Quest AT Webb A. Murray Elementary

10A NCAC 09 .0302 · Violation

Name of Operation: QUEST AT WEBB A. MURRAY ELEMENTARY Facility ID: 18000518 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 6/3/2025 Number Present: 47 Completed Date: 6/3/2025 Age: From 5 To 12 Total Minutes: -600 Time In: 10:10 AM Time Out: 12:10 AM 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 your program for compliance with applicable Child Care requirements for a routine unannounced visit. You, Donna Killian, Program Coordinator, assisted me with today’s visit. You are operating summer camp today, which operates from May 29 – August 19, 2025. You stated that the summer camp operates from 6:00am to 6:00pm, Monday through Friday. I observed all of the required postings posted on the bulletin board in the cafeteria including the following: four-star rated license, NC Summary of Child Care Law dated February 2025, sanitation placard, Emergency Medical Care Plan, Emergency Phone Numbers, First Aid poster, tobacco free signage, daily schedule, current activity plan, and safe arrival and departure procedures. Your program currently operates with a four-star license, issued on April 22, 2022, earning six (6) points in staff education, three (3) points in program standards and one (1) quality point for reduced group size by one in each group from the seven (7) point level as required in Rule .2818 (c), for a total of 10 total points earned. Your facility operates with the following permit restrictions: daytime care only, school age only, meets enhanced space, reduced group size by 1 from the 7-point level, age range extended to 14 years old and the playground does not meet Child Care safety standards. Your center's compliance history score prior to today’s visit was 96% and was reviewed with you today. Your last annual compliance visit was conducted on November 18, 2024. I monitored your indoor and outdoor areas. I observed children to be participating in free play in activity areas, transitions and personal care routines. I monitored for general safety, storage of hazardous products, appropriate discipline, storage of medication and medication administration. Program records including emergency medical care plan, safe arrival and departure procedures, incident log, outdoor safety inspections, fire drills, emergency drills, and your Emergency Preparedness Response (EPR) Plan were monitored. During today’s visit I monitored staff record files for eight (8) returning staff members to verify current and valid Criminal Background Check qualification letters, valid CPR and First Aid training, valid BSAC training, special trainings and completion of the Recognizing and Responding to Suspicions of Child Maltreatment training. There were no new staff members to monitor today. Prior to today’s visit I was provided with the current handbook for QUEST Summer Camp for 2025 which included: written operational, administrative, personnel policies and your parent participation plan. Children were adequately supervised, minimum staff-child ratios were maintained, adequate approved space was used, enhanced space capacities were maintained, and permit restrictions including daytime care only, school age only, meets enhanced space, playground does not meet Child Care safety standards and age range extended to 14 years old were maintained during today’s visit. Today’s lunch listed on the menu consisted of mozzarella sticks, green beans, fruit and 1% unflavored white milk. Today there were five (5) medications, five (5) medication permission to administer forms and five (5) Medical Action Plans to monitor. I monitored your incident report log and the 2024-2025 Webb Murray Elementary School - School Risk Management plan. You stated that your program does provide transportation only during the summer for summer camp. You stated that your program does not provide screen time. Your most recent fire drill was conducted on May 22, 2025, and has been completed monthly for the past twelve (12) months and your most recent shelter in place emergency drill was conducted on May 14, 2025, and has been completed quarterly. Your most recent fire inspection was completed on December 10, 2024. Your most recent sanitation inspection was completed on January 23, 2025, with a superior classification. During today’s visit I monitored for all health and safety requirements. The following violation was cited during today’s visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. There were seven (7) children that were present today that were not signed in on the daily sign in/out sheet. 10A NCAC 09 .0302(d)(4) TECHNICAL ASSISTANCE: • Of the children that were present today, seven (7) of them were not signed in on the daily sign in/out sheets. As discussed, all children must be signed in and out as they arrive/depart daily. I suggest that a staff member remind the parents as they bring children in each day that they remember to sign them in on the daily sign in/out sheet. If a child is not signed in/out by a parent a staff member is able to sign the child in initial with their initials and date the document. This violation was corrected during the visit by the Program Coordinator signing each child in that was not signed in by their parent. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. CONSULTATION: • DCDEE Resources - Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. - Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License - Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development - Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings - Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy - DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • Child Care facility’s now have until May 31, 2025, to enroll in the lead in water testing, lead based paint testing and Asbestos testing through Clean Water for US Kids. The following link will take you to the website to enroll https://www.cleanwaterforuskids.org/en/carolina/. • ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • Fire inspections are to be sent to the consultant within 7 business days of the inspection being completed. If the fire inspection report is not sent to the consultant within 7 business days a violation will be cited at the next monitoring visit. To maintain compliance with this child care requirement, I suggest you or the school principal forward the email containing the fire inspection report to me when you receive it from the fire inspector. • When reviewing Staff Files, Children’s Files, and Program Records, utilize the Staff Files Checklist, Children’s File Checklist, Volunteer Files Checklist and the Program Records File Checklist to ensure that you are maintaining compliance with all of the files that are monitored by DCDEE and that all of the documents within those files are current, accurate and relevant. These forms should be updated annually with staff files, children’s records and program record documents to ensure that all information stored in your facilities files are current and accurate prior to DCDEE monitoring visits. These file checklists can be found on the DCDEE website under provider documents. • Located on the DCDEE website there is an editable form of the staff and training worksheet that you may utilize when completing the staff and training worksheet to assist you with being prepared for your upcoming monitoring visits. This document can be downloaded to your computer and completed electronically. • Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. • Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. COMPLIANCE PLAN: • No compliance documentation is needed. The violation that was cited during today’s visit was corrected during the visit. In the visit summary I documented the corrective action taken today to correct the violation. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (980)434-3877 or by email at meria.wilder@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. 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

G.S. 110-90 · Violation

Name of Operation: QUEST AT WEBB A. MURRAY ELEMENTARY Facility ID: 18000518 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 6/3/2025 Number Present: 47 Completed Date: 6/3/2025 Age: From 5 To 12 Total Minutes: -600 Time In: 10:10 AM Time Out: 12:10 AM 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 your program for compliance with applicable Child Care requirements for a routine unannounced visit. You, Donna Killian, Program Coordinator, assisted me with today’s visit. You are operating summer camp today, which operates from May 29 – August 19, 2025. You stated that the summer camp operates from 6:00am to 6:00pm, Monday through Friday. I observed all of the required postings posted on the bulletin board in the cafeteria including the following: four-star rated license, NC Summary of Child Care Law dated February 2025, sanitation placard, Emergency Medical Care Plan, Emergency Phone Numbers, First Aid poster, tobacco free signage, daily schedule, current activity plan, and safe arrival and departure procedures. Your program currently operates with a four-star license, issued on April 22, 2022, earning six (6) points in staff education, three (3) points in program standards and one (1) quality point for reduced group size by one in each group from the seven (7) point level as required in Rule .2818 (c), for a total of 10 total points earned. Your facility operates with the following permit restrictions: daytime care only, school age only, meets enhanced space, reduced group size by 1 from the 7-point level, age range extended to 14 years old and the playground does not meet Child Care safety standards. Your center's compliance history score prior to today’s visit was 96% and was reviewed with you today. Your last annual compliance visit was conducted on November 18, 2024. I monitored your indoor and outdoor areas. I observed children to be participating in free play in activity areas, transitions and personal care routines. I monitored for general safety, storage of hazardous products, appropriate discipline, storage of medication and medication administration. Program records including emergency medical care plan, safe arrival and departure procedures, incident log, outdoor safety inspections, fire drills, emergency drills, and your Emergency Preparedness Response (EPR) Plan were monitored. During today’s visit I monitored staff record files for eight (8) returning staff members to verify current and valid Criminal Background Check qualification letters, valid CPR and First Aid training, valid BSAC training, special trainings and completion of the Recognizing and Responding to Suspicions of Child Maltreatment training. There were no new staff members to monitor today. Prior to today’s visit I