10A NCAC 09 .0302 · Violation

Name of Operation: HILDEBRAN PRE-K Facility ID: 12000274 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 11/16/2023 Number Present: 13 Completed Date: 11/16/2023 Age: From 3 To 5 Total Minutes: 163 Time In: 09:32 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements, including health and safety training. The visit was conducted with Lisa Wingate, Teacher. Ms. Wingate provided me with applicable program, staff, and children’s records for review. Caroline Howard, Principal, was present during the visit and signed the Visit Summary. This program currently operates with a Five star rated license effective December 6, 2022. The program’s compliance history was 99 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. A walk-through of licensed indoor and outdoor space was completed, and all areas were monitored. Staff and children were observed during free play activities indoors, handwashing routines and lunch. NC Pre-K and developmental day requirements were monitored during today’s visit. The most recent sanitation inspection for your facility was conducted on April 5, 2023. A superior sanitation classification was issued with 2 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on October 13, 2023. The violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. One child was not signed out on October 17, 2023, and two children were not signed out on November 3, 2023. 10A NCAC 09 .0302(d)(4) 853 Incident logs were not completed and maintained as required. Three incident reports for incidents that occurred on October 12, 2023, October 27, 2023, and November 13, 2023, were not recorded on the Incident Log. .0802(g)(1-6) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by November 30, 2023. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development 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. Technical Assistance regarding the violations observed: Arrival and Departure Records- - All children must be signed in and out each day. If the parent fails to sign the child in or out, it is the responsibility of the staff to complete this information. I recommended that you assign one person to monitor the arrival and departure records at designated times each day to ensure all children have been signed in and signed out. Incident Log- -Each incident resulting in a child’s injury that occurs at the child care facility must be recorded on the incident log and the log must be available for review by a representative of the Division per child care requirement 10A NCAC 09 .0802 (g). I recommended that you log each incident on the log as soon as you file the incident report in your binder. Rated License Reassessment: -To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. Your facility is in cohort two. The preparation year for cohort two will begin July 1, 2024. The reassessment year will be July 1, 2025, through June 30, 2026. More information will be forthcoming once your cohort year approaches. Consultation (the following items reviewed were in compliance today): -Lisa Wingate needs to complete two and a half hours of training by December 5, 2023. Lisa Wingate’s CPR and First Aid certification expires on November 30, 2023. Mrs. Wingate stated she completed CPR and First Aid training on November 7, 2023, however, she has not received her certification card yet. -Screen time must be documented on a cumulative log or the activity plan that shall be available for review by the Division. If the entire class participates in a screen time activity, this screen time activity may be recorded on your activity plan, including the length of time the screen time activity takes place. If the screen time activity is recorded on the activity plan, you do not need to include this activity on your screen time log for each individual child. -For any head injury that occurs at the facility, I recommend contacting the child’s parent/guardian immediately for the parent to determine if the child needs to be seen by a physician. -Remember to add all caregiving staff, including substitutes and extra-curricular staff, to the Public School Off-Sites Staff Records Verification form. -10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. (b) Site-level administrators shall review all health assessment results at the time of the child’s entry into the program to determine whether the assessment includes specific instructions for identified health needs that may require physical or occupational or other therapies to support the child’s development and learning goals. If a screening is marked as “uncooperative” or “unable to complete” due to the child being uncooperative then this requirement is not in compliance. However, if the health care professional provides additional information such as “due to developmental delays the hearing screening was not completed” then compliance has been met. -Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0802 · Violation

Name of Operation: HILDEBRAN PRE-K Facility ID: 12000274 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 11/16/2023 Number Present: 13 Completed Date: 11/16/2023 Age: From 3 To 5 Total Minutes: 163 Time In: 09:32 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements, including health and safety training. The visit was conducted with Lisa Wingate, Teacher. Ms. Wingate provided me with applicable program, staff, and children’s records for review. Caroline Howard, Principal, was present during the visit and signed the Visit Summary. This program currently operates with a Five star rated license effective December 6, 2022. The program’s compliance history was 99 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. A walk-through of licensed indoor and outdoor space was completed, and all areas were monitored. Staff and children were observed during free play activities indoors, handwashing routines and lunch. NC Pre-K and developmental day requirements were monitored during today’s visit. The most recent sanitation inspection for your facility was conducted on April 5, 2023. A superior sanitation classification was issued with 2 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on October 13, 2023. The violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. One child was not signed out on October 17, 2023, and two children were not signed out on November 3, 2023. 10A NCAC 09 .0302(d)(4) 853 Incident logs were not completed and maintained as required. Three incident reports for incidents that occurred on October 12, 2023, October 27, 2023, and November 13, 2023, were not recorded on the Incident Log. .0802(g)(1-6) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by November 30, 2023. