be found on the DCDEE QRIS Modernization website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. We discussed changes to the environmental rating scales and the implementation of the “3’s”. I encouraged you to visit the North Carolina Rated License Assessment Project website for more information regarding the 3’s, as well as webinars and training opportunities: https://ncrlap.org/Resources/pages/get-ready-for-3s/. I also suggested you reach out to Paula Arrowood or Wendy Smith, your technical assistant with the Partnership for Children Caldwell County, to request technical assistance as you prepare to begin the rated license process. Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. DCDEE Website Link to the QRIS Modernization page: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Links for Resources Approved Curriculum: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_Curriculum.pdf?ver=Hxr2QwCIRb8kdaccUr3ETA%3d%3d2023 NC Child Care Commission Approved Formative Assessments: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_EC_Formative_Assessments.pdf?ver=TzSdkUdkhMNoa8W505qTEw%3d%3d DCDEE Provider Documents and Forms: Link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms 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. 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 828-231-2311. Dinah Brown PO Box 6373 Hickory, NC 28601 Dinah.brown@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: BRIGHT BEGINNINGS CHILDCARE CENTER Facility ID: 14000307 Consultant: DINAH BROWN Operation Type: Center Case Number: Visit Date: 3/4/2025 Number Present: 58 Completed Date: 3/4/2025 Age: From 0 To 5 Total Minutes: 482 Time In: 09:58 AM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s annual compliance visit was to monitor your program for compliance with applicable child care requirements including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Angie Annas, Administrator, who assisted with today’s visit. Your last annual compliance visit was conducted on March 21, 2024. Your program currently operates with a four star license effective January 14, 2020. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, children under 2 ½ in rooms with direct exits only and Cap Building #1=84 Building #2=75. A walk-through of the facility was completed today, all indoor and outdoor areas used by children enrolled were monitored. I observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed during independent center play, teacher lead group time activities, transitions, toileting, diapering, lunch, rest time, outdoor gross motor activities, and departure. Fire Inspection: The most recent fire inspection was completed on August 6, 2024. Sanitation Inspection: The last sanitation inspection was completed on February 8, 2025. A “superior” classification was issued with four (4) demerits noted on the grade card. Playground Inspection: The last playground inspection was completed on February 10, 2025, and recorded. Emergency Drills: The last fire drill was completed on February 28, 2025, at 9:35 am and recorded in building #1. The last fire drill was completed on February 28, 2025, at 11:00 am and recorded in building #2. The last shelter-in-place drill was completed on January 31, 2025, and recorded in building #1. The last lockdown drill was completed on January 30, 2025, and recorded in building #2. Files Reviewed: Three new staff have been hired since the last annual compliance visit on March 21, 2024. Five (5) staff files were reviewed today. Nine (9) children’s files were reviewed today. A checklist was used to note the requirements I monitored during today’s visit. I discussed the Staff and Training Worksheets and the Children’s Records forms with you today. There were seven violations observed during today’s visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. On February 17, 2025, one child was not signed out. On February 28, 2025, one child was not signed out. On March 3, 2025, one child was not signed out. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space #6, the room for 3 year old children, did not have a current activity plan posted. In Space #4, a second room for 3 year old children, did not have a current activity plan posted. GS 110-91(12); .0508(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The large refrigerator in the kitchen displayed a current and active temperature of 50 degrees during the visit. 15A NCAC 18A .2806(j)(2) 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 van #1, I observed one aerosol can of Banana Boat Sport Sunscreen and one aerosol can of Banana Boat Kids Sport Sunscreen in an unlocked container between the two front seats that were accessible to children. .2820(b) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member employed on February 13, 2024, had thirteen hours of ongoing training documented, twenty hours was required. One staff member employed on June 14, 2023, had two on going training hours documented, ten hours was required. .1103(a) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member employed on June 14, 2023, who was on maternity leave, had a qualification letter on file that expired on February 26, 2025. G.S. 110-90.2(b) & (d) & .2703(e) 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. One staff member employed on April 9, 2018, and one staff member employed on February 18, 2022, did not have a current certificate of completion for Recognizing and Responding to the Suspicions of Maltreatment on file for review. .1103(b) Technical Assistance: Arrival/Departure: I suggested that staff review arrival/departure sheets daily to ensure every child has been signed in and out each day. Activity Plans: I suggested that staff use a weekly/monthly checklist to ensure that all required classroom postings are current, accurate and posted as required by child care rules. Transportation: I suggested that staff monitor each van daily to ensure that all hazardous products, including aerosols are kept in locked storage. Staff Training: I suggested that staff use the staff file checklist and the staff and training worksheet to track required trainings for staff. Using the checklist and the worksheet will ensure that all trainings are completed within the required timeframe, are kept current, are accurate, and are on file for review. Criminal Background Check: I suggested that staff use the staff file checklist and the staff and training worksheet to track the expiration of required items such as the Criminal background Check. Using the checklist will ensure that all items listed are completed within the required timeframe, are kept current, are accurate, and are on file for review. Equipment: I suggested that staff monitor the refrigerator temperature to ensure that the thermometer reflects a constant active temperature of 45 degrees or below. Contact Information: You confirmed that Angie Annas was your current Administrator, that 12 Dudley Ave Granite Falls, NC 28630 was your current physical address, that angieannas82@gmail.com was your current email address, and that (828)-396-5655 was your current phone contact. Compliance History: Prior to today’s visit, your compliance history was eighty-four (84) percent as of March 4, 2025. 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. Compliance Letter: You must correct the violation found during today's visit immediately. Please send me a letter verifying compliance by March 18, 2025. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at dinah.brown@dhhs.nc.gov. 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. Dinah Brown Child Care Consultant P.O. Box 6373 Hickory, NC 28601 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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. Lead Testing: Child Care Rule .0601(f)- Safe Environments Child Care Rule Effective January 1, 2024 Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. 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 All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. Moodle Information On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the flier with you with information on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Stay up to date with the Division of Child Development and Early Education by visiting www.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 childcare in North Carolina. If you have any concerns with today’s visit, please contact me or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov If I can be of assistance in the future, please feel free to contact me at 828-231-2311 or e-mail dinah.brown@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.

