10A NCAC 09 .0601 · Violation

Name of Operation: ASHE COUNTY HEAD START SIZEMORE CENTER Facility ID: 05000015 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 27 Completed Date: 9/12/2023 Age: From 3 To 4 Total Minutes: 123 Time In: 10:12 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, Childcare Consultant with Missy Burgess, Administrator. Your program currently operates with a FIVE (5) Star license issued 3/11/19. Restrictions include 1st shift daytime care only; Meets enhanced space; Meeting reduced ratios. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 9/10/23 and Blue Ridge Opportunity Commission was listed as current and active. The program’s compliance history was 98% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. On the outdoor playground, the new play structure has been installed. The manufacturer’s instructions were on file and observed. There is a space between the gate and the fence that is over 3 inches. The top of the opening measures 4 inches and the bottom of the opening measures 4.5 inches. Please make sure the opening is no more than 3 inches. There is a wooden piece at the bottom of the step going out of the covered shelter that needs replacing. This is a tripping hazard for the children. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice center play, outdoor play, and eating lunch. Teachers were arms-length from the children while eating. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum with Teaching Strategies Gold for lesson plans. The last annual compliance visit was conducted on 10/4/22. A sanitation inspection was completed 5/9/23 with a Superior classification and six (6) demerits. The last fire inspection was conducted 10/17/22. I received a copy of this inspection on the visit today. Program records and required postings were monitored. A fire drill was conducted on 10/17/22. A lockdown drill was documented on 8/29/23. An outdoor inspection was documented on 9/6/23. Five (5) staff files including three (3) new staff and three (3) children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. There was one (1) allergy to watermelon in Space A and no medications. In Space B there were no children allergies, but one staff has an allergy to a medication with an Epi-Pen. There was one (1) inhaler in Space B. No violations were cited for medications. You stated that you do provide transportation in the am and pm for the Head Start children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored one (1) vehicle today. I observed a 2002 Chevrolet Head Start bus # 8. The license plate is CEF-4613 and expires 12/23. This vehicle was clean, in good repair, had working seatbelts and car seats are labeled with dates of purchase. The bus had adequate tire tread, and was current on inspection and insurance. The insurance is with Selective Insurance Co. S. E. and expirees 7/1/24. Your next inspection date on this vehicle is due 12/23 and the insurance is valid through 7/1/24. I observed boarding and departing documentation as well as children’s emergency information. The children’s emergency information is brought in daily off the bus and then goes back out to the bus on each transport. I received copies of the two (2) bus driver's licenses. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The space between the fence and the gate going to the playground was 4 inches at the top and 4.5 inches at the bottom. The space should be no more than 3 inches. There is a loose wooden piece at the bottom of the step going out of the covered shelter area that needs repair. This is a tripping hazard. 10A NCAC 09 .0601(a) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Tuesday, September 26, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • You are in Cohort 2 for license reassessment, which means your prep year will be 7/1/24-6/30/25 and your license reassessment year will be 7/1/25-6/30/26. • You received an email from me on 6/28/23 informing you about the cohorts. You will receive more detailed information with tasks and activities to complete as it gets closer to your prep year. • Review and familiarize yourself with the new sanitation rules effective July 1, 2023, and plan to attend one of the two virtual trainings on Sept. 20 or Sept 26, both are from 9-11:30 am. You received an email form me on 8/24/23 informing you about these trainings. Make sure your “clean-up” crew is ready to go and specific jobs have been assigned. • Go to the EPR portal to review your EPR plan and make and changes or updates that are needed. Then print the 1st page with the date for documentation of updates. Next, review any updates or changes with your staff at staff meeting. • Grass needs cutting as it is getting high for children. • The green child’s chair in home living is starting to show wear. Keep a watch on this. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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.

NC GS 110-90 · Violation

Name of Operation: ASHE COUNTY HEAD START SIZEMORE CENTER Facility ID: 05000015 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 27 Completed Date: 9/12/2023 Age: From 3 To 4 Total Minutes: 123 Time In: 10:12 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, Childcare Consultant with Missy Burgess, Administrator. Your program currently operates with a FIVE (5) Star license issued 3/11/19. Restrictions include 1st shift daytime care only; Meets enhanced space; Meeting reduced ratios. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 9/10/23 and Blue Ridge Opportunity Commission was listed as current and active. The program’s compliance history was 98% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. On the outdoor playground, the new play structure has been installed. The manufacturer’s instructions were on file and observed. There is a space between the gate and the fence that is over 3 inches. The top of the opening measures 4 inches and the bottom of the opening measures 4.5 inches. Please make sure the opening is no more than 3 inches. There is a wooden piece at the bottom of the step going out of the covered shelter that needs replacing. This is a tripping hazard for the children. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice center play, outdoor play, and eating lunch. Teachers were arms-length from the children while eating. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum with Teaching Strategies Gold for lesson plans. The last annual compliance visit was conducted on 10/4/22. A sanitation inspection was completed 5/9/23 with a Superior classification and six (6) demerits. The last fire inspection was conducted 10/17/22. I received a copy of this inspection on the visit today. Program records and required postings were monitored. A fire drill was conducted on 10/17/22. A lockdown drill was documented on 8/29/23. An outdoor inspection was documented on 9/6/23. Five (5) staff files including three (3) new staff and three (3) children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. There was one (1) allergy to watermelon in Space A and no medications. In Space B there were no children allergies, but one staff has an allergy to a medication with an Epi-Pen. There was one (1) inhaler in Space B. No violations were cited for medications. You stated that you do provide transportation in the am and pm for the Head Start children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored one (1) vehicle today. I observed a 2002 Chevrolet Head Start bus # 8. The license plate is CEF-4613 and expires 12/23. This vehicle was clean, in good repair, had working seatbelts and car seats are labeled with dates of purchase. The bus had adequate tire tread, and was current on inspection and insurance. The insurance is with Selective Insurance Co. S. E. and expirees 7/1/24. Your next inspection date on this vehicle is due 12/23 and the insurance is valid through 7/1/24. I observed boarding and departing documentation as well as children’s emergency information. The children’s emergency information is brought in daily off the bus and then goes back out to the bus on each transport. I received copies of the two (2) bus driver's licenses. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The space between the fence and the gate going to the playground was 4 inches at the top and 4.5 inches at the bottom. The space should be no more than 3 inches. There is a loose wooden piece at the bottom of the step going out of the covered shelter area that needs repair. This is a tripping hazard. 10A NCAC 09 .0601(a) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Tuesday, September 26, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • You are in Cohort 2 for license reassessment, which means your prep year will be 7/1/24-6/30/25 and your license reassessment year will be 7/1/25-6/30/26. • You received an email from me on 6/28/23 informing you about the cohorts. You will receive more detailed information with tasks and activities to complete as it gets closer to your prep year. • Review and familiarize yourself with the new sanitation rules effective July 1, 2023, and plan to attend one of the two virtual trainings on Sept. 20 or Sept 26, both are from 9-11:30 am. You received an email form me on 8/24/23 informing you about these trainings. Make sure your “clean-up” crew is ready to go and specific jobs have been assigned. • Go to the EPR portal to review your EPR plan and make and changes or updates that are needed. Then print the 1st page with the date for documentation of updates. Next, review any updates or changes with your staff at staff meeting. • Grass needs cutting as it is getting high for children. • The green child’s chair in home living is starting to show wear. Keep a watch on this. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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