10A NCAC 09 .0803 · Violation

Name of Operation: TOPSAIL MONTESSORI Facility ID: 71000228 Consultant: SHEREEN PICKETT Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 72 Completed Date: 4/23/2024 Age: From 2 To 7 Total Minutes: 215 Time In: 08:35 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a annual compliance with rated license visit. This facility operates with a One Star License issued August 25, 2023. The last annual compliance visit was conducted by Child Care Consultant Tammy Ross on May 4, 2023. Prior to this visit, the program’s 18-month compliance history was 99%. The center is owned by Topsail Montessori, LLC. As of today, the corporation is current and active with the NC Secretary of State. Fire Inspection – 06/19/2023 - Approved for day time care only Sanitation Inspection – 11/08/2023-Superior M. Harris, Director, was present and available for consultation. All approved indoor and outdoor spaces were monitored today. Daily schedules were available for each group of children. Activity plans were observed posted in each classroom. A variety of age-appropriate learning materials was observed in each classroom. Children in spaces 1, 3 and 4 were observed during outdoor play. Children in space 5 were engaged in free choice activities, accessing a variety of age-appropriate materials. All children were adequately supervised, and all staff interacted with children in a positive and appropriate manner. All meals are provided from home for each child. The following violation was observed and must be corrected immediately. Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. In space 4, an epi-pen prescribed for use with an enrolled child expired in January 2024. 10A NCAC 09 .0803(1)(d) 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 violations documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 02, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. 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. 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. Rated License Information: The program contacted me via email and requested to have the Environment Rating Scales conducted. They are interested in increasing to a 3-star license. We discussed the process of the star rated license in detail. Ms. Harris explained that she had previously spoken with Ms. Ross regarding her interest to increase the program’s star rating. She also stated the program completed an outreach assessment through the North Carolina Rated License Project (NCRLAP) in June 2023. The completed application for an initial assessment was received via email on April 16, 2024. An assessment was ordered by me the same day. The North Carolina Rated License Assessment Project (NCRLAP) contacted the program, and a 30-day window was scheduled for June 03 – June 28, 2024. In preparation for the upcoming ERS, I recommended that you contact your Quality Consultants at your local Smart Start very soon. They can give you resources, conduct mock assessments, and provide other technical assistance. Also, refer to the ncrlap.org website for 1) webinar information, 2) Additional Notes for Clarification, 3) frequently asked questions, 4) resource list documents, 5) training videos & video supplements, 6) and other pertinent updates. Utilizing the resources and online trainings provided through NCRLAP’s website was also advised. Regarding Education standards, we reviewed the Staff and Training Worksheet and draft Education worksheets to assist you in determining which staff members need DCDEE WORKS evaluations and how many points you may be eligible for in this component. As discussed, you must ensure all key staff including you have complete WORKS evaluations so appropriate Education points may be awarded during the rated license reassessment process. Please let me know if you need assistance with the WORKS portal. Technical assistance regarding violation cited: In space 4, the epi-pen used with an enrolled child expired in January 2024. Ms. Harris showed me proof that the action plan and permission form had been updated by the parents, however; the parents did not provide a new epi-pen. Therefore, the expired epi-pen should have been sent home with the parents until a new one could be provided. Please ensure that you are keeping up with all the medication and required forms to ensure accuracy and upkeep of current medications. Reminders: A fire and playground monthly inspections are due in April. M. Morgan must receive CPR/FA certification and Recognizing and Responding training by June 20, 2024, to maintain compliance. M. Morgan must complete the new staff orientation by April 24, 2024. S. Hord must complete the recognizing and responding training by May 8, 2024. A. Jarrow, hired on January 29, 2024, E. Deese, hired on June 08, 2023, and S. Alder-Stephens, D. Carter must complete all health and safety training topics within the first yea of hire. Child Care Rules were revised January 1, 2024, and a new rule book was posted to the DCDEE website. As discussed, you should discard any old versions of the rules and ensure you are referring to the most current rule book when reviewing or researching requirements. It’s time to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years and to have inspections for lead paint and asbestos if applicable. Please see steps below: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship your facility a water sample kit and may coordinate an on-site visit by a professional to assess for lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/public-health/asbestos-and-leadbased-paint-reimbursement-program-arpa At the end of this visit, documentation was completed, reviewed, printed and a copy was left with you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance, please feel free to contact me at 910-508-3228 or Shereen.pickett@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: TOPSAIL MONTESSORI Facility ID: 71000228 Consultant: SHEREEN PICKETT Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 72 Completed Date: 4/23/2024 Age: From 2 To 7 Total Minutes: 215 Time In: 08:35 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a annual compliance with rated license visit. This facility operates with a One Star License issued