G.S. 110-90 · Violation

Name of Operation: BRIGHT BEGINNINGS CHILDCARE CENTER Facility ID: 14000307 Consultant: DINAH BROWN Operation Type: Center Case Number: Visit Date: 3/4/2025 Number Present: 58 Completed Date: 3/4/2025 Age: From 0 To 5 Total Minutes: 482 Time In: 09:58 AM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s annual compliance visit was to monitor your program for compliance with applicable child care requirements including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Angie Annas, Administrator, who assisted with today’s visit. Your last annual compliance visit was conducted on March 21, 2024. Your program currently operates with a four star license effective January 14, 2020. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, children under 2 ½ in rooms with direct exits only and Cap Building #1=84 Building #2=75. A walk-through of the facility was completed today, all indoor and outdoor areas used by children enrolled were monitored. I observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed during independent center play, teacher lead group time activities, transitions, toileting, diapering, lunch, rest time, outdoor gross motor activities, and departure. Fire Inspection: The most recent fire inspection was completed on August 6, 2024. Sanitation Inspection: The last sanitation inspection was completed on February 8, 2025. A “superior” classification was issued with four (4) demerits noted on the grade card. Playground Inspection: The last playground inspection was completed on February 10, 2025, and recorded. Emergency Drills: The last fire drill was completed on February 28, 2025, at 9:35 am and recorded in building #1. The last fire drill was completed on February 28, 2025, at 11:00 am and recorded in building #2. The last shelter-in-place drill was completed on January 31, 2025, and recorded in building #1. The last lockdown drill was completed on January 30, 2025, and recorded in building #2. Files Reviewed: Three new staff have been hired since the last annual compliance visit on March 21, 2024. Five (5) staff files were reviewed today. Nine (9) children’s files were reviewed today. A checklist was used to note the requirements I monitored during today’s visit. I discussed the Staff and Training Worksheets and the Children’s Records forms with you today. There were seven violations observed during today’s visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. On February 17, 2025, one child was not signed out. On February 28, 2025, one child was not signed out. On March 3, 2025, one child was not signed out. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space #6, the room for 3 year old children, did not have a current activity plan posted. In Space #4, a second room for 3 year old children, did not have a current activity plan posted. GS 110-91(12); .0508(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The large refrigerator in the kitchen displayed a current and active temperature of 50 degrees during the visit. 15A NCAC 18A .2806(j)(2) 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 van #1, I observed one aerosol can of Banana Boat Sport Sunscreen and one aerosol can of Banana Boat Kids Sport Sunscreen in an unlocked container between the two front seats that were accessible to children. .2820(b) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member employed on February 13, 2024, had thirteen hours of ongoing training documented, twenty hours was required. One staff member employed on June 14, 2023, had two on going training hours documented, ten hours was required. .1103(a) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member employed on June 14, 2023, who was on maternity leave, had a qualification letter on file that expired on February 26, 2025. G.S. 110-90.2(b) & (d) & .2703(e) 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. One staff member employed on April 9, 2018, and one staff member employed on February 18, 2022, did not have a current certificate of completion for Recognizing and Responding to the Suspicions of Maltreatment on file for review. .1103(b) Technical Assistance: Arrival/Departure: I suggested that staff review arrival/departure sheets daily to ensure every child has been signed in and out each day. Activity Plans: I suggested that staff use a weekly/monthly checklist to ensure that all required classroom postings are current, accurate and posted as required by child care rules. Transportation: I suggested that staff monitor each van daily to ensure that all hazardous products, including aerosols are kept in locked storage. Staff Training: I suggested that staff use the staff file checklist and the staff and training worksheet to track required trainings for staff. Using the checklist and the worksheet will ensure that all trainings are completed within the required timeframe, are kept current, are accurate, and are on file for review. Criminal Background Check: I suggested that staff use the staff file checklist and the staff and training worksheet to track the expiration of required items such as the Criminal background Check. Using the checklist will ensure that all items listed are completed within the required timeframe, are kept current, are accurate, and are on file for review. Equipment: I suggested that staff monitor the refrigerator temperature to ensure that the thermometer reflects a constant active temperature of 45 degrees or below. Contact Information: You confirmed that Angie Annas was your current Administrator, that 12 Dudley Ave Granite Falls, NC 28630 was your current physical address, that angieannas82@gmail.com was your current email address, and that (828)-396-5655 was your current phone contact. Compliance History: Prior to today’s visit, your compliance history was eighty-four (84) percent as of March 4, 2025. 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. Compliance Letter: You must correct the violation found during today's visit immediately. Please send me a letter verifying compliance by March 18, 2025. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at dinah.brown@dhhs.nc.gov. 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. Dinah Brown Child Care Consultant P.O. Box 6373 Hickory, NC 28601 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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. Lead Testing: Child Care Rule .0601(f)- Safe Environments Child Care Rule Effective January 1, 2024 Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. 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 All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. Moodle Information On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the flier with you with information on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Stay up to date with the Division of Child Development and Early Education by visiting www.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 childcare in North Carolina. If you have any concerns with today’s visit, please contact me or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov If I can be of assistance in the future, please feel free to contact me at 828-231-2311 or e-mail dinah.brown@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: BRIGHT BEGINNINGS CHILDCARE CENTER Facility ID: 14000307 Consultant: DINAH BROWN Operation Type: Center Case Number: Visit Date: 3/4/2025 Number Present: 58 Completed Date: 3/4/2025 Age: From 0 To 5 Total Minutes: 482 Time In: 09:58 AM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s annual compliance visit was to monitor your program for compliance with applicable child care requirements including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Angie Annas, Administrator, who assisted with today’s visit. Your last annual compliance visit was conducted on March 21, 2024. Your program currently operates with a four star license effective January 14, 2020. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, children under 2 ½ in rooms with direct exits only and Cap Building #1=84 Building #2=75. A walk-through of the facility was completed today, all indoor and outdoor areas used by children enrolled were monitored. I observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed during independent center play, teacher lead group time activities, transitions, toileting, diapering, lunch, rest time, outdoor gross motor activities, and departure. Fire Inspection: The most recent fire inspection was completed on August 6, 2024. Sanitation Inspection: The last sanitation inspection was completed on February 8, 2025. A “superior” classification was issued with four (4) demerits noted on the grade card. Playground Inspection: The last playground inspection was completed on February 10, 2025, and recorded. Emergency Drills: The last fire drill was completed on February 28, 2025, at 9:35 am and recorded in building #1. The last fire drill was completed on February 28, 2025, at 11:00 am and recorded in building #2. The last shelter-in-place drill was completed on January 31, 2025, and recorded in building #1. The last lockdown drill was completed on January 30, 2025, and recorded in building #2. Files Reviewed: Three new staff have been hired since the last annual compliance visit on March 21, 2024. Five (5) staff files were reviewed today. Nine (9) children’s files were reviewed today. A checklist was used to note the requirements I monitored during today’s visit. I discussed the Staff and Training Worksheets and the Children’s Records forms with you today. There were seven violations observed during today’s visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. On February 17, 2025, one child was not signed out. On February 28, 2025, one child was not signed out. On March 3, 2025, one child was not signed out. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space #6, the room for 3 year old children, did not have a current activity plan posted. In Space #4, a second room for 3 year old children, did not have a current activity plan posted. GS 110-91(12); .0508(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The large refrigerator in the kitchen displayed a current and active temperature of 50 degrees during the visit. 15A NCAC 18A .2806(j)(2) 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 van #1, I observed one aerosol can of Banana Boat Sport Sunscreen and one aerosol can of Banana Boat Kids Sport Sunscreen in an unlocked container between the two front seats that were accessible to children. .2820(b) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member employed on February 13, 2024, had thirteen hours of ongoing training documented, twenty hours was required. One staff member employed on June 14, 2023, had two on going training hours documented, ten hours was required. .1103(a) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member employed on June 14, 2023, who was on maternity leave, had a qualification letter on file that expired on February 26, 2025. G.S. 110-90.2(b) & (d) & .2703(e) 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. One staff member employed on April 9, 2018, and one staff member employed on February 18, 2022, did not have a current certificate of completion for Recognizing and Responding to the Suspicions of Maltreatment on file for review. .1103(b) Technical Assistance: Arrival/Departure: I suggested that staff review arrival/departure sheets daily to ensure every child has been signed in and out each day. Activity Plans: I suggested that staff use a weekly/monthly checklist to ensure that all required classroom postings are current, accurate and posted as required by child care rules. Transportation: I suggested that staff monitor each van daily to ensure that all hazardous products, including aerosols are kept in locked storage. Staff Training: I suggested that staff use the staff file checklist and the staff and training worksheet to track required trainings for staff. Using the checklist and the worksheet will ensure that all trainings are completed within the required timeframe, are kept current, are accurate, and are on file for review. Criminal Background Check: I suggested that staff use the staff file checklist and the staff and training worksheet to track the expiration of required items such as the Criminal background Check. Using the checklist will ensure that all items listed are completed within the required timeframe, are kept current, are accurate, and are on file for review. Equipment: I suggested that staff monitor the refrigerator temperature to ensure that the thermometer reflects a constant active temperature of 45 degrees or below. Contact Information: You confirmed that Angie Annas was your current Administrator, that 12 Dudley Ave Granite Falls, NC 28630 was your current physical address, that angieannas82@gmail.com was your current email address, and that (828)-396-5655 was your current phone contact. Compliance History: Prior to today’s visit, your compliance history was eighty-four (84) percent as of March 4, 2025. 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. Compliance Letter: You must correct the violation found during today's visit immediately. Please send me a letter verifying compliance by March 18, 2025. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at dinah.brown@dhhs.nc.gov. 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. Dinah Brown Child Care Consultant P.O. Box 6373 Hickory, NC 28601 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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. Lead Testing: Child Care Rule .0601(f)- Safe Environments Child Care Rule Effective January 1, 2024 Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. 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 All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. Moodle Information On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the flier with you with information on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Stay up to date with the Division of Child Development and Early Education by visiting www.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 childcare in North Carolina. If you have any concerns with today’s visit, please contact me or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov If I can be of assistance in the future, please feel free to contact me at 828-231-2311 or e-mail dinah.brown@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: BRIGHT BEGINNINGS CHILDCARE CENTER Facility ID: 14000307 Consultant: DINAH BROWN Operation Type: Center Case Number: Visit Date: 3/4/2025 Number Present: 58 Completed Date: 3/4/2025 Age: From 0 To 5 Total Minutes: 482 Time In: 09:58 AM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s annual compliance visit was to monitor your program for compliance with applicable child care requirements including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Angie Annas, Administrator, who assisted with today’s visit. Your last annual compliance visit was conducted on March 21, 2024. Your program currently operates with a four star license effective January 14, 2020. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, children under 2 ½ in rooms with direct exits only and Cap Building #1=84 Building #2=75. A walk-through of the facility was completed today, all indoor and outdoor areas used by children enrolled were monitored. I observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed during independent center play, teacher lead group time activities, transitions, toileting, diapering, lunch, rest time, outdoor gross motor activities, and departure. Fire Inspection: The most recent fire inspection was completed on August 6, 2024. Sanitation Inspection: The last sanitation inspection was completed on February 8, 2025. A “superior” classification was issued with four (4) demerits noted on the grade card. Playground Inspection: The last playground inspection was completed on February 10, 2025, and recorded. Emergency Drills: The last fire drill was completed on February 28, 2025, at 9:35 am and recorded in building #1. The last fire drill was completed on February 28, 2025, at 11:00 am and recorded in building #2. The last shelter-in-place drill was completed on January 31, 2025, and recorded in building #1. The last lockdown drill was completed on January 30, 2025, and recorded in building #2. Files Reviewed: Three new staff have been hired since the last annual compliance visit on March 21, 2024. Five (5) staff files were reviewed today. Nine (9) children’s files were reviewed today. A checklist was used to note the requirements I monitored during today’s visit. I discussed the Staff and Training Worksheets and the Children’s Records forms with you today. There were seven violations observed during today’s visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. On February 17, 2025, one child was not signed out. On February 28, 2025, one child was not signed out. On March 3, 2025, one child was not signed out. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space #6, the room for 3 year old children, did not have a current activity plan posted. In Space #4, a second room for 3 year old children, did not have a current activity plan posted. GS 110-91(12); .0508(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The large refrigerator in the kitchen displayed a current and active temperature of 50 degrees during the visit. 15A NCAC 18A .2806(j)(2) 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 van #1, I observed one aerosol can of Banana Boat Sport Sunscreen and one aerosol can of Banana Boat Kids Sport Sunscreen in an unlocked container between the two front seats that were accessible to children. .2820(b) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member employed on February 13, 2024, had thirteen hours of ongoing training documented, twenty hours was required. One staff member employed on June 14, 2023, had two on going training hours documented, ten hours was required. .1103(a) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member employed on June 14, 2023, who was on maternity leave, had a qualification letter on file that expired on February 26, 2025. G.S. 110-90.2(b) & (d) & .2703(e) 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. One staff member employed on April 9, 2018, and one staff member employed on February 18, 2022, did not have a current certificate of completion for Recognizing and Responding to the Suspicions of Maltreatment on file for review. .1103(b) Technical Assistance: Arrival/Departure: I suggested that staff review arrival/departure sheets daily to ensure every child has been signed in and out each day. Activity Plans: I suggested that staff use a weekly/monthly checklist to ensure that all required classroom postings are current, accurate and posted as required by child care rules. Transportation: I suggested that staff monitor each van daily to ensure that all hazardous products, including aerosols are kept in locked storage. Staff Training: I suggested that staff use the staff file checklist and the staff and training worksheet to track required trainings for staff. Using the checklist and the worksheet will ensure that all trainings are completed within the required timeframe, are kept current, are accurate, and are on file for review. Criminal Background Check: I suggested that staff use the staff file checklist and the staff and training worksheet to track the expiration of required items such as the Criminal background Check. Using the checklist will ensure that all items listed are completed within the required timeframe, are kept current, are accurate, and are on file for review. Equipment: I suggested that staff monitor the refrigerator temperature to ensure that the thermometer reflects a constant active temperature of 45 degrees or below. Contact Information: You confirmed that Angie Annas was your current Administrator, that 12 Dudley Ave Granite Falls, NC 28630 was your current physical address, that angieannas82@gmail.com was your current email address, and that (828)-396-5655 was your current phone contact. Compliance History: Prior to today’s visit, your compliance history was eighty-four (84) percent as of March 4, 2025. 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. Compliance Letter: You must correct the violation found during today's visit immediately. Please send me a letter verifying compliance by March 18, 2025. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at dinah.brown@dhhs.nc.gov. 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. Dinah Brown Child Care Consultant P.O. Box 6373 Hickory, NC 28601 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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. Lead Testing: Child Care Rule .0601(f)- Safe Environments Child Care Rule Effective January 1, 2024 Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. 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 All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. Moodle Information On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the flier with you with information on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Stay up to date with the Division of Child Development and Early Education by visiting www.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 childcare in North Carolina. If you have any concerns with today’s visit, please contact me or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov If I can be of assistance in the future, please feel free to contact me at 828-231-2311 or e-mail dinah.brown@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: BRIGHT BEGINNINGS CHILDCARE CENTER Facility ID: 14000307 Consultant: DINAH BROWN Operation Type: Center Case Number: Visit Date: 8/29/2024 Number Present: 81 Completed Date: 8/29/2024 Age: From 0 To 11 Total Minutes: 315 Time In: 10:45 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Angelia Annas, Administrator, assisted me with the visit. Your program currently operates with a four star license effective January 14, 2020. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, children under 2 ½ in rooms with direct exits only and Cap Building #1=84 Building #2=75. A walk-through of all licensed indoor and outdoor spaces was conducted. You, Angelia Annas, accompanied me on the walkthrough. I observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed during diapering, toileting, handwashing, indoor free play activities, lunch, gross motor play, rest time and departure. Inspections/Emergency Drills: Fire Inspection: The last fire inspection was completed on August 6, 2024. Sanitation Inspection: The last sanitation inspection was completed on January 16, 2024. A “superior” classification was issued with four (4) demerits noted on the grade card. Emergency Drills/Playground Inspections: The last shelter-in-place/ drill in building #1 was completed on July 31, 2024, and recorded. The last lockdown drill in building #2 was completed on August 12, 2024, and recorded. The last fire drill in building #1 was completed on July 31, 2024, at 9:45 am and recorded. The last fire drill in building #2, space #7 was completed on August 6, 2024, at 3:20 pm and recorded. The last fire drill in building #2, space #8 was completed on August 5, 2024, at 3:15 pm and recorded. The last playground inspections were completed on August 16, 2024, and recorded. A checklist was used to note the requirements I monitored today. Files Reviewed: One (1) staff file was reviewed today. The following violations were observed during the walk through today. I discussed these violations with you in detail at the end of the visit. Violation Number Comment Rule 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 building #2 in the entryway I observed an outlet missing a cover. 10A NCAC 09 .0604(c) 1329 Application for enrollment did not include all required information. One child enrolled on August 30, 2024 had a application on file that did not have each question under the Health Care Needs section of the application completed. Two children enrolled on March 9, 2024 had applications on file that did not have each question under the Health Care Needs section of the application completed. .0801(a)(1-7) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One child in space 1b enrolled on May 28, 2024 had a Permission to Administer a Prescription Medication (Trimcinolone Aceton Cream) that did not have dates listed to start and stop the administration of the medication. A second child in space 1b enrolled on November 11, 2023 had a Permission to Administer a Prescription Medication (Nystatin cream) that did not have dates listed to start and stop the administration of the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance: Application Emergency Medical Information: I recommended that staff review all paperwork upon enrollment, and as necessary when updated, to ensure that each question has been addressed and a written response has been recorded to maintain compliance with all child care rules and requirements. Medication: I recommended that staff review all medication administration paperwork as it is received, to ensure that each question has been addressed and a written response has been recorded to maintain compliance with all child care rules and requirements. Safe Indoor Environment: I recommended that staff conduct a daily walk through of classrooms and entryway spaces to ensure that all outlets are covered so that all licensed spaces are in compliance with all child care rules and requirements. Consultation: Prior to today’s visit, your compliance history was eighty (80) percent as of August 29, 2024. 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. Lead Testing: Child Care Rule .0601(f)- Safe Environments Child Care Rule Effective January 1, 2024 Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. 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 All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. Moodle Information On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the flier with you with information on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting www.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 childcare in North Carolina. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by September 12, 2024. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at dinah.brown@dhhs.nc.gov. 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. Dinah Brown Child Care Consultant P.O. Box 6373 Hickory, NC 28601 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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. If you have any concerns with today’s visit, please contact me or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov If I can be of assistance in the future, please feel free to contact me at 828-231-2311 or e-mail dinah.brown@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: BRIGHT BEGINNINGS CHILDCARE CENTER Facility ID: 14000307 Consultant: DINAH BROWN Operation Type: Center Case Number: Visit Date: 8/29/2024 Number Present: 81 Completed Date: 8/29/2024 Age: From 0 To 11 Total Minutes: 315 Time In: 10:45 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Angelia Annas, Administrator, assisted me with the visit. Your program currently operates with a four star license effective January 14, 2020. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, children under 2 ½ in rooms with direct exits only and Cap Building #1=84 Building #2=75. A walk-through of all licensed indoor and outdoor spaces was conducted. You, Angelia Annas, accompanied me on the walkthrough. I observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed during diapering, toileting, handwashing, indoor free play activities, lunch, gross motor play, rest time and departure. Inspections/Emergency Drills: Fire Inspection: The last fire inspection was completed on August 6, 2024. Sanitation Inspection: The last sanitation inspection was completed on January 16, 2024. A “superior” classification was issued with four (4) demerits noted on the grade card. Emergency Drills/Playground Inspections: The last shelter-in-place/ drill in building #1 was completed on July 31, 2024, and recorded. The last lockdown drill in building #2 was completed on August 12, 2024, and recorded. The last fire drill in building #1 was completed on July 31, 2024, at 9:45 am and recorded. The last fire drill in building #2, space #7 was completed on August 6, 2024, at 3:20 pm and recorded. The last fire drill in building #2, space #8 was completed on August 5, 2024, at 3:15 pm and recorded. The last playground inspections were completed on August 16, 2024, and recorded. A checklist was used to note the requirements I monitored today. Files Reviewed: One (1) staff file was reviewed today. The following violations were observed during the walk through today. I discussed these violations with you in detail at the end of the visit. Violation Number Comment Rule 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 building #2 in the entryway I observed an outlet missing a cover. 10A NCAC 09 .0604(c) 1329 Application for enrollment did not include all required information. One child enrolled on August 30, 2024 had a application on file that did not have each question under the Health Care Needs section of the application completed. Two children enrolled on March 9, 2024 had applications on file that did not have each question under the Health Care Needs section of the application completed. .0801(a)(1-7) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One child in space 1b enrolled on May 28, 2024 had a Permission to Administer a Prescription Medication (Trimcinolone Aceton Cream) that did not have dates listed to start and stop the administration of the medication. A second child in space 1b enrolled on November 11, 2023 had a Permission to Administer a Prescription Medication (Nystatin cream) that did not have dates listed to start and stop the administration of the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance: Application Emergency Medical Information: I recommended that staff review all paperwork upon enrollment, and as necessary when updated, to ensure that each question has been addressed and a written response has been recorded to maintain compliance with all child care rules and requirements. Medication: I recommended that staff review all medication administration paperwork as it is received, to ensure that each question has been addressed and a written response has been recorded to maintain compliance with all child care rules and requirements. Safe Indoor Environment: I recommended that staff conduct a daily walk through of classrooms and entryway spaces to ensure that all outlets are covered so that all licensed spaces are in compliance with all child care rules and requirements. Consultation: Prior to today’s visit, your compliance history was eighty (80) percent as of August 29, 2024. 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. Lead Testing: Child Care Rule .0601(f)- Safe Environments Child Care Rule Effective January 1, 2024 Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. 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 All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. Moodle Information On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the flier with you with information on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting www.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 childcare in North Carolina. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by September 12, 2024. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at dinah.brown@dhhs.nc.gov. 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. Dinah Brown Child Care Consultant P.O. Box 6373 Hickory, NC 28601 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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. If you have any concerns with today’s visit, please contact me or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov If I can be of assistance in the future, please feel free to contact me at 828-231-2311 or e-mail dinah.brown@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: BRIGHT BEGINNINGS CHILDCARE CENTER Facility ID: 14000307 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 106 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 389 Time In: 09:31 AM Time Out: 04:00 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, Angelia Annas, Administrator, assisted me with the visit. Dinah Brown, child care consultant, accompanied me on the visit. A checklist was used to note the requirements we monitored today. Your program currently operates with a four star license effective January 14, 2020. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, children under 2 ½ in rooms with direct exits only and Cap Building #1=84 Building #2=75. The Secretary of State website was checked on March 21, 2024, and your business Bright Beginnings Childcare Center, 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. We 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 group story time, free play in activity areas, outdoor gross motor time, mealtime and personal care routines. Infants were engaged in tummy time, napping, and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. The center's compliance history was at 86% 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. Due to time constraints, an announced follow-up visit will be conducted on March 26, 2024 to review staff and children’s files. Any additional violation cited during the follow up visit will be added to the original Annual Compliance visit that was conducted on March 21, 2024. The last monthly fire drill was practiced on 2/29/24. The last lockdown drill was practiced in building #2 on 9/28/23. Building #1 practiced a shelter-in-place drill on 1/31/24. The last monthly playground inspection was completed on 2/5/24. The most recent sanitation inspection for your facility was conducted on January 16, 2024. A superior sanitation classification was issued with four demerits. The most recent fire inspection for your facility was conducted on June 30, 2024. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 3/1/24 one child was not signed out of care. On 3/6/24, one child was not signed out of care. On 3/8/24, five children were not signed out of care. On 3/15/24, three children were not signed out of care. 10A NCAC 09 .0302(d)(4) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space 1b, one infant feeding plan for a child 12 months of age was not signed by a parent or health care professional. In space 2/3, two children, 14 months of age, did not have parent signature, and/or was not dated when received by the center. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space 7, there was no thermometer in the refrigerator to verify that the temperature was 45 degrees F or below. 15A NCAC 18A .2806(j)(2) 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 #1a one bottle of liquid white out, with hazard warnings, was observed in an unlocked cabinet. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One incident report dated 2/28/24 and one dated 3/7/24 did not have the time and date that the parents were notified of the incident. One incident report dated 3/11/24 did not have the time the parent was notified of the incident. One incident report dated 3/5/24 did not have the date and time the parents were contacted and the signature of the staff member who notified the parent of the incident. .0802 (e) 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 1b, two packages of diaper wipes with suffocation warnings were in an unlocked cabinet. In a drawer accessible to children, there were multiple marker lids, marbles, staples and coins that are choking hazards to children under three years of age. In the bathroom used by two year old children, there were 2 plastic bags, diaper plastic packaging and 2 plastic wipes packages with suffocation warnings. In space 5, there were 3 plastic wipe packages with suffocation warnings and one roll of plastic trash bags on a shelf accessible to children under three years of age. .0604(q) 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. One staff member employed 1/22/24, who provides care for infants, did not have ITS-SIDS training completed. .1102(f) 1106 Each adult and child was not restrained by appropriate individual belt/device. On the center’s two transportation vans, there were two booster seats that expired 8/2023, one booster seat that expired 9/2023 and one booster seat that expired 12/2023. GS 110-91(13) 1314 Emergency information did not name childs health care professional. One child, seven years of age, did not have a listed health care professional on file. .0802(c)(2) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. In building #2, the last lockdown drill was practiced on 9/28/23. .0604(u);.0302(d)(8) 1832 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. One child, eleven years of age, did not have all the required health care needs information on file. .0801 (a)(5) 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 acknowledgement with all the required information was not maintained in the staff person's file. One staff member employed 2/12/24, did not have verification of a review of the Shaken Baby/Abusive Head Trauma Policy on file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space 2/3, the authorization for an A and D ointment was not signed and dated by the parent. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before April 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. 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 Technical assistance on violations was reviewed with you. Areas discussed included: Item # 125 Daily Records of Arrival and Departure We discussed daily sign in and out documentation requirements. You need to develop a plan to ensure that parents or staff have signed children in and out as they arrive and depart. Develop a plan for reviewing these records daily to confirm compliance. Accurate records must be maintained as required. I suggested that each assigned classroom teacher be responsible for making sure these records are completed in their classroom. 10A NCAC 09 .0302(d)(4) Item #840 Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have teachers check the labels on all items to assure they are properly stored. 15A NCAC 18A .2820(b). The bottle of white out was moved into locked storage. This violation was corrected during the visit. Item #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 classrooms where children under three years of age are enrolled, these items must be stored out of the reach of children and at least five feet from ground level. During the visit, all plastic packaging and choking hazards were moved to cabinets five feet from ground level. This violation was corrected during the visit. Item #541 When parents complete the written feeding plan and return it to the facility, the signature of the parent or healthcare professional must be included. Please review forms as parents complete them and prior to the child enrolling. 10A NCAC 09 .0902(a) In space 1b, you reported that the parent will be asked to sign the feeding plan at departure time today. In space 2/3, a partial feeding plan was posted. The posted portion did not include the parent signature or the date when received by the center. You reviewed the children’s files to find the complete feeding plans that was then posted in the classroom. Item #1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. This is a violation of a requirement in .0803(6)(a-i); .0803(7) (a-g); .0803(8)(a-d). We discussed that medication authorizations should be reviewed by staff when completed by a parent to ensure that no required information is missing from the form. Item #601 Refrigerators must maintain a temperature of 45 degrees F or below. 15A NCAC 18A.2806(f)(h)(2). We discussed that you have no way to verify the temperature of the refrigerator without having a thermometer. Staff reported that the thermometer was removed following a spill and has not been returned. You plan to put the thermometer back in the refrigerator today. Item #1106 When providing transportation for children, safety seats must meet the required state seat belt law. G.S.110-91(13);.1001(a). You removed the four expired booster seats from the vans. This violation was corrected during the visit. Item #1314 Emergency information must include the name of a child’s health care professional. 10A NCAC 09.0802(c )(2) We discussed that the parent must provide the name of a health care professional at the time of enrollment and yearly when emergency information is updated. Item #1832 We discussed that unique fears and behaviors must be addressed. If there are no fears or behaviors to list, you should indicate that this information was discussed by placing an n/a on the application question. 10A NCAC 09 .0801(a)(5). Item #1811 Shelter-in-place or lockdown drills must be practiced every three months and recorded on the drill record. 10A NCAC 09 .0604(u); .0302(d)(8). You have two buildings that do not practice drills on the same day. We discussed that you may consider having both buildings to conduct the drills on the same day to prevent missing a drill. Item # 852 Incident reports must list all the information required by child care requirement .0802(e). This includes the signature of the parent, date the parent signed the report, the facility’s identification number, and the signature of the person completing the report. I suggested that you review all incident reports to ensure the incident report is being completed accurately. Complete training with staff on how to properly complete the Incident Report Form. Develop a plan for processing and reviewing these forms for accuracy and completion. Incident reports need to be logged and a copy placed in the child’s file. 10A NCAC 09.0802(e) Item # 1065 Child care providers that are scheduled to work in the infant room must have completed ITS-SIDS training within two months of employment and complete again every three years. 10A NCAC 09.1102(f). You reported that the staff member is enrolled for the required training on May 16, 2024. You will need to request an extension for this violation, as training was unavailable before this date. Item # 1874 You must review the Shaken Baby Head Trauma Policy with staff and they must sign that they acknowledge receipt of the policy. I suggested that you review all policies and procedures with staff during orientation. 10A NCAC 09 .0609(d)(1-4) Consultation or other topics discussed today: We discussed that you need to rake and fluff the mulch near the slides on the large outdoor play structure. You were encouraged to update the first aid kits on the vans. We discussed that booster seats covers need to be cleaned when soiled. Booster seats should only be used when in good repair. Administrative Action Corrective Action Plan status: The mandatory rules review is scheduled for all staff on April 1, 2024. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. 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 given 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.

