ST. Stephens High School PRE K

G.S. 110-90 · Violation

Name of Operation: ST. STEPHENS HIGH SCHOOL PRE K Facility ID: 18000605 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 5/6/2025 Number Present: 33 Completed Date: 5/6/2025 Age: From 3 To 5 Total Minutes: 162 Time In: 10:08 AM Time Out: 12:50 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 compliance with applicable Child Care requirements for a routine unannounced visit. You, L. Holmes, Lead Teacher and M. Beaudoin, Lead Teacher, both assisted me with today’s visit. I observed all of the required posted in the foyer area including the following: five-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 five-star license, issued on February 25, 2023, earning seven (7) points in staff education, seven (7) points in program standards and one (1) quality point for having a staff benefits package and an infrastructure of parent involvement, for a total of 15 total points earned. Your facility operates with the following permit restrictions: daytime care only, meets enhanced space, meets enhanced ratios and meets enhanced ratios minus 1 child per group. Your center's compliance history was 98% as of May 5, 2025, and was reviewed with you today. Your last annual compliance visit was conducted on March 4, 2025. I monitored all of the indoor and outdoor areas. I observed children throughout the classrooms participating in free play in activity areas, transitions, morning snack, whole group teacher directed activity and personal care routines. 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. Today, reviewed staff record files for four (4) returning staff members to verify current and valid Criminal Background Check qualification letters, valid CPR and First Aid training, completion of the Recognizing and Responding to Suspicions of Child Maltreatment training and special trainings. There were no new staff members to monitor today. Your program Administrator sent me your current handbook by email, and it included: written operational, administrative, and personnel policies and your parent participation plan in my office. You stated your written policies and procedures had not changed. I observed children adequately supervised, minimum staff-child ratios, adequate approved space being used, and permit restrictions including daytime care only, meets enhanced ratios, meets enhanced space, meets enhanced ratios minus 1 per group were maintained during today’s visit. Today’s morning snack consisted of whole grain rich cinnamon goldfish crackers, Scooby Doo Bone graham crackers and 1% unflavored white milk as listed on the menu. I monitored one (1) medication, one (1) medication permission to administer form and one (1) Medical Action Plan in space 104. There were no medications, no medication permission to administer forms and no Medical Action Plans to monitor in space 102. I monitored screen time logs, incident report logs and the 2024-2025 St. Stephens High School -School Risk Management plan. You stated that your program does not provide transportation. Your most recent fire drill was conducted on April 28, 2025, and has been completed monthly for the past twelve (12) months and your most recent shelter in place emergency drill was conducted on April 29, 2025, and has been completed quarterly. The most recent playground inspection was completed on March 14, 2025. Your most recent fire inspection was completed on August 27, 2024, and was sent to me by email within 7 days. Your most recent sanitation inspection was completed on April 2, 2025, with a superior classification. I monitored your program for all health and safety requirements during today’s visit. The following violation was cited during today’s visit. Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. There was no playground inspection completed during the month of April and the most recent playground inspection report that was completed, was on 3/14/2025. .0605(q) TECHNICAL ASSISTANCE: • There was no playground inspection completed during the month of April and the most recent playground inspection was completed on 3/14/2025. As discussed, playground inspections are required to be completed monthly over 12 months. I suggest that a reminder is placed on your calendar and have a staff member check in monthly regarding the playground inspection being completed to ensure that there are no months that go without a playground inspection being completed. 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. 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: All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. • Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature Please send supporting documentation such as training certificates, CBC letters and acknowledgement statements. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I must receive your compliance letter no later than May 20, 2025. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. 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. Your letter may be mailed to me at: Meria Wilder Post Office Box 9591 Statesville, NC 28677 For your convenience, your compliance letter may be sent by email to: meria.wilder@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 in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 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