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development 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. Technical Assistance regarding the violations observed: Arrival and Departure Records- - All children must be signed in and out each day. If the parent fails to sign the child in or out, it is the responsibility of the staff to complete this information. I recommended that you assign one person to monitor the arrival and departure records at designated times each day to ensure all children have been signed in and signed out. Incident Log- -Each incident resulting in a child’s injury that occurs at the child care facility must be recorded on the incident log and the log must be available for review by a representative of the Division per child care requirement 10A NCAC 09 .0802 (g). I recommended that you log each incident on the log as soon as you file the incident report in your binder. Rated License Reassessment: -To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. Your facility is in cohort two. The preparation year for cohort two will begin July 1, 2024. The reassessment year will be July 1, 2025, through June 30, 2026. More information will be forthcoming once your cohort year approaches. Consultation (the following items reviewed were in compliance today): -Lisa Wingate needs to complete two and a half hours of training by December 5, 2023. Lisa Wingate’s CPR and First Aid certification expires on November 30, 2023. Mrs. Wingate stated she completed CPR and First Aid training on November 7, 2023, however, she has not received her certification card yet. -Screen time must be documented on a cumulative log or the activity plan that shall be available for review by the Division. If the entire class participates in a screen time activity, this screen time activity may be recorded on your activity plan, including the length of time the screen time activity takes place. If the screen time activity is recorded on the activity plan, you do not need to include this activity on your screen time log for each individual child. -For any head injury that occurs at the facility, I recommend contacting the child’s parent/guardian immediately for the parent to determine if the child needs to be seen by a physician. -Remember to add all caregiving staff, including substitutes and extra-curricular staff, to the Public School Off-Sites Staff Records Verification form. -10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. (b) Site-level administrators shall review all health assessment results at the time of the child’s entry into the program to determine whether the assessment includes specific instructions for identified health needs that may require physical or occupational or other therapies to support the child’s development and learning goals. If a screening is marked as “uncooperative” or “unable to complete” due to the child being uncooperative then this requirement is not in compliance. However, if the health care professional provides additional information such as “due to developmental delays the hearing screening was not completed” then compliance has been met. -Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@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

10A NCAC 09 .3005 · Violation

Name of Operation: HILDEBRAN PRE-K Facility ID: 12000274 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 11/16/2023 Number Present: 13 Completed Date: 11/16/2023 Age: From 3 To 5 Total Minutes: 163 Time In: 09:32 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements, including health and safety training. The visit was conducted with Lisa Wingate, Teacher. Ms. Wingate provided me with applicable program, staff, and children’s records for review. Caroline Howard, Principal, was present during the visit and signed the Visit Summary. This program currently operates with a Five star rated license effective December 6, 2022. The program’s compliance history was 99 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. A walk-through of licensed indoor and outdoor space was completed, and all areas were monitored. Staff and children were observed during free play activities indoors, handwashing routines and lunch. NC Pre-K and developmental day requirements were monitored during today’s visit. The most recent sanitation inspection for your facility was conducted on April 5, 2023. A superior sanitation classification was issued with 2 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on October 13, 2023. The violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. One child was not signed out on October 17, 2023, and two children were not signed out on November 3, 2023. 10A NCAC 09 .0302(d)(4) 853 Incident logs were not completed and maintained as required. Three incident reports for incidents that occurred on October 12, 2023, October 27, 2023, and November 13, 2023, were not recorded on the Incident Log. .0802(g)(1-6) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by November 30, 2023. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development 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. Technical Assistance regarding the violations observed: Arrival and Departure Records- - All children must be signed in and out each day. If the parent fails to sign the child in or out, it is the responsibility of the staff to complete this information. I recommended that you assign one person to monitor the arrival and departure records at designated times each day to ensure all children have been signed in and signed out. Incident Log- -Each incident resulting in a child’s injury that occurs at the child care facility must be recorded on the incident log and the log must be available for review by a representative of the Division per child care requirement 10A NCAC 09 .0802 (g). I recommended that you log each incident on the log as soon as you file the incident report in your binder. Rated License Reassessment: -To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. Your facility is in cohort two. The preparation year for cohort two will begin July 1, 2024. The reassessment year will be July 1, 2025, through June 30, 2026. More information will be forthcoming once your cohort year approaches. Consultation (the following items reviewed were in compliance today): -Lisa Wingate needs to complete two and a half hours of training by December 5, 2023. Lisa Wingate’s CPR and First Aid certification expires on November 30, 2023. Mrs. Wingate stated she completed CPR and First Aid training on