was provided with the current handbook for QUEST Summer Camp for 2025 which included: written operational, administrative, personnel policies and your parent participation plan. Children were adequately supervised, minimum staff-child ratios were maintained, adequate approved space was used, enhanced space capacities were maintained, and permit restrictions including daytime care only, school age only, meets enhanced space, playground does not meet Child Care safety standards and age range extended to 14 years old were maintained during today’s visit. Today’s lunch listed on the menu consisted of mozzarella sticks, green beans, fruit and 1% unflavored white milk. Today there were five (5) medications, five (5) medication permission to administer forms and five (5) Medical Action Plans to monitor. I monitored your incident report log and the 2024-2025 Webb Murray Elementary School - School Risk Management plan. You stated that your program does provide transportation only during the summer for summer camp. You stated that your program does not provide screen time. Your most recent fire drill was conducted on May 22, 2025, and has been completed monthly for the past twelve (12) months and your most recent shelter in place emergency drill was conducted on May 14, 2025, and has been completed quarterly. Your most recent fire inspection was completed on December 10, 2024. Your most recent sanitation inspection was completed on January 23, 2025, with a superior classification. During today’s visit I monitored for all health and safety requirements. The following violation was cited during today’s visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. There were seven (7) children that were present today that were not signed in on the daily sign in/out sheet. 10A NCAC 09 .0302(d)(4) TECHNICAL ASSISTANCE: • Of the children that were present today, seven (7) of them were not signed in on the daily sign in/out sheets. As discussed, all children must be signed in and out as they arrive/depart daily. I suggest that a staff member remind the parents as they bring children in each day that they remember to sign them in on the daily sign in/out sheet. If a child is not signed in/out by a parent a staff member is able to sign the child in initial with their initials and date the document. This violation was corrected during the visit by the Program Coordinator signing each child in that was not signed in by their parent. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. CONSULTATION: • DCDEE Resources - Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. - Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License - Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development - Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings - Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy - DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • Child Care facility’s now have until May 31, 2025, to enroll in the lead in water testing, lead based paint testing and Asbestos testing through Clean Water for US Kids. The following link will take you to the website to enroll https://www.cleanwaterforuskids.org/en/carolina/. • ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • Fire inspections are to be sent to the consultant within 7 business days of the inspection being completed. If the fire inspection report is not sent to the consultant within 7 business days a violation will be cited at the next monitoring visit. To maintain compliance with this child care requirement, I suggest you or the school principal forward the email containing the fire inspection report to me when you receive it from the fire inspector. • When reviewing Staff Files, Children’s Files, and Program Records, utilize the Staff Files Checklist, Children’s File Checklist, Volunteer Files Checklist and the Program Records File Checklist to ensure that you are maintaining compliance with all of the files that are monitored by DCDEE and that all of the documents within those files are current, accurate and relevant. These forms should be updated annually with staff files, children’s records and program record documents to ensure that all information stored in your facilities files are current and accurate prior to DCDEE monitoring visits. These file checklists can be found on the DCDEE website under provider documents. • Located on the DCDEE website there is an editable form of the staff and training worksheet that you may utilize when completing the staff and training worksheet to assist you with being prepared for your upcoming monitoring visits. This document can be downloaded to your computer and completed electronically. • Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. • Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. COMPLIANCE PLAN: • No compliance documentation is needed. The violation that was cited during today’s visit was corrected during the visit. In the visit summary I documented the corrective action taken today to correct the violation. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (980)434-3877 or by email at meria.wilder@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. 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

10A NCAC 09 .0803 · Violation