GS110-91 · Violation

Name of Operation: ST. STEPHENS HIGH SCHOOL PRE K Facility ID: 18000605 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 3/20/2024 Number Present: 33 Completed Date: 3/20/2024 Age: From 3 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 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 are requirements during an annual compliance monitoring visit. You, Leslie Holmes, Lead Teacher, , and Miranda Beaudoin, Lead Teacher, assisted me, Meria Wilder, Child Care Consultant, with today’s visit. Your program operates with a five-star license that was issued on February 25, 2023. Your program received 7 points in staff education, 7 points in program standards and 1 quality point and operates with the following restrictions: daytime care, meets enhanced space, meets enhanced ratios and meets highest enhanced ratios minus 1 child per group. The following was prominently posted in each classroom entrance: NC Summary of Child Care Law, First Aid information sheet, emergency phone numbers, safe arrival and departure procedures, tobacco free signage, emergency medical care plan, daily schedule, activity plan and sanitation inspection. I observed your playground inspections to be current as of March 7, 2024, fire inspection to be current as of May 31, 2023, lockdown emergency drill to be current as of March 5, 2024, and fire drills to be current as of March 6, 2024. Your facilities compliance history score was 98% prior to today’s visit. You stated that your program does not provide transportation. All indoor and outdoor spaces were monitored today for health and safety requirements. I monitored your incident log and found incident reports to be logged with children’s records. I monitored your EPR plan and found it to be printed and current. Today’s menu was posted, and current and the meal served to children consists of a ham and cheese sandwich, baked potato, broccoli soup and 1% unflavored white milk. I monitored 1emergency medications, and the medication authorization permission to administer form. I observed children to be cared for in a nurturing way. I observed daily sign in/out sheets. I observed daily attendance records. I observed a daily schedule to be posted and followed in each classroom. I observed Allergies listings to be posted in each classroom. I observed daily activity plans to be current and posted in each classroom. I observed classroom furnishings to be clean and in good repair. I observed toys to be of sufficient quantity, developmentally appropriate and in good repair. I observed adequate supervision, adequate and approved space, staff/child ratios being met, appropriate group sizes to be in compliance and appropriate discipline. I observed children participating in teacher directed activities, outside time, meal time, toileting and handwashing routines. I monitored your screen time log. I monitored a random sampling of 4 children’s records today. There were no new staff files to monitor, and I monitored 2 existing staff files during today’s visit. I observed all NCPK requirements being met during today's visit. During today's visit the following violations were cited: Violation Number Comment Rule 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. 1 medication permission to administer form for Flovent HFA 110mcg did not contain all required information. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance: All violations cited during today’s visit must be corrected immediately. • 1 medication permission to administer form for Flovent HFA 110mcg did not contain all required information. As discussed, when accepting medication and their permission to administer forms review the form to ensure that all required information has been documented, identifying the length of the standing order with 6 months being the maximum amount of time the standing order will be valid, and physician’s signature. I recommend that medication permission to administer forms be monitored at least quarterly to ensure that all forms and information on the forms are still current and the standing order to administer is within the specified time frame. Child care facilities must comply with all state laws, federal laws and local ordinances that pertain to child health, safety, and welfare of children (GS110-91 – Mandatory standards for a license). Failure to comply may lead to an administrative action (General statue 110-102-2- Administrative penalties). 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: • As of September 2023, the Summary of NC Child Care Law was updated and available on the DCDEE website. Please print this form to post in your classroom with your required postings and give the updated information to parents and have them sign and date that they have received the updated document and place each signed acknowledgement in each child’s file. • As discussed, please use the Staff File Checklist and Children’s Records Checklist to ensure that files contain all required documents, and that training and documentation is completed within the specified timeframe to ensure compliance with child care rules. • Although not an issue today, remember fire inspection reports are required 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. All violations cited must be corrected immediately and a compliance letter for violations cited during today’s visit must be sent to me by April 3, 2024. Meria Wilder, Child Care Consultant P.O. Box 6591 Statesville, NC 28677 Email: meria.wilder@dhhs.nc.gov If you email the compliance letter, from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: Name, position, Facility name, Facility ID number Violation Item number Date of violation correction How the violation was corrected How the violation will be prevented in the future Thank you for your time today. If I can be of assistance in the future, please feel free to contact me at (980) 434-3877 or email meria.wilder@dhhs.nc.gov or Erin Pickard, Supervisor, at erin.pickard@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