10A NCAC 09 .0604 · Violation

Name of Operation: BRIGHT BEGINNINGS CHILDCARE CENTER Facility ID: 14000307 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 106 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 389 Time In: 09:31 AM Time Out: 04:00 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, Angelia Annas, Administrator, assisted me with the visit. Dinah Brown, child care consultant, accompanied me on the visit. A checklist was used to note the requirements we monitored today. Your program currently operates with a four star license effective January 14, 2020. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, children under 2 ½ in rooms with direct exits only and Cap Building #1=84 Building #2=75. The Secretary of State website was checked on March 21, 2024, and your business Bright Beginnings Childcare Center, 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. We 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 group story time, free play in activity areas, outdoor gross motor time, mealtime and personal care routines. Infants were engaged in tummy time, napping, and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. The center's compliance history was at 86% 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. Due to time constraints, an announced follow-up visit will be conducted on March 26, 2024 to review staff and children’s files. Any additional violation cited during the follow up visit will be added to the original Annual Compliance visit that was conducted on March 21, 2024. The last monthly fire drill was practiced on 2/29/24. The last lockdown drill was practiced in building #2 on 9/28/23. Building #1 practiced a shelter-in-place drill on 1/31/24. The last monthly playground inspection was completed on 2/5/24. The most recent sanitation inspection for your facility was conducted on January 16, 2024. A superior sanitation classification was issued with four demerits. The most recent fire inspection for your facility was conducted on June 30, 2024. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 3/1/24 one child was not signed out of care. On 3/6/24, one child was not signed out of care. On 3/8/24, five children were not signed out of care. On 3/15/24, three children were not signed out of care. 10A NCAC 09 .0302(d)(4) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space 1b, one infant feeding plan for a child 12 months of age was not signed by a parent or health care professional. In space 2/3, two children, 14 months of age, did not have parent signature, and/or was not dated when received by the center. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space 7, there was no thermometer in the refrigerator to verify that the temperature was 45 degrees F or below. 15A NCAC 18A .2806(j)(2) 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 #1a one bottle of liquid white out, with hazard warnings, was observed in an unlocked cabinet. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One incident report dated 2/28/24 and one dated 3/7/24 did not have the time and date that the parents were notified of the incident. One incident report dated 3/11/24 did not have the time the parent was notified of the incident. One incident report dated 3/5/24 did not have the date and time the parents were contacted and the signature of the staff member who notified the parent of the incident. .0802 (e) 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 1b, two packages of diaper wipes with suffocation warnings were in an unlocked cabinet. In a drawer accessible to children, there were multiple marker lids, marbles, staples and coins that are choking hazards to children under three years of age. In the bathroom used by two year old children, there were 2 plastic bags, diaper plastic packaging and 2 plastic wipes packages with suffocation warnings. In space 5, there were 3 plastic wipe packages with suffocation warnings and one roll of plastic trash bags on a shelf accessible to children under three years of age. .0604(q) 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. One staff member employed 1/22/24, who provides care for infants, did not have ITS-SIDS training completed. .1102(f) 1106 Each adult and child was not restrained by appropriate individual belt/device. On the center’s two transportation vans, there were two booster seats that expired 8/2023, one booster seat that expired 9/2023 and one booster seat that expired 12/2023. GS 110-91(13) 1314 Emergency information did not name childs health care professional. One child, seven years of age, did not have a listed health care professional on file. .0802(c)(2) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. In building #2, the last lockdown drill was practiced on 9/28/23. .0604(u);.0302(d)(8) 1832 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. One child, eleven years of age, did not have all the required health care needs information on file. .0801 (a)(5) 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 acknowledgement with all the required information was not maintained in the staff person's file. One staff member employed 2/12/24, did not have verification of a review of the Shaken Baby/Abusive Head Trauma Policy on file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space 2/3, the authorization for an A and D ointment was not signed and dated by the parent. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before April 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. 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 Technical assistance on violations was reviewed with you. Areas discussed included: Item # 125 Daily Records of Arrival and Departure We discussed daily sign in and out documentation requirements. You need to develop a plan to ensure that parents or staff have signed children in and out as they arrive and depart. Develop a plan for reviewing these records daily to confirm compliance. Accurate records must be maintained as required. I suggested that each assigned classroom teacher be responsible for making sure these records are completed in their classroom. 10A NCAC 09 .0302(d)(4) Item #840 Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have teachers check the labels on all items to assure they are properly stored. 15A NCAC 18A .2820(b). The bottle of white out was moved into locked storage. This violation was corrected during the visit. Item #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 classrooms where children under three years of age are enrolled, these items must be stored out of the reach of children and at least five feet from ground level. During the visit, all plastic packaging and choking hazards were moved to cabinets five feet from ground level. This violation was corrected during the visit. Item #541 When parents complete the written feeding plan and return it to the facility, the signature of the parent or healthcare professional must be included. Please review forms as parents complete them and prior to the child enrolling. 10A NCAC 09 .0902(a) In space 1b, you reported that the parent will be asked to sign the feeding plan at departure time today. In space 2/3, a partial feeding plan was posted. The posted portion did not include the parent signature or the date when received by the center. You reviewed the children’s files to find the complete feeding plans that was then posted in the classroom. Item #1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. This is a violation of a requirement in .0803(6)(a-i); .0803(7) (a-g); .0803(8)(a-d). We discussed that medication authorizations should be reviewed by staff when completed by a parent to ensure that no required information is missing from the form. Item #601 Refrigerators must maintain a temperature of 45 degrees F or below. 15A NCAC 18A.2806(f)(h)(2). We discussed that you have no way to verify the temperature of the refrigerator without having a thermometer. Staff reported that the thermometer was removed following a spill and has not been returned. You plan to put the thermometer back in the refrigerator today. Item #1106 When providing transportation for children, safety seats must meet the required state seat belt law. G.S.110-91(13);.1001(a). You removed the four expired booster seats from the vans. This violation was corrected during the visit. Item #1314 Emergency information must include the name of a child’s health care professional. 10A NCAC 09.0802(c )(2) We discussed that the parent must provide the name of a health care professional at the time of enrollment and yearly when emergency information is updated. Item #1832 We discussed that unique fears and behaviors must be addressed. If there are no fears or behaviors to list, you should indicate that this information was discussed by placing an n/a on the application question. 10A NCAC 09 .0801(a)(5). Item #1811 Shelter-in-place or lockdown drills must be practiced every three months and recorded on the drill record. 10A NCAC 09 .0604(u); .0302(d)(8). You have two buildings that do not practice drills on the same day. We discussed that you may consider having both buildings to conduct the drills on the same day to prevent missing a drill. Item # 852 Incident reports must list all the information required by child care requirement .0802(e). This includes the signature of the parent, date the parent signed the report, the facility’s identification number, and the signature of the person completing the report. I suggested that you review all incident reports to ensure the incident report is being completed accurately. Complete training with staff on how to properly complete the Incident Report Form. Develop a plan for processing and reviewing these forms for accuracy and completion. Incident reports need to be logged and a copy placed in the child’s file. 10A NCAC 09.0802(e) Item # 1065 Child care providers that are scheduled to work in the infant room must have completed ITS-SIDS training within two months of employment and complete again every three years. 10A NCAC 09.1102(f). You reported that the staff member is enrolled for the required training on May 16, 2024. You will need to request an extension for this violation, as training was unavailable before this date. Item # 1874 You must review the Shaken Baby Head Trauma Policy with staff and they must sign that they acknowledge receipt of the policy. I suggested that you review all policies and procedures with staff during orientation. 10A NCAC 09 .0609(d)(1-4) Consultation or other topics discussed today: We discussed that you need to rake and fluff the mulch near the slides on the large outdoor play structure. You were encouraged to update the first aid kits on the vans. We discussed that booster seats covers need to be cleaned when soiled. Booster seats should only be used when in good repair. Administrative Action Corrective Action Plan status: The mandatory rules review is scheduled for all staff on April 1, 2024. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. 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 given 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

