10A NCAC 09 .0601 · Violation

Name of Operation: KINDERCARE LEARNING CENTER Facility ID: 41002406 Consultant: RHONDA GRADY Operation Type: Center Case Number: 0524-168A Visit Date: 5/16/2024 Number Present: 73 Completed Date: 5/16/2024 Age: From 0 To 5 Total Minutes: 205 Time In: 09:50 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Christy Meadows, the administrator accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Meadows and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were confirmed during today’s visit. Violation Number Comment Rule 527 A variety of foods were not included in meals and snacks. A food substitution was not provided when a known food allergen was served and left accessible to a one-year-old child. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. Staff failed to ensure a child's safety when a one-year-old child had access and consumed a food known allergy. 10A NCAC 09 .0601(a) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A first aid information sheet was posted, but it did not include all of the required information such as guidance regarding burns scalds, fractures, sprains, head injuries, poisons, skin wounds stings and bites. .0802(h) 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. The facility’s EMC plan did not list at least one alternate person listed for carrying out the plan of action to obtain appropriate medical care such as notifying the parents, when the person listed was not available and/or on the premises to respond as needed. .0802(a)(1)(A-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. An incident report was completed when a child was injured, but did not include all of the information required in the rule such as the date and time of the incident, steps to prevent reoccurrence, and parent signature. .0802 (e) 853 Incident logs were not completed and maintained as required. The facility failed to complete an incident log when incident reports were completed. .0802(g)(1-6) 1836 Center administrators and staff did not use the information provided in the application to ensure that each individual child's needs are met. The facility staff failed to refer to a one-year-old child’s medical action plan to ensure the child’s medical needs were met in a timely and appropriate manner when it was determined a known allergen food was left accessible to the child. .0801 (e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization form for an enrolled children with a severe known food allergen did not include all of the required information such the allergic reactions, criteria for the administrator of the medication, amount and frequency of the dosages, manner in which the medication shall be administers, signature of the parent, the date and authorization was signed by the parent, and the length of time the authorization if valid, if less than six months. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. The facility failed to submit an incident report to the Division within seven days after after an incident occurred that resulted in a child receiving medical treatment as required. .0802(f) Violations must be corrected immediately. Within one week, no later than May 23, 2024 you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at rhonda.m.grady@dhhs.nc.gov or via fax at (919) 715-1013 You may contact me, Rhonda Grady, Investigations Consultant at (336) 266-0520 or Elizabeth Nichols, Investigations Supervisor at elizabeth.nichols@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0901 · Violation

Name of Operation: KINDERCARE LEARNING CENTER Facility ID: 41002406 Consultant: RHONDA GRADY Operation Type: Center Case Number: 0524-168A Visit Date: 5/16/2024 Number Present: 73 Completed Date: 5/16/2024 Age: From 0 To 5 Total Minutes: 205 Time In: 09:50 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Christy Meadows, the administrator accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Meadows and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were confirmed during today’s visit. Violation Number Comment Rule 527 A variety of foods were not included in meals and snacks. A food substitution was not provided when a known food allergen was served and left accessible to a one-year-old child. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. Staff failed to ensure a child's safety when a one-year-old child had access and consumed a food known allergy. 10A NCAC 09 .0601(a) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A first aid information sheet was posted, but it did not include all of the required information such as guidance regarding burns scalds, fractures, sprains, head injuries, poisons, skin wounds stings and bites. .0802(h) 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. The facility’s EMC plan did not list at least one alternate person listed for carrying out the plan of action to obtain appropriate medical care such as notifying the parents, when the person listed was not available and/or on the premises to respond as needed. .0802(a)(1)(A-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. An incident report was completed when a child was injured, but did not include all of the information required in the rule such as the date and time of the incident, steps to prevent reoccurrence, and parent signature. .0802 (e) 853 Incident logs were not completed and maintained as required. The facility failed to complete an incident log when incident reports were completed. .0802(g)(1-6) 1836 Center administrators and staff did not use the information provided in the application to ensure that each individual child's needs are met. The facility staff failed to refer to a one-year-old child’s medical action plan to ensure the child’s medical needs were met in a timely and appropriate manner when it was determined a known allergen food was left accessible to the child. .0801 (e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization form for an enrolled children with a severe known food allergen did not include all of the required information such the allergic reactions, criteria for the administrator of the medication, amount and frequency of the dosages, manner in which the medication shall be administers, signature of the parent, the date and authorization was signed by the parent, and the length of time the authorization if valid, if less than six months. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. The facility failed to submit an incident report to the Division within seven days after after an incident occurred that resulted in a child receiving medical treatment as required. .0802(f) Violations must be corrected immediately. Within one week, no later than May 23, 2024 you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at rhonda.m.grady@dhhs.nc.gov or via fax at (919) 715-1013 You may contact me, Rhonda Grady, Investigations Consultant at (336) 266-0520 or Elizabeth Nichols, Investigations Supervisor at elizabeth.nichols@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