NC GS 110-90 · Violation

Name of Operation: HOPE CHAPEL ACADEMY Facility ID: 13000611 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: 0425-144L Visit Date: 4/17/2025 Number Present: 101 Completed Date: 4/17/2025 Age: From 0 To 9 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. You, Donna Smith, Director, assisted me with the visit. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored during today’s visit. The allegations are as follows: There are allegations of violations of child care requirements regarding supervision and children’s records related to incident reports. I visited a one-year-old classroom and a two-year-old classroom during today’s visit. Children were observed engaging in free choice and teacher directed activities indoors and outdoors, story time, meal time, routine care taking routines and staff/child interaction. I spoke with you and asked if you had any concerns regarding supervision. You stated you do not currently have any concerns regarding supervision. I interviewed two additional staff members who stated biting incidents have been occurring in their classrooms, however, both staff members stated that the children were being supervised when those biting incidents occurred. Both staff members stated that when the biting incidents occurred they went over to the children who were bit and immediately attended to the children, which included icing the area where the bite occurred. Both staff members also stated that the child who did the biting is sat down and spoken to about the incident. I was unable to confirm the allegation based on information received from interviewed staff during today’s visit. Therefore, the allegation regarding supervision was unsubstantiated. I spoke with you and asked if you had any concerns regarding children’s records. You stated there have been biting incidents that occurred recently at the facility, but you stated that incident reports have been completed for all biting incidents. I interviewed two additional staff members who stated that when an incident of biting occurs, after assisting the children who were involved in the biting incident, parents are informed and an incident report is completed. I reviewed two incident reports today from April 8, 2025 and April 9, 2025. Both incident reports did not have all of the required information completed and one incident report did not have a parent signature, and I was informed by a staff member that the incident report was never given to the parent when the parent arrived to pick their child up that day who had been bitten. I was able to confirm the allegation based on information received from interviewed staff and observations during today’s visit. Therefore, the allegation regarding children’s records is substantiated. The following violation was cited during today’s visit: Violation Number Comment Rule 1952 A copy of the incident report was not given to the parent. A copy of the incident reports dated 4/8/25 and 4/9/25 were not given to the parent of a child on the date they were completed. The 4/9/25 incident report was not signed by the parent. .0802(e) Technical Assistance was provided on the following: Please remind staff to complete incident reports in their entirety, review incident reports with parents, and have parents sign and give them a copy per child care rule .0802(e). This should take place the same day of the incident occurs. It is recommended that the administrator review child care rule .0802(e) as well as how to complete an incident report with all staff during the next staff meeting. A current incident report can be found on the DCDEE’s website under Provider, Provider Documents and Forms. Consultation was provided on the following: If a parent refuses to sign an incident report, after reviewing it with them, document when the incident report was reviewed with the parent, in addition to documenting that the parent has refused to sign the incident report. Sign and date the statement. 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. The violation(s) documented must be corrected immediately. On or before May 1, 2025 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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 sufficient information is not received by the due date, a follow-up visit may be conducted. Email the information to: brittany.j.adams@dhhs.nc.gov You may contact me by phone at (704) 594-0049 or by email at brittany.j.adams@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: HOPE CHAPEL ACADEMY Facility ID: 13000611 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 10/23/2024 Number Present: 78 Completed Date: 10/23/2024 Age: From 0 To 5 Total Minutes: 253 Time In: 10:27 AM Time Out: 02:40 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, Donna Smith, Director, assisted me with today’s visit. The last annual compliance visit was conducted on June 5, 2024. The last sanitation inspection was completed on January 30, 2024. The last fire inspection was conducted April 30, 2024. Your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 84% prior to today’s visit. The center's three star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor environment was completed. Children were observed engaged in free choice activities outdoors, story time, caretaking routines, staff/child interaction, meal time and rest time. Fire drills are being completed monthly as required. Emergency drills are being conducted every three months as required. Incident logs were monitored during today’s visit. Playground inspections are being conducted monthly. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. Medications, Permission to Administer forms, and medical action plans were monitored during today’s visit and found to be in compliance. All staff files were monitored for criminal background checks, First Aid/CPR, Recognizing and Responding, ITS/SIDS and BSAC during today’s visit. The following violations were documented today: Violation Number Comment Rule 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member hired on 5/28/24 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of their hire date and did not have a copy on file and available for review. .1102(g) Technical Assistance was provided on the following: We discussed reviewing staff and training worksheets monthly to ensure worksheets are completed in their entirety and kept up to date. Reviewing these worksheets monthly will also ensure that all required staff trainings are completed on time. Consultation was provided on the following: We discussed teachers not stacking chairs on tables in classrooms where there are small children, such as those under 2 years of age. This will ensure children’s safety in the classroom. We discussed not turning toy shelves around in the classrooms, making toys inaccessible to children, even if children will be engaging in a large group gross motor activity. Toys need to be accessible to children throughout the day, allowing them to engage in free choice activities. We discussed reviewing the EPR plan annually or whenever a change or update to the plan is needed, including but not limited to when the facility receives a new child care consultant. We discussed replacing the 2021 Summary of Laws on the bulletin board at the front entrance with the updated 2023 copy. 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. The violation(s) documented must be corrected immediately. On or before November 6, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please include the facility name and id # on this document. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brittany Adams, Child Care Consultant PO Box 470753 Charlotte, NC 28247 Email: brittany.j.adams@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: name, position, facility name, and facility ID number. You may contact me by phone at (704) 594-0049 or by email at brittany.j.adams@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: HOPE CHAPEL ACADEMY Facility ID: 13000611 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 88 Completed Date: 6/5/2024 Age: From 0 To 12 Total Minutes: 445 Time In: 09:35 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Donna Smith, Director, assisted me with today’s visit. The last sanitation inspection was completed on January 30, 2024 with a Superior classification. The last fire inspection was conducted April 30, 2024 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 84% percent prior to today’s visit. The center's three star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in story time, free play, outdoor play, meal time and rest time. Fire drills are being completed monthly as required. Emergency drills are being conducted every three months as required. Incident logs were monitored during today’s visit. Incident reports are being filed in children’s individual files. Playground inspections are being conducted monthly. Your playground meets child care safety standards. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. Medications, permission to administer forms, and medical action plans were monitored today. A selection of staff files and children’s files were monitored during today’s visit. Transportation and applicable documents were monitored today and found to be in compliance. The following violations were documented today: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space 4 there was a feeding plan without a parent signature and date. .0902(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space 9 a child did not have a permission to administer medication form on file for their diaper cream. 10A NCAC 09 .0803(1)(a & b) Technical Assistance was provided on the following: We discussed checking infant feeding schedules after receiving them from the parent, to ensure all required information is filled out and the form is signed and dated. We discussed checking ointments and medications in the classroom monthly to ensure that all ointments and medications have a completed and up to date permission to administer form. Consultation was provided on the following: We discussed checking permission to administer forms in the classrooms to ensure that forms have a specific amount listed such as dime size, pea size and quarter size. We discussed checking ointments in the classroom to ensure that ointments are labeled with children’s names in case the ointment gets separated from the permission to administer form or from the bag it is in. We discussed ensuring that all plastic sleeves containing diapers are 5 feet up in classrooms with children under the age of 3 or placed in a locked cabinet. 