10A NCAC 09 .0609 · Violation

Name of Operation: BRIGHT BEGINNINGS CHILDCARE CENTER Facility ID: 14000307 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 106 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 389 Time In: 09:31 AM Time Out: 04:00 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, Angelia Annas, Administrator, assisted me with the visit. Dinah Brown, child care consultant, accompanied me on the visit. A checklist was used to note the requirements we monitored today. Your program currently operates with a four star license effective January 14, 2020. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, children under 2 ½ in rooms with direct exits only and Cap Building #1=84 Building #2=75. The Secretary of State website was checked on March 21, 2024, and your business Bright Beginnings Childcare Center, 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. We 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 group story time, free play in activity areas, outdoor gross motor time, mealtime and personal care routines. Infants were engaged in tummy time, napping, and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. The center's compliance history was at 86% 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. Due to time constraints, an announced follow-up visit will be conducted on March 26, 2024 to review staff and children’s files. Any additional violation cited during the follow up visit will be added to the original Annual Compliance visit that was conducted on March 21, 2024. The last monthly fire drill was practiced on 2/29/24. The last lockdown drill was practiced in building #2 on 9/28/23. Building #1 practiced a shelter-in-place drill on 1/31/24. The last monthly playground inspection was completed on 2/5/24. The most recent sanitation inspection for your facility was conducted on January 16, 2024. A superior sanitation classification was issued with four demerits. The most recent fire inspection for your facility was conducted on June 30, 2024. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 3/1/24 one child was not signed out of care. On 3/6/24, one child was not signed out of care. On 3/8/24, five children were not signed out of care. On 3/15/24, three children were not signed out of care. 10A NCAC 09 .0302(d)(4) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space 1b, one infant feeding plan for a child 12 months of age was not signed by a parent or health care professional. In space 2/3, two children, 14 months of age, did not have parent signature, and/or was not dated when received by the center. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space 7, there was no thermometer in the refrigerator to verify that the temperature was 45 degrees F or below. 15A NCAC 18A .2806(j)(2) 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 #1a one bottle of liquid white out, with hazard warnings, was observed in an unlocked cabinet. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One incident report dated 2/28/24 and one dated 3/7/24 did not have the time and date that the parents were notified of the incident. One incident report dated 3/11/24 did not have the time the parent was notified of the incident. One incident report dated 3/5/24 did not have the date and time the parents were contacted and the signature of the staff member who notified the parent of the incident. .0802 (e) 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 1b, two packages of diaper wipes with suffocation warnings were in an unlocked cabinet. In a drawer accessible to children, there were multiple marker lids, marbles, staples and coins that are choking hazards to children under three years of age. In the bathroom used by two year old children, there were 2 plastic bags, diaper plastic packaging and 2 plastic wipes packages with suffocation warnings. In space 5, there were 3 plastic wipe packages with suffocation warnings and one roll of plastic trash bags on a shelf accessible to children under three years of age. .0604(q) 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. One staff member employed 1/22/24, who provides care for infants, did not have ITS-SIDS training completed. .1102(f) 1106 Each adult and child was not restrained by appropriate individual belt/device. On the center’s two transportation vans, there were two booster seats that expired 8/2023, one booster seat that expired 9/2023 and one booster seat that expired 12/2023. GS 110-91(13) 1314 Emergency information did not name childs health care professional. One child, seven years of age, did not have a listed health care professional on file. .0802(c)(2) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. In building #2, the last lockdown drill was practiced on 9/28/23. .0604(u);.0302(d)(8) 1832 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. One child, eleven years of age, did not have all the required health care needs information on file. .0801 (a)(5) 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 acknowledgement with all the required information was not maintained in the staff person's file. One staff member employed 2/12/24, did not have verification of a review of the Shaken Baby/Abusive Head Trauma Policy on file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space 2/3, the authorization for an A and D ointment was not signed and dated by the parent. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before April 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. 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 Technical assistance on violations was reviewed with you. Areas discussed included: Item # 125 Daily Records of Arrival and Departure We discussed daily sign in and out documentation requirements. You need to develop a plan to ensure that parents or staff have signed children in and out as they arrive and depart. Develop a plan for reviewing these records daily to confirm compliance. Accurate records must be maintained as required. I suggested that each assigned classroom teacher be responsible for making sure these records are completed in their classroom. 10A NCAC 09 .0302(d)(4) Item #840 Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have teachers check the labels on all items to assure they are properly stored. 15A NCAC 18A .2820(b). The bottle of white out was moved into locked storage. This violation was corrected during the visit. Item #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 classrooms where children under three years of age are enrolled, these items must be stored out of the reach of children and at least five feet from ground level. During the visit, all plastic packaging and choking hazards were moved to cabinets five feet from ground level. This violation was corrected during the visit. Item #541 When parents complete the written feeding plan and return it to the facility, the signature of the parent or healthcare professional must be included. Please review forms as parents complete them and prior to the child enrolling. 10A NCAC 09 .0902(a) In space 1b, you reported that the parent will be asked to sign the feeding plan at departure time today. In space 2/3, a partial feeding plan was posted. The posted portion did not include the parent signature or the date when received by the center. You reviewed the children’s files to find the complete feeding plans that was then posted in the classroom. Item #1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. This is a violation of a requirement in .0803(6)(a-i); .0803(7) (a-g); .0803(8)(a-d). We discussed that medication authorizations should be reviewed by staff when completed by a parent to ensure that no required information is missing from the form. Item #601 Refrigerators must maintain a temperature of 45 degrees F or below. 15A NCAC 18A.2806(f)(h)(2). We discussed that you have no way to verify the temperature of the refrigerator without having a thermometer. Staff reported that the thermometer was removed following a spill and has not been returned. You plan to put the thermometer back in the refrigerator today. Item #1106 When providing transportation for children, safety seats must meet the required state seat belt law. G.S.110-91(13);.1001(a). You removed the four expired booster seats from the vans. This violation was corrected during the visit. Item #1314 Emergency information must include the name of a child’s health care professional. 10A NCAC 09.0802(c )(2) We discussed that the parent must provide the name of a health care professional at the time of enrollment and yearly when emergency information is updated. Item #1832 We discussed that unique fears and behaviors must be addressed. If there are no fears or behaviors to list, you should indicate that this information was discussed by placing an n/a on the application question. 10A NCAC 09 .0801(a)(5). Item #1811 Shelter-in-place or lockdown drills must be practiced every three months and recorded on the drill record. 10A NCAC 09 .0604(u); .0302(d)(8). You have two buildings that do not practice drills on the same day. We discussed that you may consider having both buildings to conduct the drills on the same day to prevent missing a drill. Item # 852 Incident reports must list all the information required by child care requirement .0802(e). This includes the signature of the parent, date the parent signed the report, the facility’s identification number, and the signature of the person completing the report. I suggested that you review all incident reports to ensure the incident report is being completed accurately. Complete training with staff on how to properly complete the Incident Report Form. Develop a plan for processing and reviewing these forms for accuracy and completion. Incident reports need to be logged and a copy placed in the child’s file. 10A NCAC 09.0802(e) Item # 1065 Child care providers that are scheduled to work in the infant room must have completed ITS-SIDS training within two months of employment and complete again every three years. 10A NCAC 09.1102(f). You reported that the staff member is enrolled for the required training on May 16, 2024. You will need to request an extension for this violation, as training was unavailable before this date. Item # 1874 You must review the Shaken Baby Head Trauma Policy with staff and they must sign that they acknowledge receipt of the policy. I suggested that you review all policies and procedures with staff during orientation. 10A NCAC 09 .0609(d)(1-4) Consultation or other topics discussed today: We discussed that you need to rake and fluff the mulch near the slides on the large outdoor play structure. You were encouraged to update the first aid kits on the vans. We discussed that booster seats covers need to be cleaned when soiled. Booster seats should only be used when in good repair. Administrative Action Corrective Action Plan status: The mandatory rules review is scheduled for all staff on April 1, 2024. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. 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 given 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

10A NCAC 09 .0801 · Violation

Name of Operation: BRIGHT BEGINNINGS CHILDCARE CENTER Facility ID: 14000307 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 106 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 389 Time In: 09:31 AM Time Out: 04:00 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, Angelia Annas, Administrator, assisted me with the visit. Dinah Brown, child care consultant, accompanied me on the visit. A checklist was used to note the requirements we monitored today. Your program currently operates with a four star license effective January 14, 2020. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, children under 2 ½ in rooms with direct exits only and Cap Building #1=84 Building #2=75. The Secretary of State website was checked on March 21, 2024, and your business Bright Beginnings Childcare Center, 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. We 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 group story time, free play in activity areas, outdoor gross motor time, mealtime and personal care routines. Infants were engaged in tummy time, napping, and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. The center's compliance history was at 86% 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. Due to time constraints, an announced follow-up visit will be conducted on March 26, 2024 to review staff and children’s files. Any additional violation cited during the follow up visit will be added to the original Annual Compliance visit that was conducted on March 21, 2024. The last monthly fire drill was practiced on 2/29/24. The last lockdown drill was practiced in building #2 on 9/28/23. Building #1 practiced a shelter-in-place drill on 1/31/24. The last monthly playground inspection was completed on 2/5/24. The most recent sanitation inspection for your facility was conducted on January 16, 2024. A superior sanitation classification was issued with four demerits. The most recent fire inspection for your facility was conducted on June 30, 2024. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 3/1/24 one child was not signed out of care. On 3/6/24, one child was not signed out of care. On 3/8/24, five children were not signed out of care. On 3/15/24, three children were not signed out of care. 10A NCAC 09 .0302(d)(4) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space 1b, one infant feeding plan for a child 12 months of age was not signed by a parent or health care professional. In space 2/3, two children, 14 months of age, did not have parent signature, and/or was not dated when received by the center. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space 7, there was no thermometer in the refrigerator to verify that the temperature was 45 degrees F or below. 15A NCAC 18A .2806(j)(2) 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 #1a one bottle of liquid white out, with hazard warnings, was observed in an unlocked cabinet. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One incident report dated 2/28/24 and one dated 3/7/24 did not have the time and date that the parents were notified of the incident. One incident report dated 3/11/24 did not have the time the parent was notified of the incident. One incident report dated 3/5/24 did not have the date and time the parents were contacted and the signature of the staff member who notified the parent of the incident. .0802 (e) 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 1b, two packages of diaper wipes with suffocation warnings were in an unlocked cabinet. In a drawer accessible to children, there were multiple marker lids, marbles, staples and coins that are choking hazards to children under three years of age. In the bathroom used by two year old children, there were 2 plastic bags, diaper plastic packaging and 2 plastic wipes packages with suffocation warnings. In space 5, there were 3 plastic wipe packages with suffocation warnings and one roll of plastic trash bags on a shelf accessible to children under three years of age. .0604(q) 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. One staff member employed 1/22/24, who provides care for infants, did not have ITS-SIDS training completed. .1102(f) 1106 Each adult and child was not restrained by appropriate individual belt/device. On the center’s two transportation vans, there were two booster seats that expired 8/2023, one booster seat that expired 9/2023 and one booster seat that expired 12/2023. GS 110-91(13) 1314 Emergency information did not name childs health care professional. One child, seven years of age, did not have a listed health care professional on file. .0802(c)(2) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. In building #2, the last lockdown drill was practiced on 9/28/23. .0604(u);.0302(d)(8) 1832 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. One child, eleven years of age, did not have all the required health care needs information on file. .0801 (a)(5) 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 acknowledgement with all the required information was not maintained in the staff person's file. One staff member employed 2/12/24, did not have verification of a review of the Shaken Baby/Abusive Head Trauma Policy on file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space 2/3, the authorization for an A and D ointment was not signed and dated by the parent. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before April 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. 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 Technical assistance on violations was reviewed with you. Areas discussed included: Item # 125 Daily Records of Arrival and Departure We discussed daily sign in and out documentation requirements. You need to develop a plan to ensure that parents or staff have signed children in and out as they arrive and depart. Develop a plan for reviewing these records daily to confirm compliance. Accurate records must be maintained as required. I suggested that each assigned classroom teacher be responsible for making sure these records are completed in their classroom. 10A NCAC 09 .0302(d)(4) Item #840 Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have teachers check the labels on all items to assure they are properly stored. 15A NCAC 18A .2820(b). The bottle of white out was moved into locked storage. This violation was corrected during the visit. Item #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 classrooms where children under three years of age are enrolled, these items must be stored out of the reach of children and at least five feet from ground level. During the visit, all plastic packaging and choking hazards were moved to cabinets five feet from ground level. This violation was corrected during the visit. Item #541 When parents complete the written feeding plan and return it to the facility, the signature of the parent or healthcare professional must be included. Please review forms as parents complete them and prior to the child enrolling. 10A NCAC 09 .0902(a) In space 1b, you reported that the parent will be asked to sign the feeding plan at departure time today. In space 2/3, a partial feeding plan was posted. The posted portion did not include the parent signature or the date when received by the center. You reviewed the children’s files to find the complete feeding plans that was then posted in the classroom. Item #1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. This is a violation of a requirement in .0803(6)(a-i); .0803(7) (a-g); .0803(8)(a-d). We discussed that medication authorizations should be reviewed by staff when completed by a parent to ensure that no required information is missing from the form. Item #601 Refrigerators must maintain a temperature of 45 degrees F or below. 15A NCAC 18A.2806(f)(h)(2). We discussed that you have no way to verify the temperature of the refrigerator without having a thermometer. Staff reported that the thermometer was removed following a spill and has not been returned. You plan to put the thermometer back in the refrigerator today. Item #1106 When providing transportation for children, safety seats must meet the required state seat belt law. G.S.110-91(13);.1001(a). You removed the four expired booster seats from the vans. This violation was corrected during the visit. Item #1314 Emergency information must include the name of a child’s health care professional. 10A NCAC 09.0802(c )(2) We discussed that the parent must provide the name of a health care professional at the time of enrollment and yearly when emergency information is updated. Item #1832 We discussed that unique fears and behaviors must be addressed. If there are no fears or behaviors to list, you should indicate that this information was discussed by placing an n/a on the application question. 10A NCAC 09 .0801(a)(5). Item #1811 Shelter-in-place or lockdown drills must be practiced every three months and recorded on the drill record. 10A NCAC 09 .0604(u); .0302(d)(8). You have two buildings that do not practice drills on the same day. We discussed that you may consider having both buildings to conduct the drills on the same day to prevent missing a drill. Item # 852 Incident reports must list all the information required by child care requirement .0802(e). This includes the signature of the parent, date the parent signed the report, the facility’s identification number, and the signature of the person completing the report. I suggested that you review all incident reports to ensure the incident report is being completed accurately. Complete training with staff on how to properly complete the Incident Report Form. Develop a plan for processing and reviewing these forms for accuracy and completion. Incident reports need to be logged and a copy placed in the child’s file. 10A NCAC 09.0802(e) Item # 1065 Child care providers that are scheduled to work in the infant room must have completed ITS-SIDS training within two months of employment and complete again every three years. 10A NCAC 09.1102(f). You reported that the staff member is enrolled for the required training on May 16, 2024. You will need to request an extension for this violation, as training was unavailable before this date. Item # 1874 You must review the Shaken Baby Head Trauma Policy with staff and they must sign that they acknowledge receipt of the policy. I suggested that you review all policies and procedures with staff during orientation. 10A NCAC 09 .0609(d)(1-4) Consultation or other topics discussed today: We discussed that you need to rake and fluff the mulch near the slides on the large outdoor play structure. You were encouraged to update the first aid kits on the vans. We discussed that booster seats covers need to be cleaned when soiled. Booster seats should only be used when in good repair. Administrative Action Corrective Action Plan status: The mandatory rules review is scheduled for all staff on April 1, 2024. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. 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 given 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

