10A NCAC 09 .0514 · Violation

Name of Operation: THE BABY HOUSE, LLC DBA NORTHWEST DAY SCHOOL Facility ID: 41002275 Consultant: WYTINA BLACKMON Operation Type: Center Case Number: Visit Date: 7/23/2024 Number Present: 56 Completed Date: 7/23/2024 Age: From 0 To 2 Total Minutes: 440 Time In: 10:05 AM Time Out: 05:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for compliance during an annual compliance visit. A checklist was used to note the requirements I monitored today. This facility currently operates with Four Star license issued on February 19,2018. Upon my arrival to the facility, I was greeted by Ms. C. Kohler, the owner. Ms. Kohler informed me that Mr. R. Kohler, the administrator/owner was gone and would be back soon. Ms. Kohler contacted K. Johnson the director for the facility next door to assist with the paperwork. Mr. Kohler arrived before my departure. I explained to Ms. Johnson that Mr. Kohler is the administrator and he needs to complete the paperwork and answers the questions related to the center. Ms. Johnson will need to handle the paperwork at the other center. She will not be able to be the director for both centers. All indoor and outdoor spaces used use by the children was observed today. All required items were posted. All medication and hazardous items were out of the children's reach. Fifty-six (56) children were present during today’s visit. I observed the children playing on the floor with available toys, playing in centers, washing their hands in preparation for lunch, eating lunch, napping, waking up from napping, eating snack and departing. A sanitation inspection was conducted on May 7,2024. This facility received a superior rating with four (4) demerits. A fire inspection was conducted on July 25, 2023. Staff and children files were monitored during today’s visit. The staff and training worksheets were updated during today’s visit. Your signature on these forms serves as verification the information provided is accurate and complete. I checked the NC Department of the Secretary of State for your corporation status. Your corporation status is active and current as of July 23,2024. Ten (10) violations were cited during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There are tree roots that are tripping hazard. Also there were sharp rocks on the playground. 10A NCAC 09 .0601(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan was not reviewed with six staff annually. 10A NCAC 09 .0802(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Three staff did not successfully complete certification in First Aid appropriate to the age of children in care. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Three staff did not successfully complete certification in CPR training appropriate to the age of the children in care. .1102(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One employee's personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Two employee's personnel file did not contain a signed and dated statement that they received a job description, personnel and operational policies. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Eight staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. .0607(f) 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. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with four new staff prior to providing care with children. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Four staff all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff did not complete health and safety training within five years. .1103(b) The above violations must be corrected immediately, and a letter must be email to me no later than August 6,2024 stating how each item was corrected. My email address is wytina.blackmon@dhhs.nc.gov If I do not receive your letter by August 6,2024 /or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. Consultation: I discussed with Ms. Kohler that the staff members need in-service training hours. It-SIDS, CPR and First Aid Trainings by specific dates. Please refer to the staff/training worksheet. Rated License Assessment: I also discussed with Ms. Kohler the Rated license assessment process the hold harmless has been extended until the new QRIS is implemented. This means that you are not required to go any further with a rated license assessment unless you want to proceed. Ms. Kohler informed me that she needs to think about if she wanted to continue the rated license process. I informed Ms. Kohler to contact me with her decision about the assessment. Technical Assistance: Today I observed a few infants in a sleep sack with the arms out. I explained to Ms. Kohler and Ms. Johnson that the sleep sacks are not mentioned in their sleep policy. I explained to them they have two options. One option is let the parent know they are not allowed to use the sleep sack because it is not in their safe sleep policy or make and addendum to their safe sleep policy making the parents aware of the changes to their safe sleep policy infant. Thank you for your time during today's visit. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .0802 · Violation

Name of Operation: THE BABY HOUSE, LLC DBA NORTHWEST DAY SCHOOL Facility ID: 41002275 Consultant: WYTINA BLACKMON Operation Type: Center Case Number: Visit Date: 7/23/2024 Number Present: 56 Completed Date: 7/23/2024 Age: From 0 To 2 Total Minutes: 440 Time In: 10:05 AM Time Out: 05:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for compliance during an annual compliance visit. A checklist was used to note the requirements I monitored today. This facility currently operates with Four Star license issued on February 19,2018. Upon my arrival to the facility, I was greeted by Ms. C. Kohler, the owner. Ms. Kohler informed me that Mr. R. Kohler, the administrator/owner was gone and would be back soon. Ms. Kohler contacted K. Johnson the director for the facility next door to assist with the paperwork. Mr. Kohler arrived before my departure. I explained to Ms. Johnson that Mr. Kohler is the administrator and he needs to complete the paperwork and answers the questions related to the center. Ms. Johnson will need to handle the paperwork at the other center. She will not be able to be the director for both centers. All indoor and outdoor spaces used use by the children was observed today. All required items were posted. All medication and hazardous items were out of the children's reach. Fifty-six (56) children were present during today’s visit. I observed the children playing on the floor with available toys, playing in centers, washing their hands in preparation for lunch, eating lunch, napping, waking up from napping, eating snack and departing. A sanitation inspection was conducted on May 7,2024. This facility received a superior rating with four (4) demerits. A fire inspection was conducted on July 25, 2023. Staff and children files were monitored during today’s visit. The staff and training worksheets were updated during today’s visit. Your signature on these forms serves as verification the information provided is accurate and complete. I checked the NC Department of the Secretary of State for your corporation status. Your corporation status is active and current as of July 23,2024. Ten (10) violations were cited during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There are tree roots that are tripping hazard. Also there were sharp rocks on the playground. 10A NCAC 09 .0601(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan was not reviewed with six staff annually. 10A NCAC 09 .0802(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Three staff did not successfully complete certification in First Aid appropriate to the age of children in care. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Three staff did not successfully complete certification in CPR training appropriate to the age of the children in care. .1102(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One employee's personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Two employee's personnel file did not contain a signed and dated statement that they received a job description, personnel and operational policies. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Eight staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. .0607(f) 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. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with four new staff prior to providing care with children. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Four staff all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff did not complete health and safety training within five years. .1103(b) The above violations must be corrected immediately, and a letter must be email to me no later than August 6,2024 stating how each item was corrected. My email address is wytina.blackmon@dhhs.nc.gov If I do not receive your letter by August 6,2024 /or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. Consultation: I discussed with Ms. Kohler that the staff members need in-service training hours. It-SIDS, CPR and First Aid Trainings by specific dates. Please refer to the staff/training worksheet. Rated License Assessment: I also discussed with Ms. Kohler the Rated license assessment process the hold harmless has been extended until the new QRIS is implemented. This means that you are not required to go any further with a rated license assessment unless you want to proceed. Ms. Kohler informed me that she needs to think about if she wanted to continue the rated license process. I informed Ms. Kohler to contact me with her decision about the assessment. Technical Assistance: Today I observed a few infants in a sleep sack with the arms out. I explained to Ms. Kohler and Ms. Johnson that the sleep sacks are not mentioned in their sleep policy. I explained to them they have two options. One option is let the parent know they are not allowed to use the sleep sack because it is not in their safe sleep policy or make and addendum to their safe sleep policy making the parents aware of the changes to their safe sleep policy infant. Thank you for your time during today's visit. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.