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. The violation(s) documented must be corrected immediately. On or before 6/19/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brittany Adams, Child Care Consultant PO Box 470753 Charlotte, NC 28247 Email: brittany.j.adams@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: name, position, facility name, and facility ID number. You may contact me by phone at (704) 594-0049 or by email at brittany.j.adams@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: HOPE CHAPEL ACADEMY Facility ID: 13000611 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 88 Completed Date: 6/5/2024 Age: From 0 To 12 Total Minutes: 445 Time In: 09:35 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Donna Smith, Director, assisted me with today’s visit. The last sanitation inspection was completed on January 30, 2024 with a Superior classification. The last fire inspection was conducted April 30, 2024 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 84% percent prior to today’s visit. The center's three star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in story time, free play, outdoor play, meal time and rest time. Fire drills are being completed monthly as required. Emergency drills are being conducted every three months as required. Incident logs were monitored during today’s visit. Incident reports are being filed in children’s individual files. Playground inspections are being conducted monthly. Your playground meets child care safety standards. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. Medications, permission to administer forms, and medical action plans were monitored today. A selection of staff files and children’s files were monitored during today’s visit. Transportation and applicable documents were monitored today and found to be in compliance. The following violations were documented today: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space 4 there was a feeding plan without a parent signature and date. .0902(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space 9 a child did not have a permission to administer medication form on file for their diaper cream. 10A NCAC 09 .0803(1)(a & b) Technical Assistance was provided on the following: We discussed checking infant feeding schedules after receiving them from the parent, to ensure all required information is filled out and the form is signed and dated. We discussed checking ointments and medications in the classroom monthly to ensure that all ointments and medications have a completed and up to date permission to administer form. Consultation was provided on the following: We discussed checking permission to administer forms in the classrooms to ensure that forms have a specific amount listed such as dime size, pea size and quarter size. We discussed checking ointments in the classroom to ensure that ointments are labeled with children’s names in case the ointment gets separated from the permission to administer form or from the bag it is in. We discussed ensuring that all plastic sleeves containing diapers are 5 feet up in classrooms with children under the age of 3 or placed in a locked cabinet. 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. The violation(s) documented must be corrected immediately. On or before 6/19/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brittany Adams, Child Care Consultant PO Box 470753 Charlotte, NC 28247 Email: brittany.j.adams@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: name, position, facility name, and facility ID number. You may contact me by phone at (704) 594-0049 or by email at brittany.j.adams@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. 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 .0514 · Violation

Name of Operation: HOPE CHAPEL ACADEMY Facility ID: 13000611 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 11/9/2023 Number Present: 69 Completed Date: 11/9/2023 Age: From 0 To 12 Total Minutes: 446 Time In: 09:19 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance all applicable child care requirements during the 3rd temporary time period visit. You Donna Smith, Director, greeted me, Meria Wilder, Child Care Consultant, upon arrival and I completed the walkthrough of your facility independently. Your 2nd temporary time period visit was conducted on September 22, 2023. Your compliance history prior to today’s visit was 91%. Your business Hope Chapel was checked in the NC Secretary of State and was listed as current and active. The following was prominently displayed in the foyer area: NC Summary of Child Care Law, First Aid Information, Emergency Phone Numbers, Safe Arrival and Departure procedures, Tobacco Free signage, Emergency Medical Care Plan, Sanitation Inspection, and menu. Your program currently operates with a temporary license issued June 12, 2023, and operates with the following restrictions: Daytime Care only. I observed the most recent playground inspection report dated October 30, 2023, the most recent shelter in place emergency drill to be dated August 22, 2023, the most recent sanitation inspection report dated May 4, 2023. I observed your printed Emergency Preparedness and Response Plan to be dated October 2023. I observed your incident report log and found children’s incident reports to be current and logged with the children’s records. I observed adequate supervision, group size, space capacity and staff child ratios. I observed no hazardous materials accessible to children. I observed materials in good repair, child sized, of sufficient quantity, and to be developmentally appropriate. I observed children being cared for in a positive and nurturing way. I monitored your indoor and outdoor spaces. I observed feeding plans and safe sleep checks being conducted and documented in classrooms where infants are cared for. I observed the menu to be posted and current. I observed children being served spaghetti with meat sauce, whole wheat bread, mandarin oranges, corn and 1% milk. I monitored 2 new staff files of staff members that were hired since your second temporary time period visit, and 7 existing staff files. I monitored a random sampling of children’s records. I monitored 32 medications during today’s visit. During your 2nd temporary time period visit conducted on September 22, 2023, your rated license information was