10A NCAC 09 .0902 · Violation

Name of Operation: BRIGHT BEGINNINGS CHILDCARE CENTER Facility ID: 14000307 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 106 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 389 Time In: 09:31 AM Time Out: 04:00 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, Angelia Annas, Administrator, assisted me with the visit. Dinah Brown, child care consultant, accompanied me on the visit. A checklist was used to note the requirements we monitored today. Your program currently operates with a four star license effective January 14, 2020. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, children under 2 ½ in rooms with direct exits only and Cap Building #1=84 Building #2=75. The Secretary of State website was checked on March 21, 2024, and your business Bright Beginnings Childcare Center, 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. We 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 group story time, free play in activity areas, outdoor gross motor time, mealtime and personal care routines. Infants were engaged in tummy time, napping, and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. The center's compliance history was at 86% 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. Due to time constraints, an announced follow-up visit will be conducted on March 26, 2024 to review staff and children’s files. Any additional violation cited during the follow up visit will be added to the original Annual Compliance visit that was conducted on March 21, 2024. The last monthly fire drill was practiced on 2/29/24. The last lockdown drill was practiced in building #2 on 9/28/23. Building #1 practiced a shelter-in-place drill on 1/31/24. The last monthly playground inspection was completed on 2/5/24. The most recent sanitation inspection for your facility was conducted on January 16, 2024. A superior sanitation classification was issued with four demerits. The most recent fire inspection for your facility was conducted on June 30, 2024. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 3/1/24 one child was not signed out of care. On 3/6/24, one child was not signed out of care. On 3/8/24, five children were not signed out of care. On 3/15/24, three children were not signed out of care. 10A NCAC 09 .0302(d)(4) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space 1b, one infant feeding plan for a child 12 months of age was not signed by a parent or health care professional. In space 2/3, two children, 14 months of age, did not have parent signature, and/or was not dated when received by the center. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space 7, there was no thermometer in the refrigerator to verify that the temperature was 45 degrees F or below. 15A NCAC 18A .2806(j)(2) 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 #1a one bottle of liquid white out, with hazard warnings, was observed in an unlocked cabinet. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One incident report dated 2/28/24 and one dated 3/7/24 did not have the time and date that the parents were notified of the incident. One incident report dated 3/11/24 did not have the time the parent was notified of the incident. One incident report dated 3/5/24 did not have the date and time the parents were contacted and the signature of the staff member who notified the parent of the incident. .0802 (e) 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 1b, two packages of diaper wipes with suffocation warnings were in an unlocked cabinet. In a drawer accessible to children, there were multiple marker lids, marbles, staples and coins that are choking hazards to children under three years of age. In the bathroom used by two year old children, there were 2 plastic bags, diaper plastic packaging and 2 plastic wipes packages with suffocation warnings. In space 5, there were 3 plastic wipe packages with suffocation warnings and one roll of plastic trash bags on a shelf accessible to children under three years of age. .0604(q) 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. One staff member employed 1/22/24, who provides care for infants, did not have ITS-SIDS training completed. .1102(f) 1106 Each adult and child was not restrained by appropriate individual belt/device. On the center’s two transportation vans, there were two booster seats that expired 8/2023, one booster seat that expired 9/2023 and one booster seat that expired 12/2023. GS 110-91(13) 1314 Emergency information did not name childs health care professional. One child, seven years of age, did not have a listed health care professional on file. .0802(c)(2) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. In building #2, the last lockdown drill was practiced on 9/28/23. .0604(u);.0302(d)(8) 1832 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. One child, eleven years of age, did not have all the required health care needs information on file. .0801 (a)(5) 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 acknowledgement with all the required information was not maintained in the staff person's file. One staff member employed 2/12/24, did not have verification of a review of the Shaken Baby/Abusive Head Trauma Policy on file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space 2/3, the authorization for an A and D ointment was not signed and dated by the parent. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before April 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. 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 Technical assistance on violations was reviewed with you. Areas discussed included: Item # 125 Daily Records of Arrival and Departure We discussed daily sign in and out documentation requirements. You need to develop a plan to ensure that parents or staff have signed children in and out as they arrive and depart. Develop a plan for reviewing these records daily to confirm compliance. Accurate records must be maintained as required. I suggested that each assigned classroom teacher be responsible for making sure these records are completed in their classroom. 10A NCAC 09 .0302(d)(4) Item #840 Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have teachers check the labels on all items to assure they are properly stored. 15A NCAC 18A .2820(b). The bottle of white out was moved into locked storage. This violation was corrected during the visit. Item #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 classrooms where children under three years of age are enrolled, these items must be stored out of the reach of children and at least five feet from ground level. During the visit, all plastic packaging and choking hazards were moved to cabinets five feet from ground level. This violation was corrected during the visit. Item #541 When parents complete the written feeding plan and return it to the facility, the signature of the parent or healthcare professional must be included. Please review forms as parents complete them and prior to the child enrolling. 10A NCAC 09 .0902(a) In space 1b, you reported that the parent will be asked to sign the feeding plan at departure time today. In space 2/3, a partial feeding plan was posted. The posted portion did not include the parent signature or the date when received by the center. You reviewed the children’s files to find the complete feeding plans that was then posted in the classroom. Item #1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. This is a violation of a requirement in .0803(6)(a-i); .0803(7) (a-g); .0803(8)(a-d). We discussed that medication authorizations should be reviewed by staff when completed by a parent to ensure that no required information is missing from the form. Item #601 Refrigerators must maintain a temperature of 45 degrees F or below. 15A NCAC 18A.2806(f)(h)(2). We discussed that you have no way to verify the temperature of the refrigerator without having a thermometer. Staff reported that the thermometer was removed following a spill and has not been returned. You plan to put the thermometer back in the refrigerator today. Item #1106 When providing transportation for children, safety seats must meet the required state seat belt law. G.S.110-91(13);.1001(a). You removed the four expired booster seats from the vans. This violation was corrected during the visit. Item #1314 Emergency information must include the name of a child’s health care professional. 10A NCAC 09.0802(c )(2) We discussed that the parent must provide the name of a health care professional at the time of enrollment and yearly when emergency information is updated. Item #1832 We discussed that unique fears and behaviors must be addressed. If there are no fears or behaviors to list, you should indicate that this information was discussed by placing an n/a on the application question. 10A NCAC 09 .0801(a)(5). Item #1811 Shelter-in-place or lockdown drills must be practiced every three months and recorded on the drill record. 10A NCAC 09 .0604(u); .0302(d)(8). You have two buildings that do not practice drills on the same day. We discussed that you may consider having both buildings to conduct the drills on the same day to prevent missing a drill. Item # 852 Incident reports must list all the information required by child care requirement .0802(e). This includes the signature of the parent, date the parent signed the report, the facility’s identification number, and the signature of the person completing the report. I suggested that you review all incident reports to ensure the incident report is being completed accurately. Complete training with staff on how to properly complete the Incident Report Form. Develop a plan for processing and reviewing these forms for accuracy and completion. Incident reports need to be logged and a copy placed in the child’s file. 10A NCAC 09.0802(e) Item # 1065 Child care providers that are scheduled to work in the infant room must have completed ITS-SIDS training within two months of employment and complete again every three years. 10A NCAC 09.1102(f). You reported that the staff member is enrolled for the required training on May 16, 2024. You will need to request an extension for this violation, as training was unavailable before this date. Item # 1874 You must review the Shaken Baby Head Trauma Policy with staff and they must sign that they acknowledge receipt of the policy. I suggested that you review all policies and procedures with staff during orientation. 10A NCAC 09 .0609(d)(1-4) Consultation or other topics discussed today: We discussed that you need to rake and fluff the mulch near the slides on the large outdoor play structure. You were encouraged to update the first aid kits on the vans. We discussed that booster seats covers need to be cleaned when soiled. Booster seats should only be used when in good repair. Administrative Action Corrective Action Plan status: The mandatory rules review is scheduled for all staff on April 1, 2024. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. 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 given 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

10A NCAC 09.0304 · Violation

Name of Operation: BRIGHT BEGINNINGS CHILDCARE CENTER Facility ID: 14000307 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 106 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 389 Time In: 09:31 AM Time Out: 04:00 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, Angelia Annas, Administrator, assisted me with the visit. Dinah Brown, child care consultant, accompanied me on the visit. A checklist was used to note the requirements we monitored today. Your program currently operates with a four star license effective January 14, 2020. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, children under 2 ½ in rooms with direct exits only and Cap Building #1=84 Building #2=75. The Secretary of State website was checked on March 21, 2024, and your business Bright Beginnings Childcare Center, 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. We 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 group story time, free play in activity areas, outdoor gross motor time, mealtime and personal care routines. Infants were engaged in tummy time, napping, and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. The center's compliance history was at 86% 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. Due to time constraints, an announced follow-up visit will be conducted on March 26, 2024 to review staff and children’s files. Any additional violation cited during the follow up visit will be added to the original Annual Compliance visit that was conducted on March 21, 2024. The last monthly fire drill was practiced on 2/29/24. The last lockdown drill was practiced in building #2 on 9/28/23. Building #1 practiced a shelter-in-place drill on 1/31/24. The last monthly playground inspection was completed on 2/5/24. The most recent sanitation inspection for your facility was conducted on January 16, 2024. A superior sanitation classification was issued with four demerits. The most recent fire inspection for your facility was conducted on June 30, 2024. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 3/1/24 one child was not signed out of care. On 3/6/24, one child was not signed out of care. On 3/8/24, five children were not signed out of care. On 3/15/24, three children were not signed out of care. 10A NCAC 09 .0302(d)(4) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space 1b, one infant feeding plan for a child 12 months of age was not signed by a parent or health care professional. In space 2/3, two children, 14 months of age, did not have parent signature, and/or was not dated when received by the center. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space 7, there was no thermometer in the refrigerator to verify that the temperature was 45 degrees F or below. 15A NCAC 18A .2806(j)(2) 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 #1a one bottle of liquid white out, with hazard warnings, was observed in an unlocked cabinet. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One incident report dated 2/28/24 and one dated 3/7/24 did not have the time and date that the parents were notified of the incident. One incident report dated 3/11/24 did not have the time the parent was notified of the incident. One incident report dated 3/5/24 did not have the date and time the parents were contacted and the signature of the staff member who notified the parent of the incident. .0802 (e) 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 1b, two packages of diaper wipes with suffocation warnings were in an unlocked cabinet. In a drawer accessible to children, there were multiple marker lids, marbles, staples and coins that are choking hazards to children under three years of age. In the bathroom used by two year old children, there were 2 plastic bags, diaper plastic packaging and 2 plastic wipes packages with suffocation warnings. In space 5, there were 3 plastic wipe packages with suffocation warnings and one roll of plastic trash bags on a shelf accessible to children under three years of age. .0604(q) 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. One staff member employed 1/22/24, who provides care for infants, did not have ITS-SIDS training completed. .1102(f) 1106 Each adult and child was not restrained by appropriate individual belt/device. On the center’s two transportation vans, there were two booster seats that expired 8/2023, one booster seat that expired 9/2023 and one booster seat that expired 12/2023. GS 110-91(13) 1314 Emergency information did not name childs health care professional. One child, seven years of age, did not have a listed health care professional on file. .0802(c)(2) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. In building #2, the last lockdown drill was practiced on 9/28/23. .0604(u);.0302(d)(8) 1832 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. One child, eleven years of age, did not have all the required health care needs information on file. .0801 (a)(5) 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 acknowledgement with all the required information was not maintained in the staff person's file. One staff member employed 2/12/24, did not have verification of a review of the Shaken Baby/Abusive Head Trauma Policy on file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space 2/3, the authorization for an A and D ointment was not signed and dated by the parent. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before April 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. 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 Technical assistance on violations was reviewed with you. Areas discussed included: Item # 125 Daily Records of Arrival and Departure We discussed daily sign in and out documentation requirements. You need to develop a plan to ensure that parents or staff have signed children in and out as they arrive and depart. Develop a plan for reviewing these records daily to confirm compliance. Accurate records must be maintained as required. I suggested that each assigned classroom teacher be responsible for making sure these records are completed in their classroom. 10A NCAC 09 .0302(d)(4) Item #840 Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have teachers check the labels on all items to assure they are properly stored. 15A NCAC 18A .2820(b). The bottle of white out was moved into locked storage. This violation was corrected during the visit. Item #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 classrooms where children under three years of age are enrolled, these items must be stored out of the reach of children and at least five feet from ground level. During the visit, all plastic packaging and choking hazards were moved to cabinets five feet from ground level. This violation was corrected during the visit. Item #541 When parents complete the written feeding plan and return it to the facility, the signature of the parent or healthcare professional must be included. Please review forms as parents complete them and prior to the child enrolling. 10A NCAC 09 .0902(a) In space 1b, you reported that the parent will be asked to sign the feeding plan at departure time today. In space 2/3, a partial feeding plan was posted. The posted portion did not include the parent signature or the date when received by the center. You reviewed the children’s files to find the complete feeding plans that was then posted in the classroom. Item #1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. This is a violation of a requirement in .0803(6)(a-i); .0803(7) (a-g); .0803(8)(a-d). We discussed that medication authorizations should be reviewed by staff when completed by a parent to ensure that no required information is missing from the form. Item #601 Refrigerators must maintain a temperature of 45 degrees F or below. 15A NCAC 18A.2806(f)(h)(2). We discussed that you have no way to verify the temperature of the refrigerator without having a thermometer. Staff reported that the thermometer was removed following a spill and has not been returned. You plan to put the thermometer back in the refrigerator today. Item #1106 When providing transportation for children, safety seats must meet the required state seat belt law. G.S.110-91(13);.1001(a). You removed the four expired booster seats from the vans. This violation was corrected during the visit. Item #1314 Emergency information must include the name of a child’s health care professional. 10A NCAC 09.0802(c )(2) We discussed that the parent must provide the name of a health care professional at the time of enrollment and yearly when emergency information is updated. Item #1832 We discussed that unique fears and behaviors must be addressed. If there are no fears or behaviors to list, you should indicate that this information was discussed by placing an n/a on the application question. 10A NCAC 09 .0801(a)(5). Item #1811 Shelter-in-place or lockdown drills must be practiced every three months and recorded on the drill record. 10A NCAC 09 .0604(u); .0302(d)(8). You have two buildings that do not practice drills on the same day. We discussed that you may consider having both buildings to conduct the drills on the same day to prevent missing a drill. Item # 852 Incident reports must list all the information required by child care requirement .0802(e). This includes the signature of the parent, date the parent signed the report, the facility’s identification number, and the signature of the person completing the report. I suggested that you review all incident reports to ensure the incident report is being completed accurately. Complete training with staff on how to properly complete the Incident Report Form. Develop a plan for processing and reviewing these forms for accuracy and completion. Incident reports need to be logged and a copy placed in the child’s file. 10A NCAC 09.0802(e) Item # 1065 Child care providers that are scheduled to work in the infant room must have completed ITS-SIDS training within two months of employment and complete again every three years. 10A NCAC 09.1102(f). You reported that the staff member is enrolled for the required training on May 16, 2024. You will need to request an extension for this violation, as training was unavailable before this date. Item # 1874 You must review the Shaken Baby Head Trauma Policy with staff and they must sign that they acknowledge receipt of the policy. I suggested that you review all policies and procedures with staff during orientation. 10A NCAC 09 .0609(d)(1-4) Consultation or other topics discussed today: We discussed that you need to rake and fluff the mulch near the slides on the large outdoor play structure. You were encouraged to update the first aid kits on the vans. We discussed that booster seats covers need to be cleaned when soiled. Booster seats should only be used when in good repair. Administrative Action Corrective Action Plan status: The mandatory rules review is scheduled for all staff on April 1, 2024. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. 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 given 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

