G.S. 110-91 · Violation

Name of Operation: HARRISBURG PRESBYTERIAN CHURCH CHILD DEV.CENTER Facility ID: 13000227 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 3/19/2024 Number Present: 110 Completed Date: 3/19/2024 Age: From 1 To 5 Total Minutes: 350 Time In: 09:30 AM Time Out: 03:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Brittany Adams, Child Care Consultant, accompanied me on today’s visit. You, Lauren Jerome, Director, assisted us with today’s visit. Your program currently operates under a Notice of Compliance, issued on August 1, 2019. The last annual compliance visit was conducted on April 25, 2023. The last sanitation inspection was completed on November 3, 2023, with a “Superior” classification. The last fire inspection was completed May 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 90 percent prior to today’s visit. We observed the NC Child Care Summary of the Law dated 2021, Emergency Care Plan, emergency phone numbers, tobacco free signage, menu, and Safe Arrival Procedures were posted as required. We observed adequate supervision, staff-child ratios maintained, approved space used, and permit restrictions in compliance during today’s visit. We observed that your facility uses the ProCare app for families to sign children in and out. We observed attendance records located in each classroom on clipboards to be current as required. We observed toys, equipment, and materials throughout the facility to be of sufficient quantity, developmentally appropriate, and in good repair. We observed children engaged in free choice activities, gross motor play, teacher directed activities, small groups, lunch, and rest time. We observed the menu to meet all nutritional guidelines. We monitored your outdoor play spaces for general safety today. We monitored all over-the-counter topical ointments to be stored in locked storage or 5 feet in each classroom. We monitored all medical action plans in the facility during today's visit. We observed incident logs located in a binder. We observed incident reports filed in children’s individual files. We observed your monthly Fire Drill Log documenting drills for the past twelve months. We observed the last fire drill documented on this log dated February 28, 2024. We observed your Shelter-in-Place/Lockdown Drill Log documenting drills for the past twelve months and conducted every three months as required. We observed the last emergency drill documented on this log was a shelter-in-place drill dated January 9, 2024. We monitored 4 transportation buses during today’s visit. We monitored a selection of children and staff files during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. On the preschool playground, mulch surfacing did not meet the requirements of 6 inches. .0605(j) 721 All equipment and furnishings were not in good repair. On the preschool playground some of the play structures had chipping paint and rust. G.S. 110-91(6); .0601(b) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. In space 109, a package of baby wipes was stored in the bathroom used by children. .0604(a) 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. In space 107 a topical ointment expired 2/2024. In space 110 two emergency medications expired 12/2023 and 1/2024. .0803(12) 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 105, plastic bags were stored below 5 feet. In space 101, diapers stored in a plastic sleeve was located on the floor in the bathroom used by children. .0604(q) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space 110 two medical action plans expired 3/8/24 and 3/14/24. On the transportation buses four medical action plans expired on 2/5/24, 11/8/23, 3/9/24, and 3/13/24 .0801(b) Technical assistance (TA) was provided on the following: 1. We discussed creating a checklist for staff to post in a prominent location to reference when topical ointments expire and when the permission to administer topical ointments expire. Once the ointment or slip has expired, staff have 72 hours to return the ointment or discard it. 2. We discussed that as staff members First Aid and CPR training approaches the expiration date, it is recommended that you begin searching for available training courses in advance to enroll staff in. You may search for training opportunities at your local Partnership for Young Children, Fire Departments, approved trainers, EMS, and outside of your county. Please keep in mind that first aid and CPR must be renewed on or before the expiration date. First Aid and CPR should include infant and child training during the certification. First Aid and CPR training is not permitted to be taken online. 3. We discussed staff doing a walkthrough of the facility to ensure that all products that are hazardous are properly stored prior to caring for children. Items labeled “keep out of reach of children” should be at least 5 feet from the floor. 4. We discussed that children under 3 years of age should not have access to items that are considered choking hazards. Items that are brought into the classrooms in plastic bags should be removed from the plastic or stored at least 5 feet, inaccessible to children. 5. We discussed creating a checklist for staff to post in a prominent location to reference when Medical Action Plans will expire. 6. We discussed when staff are conducting daily outdoor inspections for debris to also look for items such as rust, chipping paint, and surfacing around stationary equipment. These items should be documented on the Playground Inspection Checklist. 7. We discussed that stationary structures on the outdoor playground 18 inches or higher should have sufficient surfacing. Mulch should be at least 6 inches deep. 8. We discussed ensuring that new staff are taking the required trainings within the specified timeframe. Recognizing and Responding to Suspicions of Child Maltreatment should be taken within 90 days of hire and every 5 years thereafter. Training Certificates should be maintained in each staff’s file. Consultation was provided on the following: 1. The Summary of Child Care Law has been revised as of September 2023. Please print the most current version and place it on your entryway bulletin board. 2. When policies are revised, policies should be given to parents 14 days prior to the implementation. Parents should sign a statement of receipt that they have received, and the changes have been explained to them. 3. It is recommended that the tape on the buses be replaced due to the current tape being worn and beginning to peel. 4. It is recommended that the first aid kits on the bus and the supplies be restocked with fresh products. 5. When using electronic sign in and sign out, it is recommended to be able to print a hard copy of children’s daily records. Due to your facility beginning to use the ProCare app recently, I recommend learning the system to retrieve daily sign in and out records. 