August 25, 2023. The last annual compliance visit was conducted by Child Care Consultant Tammy Ross on May 4, 2023. Prior to this visit, the program’s 18-month compliance history was 99%. The center is owned by Topsail Montessori, LLC. As of today, the corporation is current and active with the NC Secretary of State. Fire Inspection – 06/19/2023 - Approved for day time care only Sanitation Inspection – 11/08/2023-Superior M. Harris, Director, was present and available for consultation. All approved indoor and outdoor spaces were monitored today. Daily schedules were available for each group of children. Activity plans were observed posted in each classroom. A variety of age-appropriate learning materials was observed in each classroom. Children in spaces 1, 3 and 4 were observed during outdoor play. Children in space 5 were engaged in free choice activities, accessing a variety of age-appropriate materials. All children were adequately supervised, and all staff interacted with children in a positive and appropriate manner. All meals are provided from home for each child. The following violation was observed and must be corrected immediately. Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. In space 4, an epi-pen prescribed for use with an enrolled child expired in January 2024. 10A NCAC 09 .0803(1)(d) 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 violations documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 02, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. 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. 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. Rated License Information: The program contacted me via email and requested to have the Environment Rating Scales conducted. They are interested in increasing to a 3-star license. We discussed the process of the star rated license in detail. Ms. Harris explained that she had previously spoken with Ms. Ross regarding her interest to increase the program’s star rating. She also stated the program completed an outreach assessment through the North Carolina Rated License Project (NCRLAP) in June 2023. The completed application for an initial assessment was received via email on April 16, 2024. An assessment was ordered by me the same day. The North Carolina Rated License Assessment Project (NCRLAP) contacted the program, and a 30-day window was scheduled for June 03 – June 28, 2024. In preparation for the upcoming ERS, I recommended that you contact your Quality Consultants at your local Smart Start very soon. They can give you resources, conduct mock assessments, and provide other technical assistance. Also, refer to the ncrlap.org website for 1) webinar information, 2) Additional Notes for Clarification, 3) frequently asked questions, 4) resource list documents, 5) training videos & video supplements, 6) and other pertinent updates. Utilizing the resources and online trainings provided through NCRLAP’s website was also advised. Regarding Education standards, we reviewed the Staff and Training Worksheet and draft Education worksheets to assist you in determining which staff members need DCDEE WORKS evaluations and how many points you may be eligible for in this component. As discussed, you must ensure all key staff including you have complete WORKS evaluations so appropriate Education points may be awarded during the rated license reassessment process. Please let me know if you need assistance with the WORKS portal. Technical assistance regarding violation cited: In space 4, the epi-pen used with an enrolled child expired in January 2024. Ms. Harris showed me proof that the action plan and permission form had been updated by the parents, however; the parents did not provide a new epi-pen. Therefore, the expired epi-pen should have been sent home with the parents until a new one could be provided. Please ensure that you are keeping up with all the medication and required forms to ensure accuracy and upkeep of current medications. Reminders: A fire and playground monthly inspections are due in April. M. Morgan must receive CPR/FA certification and Recognizing and Responding training by June 20, 2024, to maintain compliance. M. Morgan must complete the new staff orientation by April 24, 2024. S. Hord must complete the recognizing and responding training by May 8, 2024. A. Jarrow, hired on January 29, 2024, E. Deese, hired on June 08, 2023, and S. Alder-Stephens, D. Carter must complete all health and safety training topics within the first yea of hire. Child Care Rules were revised January 1, 2024, and a new rule book was posted to the DCDEE website. As discussed, you should discard any old versions of the rules and ensure you are referring to the most current rule book when reviewing or researching requirements. It’s time to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years and to have inspections for lead paint and asbestos if applicable. Please see steps below: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship your facility a water sample kit and may coordinate an on-site visit by a professional to assess for lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/public-health/asbestos-and-leadbased-paint-reimbursement-program-arpa At the end of this visit, documentation was completed, reviewed, printed and a copy was left with you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance, please feel free to contact me at 910-508-3228 or Shereen.pickett@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: TOPSAIL MONTESSORI Facility ID: 71000228 Consultant: APRIL BOSSE Operation Type: Center Case Number: Visit Date: 11/28/2023 Number Present: 69 Completed Date: 11/28/2023 Age: From 2 To 6 Total Minutes: 185 Time In: 09:40 AM Time Out: 12:45 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 compliance during your Routine Unannounced visit. This facility operates with a One Star License issued August 25, 2023. The last annual compliance visit was conducted on May 4, 2023. As of November 22, 2023, the 18-month compliance history for your facility was 100%. The center is owned by Topsail Montessori, LLC. As of today, the corporation is current and active with the NC Secretary of State. Today’s visit was conducted by Child Care Consultant April