10A NCAC 09.0802 · Violation

Name of Operation: BRIGHT BEGINNINGS CHILDCARE CENTER Facility ID: 14000307 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 106 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 389 Time In: 09:31 AM Time Out: 04:00 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, Angelia Annas, Administrator, assisted me with the visit. Dinah Brown, child care consultant, accompanied me on the visit. A checklist was used to note the requirements we monitored today. Your program currently operates with a four star license effective January 14, 2020. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, children under 2 ½ in rooms with direct exits only and Cap Building #1=84 Building #2=75. The Secretary of State website was checked on March 21, 2024, and your business Bright Beginnings Childcare Center, 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. We 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 group story time, free play in activity areas, outdoor gross motor time, mealtime and personal care routines. Infants were engaged in tummy time, napping, and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. The center's compliance history was at 86% 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. Due to time constraints, an announced follow-up visit will be conducted on March 26, 2024 to review staff and children’s files. Any additional violation cited during the follow up visit will be added to the original Annual Compliance visit that was conducted on March 21, 2024. The last monthly fire drill was practiced on 2/29/24. The last lockdown drill was practiced in building #2 on 9/28/23. Building #1 practiced a shelter-in-place drill on 1/31/24. The last monthly playground inspection was completed on 2/5/24. The most recent sanitation inspection for your facility was conducted on January 16, 2024. A superior sanitation classification was issued with four demerits. The most recent fire inspection for your facility was conducted on June 30, 2024. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 3/1/24 one child was not signed out of care. On 3/6/24, one child was not signed out of care. On 3/8/24, five children were not signed out of care. On 3/15/24, three children were not signed out of care. 10A NCAC 09 .0302(d)(4) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space 1b, one infant feeding plan for a child 12 months of age was not signed by a parent or health care professional. In space 2/3, two children, 14 months of age, did not have parent signature, and/or was not dated when received by the center. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space 7, there was no thermometer in the refrigerator to verify that the temperature was 45 degrees F or below. 15A NCAC 18A .2806(j)(2) 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 #1a one bottle of liquid white out, with hazard warnings, was observed in an unlocked cabinet. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One incident report dated 2/28/24 and one dated 3/7/24 did not have the time and date that the parents were notified of the incident. One incident report dated 3/11/24 did not have the time the parent was notified of the incident. One incident report dated 3/5/24 did not have the date and time the parents were contacted and the signature of the staff member who notified the parent of the incident. .0802 (e) 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 1b, two packages of diaper wipes with suffocation warnings were in an unlocked cabinet. In a drawer accessible to children, there were multiple marker lids, marbles, staples and coins that are choking hazards to children under three years of age. In the bathroom used by two year old children, there were 2 plastic bags, diaper plastic packaging and 2 plastic wipes packages with suffocation warnings. In space 5, there were 3 plastic wipe packages with suffocation warnings and one roll of plastic trash bags on a shelf accessible to children under three years of age. .0604(q) 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. One staff member employed 1/22/24, who provides care for infants, did not have ITS-SIDS training completed. .1102(f) 1106 Each adult and child was not restrained by appropriate individual belt/device. On the center’s two transportation vans, there were two booster seats that expired 8/2023, one booster seat that expired 9/2023 and one booster seat that expired 12/2023. GS 110-91(13) 1314 Emergency information did not name childs health care professional. One child, seven years of age, did not have a listed health care professional on file. .0802(c)(2) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. In building #2, the last lockdown drill was practiced on 9/28/23. .0604(u);.0302(d)(8) 1832 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. One child, eleven years of age, did not have all the required health care needs information on file. .0801 (a)(5) 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 acknowledgement with all the required information was not maintained in the staff person's file. One staff member employed 2/12/24, did not have verification of a review of the Shaken Baby/Abusive Head Trauma Policy on file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space 2/3, the authorization for an A and D ointment was not signed and dated by the parent. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before April 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. 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 Technical assistance on violations was reviewed with you. Areas discussed included: Item # 125 Daily Records of Arrival and Departure We discussed daily sign in and out documentation requirements. You need to develop a plan to ensure that parents or staff have signed children in and out as they arrive and depart. Develop a plan for reviewing these records daily to confirm compliance. Accurate records must be maintained as required. I suggested that each assigned classroom teacher be responsible for making sure these records are completed in their classroom. 10A NCAC 09 .0302(d)(4) Item #840 Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have teachers check the labels on all items to assure they are properly stored. 15A NCAC 18A .2820(b). The bottle of white out was moved into locked storage. This violation was corrected during the visit. Item #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 classrooms where children under three years of age are enrolled, these items must be stored out of the reach of children and at least five feet from ground level. During the visit, all plastic packaging and choking hazards were moved to cabinets five feet from ground level. This violation was corrected during the visit. Item #541 When parents complete the written feeding plan and return it to the facility, the signature of the parent or healthcare professional must be included. Please review forms as parents complete them and prior to the child enrolling. 10A NCAC 09 .0902(a) In space 1b, you reported that the parent will be asked to sign the feeding plan at departure time today. In space 2/3, a partial feeding plan was posted. The posted portion did not include the parent signature or the date when received by the center. You reviewed the children’s files to find the complete feeding plans that was then posted in the classroom. Item #1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. This is a violation of a requirement in .0803(6)(a-i); .0803(7) (a-g); .0803(8)(a-d). We discussed that medication authorizations should be reviewed by staff when completed by a parent to ensure that no required information is missing from the form. Item #601 Refrigerators must maintain a temperature of 45 degrees F or below. 15A NCAC 18A.2806(f)(h)(2). We discussed that you have no way to verify the temperature of the refrigerator without having a thermometer. Staff reported that the thermometer was removed following a spill and has not been returned. You plan to put the thermometer back in the refrigerator today. Item #1106 When providing transportation for children, safety seats must meet the required state seat belt law. G.S.110-91(13);.1001(a). You removed the four expired booster seats from the vans. This violation was corrected during the visit. Item #1314 Emergency information must include the name of a child’s health care professional. 10A NCAC 09.0802(c )(2) We discussed that the parent must provide the name of a health care professional at the time of enrollment and yearly when emergency information is updated. Item #1832 We discussed that unique fears and behaviors must be addressed. If there are no fears or behaviors to list, you should indicate that this information was discussed by placing an n/a on the application question. 10A NCAC 09 .0801(a)(5). Item #1811 Shelter-in-place or lockdown drills must be practiced every three months and recorded on the drill record. 10A NCAC 09 .0604(u); .0302(d)(8). You have two buildings that do not practice drills on the same day. We discussed that you may consider having both buildings to conduct the drills on the same day to prevent missing a drill. Item # 852 Incident reports must list all the information required by child care requirement .0802(e). This includes the signature of the parent, date the parent signed the report, the facility’s identification number, and the signature of the person completing the report. I suggested that you review all incident reports to ensure the incident report is being completed accurately. Complete training with staff on how to properly complete the Incident Report Form. Develop a plan for processing and reviewing these forms for accuracy and completion. Incident reports need to be logged and a copy placed in the child’s file. 10A NCAC 09.0802(e) Item # 1065 Child care providers that are scheduled to work in the infant room must have completed ITS-SIDS training within two months of employment and complete again every three years. 10A NCAC 09.1102(f). You reported that the staff member is enrolled for the required training on May 16, 2024. You will need to request an extension for this violation, as training was unavailable before this date. Item # 1874 You must review the Shaken Baby Head Trauma Policy with staff and they must sign that they acknowledge receipt of the policy. I suggested that you review all policies and procedures with staff during orientation. 10A NCAC 09 .0609(d)(1-4) Consultation or other topics discussed today: We discussed that you need to rake and fluff the mulch near the slides on the large outdoor play structure. You were encouraged to update the first aid kits on the vans. We discussed that booster seats covers need to be cleaned when soiled. Booster seats should only be used when in good repair. Administrative Action Corrective Action Plan status: The mandatory rules review is scheduled for all staff on April 1, 2024. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. 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 given 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