Name of Operation: QUEST AT WEBB A. MURRAY ELEMENTARY Facility ID: 18000518 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 23 Completed Date: 3/13/2024 Age: From 5 To 12 Total Minutes: 165 Time In: 02:15 PM Time Out: 05:00 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 your program for applicable child care requirements during a routine announced visit. You, Donna Killian, Program Coordinator, assisted me Meria Wilder, Child Care Consultant, with today’s visit. Your program operates with a four-star license that was issued on April 22, 2022. Your program earned 3 points in program standards, 6 points in staff education and 1 quality point for a total of 10 points earned. Your program operates with the following restrictions: 1st shift (daytime care), school age only, meets enhanced space, playground does not meet child care safety standards, meets enhanced space, and group size reduced by 1 from the 7-point level and age range extended to 14 years old. Your last annual compliance visit was conducted on October 17, 2023. Your compliance history score prior to today’s visit was 98%. The following required postings were posted in your parent information area: License, NC Summary of Child Care Law, first aid information sheet, emergency phone numbers posted, safe arrival and departure procedures, tobacco free signage, emergency medical care plan, activity plan, daily schedule and menu. The menu posted was current for the month of February stating snack for today consisted of whole grain rich Tiger Bite graham cracker and 1% unflavored white milk. The activity plan posted was current and it included 4 activities and one being outside. The daily schedule that was posted was developmentally appropriate for school age children. During today’s visit I observed your emergency drill log. I observed your fire drill logs. I observed your incident log. You stated you do not provide screen time. You stated that your program uses Webb A. Murray Elementary Schools Safe Schools Plan that was dated for the 2023 – 2024 school year. You stated that your program does not provide transportation. I monitored two emergency medications and their permissions to administer form. I observed your most recent fire inspection, sanitation inspection, fire drill log, emergency drill log and incident log. I observed all children to be signed in upon arrival and attendance records to be up to date and accurate. I observed all the children being signed in upon arrival. All the children remained in one group. I observed children participating in toileting routines and having snack. I observed children being cared for and spoken to in a nurturing way. I observed positive interactions between children, group leader and the program coordinator. I observed a variety of toys and furnishings on the stage to be child size, of sufficient quantity, in good repair and developmentally appropriate. I observed adequate supervision, appropriate group sizes, adequate space and staff child ratios being met. I monitored for health and safety standards. I monitored your indoor and playground for safety and hazards. During today’s visit one existing staff file was monitored for criminal background qualification letters, Recognizing and Responding to Suspicions of Child Maltreatment, BSAC, First Aid and CPR Certificates and special trainings. There was one new staff file, and one substitute file was monitored during today’s visit. No children’s records were monitored during today’s visit. Your playground is exempt from meeting NC child care safety requirements as indicated on your star rated license. The outdoor play area was monitored today for general safety and sufficient materials. The following violations were observed during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Two emergency medication permission to administer forms Ventolin HFA had incorrect expiration dates listed. Two Ventolin HFA emergency medications were not labeled with the child's name. 10A NCAC 09 .0803(4)(6-9) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. One staff member had health information stored in their personnel file. .0701(d) Technical Assistance: All violations that were cited during today’s visit must be corrected immediately. • Two emergency medication permission to administer forms Ventolin HFA had incorrect expiration dates listed. As discussed, be sure to check the manufactures medication expiration date as well as the prescriptions “discard after” date to know which date the medication should no longer be given based on the whichever date that comes first. I suggest when receiving medications and permission to administer forms that all documents be monitored to ensure the accuracy to prevent a medication being given after the expiration and/or discard after date. • Two Ventolin HFA emergency medications were not labeled with the child’s name. As discussed, all medications and their packaging should be labeled with the child’s name to ensure the correct medication is in the correct package for the correct child. I suggest when receiving medications that all medications and packaging be labeled prior to storing the medications. • One staff member had health information stored in their personnel file. As discussed, all health information should be stored separately from personnel information. I suggest that staff files be monitored at least quarterly to ensure all information is accurate and is stored correctly. Consultation: • As of September 2023, the NC Summary of Child Care Law has been updated, be sure