Bosse on behalf of your Child Care Consultant Tammy Ross. Fire Inspection – 06/19/2023 - Approved for day time care only Sanitation Inspection – 05/17/2023-Superior Staff member Jessica Johnson-Smith was present and available for consultation and accompanied me as I visited each classroom. The owner, Julie Ayala, was also present during the visit; she was in the office area of building #1. Ms. Ayala and I discussed the new fence on the playground. The big playground was divided into two with a wooden fence with two swinging gates. The space was measured today to determine the new capacity. The area that has been fenced off has a capacity of 21 children at 75 sq. feet per child. The new space capacity worksheet for your outdoor area was printed and emailed to you for your files. There are seventy-six children enrolled and sixty-nine children, ages 2-6, were present today. All approved indoor and outdoor spaces were monitored today. Daily schedules were available for each group of children. Activity plans were observed posted in each classroom. A variety of age-appropriate learning materials was observed in each classroom. Two-year-old children in Space 3 were observed eating snacks and completing routines. Preschool children in Space 1 were observed participating in free choice activities such as sorting balls with tongs, using droppers for art, and reading books. Preschool children in Spaces 4 and 5 were engaging in activity areas with a flour sensory table, jingle bell counting activity, dreidel game, writing letters to Santa and participating in group time as the caregiver demonstrated a new lesson. All children were adequately supervised, and all staff interacted with children in a positive and appropriate manner. Lunch is provided from home for each child. New staff files were monitored today. The following violations were observed today and must be corrected immediately: Violation Number Comment Rule 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Three new staff members hired on 8/24/23, 9/25/23, and 6/8/23 did not receive at least 16 hours orientation within the first 6 weeks of employment. .1101(a) 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 violations documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 12, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. 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. Email the information to: April Bosse, Child Care Consultant April.bosse@dhhs.nc.gov 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance for Violations Cited: Each employee who is expected to have contact with children shall receive six clock hours of training in required topic areas within the first two weeks of employment and 16 hours of on-site orientation within the first six weeks of employment. A list of approved orientation topics and a documentation log along with required timelines can be found on the division’s website at https://ncchildcare.ncdhhs.gov/ under the provider documents tab. Employees S. Allder-Stephens hired on 8/24/23, D. Carter hired on 9/25/23, and E. Deese hired on 6/28/23 did not complete their full 16 hours of on-site orientation within the first six weeks of their employment. Technical Assistance: Today we discussed ensuring that as children move rooms, their diaper creams, or other ointments such as bug spray go with them. Ensuring these ointments move with children to the new classroom will help the caregivers monitor the permission to apply forms for these children and ensure the ointments are applied as parents have requested. As you move forward with any renovations, please ensure that you are keeping your Child Care Consultant Tammy Ross informed. Adding any permanent fixtures such as sinks, or counter space could change the capacity for a room and will need to be remeasured. Any new spaces you may create, not previously approved for care of children, will need to be approved for use before children can be in those spaces. Reminders: Child Care Rules were revised July 1, 2023, and a new rule book was posted to the DCDEE website. As discussed, you should discard any old versions of the rules and ensure you are referring to the most current rule book when reviewing or researching requirements. Sanitation rules were also readopted July 1, 2023. I strongly urge you to review the training information at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/op-training.htm and contact Children’s Environmental Health Services with any questions. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always whether they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. There have been changes to the 2023 licensing fees this year. License fee collection has moved to December 2023. • All invoices will be emailed, and no paper copies will be sent through the U.S. Postal Service. • All invoices will be emailed by December 1, 2023, and will include the invoice number and total amount due. • All payments are due no later than December 31, 2023 Payments must be submitted online only through the Division’s website using a Mastercard or Visa debit or credit card, or by e-check. Providers will need their Facility ID number and their 2023 Invoice number to complete the payment process. Annual license fees do not apply to state or public-school operated child care facilities, or to religious sponsored facilities operated pursuant to a Notice of Compliance. Failure to pay the license fee is a violation of NCGS § 110-90(1a) and can result in a revocation of your child care license. In addition, unpaid license fees will be assessed a 10% late fee and accrued interest as established by NCGS § 147-86.23. If you have any questions, check the short Frequently Asked Questions on our website for answers or email DCDEE_LF@dhhs.nc.gov At the completion of the visit, this visit summary was reviewed, signed, and printed for you. Please place in your records. Contact me at April Bosse, Child Care Consultant, 910-709-4196, April.bosse@dhhs.nc.gov Tammy Ross, Child Care Consultant, 910-824-1143, tammy.ross@dhhs.nc.gov or you may contact my Supervisor, Lynette Robbins, Licensing Supervisor, 910-824-0235, lynette.robbins@dhhs.nc.gov if you have questions. 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.