10A NCAC 09.1102 · Violation

Name of Operation: BRIGHT BEGINNINGS CHILDCARE CENTER Facility ID: 14000307 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 106 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 389 Time In: 09:31 AM Time Out: 04:00 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, Angelia Annas, Administrator, assisted me with the visit. Dinah Brown, child care consultant, accompanied me on the visit. A checklist was used to note the requirements we monitored today. Your program currently operates with a four star license effective January 14, 2020. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, children under 2 ½ in rooms with direct exits only and Cap Building #1=84 Building #2=75. The Secretary of State website was checked on March 21, 2024, and your business Bright Beginnings Childcare Center, 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. We 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 group story time, free play in activity areas, outdoor gross motor time, mealtime and personal care routines. Infants were engaged in tummy time, napping, and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. The center's compliance history was at 86% 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. Due to time constraints, an announced follow-up visit will be conducted on March 26, 2024 to review staff and children’s files. Any additional violation cited during the follow up visit will be added to the original Annual Compliance visit that was conducted on March 21, 2024. The last monthly fire drill was practiced on 2/29/24. The last lockdown drill was practiced in building #2 on 9/28/23. Building #1 practiced a shelter-in-place drill on 1/31/24. The last monthly playground inspection was completed on 2/5/24. The most recent sanitation inspection for your facility was conducted on January 16, 2024. A superior sanitation classification was issued with four demerits. The most recent fire inspection for your facility was conducted on June 30, 2024. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 3/1/24 one child was not signed out of care. On 3/6/24, one child was not signed out of care. On 3/8/24, five children were not signed out of care. On 3/15/24, three children were not signed out of care. 10A NCAC 09 .0302(d)(4) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space 1b, one infant feeding plan for a child 12 months of age was not signed by a parent or health care professional. In space 2/3, two children, 14 months of age, did not have parent signature, and/or was not dated when received by the center. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space 7, there was no thermometer in the refrigerator to verify that the temperature was 45 degrees F or below. 15A NCAC 18A .2806(j)(2) 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 #1a one bottle of liquid white out, with hazard warnings, was observed in an unlocked cabinet. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One incident report dated 2/28/24 and one dated 3/7/24 did not have the time and date that the parents were notified of the incident. One incident report dated 3/11/24 did not have the time the parent was notified of the incident. One incident report dated 3/5/24 did not have the date and time the parents were contacted and the signature of the staff member who notified the parent of the incident. .0802 (e) 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 1b, two packages of diaper wipes with suffocation warnings were in an unlocked cabinet. In a drawer accessible to children, there were multiple marker lids, marbles, staples and coins that are choking hazards to children under three years of age. In the bathroom used by two year old children, there were 2 plastic bags, diaper plastic packaging and 2 plastic wipes packages with suffocation warnings. In space 5, there were 3 plastic wipe packages with suffocation warnings and one roll of plastic trash bags on a shelf accessible to children under three years of age. .0604(q) 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. One staff member employed 1/22/24, who provides care for infants, did not have ITS-SIDS training completed. .1102(f) 1106 Each adult and child was not restrained by appropriate individual belt/device. On the center’s two transportation vans, there were two booster seats that expired 8/2023, one booster seat that expired 9/2023 and one booster seat that expired 12/2023. GS 110-91(13) 1314 Emergency information did not name childs health care professional. One child, seven years of age, did not have a listed health care professional on file. .0802(c)(2) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. In building #2, the last lockdown drill was practiced on 9/28/23. .0604(u);.0302(d)(8) 1832 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. One child, eleven years of age, did not have all the required health care needs information on file. .0801 (a)(5) 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 acknowledgement with all the required information was not maintained in the staff person's file. One staff member employed 2/12/24, did not have verification of a review of the Shaken Baby/Abusive Head Trauma Policy on file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space 2/3, the authorization for an A and D ointment was not signed and dated by the parent. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before April 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. 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 Technical assistance on violations was reviewed with you. Areas discussed included: Item # 125 Daily Records of Arrival and Departure We discussed daily sign in and out documentation requirements. You need to develop a plan to ensure that parents or staff have signed children in and out as they arrive and depart. Develop a plan for reviewing these records daily to confirm compliance. Accurate records must be maintained as required. I suggested that each assigned classroom teacher be responsible for making sure these records are completed in their classroom. 10A NCAC 09 .0302(d)(4) Item #840 Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have teachers check the labels on all items to assure they are properly stored. 15A NCAC 18A .2820(b). The bottle of white out was moved into locked storage. This violation was corrected during the visit. Item #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 classrooms where children under three years of age are enrolled, these items must be stored out of the reach of children and at least five feet from ground level. During the visit, all plastic packaging and choking hazards were moved to cabinets five feet from ground level. This violation was corrected during the visit. Item #541 When parents complete the written feeding plan and return it to the facility, the signature of the parent or healthcare professional must be included. Please review forms as parents complete them and prior to the child enrolling. 10A NCAC 09 .0902(a) In space 1b, you reported that the parent will be asked to sign the feeding plan at departure time today. In space 2/3, a partial feeding plan was posted. The posted portion did not include the parent signature or the date when received by the center. You reviewed the children’s files to find the complete feeding plans that was then posted in the classroom. Item #1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. This is a violation of a requirement in .0803(6)(a-i); .0803(7) (a-g); .0803(8)(a-d). We discussed that medication authorizations should be reviewed by staff when completed by a parent to ensure that no required information is missing from the form. Item #601 Refrigerators must maintain a temperature of 45 degrees F or below. 15A NCAC 18A.2806(f)(h)(2). We discussed that you have no way to verify the temperature of the refrigerator without having a thermometer. Staff reported that the thermometer was removed following a spill and has not been returned. You plan to put the thermometer back in the refrigerator today. Item #1106 When providing transportation for children, safety seats must meet the required state seat belt law. G.S.110-91(13);.1001(a). You removed the four expired booster seats from the vans. This violation was corrected during the visit. Item #1314 Emergency information must include the name of a child’s health care professional. 10A NCAC 09.0802(c )(2) We discussed that the parent must provide the name of a health care professional at the time of enrollment and yearly when emergency information is updated. Item #1832 We discussed that unique fears and behaviors must be addressed. If there are no fears or behaviors to list, you should indicate that this information was discussed by placing an n/a on the application question. 10A NCAC 09 .0801(a)(5). Item #1811 Shelter-in-place or lockdown drills must be practiced every three months and recorded on the drill record. 10A NCAC 09 .0604(u); .0302(d)(8). You have two buildings that do not practice drills on the same day. We discussed that you may consider having both buildings to conduct the drills on the same day to prevent missing a drill. Item # 852 Incident reports must list all the information required by child care requirement .0802(e). This includes the signature of the parent, date the parent signed the report, the facility’s identification number, and the signature of the person completing the report. I suggested that you review all incident reports to ensure the incident report is being completed accurately. Complete training with staff on how to properly complete the Incident Report Form. Develop a plan for processing and reviewing these forms for accuracy and completion. Incident reports need to be logged and a copy placed in the child’s file. 10A NCAC 09.0802(e) Item # 1065 Child care providers that are scheduled to work in the infant room must have completed ITS-SIDS training within two months of employment and complete again every three years. 10A NCAC 09.1102(f). You reported that the staff member is enrolled for the required training on May 16, 2024. You will need to request an extension for this violation, as training was unavailable before this date. Item # 1874 You must review the Shaken Baby Head Trauma Policy with staff and they must sign that they acknowledge receipt of the policy. I suggested that you review all policies and procedures with staff during orientation. 10A NCAC 09 .0609(d)(1-4) Consultation or other topics discussed today: We discussed that you need to rake and fluff the mulch near the slides on the large outdoor play structure. You were encouraged to update the first aid kits on the vans. We discussed that booster seats covers need to be cleaned when soiled. Booster seats should only be used when in good repair. Administrative Action Corrective Action Plan status: The mandatory rules review is scheduled for all staff on April 1, 2024. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. 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 given 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

G.S.110-91 · Violation

Name of Operation: BRIGHT BEGINNINGS CHILDCARE CENTER Facility ID: 14000307 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 106 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 389 Time In: 09:31 AM Time Out: 04:00 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, Angelia Annas, Administrator, assisted me with the visit. Dinah Brown, child care consultant, accompanied me on the visit. A checklist was used to note the requirements we monitored today. Your program currently operates with a four star license effective January 14, 2020. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, children under 2 ½ in rooms with direct exits only and Cap Building #1=84 Building #2=75. The Secretary of State website was checked on March 21, 2024, and your business Bright Beginnings Childcare Center, 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. We 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 group story time, free play in activity areas, outdoor gross motor time, mealtime and personal care routines. Infants were engaged in tummy time, napping, and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. The center's compliance history was at 86% 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. Due to time constraints, an announced follow-up visit will be conducted on March 26, 2024 to review staff and children’s files. Any additional violation cited during the follow up visit will be added to the original Annual Compliance visit that was conducted on March 21, 2024. The last monthly fire drill was practiced on 2/29/24. The last lockdown drill was practiced in building #2 on 9/28/23. Building #1 practiced a shelter-in-place drill on 1/31/24. The last monthly playground inspection was completed on 2/5/24. The most recent sanitation inspection for your facility was conducted on January 16, 2024. A superior sanitation classification was issued with four demerits. The most recent fire inspection for your facility was conducted on June 30, 2024. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 3/1/24 one child was not signed out of care. On 3/6/24, one child was not signed out of care. On 3/8/24, five children were not signed out of care. On 3/15/24, three children were not signed out of care. 10A NCAC 09 .0302(d)(4) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space 1b, one infant feeding plan for a child 12 months of age was not signed by a parent or health care professional. In space 2/3, two children, 14 months of age, did not have parent signature, and/or was not dated when received by the center. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space 7, there was no thermometer in the refrigerator to verify that the temperature was 45 degrees F or below. 15A NCAC 18A .2806(j)(2) 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 #1a one bottle of liquid white out, with hazard warnings, was observed in an unlocked cabinet. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One incident report dated 2/28/24 and one dated 3/7/24 did not have the time and date that the parents were notified of the incident. One incident report dated 3/11/24 did not have the time the parent was notified of the incident. One incident report dated 3/5/24 did not have the date and time the parents were contacted and the signature of the staff member who notified the parent of the incident. .0802 (e) 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 1b, two packages of diaper wipes with suffocation warnings were in an unlocked cabinet. In a drawer accessible to children, there were multiple marker lids, marbles, staples and coins that are choking hazards to children under three years of age. In the bathroom used by two year old children, there were 2 plastic bags, diaper plastic packaging and 2 plastic wipes packages with suffocation warnings. In space 5, there were 3 plastic wipe packages with suffocation warnings and one roll of plastic trash bags on a shelf accessible to children under three years of age. .0604(q) 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. One staff member employed 1/22/24, who provides care for infants, did not have ITS-SIDS training completed. .1102(f) 1106 Each adult and child was not restrained by appropriate individual belt/device. On the center’s two transportation vans, there were two booster seats that expired 8/2023, one booster seat that expired 9/2023 and one booster seat that expired 12/2023. GS 110-91(13) 1314 Emergency information did not name childs health care professional. One child, seven years of age, did not have a listed health care professional on file. .0802(c)(2) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. In building #2, the last lockdown drill was practiced on 9/28/23. .0604(u);.0302(d)(8) 1832 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. One child, eleven years of age, did not have all the required health care needs information on file. .0801 (a)(5) 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 acknowledgement with all the required information was not maintained in the staff person's file. One staff member employed 2/12/24, did not have verification of a review of the Shaken Baby/Abusive Head Trauma Policy on file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space 2/3, the authorization for an A and D ointment was not signed and dated by the parent. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before April 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. 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 Technical assistance on violations was reviewed with you. Areas discussed included: Item # 125 Daily Records of Arrival and Departure We discussed daily sign in and out documentation requirements. You need to develop a plan to ensure that parents or staff have signed children in and out as they arrive and depart. Develop a plan for reviewing these records daily to confirm compliance. Accurate records must be maintained as required. I suggested that each assigned classroom teacher be responsible for making sure these records are completed in their classroom. 10A NCAC 09 .0302(d)(4) Item #840 Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have teachers check the labels on all items to assure they are properly stored. 15A NCAC 18A .2820(b). The bottle of white out was moved into locked storage. This violation was corrected during the visit. Item #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 classrooms where children under three years of age are enrolled, these items must be stored out of the reach of children and at least five feet from ground level. During the visit, all plastic packaging and choking hazards were moved to cabinets five feet from ground level. This violation was corrected during the visit. Item #541 When parents complete the written feeding plan and return it to the facility, the signature of the parent or healthcare professional must be included. Please review forms as parents complete them and prior to the child enrolling. 10A NCAC 09 .0902(a) In space 1b, you reported that the parent will be asked to sign the feeding plan at departure time today. In space 2/3, a partial feeding plan was posted. The posted portion did not include the parent signature or the date when received by the center. You reviewed the children’s files to find the complete feeding plans that was then posted in the classroom. Item #1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. This is a violation of a requirement in .0803(6)(a-i); .0803(7) (a-g); .0803(8)(a-d). We discussed that medication authorizations should be reviewed by staff when completed by a parent to ensure that no required information is missing from the form. Item #601 Refrigerators must maintain a temperature of 45 degrees F or below. 15A NCAC 18A.2806(f)(h)(2). We discussed that you have no way to verify the temperature of the refrigerator without having a thermometer. Staff reported that the thermometer was removed following a spill and has not been returned. You plan to put the thermometer back in the refrigerator today. Item #1106 When providing transportation for children, safety seats must meet the required state seat belt law. G.S.110-91(13);.1001(a). You removed the four expired booster seats from the vans. This violation was corrected during the visit. Item #1314 Emergency information must include the name of a child’s health care professional. 10A NCAC 09.0802(c )(2) We discussed that the parent must provide the name of a health care professional at the time of enrollment and yearly when emergency information is updated. Item #1832 We discussed that unique fears and behaviors must be addressed. If there are no fears or behaviors to list, you should indicate that this information was discussed by placing an n/a on the application question. 10A NCAC 09 .0801(a)(5). Item #1811 Shelter-in-place or lockdown drills must be practiced every three months and recorded on the drill record. 10A NCAC 09 .0604(u); .0302(d)(8). You have two buildings that do not practice drills on the same day. We discussed that you may consider having both buildings to conduct the drills on the same day to prevent missing a drill. Item # 852 Incident reports must list all the information required by child care requirement .0802(e). This includes the signature of the parent, date the parent signed the report, the facility’s identification number, and the signature of the person completing the report. I suggested that you review all incident reports to ensure the incident report is being completed accurately. Complete training with staff on how to properly complete the Incident Report Form. Develop a plan for processing and reviewing these forms for accuracy and completion. Incident reports need to be logged and a copy placed in the child’s file. 10A NCAC 09.0802(e) Item # 1065 Child care providers that are scheduled to work in the infant room must have completed ITS-SIDS training within two months of employment and complete again every three years. 10A NCAC 09.1102(f). You reported that the staff member is enrolled for the required training on May 16, 2024. You will need to request an extension for this violation, as training was unavailable before this date. Item # 1874 You must review the Shaken Baby Head Trauma Policy with staff and they must sign that they acknowledge receipt of the policy. I suggested that you review all policies and procedures with staff during orientation. 10A NCAC 09 .0609(d)(1-4) Consultation or other topics discussed today: We discussed that you need to rake and fluff the mulch near the slides on the large outdoor play structure. You were encouraged to update the first aid kits on the vans. We discussed that booster seats covers need to be cleaned when soiled. Booster seats should only be used when in good repair. Administrative Action Corrective Action Plan status: The mandatory rules review is scheduled for all staff on April 1, 2024. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. 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 given 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