that parents receive, sign and acknowledgement of receipt as well as post the updated information with other required postings in your facility. • Your program is in cohort 1 for the rated license reassessment. Your program’s planning year will be from July 1, 2023, to June 30, 2024. Your program’s reassessment year will be 2024 to 2025 and the month of your reassessment will be the month that your current rated license expires. As you plan for the reassessment of the rated license, please be sure that all staff has their most recent education updated and verified in WORKS and that you are in touch with your local Partnership and Resource and Referral agencies to provide technical assistance and help you prepare for reassessment. • When reviewing staff files, you may utilize the schools Off Site Verification Forms which identifies information that is stored off site. The bulleted items identified on the form is not required to be maintained in the file of that staff member as long as that staff members name and date of employment is listed on the employee roster that should be attached to the form. The information that is stored “off-site” should be available upon the consultant’s request in the event that the consultant would need to verify that information. That Off Site Verification Form should be updated annually and/or as staff members are hired. • I suggest that after each monitoring visit be prepared to update and prepare a new staff and training worksheet prior to the next monitoring visit to prevent having to complete the document during the monitoring visit. There is an electronic copy of the Staff and Training worksheet on the DCDEE website under Provider Documents tab that may be downloaded and saved to your computer for you to update and access as needed. • Stay updated with changes and new rule updates by visiting DCDEE new website at http://ncchildcare.nc.gov/general/home.asp. Due to all violations cited today being corrected during today’s visit there will be no compliance letter due to be sent to me. 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 insufficient information is not received by the due date, a follow-up visit may be completed. Any observed violations cited during visits will negatively affect the center’s Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c) in order to be eligible for a star rated license. You may contact me by phone at (980) 434-3877 or by email at meria.wilder@dhhs.nc.gov or Erin Pickard by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time and assistance 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

G.S. 110-90 · Violation

Name of Operation: QUEST AT WEBB A. MURRAY ELEMENTARY Facility ID: 18000518 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 23 Completed Date: 3/13/2024 Age: From 5 To 12 Total Minutes: 165 Time In: 02:15 PM Time Out: 05:00 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 your program for applicable child care requirements during a routine announced visit. You, Donna Killian, Program Coordinator, assisted me Meria Wilder, Child Care Consultant, with today’s visit. Your program operates with a four-star license that was issued on April 22, 2022. Your program earned 3 points in program standards, 6 points in staff education and 1 quality point for a total of 10 points earned. Your program operates with the following restrictions: 1st shift (daytime care), school age only, meets enhanced space, playground does not meet child care safety standards, meets enhanced space, and group size reduced by 1 from the 7-point level and age range extended to 14 years old. Your last annual compliance visit was conducted on October 17, 2023. Your compliance history score prior to today’s visit was 98%. The following required postings were posted in your parent information area: License, NC Summary of Child Care Law, first aid information sheet, emergency phone numbers posted, safe arrival and departure procedures, tobacco free signage, emergency medical care plan, activity plan, daily schedule and menu. The menu posted was current for the month of February stating snack for today consisted of whole grain rich Tiger Bite graham cracker and 1% unflavored white milk. The activity plan posted was current and it included 4 activities and one being outside. The daily schedule that was posted was developmentally appropriate for school age children. During today’s visit I observed your emergency drill log. I observed your fire drill logs. I observed your incident log. You stated you do not provide screen time. You stated that your program uses Webb A. Murray Elementary Schools Safe Schools Plan that was dated for the 2023 – 2024 school year. You stated that your program does not provide transportation. I monitored two emergency medications and their permissions to administer form. I observed your most recent fire inspection, sanitation inspection, fire drill log, emergency drill log and incident log. I observed all children to be signed in upon arrival and attendance records to be up to date and accurate. I observed all the children being signed in upon arrival. All the children remained in one group. I observed children participating in toileting routines and having snack. I observed children being cared for and spoken to in a nurturing way. I observed positive interactions between children, group leader and the program coordinator. I