Start @ Home Childcare

10A NCAC 09 .1705 · Violation

Name of Operation: START @ HOME CHILDCARE Facility ID: 91000306 Consultant: EMILY HARGROVE Operation Type: Family CC Home Case Number: Visit Date: 7/11/2024 Number Present: 2 Completed Date: 7/11/2024 Age: From 0 To 2 Total Minutes: 85 Time In: 09:20 AM Time Out: 10:45 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor this program compliance with applicable child care requirements during an Routine Unannounced visit. Laneatria Burton, Owner/Operator was present and assisted with today's visit. This family child care home currently operates with a Four-Star temporarily license issued on March 3, 2023. The reassessment for this license will be due by March 3, 2026. Two children ages 0 (zero) to 2 (two) were present. Children were observed outdoor play, art activity, free choice, and handwashing and toileting procedures. The caregiver supervised and monitored children in nurturing care. The following violations were documented today: Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. First Aid expired on 2/15/2024. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. CPR expired on 2/15/2024. .1703(a)(3) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Provider has not completed on-going training hours. Training class have not been completed since 2022. GS 110-91(11); 10A NCAC 09 .1705(b)(5) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations was corrected. You can submit the compliance verification letter by postal mail to Emily Hargrove, PO Box 1974 Henderson NC 27536, or email emily.hargrove@dhhs.nc.gov. The compliance verification letter must be received on or before July 25, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules. The best way to do so is to periodically review the child care laws and rules. The current rule book dated July 1, 2023, is available at the DCDEE website https://ncchildcare.ncdhhs.gov/. There are also modules reviewing the new Child Care Rules available on Moodle, which can be found on the Division website. I recommend you frequently click the “What’s New” tab to stay informed of all updates on the DCDEE website. TECHNICAL ASSISTANCE AND CONSULTATION: Compliance History: Prior to today's visit, this facility has maintained an 18-month compliance score of 100%. PROGRAM RECORDS: Fire Drills/Emergency Drills, Fire inspection, Playground Outdoor Inspections, EMC Plan and License were reviewed and current. CPR and First Aid: CPR and First Aid training has expired as of 2/15/2024. On-Going Training Hours: You are required to have 8 on-going training hours. You have not completed any ongoing training classes since 2022 year. You call VFW Smart Start to see if any upcoming CPR and First Aid trainings were available, and you were informed that it will be an upcoming class in August. You stated that you would enroll immediately in CPR and First Aid as well as sign up for other class to get training hours. RESOURCES: • The most current provider documents/ forms, checklists, resources related to child care and new child care requirements, and how to create a DCDEE WORKS account can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov/ • North Carolina Risk Management Portal for EPR updates/review: https://rmp.nc.gov/portal/# • NC Child Care Health & Safety Resource Center Please feel free to contact me at (252) 214-8454 or email at Emily.hargrovve@dhhs.nc.gov for questions and assistance. If needed my mailing address is PO Box 1974, Henderson NC 27536. You may also contact Susan Fuller, Licensing Supervisor at (252) 373-9809. 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

GS 110-91 · Violation

Name of Operation: START @ HOME CHILDCARE Facility ID: 91000306 Consultant: EMILY HARGROVE Operation Type: Family CC Home Case Number: Visit Date: 7/11/2024 Number Present: 2 Completed Date: 7/11/2024 Age: From 0 To 2 Total Minutes: 85 Time In: 09:20 AM Time Out: 10:45 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor this program compliance with applicable child care requirements during an Routine Unannounced visit. Laneatria Burton, Owner/Operator was present and assisted with today's visit. This family child care home currently operates with a Four-Star temporarily license issued on March 3, 2023. The reassessment for this license will be due by March 3, 2026. Two children ages 0 (zero) to 2 (two) were present. Children were observed outdoor play, art activity, free choice, and handwashing and toileting procedures. The caregiver supervised and monitored children in nurturing care. The following violations were documented today: Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. First Aid expired on 2/15/2024. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. CPR expired on 2/15/2024. .1703(a)(3) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Provider has not completed on-going training hours. Training class have not been completed since 2022. GS 110-91(11); 10A NCAC 09 .1705(b)(5) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations was corrected. You can submit the compliance verification letter by postal mail to Emily Hargrove, PO Box 1974 Henderson NC 27536, or email emily.hargrove@dhhs.nc.gov. The compliance verification letter must be received on or before July 25, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules. The best way to do so is to periodically review the child care laws and rules. The current rule book dated July 1, 2023, is available at the DCDEE website https://ncchildcare.ncdhhs.gov/. There are also modules reviewing the new Child Care Rules available on Moodle, which can be found on the Division website. I recommend you frequently click the “What’s New” tab to stay informed of all updates on the DCDEE website. TECHNICAL ASSISTANCE AND CONSULTATION: Compliance History: Prior to today's visit, this facility has maintained an 18-month compliance score of 100%. PROGRAM RECORDS: Fire Drills/Emergency Drills, Fire inspection, Playground Outdoor Inspections, EMC Plan and License were reviewed and current. CPR and First Aid: CPR and First Aid training has expired as of 2/15/2024. On-Going Training Hours: You are required to have 8 on-going training hours. You have not completed any ongoing training classes since 2022 year. You call VFW Smart Start to see if any upcoming CPR and First Aid trainings were available, and you were informed that it will be an upcoming class in August. You stated that you would enroll immediately in CPR and First Aid as well as sign up for other class to get training hours. RESOURCES: • The most current provider documents/ forms, checklists, resources related to child care and new child care requirements, and how to create a DCDEE WORKS account can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov/ • North Carolina Risk Management Portal for EPR updates/review: https://rmp.nc.gov/portal/# • NC Child Care Health & Safety Resource Center Please feel free to contact me at (252) 214-8454 or email at Emily.hargrovve@dhhs.nc.gov for questions and assistance. If needed my mailing address is PO Box 1974, Henderson NC 27536. You may also contact Susan Fuller, Licensing Supervisor at (252) 373-9809. 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