reviewed with you, and you stated that due to the facility going through a change of location and being under SB570- Hold Harmless Star Ratings, the previous points achieved from the facilities last star rated license assessment will be used to issue a star rating at the end of the temporary license. This facility will be expected to go through the star rated reassessment during the cohort year established under the previous facility license and identification number. Rated License Summary: Program Standards The Application for Assessment for a Two Component Star Rated License form was reviewed and signed by the director during the September 22, 2023visit. You stated that you do not wish to request the environmental rating scale to be completed. The facility completed the ITERS-R assessment on 9/9/19 and received an average score of 5.27. The facility completed the ECERS-R assessment on 9/11/19 and received an average score of 4.77. The facility earned an average score of 5.02 on the Environmental Rating Scale. You stated that you want to use the points that your previous facility earned on their star rated license. The facility has earned 6 points in program standards. Education Standards: There are a total of 5 lead teachers required. The facility earns 1 point in education from your previous location’s star rated license. Quality Option: The facility has earned a quality point by having a staff benefit package and infrastructure or parent involvement approved by a previous Child Care Consultant. A total of 8 points will be earned for a three-star rated license at the end of your temporary license which will expire on December 12, 2023, and your three- star rated license will be sent to you by mail from the Raleigh office. The following violations were cited during today’s visit. Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 402 (1) Epi-pen was not in it's original packaging. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space 410 medication authorization forms for three (3) medications (2) containers of Eucerine and (1) Tylenol did not have all required information. In space 305 medication authorization forms for (3) medications: (2) authorization forms for diaper creams did not identify a sizable dosage amount. In space 303 medication authorization forms for (1) medication: (1) authorization forms for diaper creams did not identify a sizable dosage amount. In space 301 medication authorization forms for (2) medications: (2) authorization forms for diaper creams did not identify a sizable dosage amount. 10A NCAC 09 .0803(4)(6-9) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One child with a birthdate of 6/20/2023 did not an acknowledgement statement on file that was signed by the parent. 10A NCAC 09 .0606(c) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member with a hire date of 7/6/2022 did not complete an annual staff evaluation by 7/6/23. 10A NCAC 09 .0514(f) 1319 Medical authorizations were not accessible to staff. In space 402 medication authorization forms for 2 emergency medications (Albuterol HFA and an Epi-pen) were not available for review. In space 410 medication authorization forms for 2 emergency medications (Albuterol Sulfate Solution 0.083%) was not available for review. .0802(d) 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 with a hire date of 7/12/2023 had medical information stored with their personnel file. .0701(d) 1898 Staff did not complete the health and safety training within one year of employment. . One staff member with a hire date of 3/17/22 did not complete all required health and safety topics. .1102(a) Technical Assistance: • All Health and Safety Topics must be completed within one year of being hire. One staff member with a hire date of 3/17/22 did not complete all required health and safety topics. Be sure to utilize the staff file checklist that can be found on the DCDEE website to monitor staff files and to ensure that all required training is completed within the specified time frame. • An annual staff evaluation is to be completed annually. One staff member with a hire date of 7/6/2022 did not complete an annual staff evaluation by 7/6/23. Be sure to utilize the staff file checklist that can be found on the DCDEE website to monitor staff files and to ensure that all required training is completed within the specified time frame. • All staff health information should be stored in a file separate from the staff member’s personnel file. One staff member with a hire date of 7/12/2023 had medical information stored with their personnel file. Be sure to review staff files periodically to ensure that file information is stored properly according to child care rule. • Signed and dated statement by the parent acknowledging receipt and explanation of safe sleep policy. One child with a birthdate of 6/20/2023 did not an acknowledgement statement on file that was signed by the parent. Prior to accepting application information from parents prior to children’s enrollment please ensure that all documentation is accurate and complete without any blank spaces being left. If a statement does not apply have the parent acknowledge that item with “N/A”. • Children’s Medical report is required to be on file within 30 days of the child’s enrollment. One child with the date of birth 8/13/2023 did not have a medical report on file signed by a physician. Prior to accepting paperwork from parents please ensure that all documentation is accurate and complete without any blank spaces being left. If a statement does not apply have the parent acknowledge that item with “N/A”. • Medication Authorization forms should be completed with all required information. Ten medication authorization forms that were monitored did not have all required information. Prior to accepting paperwork from parents please ensure that all documentation is accurate and complete without any blank spaces being left. If a statement does not apply have the parent acknowledge that item with “N/A”. 