observed a variety of toys and furnishings on the stage to be child size, of sufficient quantity, in good repair and developmentally appropriate. I observed adequate supervision, appropriate group sizes, adequate space and staff child ratios being met. I monitored for health and safety standards. I monitored your indoor and playground for safety and hazards. During today’s visit one existing staff file was monitored for criminal background qualification letters, Recognizing and Responding to Suspicions of Child Maltreatment, BSAC, First Aid and CPR Certificates and special trainings. There was one new staff file, and one substitute file was monitored during today’s visit. No children’s records were monitored during today’s visit. Your playground is exempt from meeting NC child care safety requirements as indicated on your star rated license. The outdoor play area was monitored today for general safety and sufficient materials. The following violations were observed during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Two emergency medication permission to administer forms Ventolin HFA had incorrect expiration dates listed. Two Ventolin HFA emergency medications were not labeled with the child's name. 10A NCAC 09 .0803(4)(6-9) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. One staff member had health information stored in their personnel file. .0701(d) Technical Assistance: All violations that were cited during today’s visit must be corrected immediately. • Two emergency medication permission to administer forms Ventolin HFA had incorrect expiration dates listed. As discussed, be sure to check the manufactures medication expiration date as well as the prescriptions “discard after” date to know which date the medication should no longer be given based on the whichever date that comes first. I suggest when receiving medications and permission to administer forms that all documents be monitored to ensure the accuracy to prevent a medication being given after the expiration and/or discard after date. • Two Ventolin HFA emergency medications were not labeled with the child’s name. As discussed, all medications and their packaging should be labeled with the child’s name to ensure the correct medication is in the correct package for the correct child. I suggest when receiving medications that all medications and packaging be labeled prior to storing the medications. • One staff member had health information stored in their personnel file. As discussed, all health information should be stored separately from personnel information. I suggest that staff files be monitored at least quarterly to ensure all information is accurate and is stored correctly. Consultation: • As of September 2023, the NC Summary of Child Care Law has been updated, be sure that parents receive, sign and acknowledgement of receipt as well as post the updated information with other required postings in your facility. • Your program is in cohort 1 for the rated license reassessment. Your program’s planning year will be from July 1, 2023, to June 30, 2024. Your program’s reassessment year will be 2024 to 2025 and the month of your reassessment will be the month that your current rated license expires. As you plan for the reassessment of the rated license, please be sure that all staff has their most recent education updated and verified in WORKS and that you are in touch with your local Partnership and Resource and Referral agencies to provide technical assistance and help you prepare for reassessment. • When reviewing staff files, you may utilize the schools Off Site Verification Forms which identifies information that is stored off site. The bulleted items identified on the form is not required to be maintained in the file of that staff member as long as that staff members name and date of employment is listed on the employee roster that should be attached to the form. The information that is stored “off-site” should be available upon the consultant’s request in the event that the consultant would need to verify that information. That Off Site Verification Form should be updated annually and/or as staff members are hired. • I suggest that after each monitoring visit be prepared to update and prepare a new staff and training worksheet prior to the next monitoring visit to prevent having to complete the document during the monitoring visit. There is an electronic copy of the Staff and Training worksheet on the DCDEE website under Provider Documents tab that may be downloaded and saved to your computer for you to update and access as needed. • Stay updated with changes and new rule updates by visiting DCDEE new website at http://ncchildcare.nc.gov/general/home.asp. Due to all violations cited today being corrected during today’s visit there will be no compliance letter due to be sent to me. 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 insufficient information is not received by the due date, a follow-up visit may be completed. Any observed violations cited during visits will negatively affect the center’s Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c) in order to be eligible for a star rated license. You may contact me by phone at (980) 434-3877 or by email at meria.wilder@dhhs.nc.gov or Erin Pickard by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time and assistance 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