10A NCAC 09 .0604 · Violation

Name of Operation: START @ HOME CHILDCARE Facility ID: 91000306 Consultant: EMILY HARGROVE Operation Type: Family CC Home Case Number: Visit Date: 11/15/2023 Number Present: 2 Completed Date: 11/15/2023 Age: From 1 To 1 Total Minutes: 70 Time In: 11:50 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor this program compliance with applicable child care requirements during an Annual Compliance visit. Laneatria Burton, Owner/Operator was present and assisted with today's visit. This family child care home currently operates with a Four-Star temporarily license issued on March 3, 2023. The reassessment for this license will be due by March 3, 2026. Two children ages 1 (one) to 1 (one) were present. Children were observed napping. The caregiver supervised and monitored children in nurturing care. The following violations were documented today: Violation Number Comment Rule 716 Electrical outlets not in use were not covered. Electrical outlet was not covered with safety plugs located in Art center while not in use. 10A NCAC .1719(a)(27) 908 Health questionnaire was not completed annually. Health questionnaire was not completed and accessible for review. .1703(a)(1) GENERAL RULE REMINDERS: Child Care Licensing Requirements are established to ensure a safe, healthy, and developmentally appropriate environment for all child care facilities. Therefore, it is important for you to be knowledgeable of all licensing requirements that apply for your center. It is your responsibility to maintain compliance with 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 ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education (DCDEE) website. TECHNICAL ASSISTANCE AND CONSULTATION: Compliance History: Prior to today's visit, this facility has maintained an 18-month compliance score of 100%. MEDICATION: No Medication provided. TRANSPORTATION: No Transportation provided. PROGRAM RECORDS: Fire Drills/Emergency Drills, First Aid/CPR Poster, Playground Outdoor Inspections, EMC Plan and License were reviewed and current. CHILDREN AND STAFF RECORDS: All children records were monitored. Children records reviewed, were in compliance. Staff record was reviewed and was not in compliance. We discussed that you must complete a health questionnaire every year. This was corrected during the visit. SAFE INDOOR ENVIORNMENT: A electrical outlet were uncovered without a safety plug located in the art center. We discussed making sure all electrical outlets are plugged at all times when not in use. Please refer to this section of the child care rules to review rule on Safe indoor environment. This was corrected during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS NEW CRIMINAL BACKGROUND CHECK LEGISLATIVE CHANGES: The 2022-2023 Appropriations Bill (HB 103) signed by Governor Cooper on July 11, 2022, made two important changes to North Carolina General Statute 110-90-2 regarding child care Criminal Background Checks. • The period for background check qualification renewals was revised from three years to five years. • The provisional qualification period was reduced to forty-five days. The Division intends to implement these changes as soon as possible. An individual’s current Qualification Letter will be extended 2 years for the total of 5 years. New Qualification Letters will not be generated. Individuals with a Provisional Qualification Letter will receive a Qualification Letter on the 45th day. Letters are generated in the Criminal Background Check portal. HEALTH AND SAFETY TRAININGS: Health and safety trainings are due every five (5) years. If any staff completed trainings in 2017, trainings will be due this year, 2022. I encourage staff to be intentional and start completing trainings. Health and safety trainings are now on MOODLE. There are a couple of ways for a student to access the health and safety training. • The enrollment process and completion of course materials tend to work best with a windows laptop or desktop using Firefox, but other devices and Google Chrome should also work. • From the Moodle home page, students need to log-in with their NCID and password. The log-in is in the upper right corner of the screen. • After log-in, the student should scroll to the bottom of the page. In the ‘Search courses’ box, the student should type in the short name “Year 2023 CCDF” and then click go. The student should not register for prior year courses as they are no longer available. • After completing the course search for “Year 2023 CCDF”, the student should be able to register for the course. • Once registered, the student will then need to use the “ADDITIONAL DIRECTIONS” for step-by-step instructions. Should a student encounter an issue, we are requesting they report the CCDF 2023 course issue (i.e. they are unable to complete the course evaluation or receive a training certificate), to the North Carolina Child Care Health and Safety Resource Center using the following link https://healthychildcare.unc.edu/contact-us-form/. Should the student need additional guidance with accessing the training, please refer them to Amia Eaton, Training and Program Development Consultant, at Amia.Eaton@dhhs.nc.gov or by telephone at 919-814-6365. N.C. Exemptions North Carolina law provides for two types of exemptions from required immunizations. They are medical and religious. Medical