GS110-91 · Violation

Name of Operation: THE SUNSHINE HOUSE Facility ID: 41000206 Consultant: WYTINA BLACKMON Operation Type: Center Case Number: Visit Date: 12/4/2024 Number Present: 38 Completed Date: 12/4/2024 Age: From 0 To 10 Total Minutes: 415 Time In: 09:20 AM Time Out: 04:15 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 Three Star license issued on January 19,2019. Upon my arrival, I was greeted by A. Green,3rd in charge. Ms. Green informed me that Ms. R. Stephens, the director was on her way. Ms. Green contacted Ms. Stephens to informed her of my arrival. Ms. Stephens arrived shortly after my arrival and assisted me for the remainder of the visit. Ms. Stephens accompanied me as I observed and documented the attendance. 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. Thirty-eight (38) children were present during today’s visit. I observed the children arriving, playing on the floor with available toys, painting, playing in centers, making snowflakes, playing outside on the playground, washing their hands in preparation for lunch, eating lunch, napping, waking up from napping, washing their hands in preparation for snack, eating snack, arriving from school, doing homework and departing. A sanitation inspection was conducted on November 7 ,2024. This facility received a superior rating with four (4) demerits. A fire inspection was conducted on November 30,2024. Ms. Stephens stated that they come in July. There was some items that had to be correct. Ms. Stephens stated she has been trying to get in contact the fire inspector. Today, I contacted the last fire inspector Mr. S. Walker. Mr. Walker stated there was an inspection conducted in July of this year. There were a few violations that needed to be corrected for this facility to have an approved fire inspection. Mr. Walker informed me that he is not in the field anymore. Mr. Walker assisted us with the information of the new fire inspector Captain J. D. Williams. We contacted Mr. Williams, and he came by to look at the paperwork that Ms. Stephens received from the fire alarm system company. Mr. Williams stated that this paperwork is showing that the violation was corrected. He stated this facility has an approved violation. Mr. Williams stated he would send the DCDEE form to the facility by the end of the week. 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. Seven (7) violations were cited during today’s visit. Violation Number Comment Rule 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. There was not a third activity in the book are in two classrooms. .0510(d)(1) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. There was not sufficient quantity of materials in two classrooms. .0510(e)(3) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Butt paste, A&D ointment and diaper rash creams not returned to three parent after the medication had expired and child was no longer enrolled in the program. .0803(12) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One new staff did not receive at least 16 hrs. orientation within first 6 weeks. .1101(a) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Before children were transported, written permission from eight parents was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. .1003(i)(j) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A medical exam was not on file before or within 30 days after admission for one child. GS110-91(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. A written statement from each three children's parents for the children to place outside of the fenced area. .1005(b)(4) The above violations must be corrected immediately, and a letter must be email to me no later than December 18,2024 stating how each item was corrected. My email address is wytina.blackmon@dhhs.nc.gov. If I do not receive your letter by December 18,2024 /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. Stephens that the staff members need in-service training hours, It-SIDS, health and safety training, CPR and First Aid trainings by specific dates. Please refer to the staff/training worksheet. Technical Assistance: Today, I discussed with Ms. Stephens about the materials need to more materials. There were not enough toys for rotations when the toys are mouth and place in the dirty bucket. I explained to Ms. Stephens that the toys much be cleaned daily in the infant classroom and as they are soiled in the other classrooms. Also, the book area in two classrooms need a least three children third activity and enough materials for at least three children to play at the same time. Ms. Stephens stated that she understood, and she would put in an order for more materials. Medication During today’s visit, there were several medications that did not have authorization for the tropical creams, and prescribed medications were no longer being used. These medications have not been returned to the parents. You must return prescribed medication, topical creams and sunscreens back to the parents within in 72 hours of the authorization expiration date or when the topical creams are no longer being used for the children. There are several children’s topical creams, and permissions to admission form and medical action plans and expirations of medications are due by specific dates. Please have each teacher to check their forms. Transportation: Today I observed the emergency contact information of the children who were transported from school today. I explained to Ms. Stephens the information I reviewed did not give the children the permission to be transported. The parents gave permission to transport their child in case of a medical emergency and the parent was not able to be reach. We reviewed the form on the DCD website. I informed Ms. Stephens that I know The Sunshine corporate office like to create their own forms which is allowed, however you will need to make sure that all the required information that is on the DCDEE forms must be on your forms that you create. Rated License Assessment: I also discussed with Ms. Stephens 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. Education: WORKS: Please ensure that all new staff member’s education information is current in the W.O.R.K.S. database. Each staff member must register in the WORKS system as soon as they are hired at this location. We reviewed the instructions on the DCDEE website. Education evaluations can take some time to process so beginning the process early will help to ensure we have the accurate information needed to ensure your staff is meeting minimum education requirements. There are two other education options. One options you may also want to consider having staff members complete the Early Educator Certification process to assist in getting higher education evaluations completed if their degree is not in early childhood education. Early Educator information is available at www.ncicdp.org. The other options is the CDA certificate. You can contact Deja Lewis Education& Training program Administration Manager with Generation-Ed. Her contact information is Office: 336-369-5098 | Cell: 336-709-5288. I emailed you the flyer during today’s visit. 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