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. The violation(s) documented must be corrected immediately. On or before April 2, 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 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 conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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: HARRISBURG PRESBYTERIAN CHURCH CHILD DEV.CENTER Facility ID: 13000227 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 3/19/2024 Number Present: 110 Completed Date: 3/19/2024 Age: From 1 To 5 Total Minutes: 350 Time In: 09:30 AM Time Out: 03:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Brittany Adams, Child Care Consultant, accompanied me on today’s visit. You, Lauren Jerome, Director, assisted us with today’s visit. Your program currently operates under a Notice of Compliance, issued on August 1, 2019. The last annual compliance visit was conducted on April 25, 2023. The last sanitation inspection was completed on November 3, 2023, with a “Superior” classification. The last fire inspection was completed May 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 90 percent prior to today’s visit. We observed the NC Child Care Summary of the Law dated 2021, Emergency Care Plan, emergency phone numbers, tobacco free signage, menu, and Safe Arrival Procedures were posted as required. We observed adequate supervision, staff-child ratios maintained, approved space used, and permit restrictions in compliance during today’s visit. We observed that your facility uses the ProCare app for families to sign children in and out. We observed attendance records located in each classroom on clipboards to be current as required. We observed toys, equipment, and materials throughout the facility to be of sufficient quantity, developmentally appropriate, and in good repair. We observed children engaged in free choice activities, gross motor play, teacher directed activities, small groups, lunch, and rest time. We observed the menu to meet all nutritional guidelines. We monitored your outdoor play spaces for general safety today. We monitored all over-the-counter topical ointments to be stored in locked storage or 5 feet in each classroom. We monitored all medical action plans in the facility during today's visit. We observed incident logs located in a binder. We observed incident reports filed in children’s individual files. We observed your monthly Fire Drill Log documenting drills for the past twelve months. We observed the last fire drill documented on this log dated February 28, 2024. We observed your Shelter-in-Place/Lockdown Drill Log documenting drills for the past twelve months and conducted every three months as required. We observed the last emergency drill documented on this log was a shelter-in-place drill dated January 9, 2024. We monitored 4 transportation buses during today’s visit. We monitored a selection of children and staff files during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. On the preschool playground, mulch surfacing did not meet the requirements of 6 inches. .0605(j) 721 All equipment and furnishings were not in good repair. On the preschool playground some of the play structures had chipping paint and rust. G.S. 110-91(6); .0601(b) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. In space 109, a package of baby wipes was stored in the bathroom used by children. .0604(a) 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. In space 107 a topical ointment expired 2/2024. In space 110 two emergency medications expired 12/2023 and 1/2024. .0803(12) 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 105, plastic bags were stored below 5 feet. In space 101, diapers stored in a plastic sleeve was located on the floor in the bathroom used by children. .0604(q) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space 110 two medical action plans expired 3/8/24 and 3/14/24. On the transportation buses four medical action plans expired on 2/5/24, 11/8/23, 3/9/24, and 3/13/24 .0801(b) Technical assistance (TA) was provided on the following: 1. We discussed creating a checklist for staff to post in a prominent location to reference when topical ointments expire and when the permission to administer topical ointments expire. Once the ointment or slip has expired, staff have 72 hours to return the ointment or discard it. 2. We discussed that as staff members First Aid and CPR training approaches the expiration date, it is recommended that you begin searching for available training courses in advance to enroll staff in. You may search for training opportunities at your local Partnership for Young Children, Fire Departments, approved trainers, EMS, and outside of your county. Please keep in mind that first aid and CPR must be renewed on or before the expiration date. First Aid and CPR should include infant and child training during the certification. First Aid and CPR training is not permitted to be taken online. 3. We discussed staff doing a walkthrough of the facility to ensure that all products that are hazardous are properly stored prior to caring for children. Items labeled “keep out of reach of children” should be at least 5 feet from the floor. 4. We discussed that children under 3 years of age should not have access to items that are considered choking hazards. Items that are brought into the classrooms in plastic bags should be removed from the plastic or stored at least 5 feet, inaccessible to children. 5. We discussed creating a checklist for staff to post in a prominent location to reference when Medical Action Plans will expire. 6. We discussed when staff are conducting daily outdoor inspections for debris to also look for items such as rust, chipping paint, and surfacing around stationary equipment. These items should be documented on the Playground Inspection Checklist. 7. We discussed that stationary structures on the outdoor playground 18 inches or higher should have sufficient surfacing. Mulch should be at least 6 inches deep. 8. We discussed ensuring that new staff are taking the required trainings within the specified timeframe. Recognizing and Responding to Suspicions of Child Maltreatment should be taken within 90 days of hire and every 5 years thereafter. Training Certificates should be maintained in each staff’s file. Consultation was provided on the following: 1. The Summary of Child Care Law has been revised as of September 2023. Please print the most current version and place it on your entryway bulletin board. 2. When policies are revised, policies should be given to parents 14 days prior to the implementation. Parents should sign a statement of receipt that they have received, and the changes have been explained to them. 3. It is recommended that the tape on the buses be replaced due to the current tape being worn and beginning to peel. 4. It is recommended that the first aid kits on the bus and the supplies be restocked with fresh products. 5. When using electronic sign in and sign out, it is recommended to be able to print a hard copy of children’s daily records. Due to your facility beginning to use the ProCare app recently, I recommend learning the system to retrieve daily sign in and out records. 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. The violation(s) documented must be corrected immediately. On or before April 2, 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 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 conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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