November 7, 2023, however, she has not received her certification card yet. -Screen time must be documented on a cumulative log or the activity plan that shall be available for review by the Division. If the entire class participates in a screen time activity, this screen time activity may be recorded on your activity plan, including the length of time the screen time activity takes place. If the screen time activity is recorded on the activity plan, you do not need to include this activity on your screen time log for each individual child. -For any head injury that occurs at the facility, I recommend contacting the child’s parent/guardian immediately for the parent to determine if the child needs to be seen by a physician. -Remember to add all caregiving staff, including substitutes and extra-curricular staff, to the Public School Off-Sites Staff Records Verification form. -10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. (b) Site-level administrators shall review all health assessment results at the time of the child’s entry into the program to determine whether the assessment includes specific instructions for identified health needs that may require physical or occupational or other therapies to support the child’s development and learning goals. If a screening is marked as “uncooperative” or “unable to complete” due to the child being uncooperative then this requirement is not in compliance. However, if the health care professional provides additional information such as “due to developmental delays the hearing screening was not completed” then compliance has been met. -Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: HILDEBRAN PRE-K Facility ID: 12000274 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 11/16/2023 Number Present: 13 Completed Date: 11/16/2023 Age: From 3 To 5 Total Minutes: 163 Time In: 09:32 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements, including health and safety training. The visit was conducted with Lisa Wingate, Teacher. Ms. Wingate provided me with applicable program, staff, and children’s records for review. Caroline Howard, Principal, was present during the visit and signed the Visit Summary. This program currently operates with a Five star rated license effective December 6, 2022. The program’s compliance history was 99 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. A walk-through of licensed indoor and outdoor space was completed, and all areas were monitored. Staff and children were observed during free play activities indoors, handwashing routines and lunch. NC Pre-K and developmental day requirements were monitored during today’s visit. The most recent sanitation inspection for your facility was conducted on April 5, 2023. A superior sanitation classification was issued with 2 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on October 13, 2023. The violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. One child was not signed out on October 17, 2023, and two children were not signed out on November 3, 2023. 10A NCAC 09 .0302(d)(4) 853 Incident logs were not completed and maintained as required. Three incident reports for incidents that occurred on October 12, 2023, October 27, 2023, and November 13, 2023, were not recorded on the Incident Log. .0802(g)(1-6) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by November 30, 2023. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development 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. Technical Assistance regarding the violations observed: Arrival and Departure Records- - All children must be signed in and out each day. If the parent fails to sign the child in or out, it is the responsibility of the staff to complete this information. I recommended that you assign one person to monitor the arrival and departure records at designated times each day to ensure all children have been signed in and signed out. Incident Log- -Each incident resulting in a child’s injury that occurs at the child care facility must be recorded on the incident log and the log must be available for review by a representative of the Division per child care requirement 10A NCAC 09 .0802 (g). I recommended that you log each incident on the log as soon as you file the incident report in your binder. Rated License Reassessment: -To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. Your facility is in cohort two. The preparation year for cohort two will begin July 1, 2024. The reassessment year will be July 1, 2025, through June 30, 2026. More information will be forthcoming once your cohort year approaches. Consultation (the following items reviewed were in compliance today): -Lisa Wingate needs to complete two and a half hours of training by December 5, 2023. Lisa Wingate’s CPR and First Aid certification expires on November 30, 2023. Mrs. Wingate stated she completed CPR and First Aid training on November 7, 2023, however, she has not received her certification card yet. -Screen time must be documented on a cumulative log or the activity plan that shall be available for review by the Division. If the entire class participates in a screen time activity, this screen time activity may be recorded on your activity plan, including the length of time the screen time activity takes place. If the screen time activity is recorded on the activity plan, you do not need to include this activity on your screen time log for each individual child. -For any head injury that occurs at the facility, I recommend contacting the child’s parent/guardian immediately for the parent to determine if the child needs to be seen by a physician. -Remember to add all caregiving staff, including substitutes and extra-curricular staff, to the Public School Off-Sites Staff Records Verification form. -10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. (b) Site-level administrators shall review all health assessment results at the time of the child’s entry into the program to determine whether the assessment includes specific instructions for identified health needs that may require physical or occupational or other therapies to support the child’s development and learning goals. If a screening is marked as “uncooperative” or “unable to complete” due to the child being uncooperative then this requirement is not in compliance. However, if the health care professional provides additional information such as “due to developmental delays the hearing screening was not completed” then compliance has been met. -Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@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