GS 110-91 · Violation

Name of Operation: BRIGHT BEGINNINGS CHILDCARE CENTER Facility ID: 14000307 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 106 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 389 Time In: 09:31 AM Time Out: 04:00 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, Angelia Annas, Administrator, assisted me with the visit. Dinah Brown, child care consultant, accompanied me on the visit. A checklist was used to note the requirements we monitored today. Your program currently operates with a four star license effective January 14, 2020. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, children under 2 ½ in rooms with direct exits only and Cap Building #1=84 Building #2=75. The Secretary of State website was checked on March 21, 2024, and your business Bright Beginnings Childcare Center, 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. We 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 group story time, free play in activity areas, outdoor gross motor time, mealtime and personal care routines. Infants were engaged in tummy time, napping, and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. The center's compliance history was at 86% 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. Due to time constraints, an announced follow-up visit will be conducted on March 26, 2024 to review staff and children’s files. Any additional violation cited during the follow up visit will be added to the original Annual Compliance visit that was conducted on March 21, 2024. The last monthly fire drill was practiced on 2/29/24. The last lockdown drill was practiced in building #2 on 9/28/23. Building #1 practiced a shelter-in-place drill on 1/31/24. The last monthly playground inspection was completed on 2/5/24. The most recent sanitation inspection for your facility was conducted on January 16, 2024. A superior sanitation classification was issued with four demerits. The most recent fire inspection for your facility was conducted on June 30, 2024. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 3/1/24 one child was not signed out of care. On 3/6/24, one child was not signed out of care. On 3/8/24, five children were not signed out of care. On 3/15/24, three children were not signed out of care. 10A NCAC 09 .0302(d)(4) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space 1b, one infant feeding plan for a child 12 months of age was not signed by a parent or health care professional. In space 2/3, two children, 14 months of age, did not have parent signature, and/or was not dated when received by the center. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space 7, there was no thermometer in the refrigerator to verify that the temperature was 45 degrees F or below. 15A NCAC 18A .2806(j)(2) 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 #1a one bottle of liquid white out, with hazard warnings, was observed in an unlocked cabinet. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One incident report dated 2/28/24 and one dated 3/7/24 did not have the time and date that the parents were notified of the incident. One incident report dated 3/11/24 did not have the time the parent was notified of the incident. One incident report dated 3/5/24 did not have the date and time the parents were contacted and the signature of the staff member who notified the parent of the incident. .0802 (e) 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 1b, two packages of diaper wipes with suffocation warnings were in an unlocked cabinet. In a drawer accessible to children, there were multiple marker lids, marbles, staples and coins that are choking hazards to children under three years of age. In the bathroom used by two year old children, there were 2 plastic bags, diaper plastic packaging and 2 plastic wipes packages with suffocation warnings. In space 5, there were 3 plastic wipe packages with suffocation warnings and one roll of plastic trash bags on a shelf accessible to children under three years of age. .0604(q) 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. One staff member employed 1/22/24, who provides care for infants, did not have ITS-SIDS training completed. .1102(f) 1106 Each adult and child was not restrained by appropriate individual belt/device. On the center’s two transportation vans, there were two booster seats that expired 8/2023, one booster seat that expired 9/2023 and one booster seat that expired 12/2023. GS 110-91(13) 1314 Emergency information did not name childs health care professional. One child, seven years of age, did not have a listed health care professional on file. .0802(c)(2) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. In building #2, the last lockdown drill was practiced on 9/28/23. .0604(u);.0302(d)(8) 1832 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. One child, eleven years of age, did not have all the required health care needs information on file. .0801 (a)(5) 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 acknowledgement with all the required information was not maintained in the staff person's file. One staff member employed 2/12/24, did not have verification of a review of the Shaken Baby/Abusive Head Trauma Policy on file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space 2/3, the authorization for an A and D ointment was not signed and dated by the parent. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before April 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. 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 Technical assistance on violations was reviewed with you. Areas discussed included: Item # 125 Daily Records of Arrival and Departure We discussed daily sign in and out documentation requirements. You need to develop a plan to ensure that parents or staff have signed children in and out as they arrive and depart. Develop a plan for reviewing these records daily to confirm compliance. Accurate records must be maintained as required. I suggested that each assigned classroom teacher be responsible for making sure these records are completed in their classroom. 10A NCAC 09 .0302(d)(4) Item #840 Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have teachers check the labels on all items to assure they are properly stored. 15A NCAC 18A .2820(b). The bottle of white out was moved into locked storage. This violation was corrected during the visit. Item #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 classrooms where children under three years of age are enrolled, these items must be stored out of the reach of children and at least five feet from ground level. During the visit, all plastic packaging and choking hazards were moved to cabinets five feet from ground level. This violation was corrected during the visit. Item #541 When parents complete the written feeding plan and return it to the facility, the signature of the parent or healthcare professional must be included. Please review forms as parents complete them and prior to the child enrolling. 10A NCAC 09 .0902(a) In space 1b, you reported that the parent will be asked to sign the feeding plan at departure time today. In space 2/3, a partial feeding plan was posted. The posted portion did not include the parent signature or the date when received by the center. You reviewed the children’s files to find the complete feeding plans that was then posted in the classroom. Item #1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. This is a violation of a requirement in .0803(6)(a-i); .0803(7) (a-g); .0803(8)(a-d). We discussed that medication authorizations should be reviewed by staff when completed by a parent to ensure that no required information is missing from the form. Item #601 Refrigerators must maintain a temperature of 45 degrees F or below. 15A NCAC 18A.2806(f)(h)(2). We discussed that you have no way to verify the temperature of the refrigerator without having a thermometer. Staff reported that the thermometer was removed following a spill and has not been returned. You plan to put the thermometer back in the refrigerator today. Item #1106 When providing transportation for children, safety seats must meet the required state seat belt law. G.S.110-91(13);.1001(a). You removed the four expired booster seats from the vans. This violation was corrected during the visit. Item #1314 Emergency information must include the name of a child’s health care professional. 10A NCAC 09.0802(c )(2) We discussed that the parent must provide the name of a health care professional at the time of enrollment and yearly when emergency information is updated. Item #1832 We discussed that unique fears and behaviors must be addressed. If there are no fears or behaviors to list, you should indicate that this information was discussed by placing an n/a on the application question. 10A NCAC 09 .0801(a)(5). Item #1811 Shelter-in-place or lockdown drills must be practiced every three months and recorded on the drill record. 10A NCAC 09 .0604(u); .0302(d)(8). You have two buildings that do not practice drills on the same day. We discussed that you may consider having both buildings to conduct the drills on the same day to prevent missing a drill. Item # 852 Incident reports must list all the information required by child care requirement .0802(e). This includes the signature of the parent, date the parent signed the report, the facility’s identification number, and the signature of the person completing the report. I suggested that you review all incident reports to ensure the incident report is being completed accurately. Complete training with staff on how to properly complete the Incident Report Form. Develop a plan for processing and reviewing these forms for accuracy and completion. Incident reports need to be logged and a copy placed in the child’s file. 10A NCAC 09.0802(e) Item # 1065 Child care providers that are scheduled to work in the infant room must have completed ITS-SIDS training within two months of employment and complete again every three years. 10A NCAC 09.1102(f). You reported that the staff member is enrolled for the required training on May 16, 2024. You will need to request an extension for this violation, as training was unavailable before this date. Item # 1874 You must review the Shaken Baby Head Trauma Policy with staff and they must sign that they acknowledge receipt of the policy. I suggested that you review all policies and procedures with staff during orientation. 10A NCAC 09 .0609(d)(1-4) Consultation or other topics discussed today: We discussed that you need to rake and fluff the mulch near the slides on the large outdoor play structure. You were encouraged to update the first aid kits on the vans. We discussed that booster seats covers need to be cleaned when soiled. Booster seats should only be used when in good repair. Administrative Action Corrective Action Plan status: The mandatory rules review is scheduled for all staff on April 1, 2024. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. 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 given 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

NC GS 110-90 · Violation

Name of Operation: BRIGHT BEGINNINGS CHILDCARE CENTER Facility ID: 14000307 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 106 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 389 Time In: 09:31 AM Time Out: 04:00 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, Angelia Annas, Administrator, assisted me with the visit. Dinah Brown, child care consultant, accompanied me on the visit. A checklist was used to note the requirements we monitored today. Your program currently operates with a four star license effective January 14, 2020. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, children under 2 ½ in rooms with direct exits only and Cap Building #1=84 Building #2=75. The Secretary of State website was checked on March 21, 2024, and your business Bright Beginnings Childcare Center, 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. We 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 group story time, free play in activity areas, outdoor gross motor time, mealtime and personal care routines. Infants were engaged in tummy time, napping, and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. The center's compliance history was at 86% 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. Due to time constraints, an announced follow-up visit will be conducted on March 26, 2024 to review staff and children’s files. Any additional violation cited during the follow up visit will be added to the original Annual Compliance visit that was conducted on March 21, 2024. The last monthly fire drill was practiced on 2/29/24. The last lockdown drill was practiced in building #2 on 9/28/23. Building #1 practiced a shelter-in-place drill on 1/31/24. The last monthly playground inspection was completed on 2/5/24. The most recent sanitation inspection for your facility was conducted on January 16, 2024. A superior sanitation classification was issued with four demerits. The most recent fire inspection for your facility was conducted on June 30, 2024. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 3/1/24 one child was not signed out of care. On 3/6/24, one child was not signed out of care. On 3/8/24, five children were not signed out of care. On 3/15/24, three children were not signed out of care. 10A NCAC 09 .0302(d)(4) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space 1b, one infant feeding plan for a child 12 months of age was not signed by a parent or health care professional. In space 2/3, two children, 14 months of age, did not have parent signature, and/or was not dated when received by the center. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space 7, there was no thermometer in the refrigerator to verify that the temperature was 45 degrees F or below. 15A NCAC 18A .2806(j)(2) 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 #1a one bottle of liquid white out, with hazard warnings, was observed in an unlocked cabinet. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One incident report dated 2/28/24 and one dated 3/7/24 did not have the time and date that the parents were notified of the incident. One incident report dated 3/11/24 did not have the time the parent was notified of the incident. One incident report dated 3/5/24 did not have the date and time the parents were contacted and the signature of the staff member who notified the parent of the incident. .0802 (e) 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 1b, two packages of diaper wipes with suffocation warnings were in an unlocked cabinet. In a drawer accessible to children, there were multiple marker lids, marbles, staples and coins that are choking hazards to children under three years of age. In the bathroom used by two year old children, there were 2 plastic bags, diaper plastic packaging and 2 plastic wipes packages with suffocation warnings. In space 5, there were 3 plastic wipe packages with suffocation warnings and one roll of plastic trash bags on a shelf accessible to children under three years of age. .0604(q) 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. One staff member employed 1/22/24, who provides care for infants, did not have ITS-SIDS training completed. .1102(f) 1106 Each adult and child was not restrained by appropriate individual belt/device. On the center’s two transportation vans, there were two booster seats that expired 8/2023, one booster seat that expired 9/2023 and one booster seat that expired 12/2023. GS 110-91(13) 1314 Emergency information did not name childs health care professional. One child, seven years of age, did not have a listed health care professional on file. .0802(c)(2) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. In building #2, the last lockdown drill was practiced on 9/28/23. .0604(u);.0302(d)(8) 1832 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. One child, eleven years of age, did not have all the required health care needs information on file. .0801 (a)(5) 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 acknowledgement with all the required information was not maintained in the staff person's file. One staff member employed 2/12/24, did not have verification of a review of the Shaken Baby/Abusive Head Trauma Policy on file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space 2/3, the authorization for an A and D ointment was not signed and dated by the parent. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before April 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. 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 Technical assistance on violations was reviewed with you. Areas discussed included: Item # 125 Daily Records of Arrival and Departure We discussed daily sign in and out documentation requirements. You need to develop a plan to ensure that parents or staff have signed children in and out as they arrive and depart. Develop a plan for reviewing these records daily to confirm compliance. Accurate records must be maintained as required. I suggested that each assigned classroom teacher be responsible for making sure these records are completed in their classroom. 10A NCAC 09 .0302(d)(4) Item #840 Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have teachers check the labels on all items to assure they are properly stored. 15A NCAC 18A .2820(b). The bottle of white out was moved into locked storage. This violation was corrected during the visit. Item #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 classrooms where children under three years of age are enrolled, these items must be stored out of the reach of children and at least five feet from ground level. During the visit, all plastic packaging and choking hazards were moved to cabinets five feet from ground level. This violation was corrected during the visit. Item #541 When parents complete the written feeding plan and return it to the facility, the signature of the parent or healthcare professional must be included. Please review forms as parents complete them and prior to the child enrolling. 10A NCAC 09 .0902(a) In space 1b, you reported that the parent will be asked to sign the feeding plan at departure time today. In space 2/3, a partial feeding plan was posted. The posted portion did not include the parent signature or the date when received by the center. You reviewed the children’s files to find the complete feeding plans that was then posted in the classroom. Item #1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. This is a violation of a requirement in .0803(6)(a-i); .0803(7) (a-g); .0803(8)(a-d). We discussed that medication authorizations should be reviewed by staff when completed by a parent to ensure that no required information is missing from the form. Item #601 Refrigerators must maintain a temperature of 45 degrees F or below. 15A NCAC 18A.2806(f)(h)(2). We discussed that you have no way to verify the temperature of the refrigerator without having a thermometer. Staff reported that the thermometer was removed following a spill and has not been returned. You plan to put the thermometer back in the refrigerator today. Item #1106 When providing transportation for children, safety seats must meet the required state seat belt law. G.S.110-91(13);.1001(a). You removed the four expired booster seats from the vans. This violation was corrected during the visit. Item #1314 Emergency information must include the name of a child’s health care professional. 10A NCAC 09.0802(c )(2) We discussed that the parent must provide the name of a health care professional at the time of enrollment and yearly when emergency information is updated. Item #1832 We discussed that unique fears and behaviors must be addressed. If there are no fears or behaviors to list, you should indicate that this information was discussed by placing an n/a on the application question. 10A NCAC 09 .0801(a)(5). Item #1811 Shelter-in-place or lockdown drills must be practiced every three months and recorded on the drill record. 10A NCAC 09 .0604(u); .0302(d)(8). You have two buildings that do not practice drills on the same day. We discussed that you may consider having both buildings to conduct the drills on the same day to prevent missing a drill. Item # 852 Incident reports must list all the information required by child care requirement .0802(e). This includes the signature of the parent, date the parent signed the report, the facility’s identification number, and the signature of the person completing the report. I suggested that you review all incident reports to ensure the incident report is being completed accurately. Complete training with staff on how to properly complete the Incident Report Form. Develop a plan for processing and reviewing these forms for accuracy and completion. Incident reports need to be logged and a copy placed in the child’s file. 10A NCAC 09.0802(e) Item # 1065 Child care providers that are scheduled to work in the infant room must have completed ITS-SIDS training within two months of employment and complete again every three years. 10A NCAC 09.1102(f). You reported that the staff member is enrolled for the required training on May 16, 2024. You will need to request an extension for this violation, as training was unavailable before this date. Item # 1874 You must review the Shaken Baby Head Trauma Policy with staff and they must sign that they acknowledge receipt of the policy. I suggested that you review all policies and procedures with staff during orientation. 10A NCAC 09 .0609(d)(1-4) Consultation or other topics discussed today: We discussed that you need to rake and fluff the mulch near the slides on the large outdoor play structure. You were encouraged to update the first aid kits on the vans. We discussed that booster seats covers need to be cleaned when soiled. Booster seats should only be used when in good repair. Administrative Action Corrective Action Plan status: The mandatory rules review is scheduled for all staff on April 1, 2024. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. 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 given 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

G.S. 110-91 · Violation

Name of Operation: BRIGHT BEGINNINGS CHILDCARE CENTER Facility ID: 14000307 Consultant: JENNIFER HILL Operation Type: Center Case Number: 0324-148A Visit Date: 3/18/2024 Number Present: 67 Completed Date: 3/18/2024 Age: From 0 To 5 Total Minutes: 100 Time In: 10:30 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Julia Armstrong, Investigation Consultant, was also present during the visit. Angelia Annas, administrator, accompanied us during a walk-through of the facility. During the visit, we discussed the allegations with Ms. Annas and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member yelled and cussed in the presence of a four-year-old child who had a bathroom accident. G.S. 110-91(10) You may contact me at Jennifer Hill, Investigations Consultant, 828-358-5387, Jennifer.Hill@dhhs.nc.gov or Natosha Lambeth, Western Investigations Team Supervisor, Natosha.Lambeth@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.