Exemption G.S.130A-156. Medical exemption. The Commission for Public Health shall adopt by rule medical contraindications to immunizations required by G.S. 130A-152. If a physician licensed to practice medicine in this State certifies that a required immunization is or may be detrimental to a person's health due to the presence of one of the contraindications adopted by the Commission, the person is not required to receive the specified immunization as long as the contraindication persists. The State Health Director may, upon request by a physician licensed to practice medicine in this State, grant a medical exemption to a required immunization for a contraindication not on the list adopted by the Commission. Medical exemptions can only be requested by a physician licensed to practice medicine in North Carolina. If a physician determines the need to request a medical exemption from a required immunization for a patient and needs assistance, they should contact the North Carolina Immunization Branch at (919) 707-5550. * (08/03/2020)Revised Medical Exemption Statement and Physician’s Request for Medical Exemption Forms Memo * Medical Exemption (PDF, 170 KB) (DHHS 3987) Use this form for true contraindications, i.e. those recognized by the Commission for Public Health. * Physician’s Request for Medical Exemption (PDF, 136 KB) (DHHS 3995) Use this form for contraindications not recognized by the Commission for Public Health. Religious Exemption G.S.130A-157. Religious exemption If the bona fide religious beliefs of an adult or the parent, guardian or person in loco parentis of a child are contrary to the immunization requirements contained in this Part, the adult or the child shall be exempt from the requirements. Upon submission of a written statement of the bona fide religious beliefs and opposition to the immunization requirements, the person may attend the college, university, school or facility without presenting a certificate of immunization. There is no form for requesting religious exemptions in North Carolina. To claim a religious exemption, the parent or person requesting the exemption must write a statement of their religious objection to immunization, including the name and date of birth of the person for whom the exemption is being requested. This statement would then be provided to schools, child care programs, camps, etc. in place of an immunization record. If a family is requesting a religious exemption for more than one child, a separate statement should be prepared for each child. Statements of religious objection to immunization do not need to be notarized, signed by a religious leader, or prepared by an attorney. They do not need to be submitted to the state for review or approval. Personal Belief 10A NCAC 41A .0403 Non-Religious Personal Belief No Exemption: Except as provided in G.S. 130A-156 and G.S. 130A-157, and 10A NCAC 41A .0404 and .0405, no child shall be exempt from the requirements of 10A NCAC 41 .0401; there is no exception to these requirements for the case of a personal belief or philosophy of a parent or guardian not founded upon a religious belief. FLEXIBILITY IN POLICY AND REGULATORY REQUIREMENTS: All flexibilities expired October 15, 2021, with the exception of the flexibilities related to the star rated license, sanitation, and fire inspections. PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. If you have questions related to this visit or if I can be of additional assistance, I can be reached at 252-214-8454 or emily.hargrove@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809 or susan.fuller@dhhs.nc.gov. You can submit the correction letter via email or mail to me: Mailing address: P.O. Box 1974 Henderson N.C. 27536 RESOURCES: • The most current provider documents/ forms, checklists, resources related to child care and new child care requirements, and how to create a DCDEE WORKS account can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov/ • North Carolina Risk Management Portal for EPR updates/review: https://rmp.nc.gov/portal/# • NC Child Care Health & Safety Resource Center GETTING HELP WITH CHALLENGING BEHAVIORS: The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. INFANT-TODDLER EDUCATIOR AWARD$ PLUS PROGRAM: Infant-Toddler Educator AWARD$® Plus is a salary supplement program, available in all NC counties, designed to increase the education, retention and compensation of teachers and family child care educators working with our youngest children. The Infant Toddler Educator AWARD$ program has recently gone through some exciting programmatic updates. The original AWARD$ program was only available to teachers working full-time in B-3 classrooms that had an AA in ECE or higher degree and were employed by 4- and 5-star programs. The education requirement has been reduced as an incentive to support teachers seeking to increase their education in any star rated licensed program. To be eligible for AWARD$ Plus, applicants must: • • Work at least 30 hours/week with infants, ones, or twos. • • Earn at or below $20/hour. • • Work in a licensed child care center or home. • • Have at least 12 semester hours of birth to five focused coursework. AWARD$ Plus is funded by the Division of Child Development and Early Education. Visit www.childcareservices.org/awards for more details. 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