1. In space 410, 3 medication authorization forms did not have all required information listed. 2. In space 402, 2 emergency medications did not have a permission to administer form on file, and one emergency medication was not in its original packaging. 3. In space 305, 4 over the counter medication did not have all required information listed on the permission to administer form and, 1 medication was not labeled with the child’s name. 4. In space 303, 1 diaper cream was not labeled with the child’s name. In space 301, 2 diaper creams did not identify a sizable dosage amount. Child care programs are expected to achieve and maintain compliance at all times and are required to 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 must be corrected immediately. On or before November 23, 2023, I must receive a written, dated and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. Consultation: We discussed that your facility is listed in Cohort 2. The planning year for your facility is set to begin July 1, 2024, through June 30, 2025. The reassessment year is set to begin July 1, 2025, through June 30, 2026. 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. Email information to: Meria Wilder, Child Care Consultant P.O. Box 6591 Statesville, NC 28677 Email: 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: 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 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0606 · Violation

Name of Operation: HOPE CHAPEL ACADEMY Facility ID: 13000611 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 11/9/2023 Number Present: 69 Completed Date: 11/9/2023 Age: From 0 To 12 Total Minutes: 446 Time In: 09:19 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance all applicable child care requirements during the 3rd temporary time period visit. You Donna Smith, Director, greeted me, Meria Wilder, Child Care Consultant, upon arrival and I completed the walkthrough of your facility independently. Your 2nd temporary time period visit was conducted on September 22, 2023. Your compliance history prior to today’s visit was 91%. Your business Hope Chapel was checked in the NC Secretary of State and was listed as current and active. The following was prominently displayed in the foyer area: NC Summary of Child Care Law, First Aid Information, Emergency Phone Numbers, Safe Arrival and Departure procedures, Tobacco Free signage, Emergency Medical Care Plan, Sanitation Inspection, and menu. Your program currently operates with a temporary license issued June 12, 2023, and operates with the following restrictions: Daytime Care only. I observed the most recent playground inspection report dated October 30, 2023, the most recent shelter in place emergency drill to be dated August 22, 2023, the most recent sanitation inspection report dated May 4, 2023. I observed your printed Emergency Preparedness and Response Plan to be dated October 2023. I observed your incident report log and found children’s incident reports to be current and logged with the children’s records. I observed adequate supervision, group size, space capacity and staff child ratios. I observed no hazardous materials accessible to children. I observed materials in good repair, child sized, of sufficient quantity, and to be developmentally appropriate. I observed children being cared for in a positive and nurturing way. I monitored your indoor and outdoor spaces. I observed feeding plans and safe sleep checks being conducted and documented in classrooms where infants are cared for. I observed the menu to be posted and current. I observed children being served spaghetti with meat sauce, whole wheat bread, mandarin oranges, corn and 1% milk. I monitored 2 new staff files of staff members that were hired since your second temporary time period visit, and 7 existing staff files. I monitored a random sampling of children’s records. I monitored 32 medications during today’s visit. During your 2nd temporary time period visit conducted on September 22, 2023, your rated license information was reviewed with you, and you stated that due to the facility going through a change of location and being under SB570- Hold Harmless Star Ratings, the previous points achieved from the facilities last star rated license assessment will be used to issue a star rating at the end of the temporary license. This facility will be expected to go through the star rated reassessment during the cohort year established under the previous facility license and identification number. Rated License Summary: Program Standards The Application for Assessment for a Two Component Star Rated License form was reviewed and signed by the director during the September 22, 2023visit. You stated that you do not wish to request the environmental rating scale to be completed. The facility completed the ITERS-R assessment on 9/9/19 and received an average score of 5.27. The facility completed the ECERS-R assessment on 9/11/19 and received an average score of 4.77. The facility earned an average score of 5.02 on the Environmental Rating Scale. You stated that you want to use the points that your previous facility earned on their star rated license. The facility has earned 6 points in program standards. Education Standards: There are a total of 5 lead teachers required. The facility earns 1 point in education from your previous location’s star rated license. Quality Option: The facility has earned a quality point by having a staff benefit package and infrastructure or parent involvement approved by a previous Child Care Consultant. A total of 8 points will be earned for a three-star rated license at the end of your temporary license which will expire on December 12, 2023, and your three- star rated license will be sent to you by mail from the Raleigh office. The following violations were cited during today’s visit. Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 402 (1) Epi-pen was not in it's original packaging. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space 410 medication authorization forms for three (3) medications (2) containers of Eucerine and (1) Tylenol did not have all required information. In space 305 medication authorization forms for (3) medications: (2) authorization forms for diaper creams did not identify a sizable dosage amount. In space 303 medication authorization forms for (1) medication: (1) authorization forms for diaper creams did not identify a sizable dosage amount. In space 301 medication authorization forms for (2) medications: (2) authorization forms for diaper creams did not identify a sizable dosage amount. 10A NCAC 09 .0803(4)(6-9) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One child with a birthdate of 6/20/2023 did not an acknowledgement statement on file that was signed by the parent. 10A NCAC 09 .0606(c) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member with a hire date of 7/6/2022 did not complete an annual staff evaluation by 7/6/23. 10A NCAC 09 .0514(f) 1319 Medical authorizations were not accessible to staff. In space 402 medication authorization forms for 2 emergency medications (Albuterol HFA and an Epi-pen) were not available for review. In space 410 medication authorization forms for 2 emergency medications (Albuterol Sulfate Solution 0.083%) was not available for review. .0802(d) 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 with a hire date of 7/12/2023 had medical information stored with their personnel file. .0701(d) 1898 Staff did not complete the health and safety training within one year of employment. . One staff member with a hire date of 3/17/22 did not complete all required health and safety topics. .1102(a) Technical Assistance: • All Health and Safety Topics must be completed within one year of being hire. One staff member with a hire date of 3/17/22 did not complete all required health and safety topics. Be sure to utilize the staff file checklist that can be found on the DCDEE website to monitor staff files and to ensure that all required training is completed within the specified time frame. • An annual staff evaluation is to be completed annually. One staff member with a hire date of 7/6/2022 did not complete an annual staff evaluation by 7/6/23. Be sure to utilize the staff file checklist that can be found on the DCDEE website to monitor staff files and to ensure that all required training is completed within the specified time frame. • All staff health information should be stored in a file separate from the staff member’s personnel file. One staff member with a hire date of 7/12/2023 had medical information stored with their personnel file. Be sure to review staff files periodically to ensure that file information is stored properly according to child care rule. • Signed and dated statement by the parent acknowledging receipt and explanation of safe sleep policy. One child with a birthdate of 6/20/2023 did not an acknowledgement statement on file that was signed by the parent. Prior to accepting application information from parents prior to children’s enrollment please ensure that all documentation is accurate and complete without any blank spaces being left. If a statement does not apply have the parent acknowledge that item with “N/A”. • Children’s Medical report is required to be on file within 30 days of the child’s enrollment. One child with the date of birth 8/13/2023 did not have a medical report on file signed by a physician. Prior to accepting paperwork from parents please ensure that all documentation is accurate and complete without any blank spaces being left. If a statement does not apply have the parent acknowledge that item with “N/A”. • Medication Authorization forms should be completed with all required information. Ten medication authorization forms that were monitored did not have all required information. Prior to accepting paperwork from parents please ensure that all documentation is accurate and complete without any blank spaces being left. If a statement does not apply have the parent acknowledge that item with “N/A”. 1. In space 410, 3 medication authorization forms did not have all required information listed. 2. In space 402, 2 emergency medications did not have a permission to administer form on file, and one emergency medication was not in its original packaging. 3. In space 305, 4 over the counter medication did not have all required information listed on the permission to administer form and, 1 medication was not labeled with the child’s name. 4. In space 303, 1 diaper cream was not labeled with the child’s name. In space 301, 2 diaper creams did not identify a sizable dosage amount. Child care programs are expected to achieve and maintain compliance at all times and are required to 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 must be corrected immediately. On or before November 23, 2023, I must receive a written, dated and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. Consultation: We discussed that your facility is listed in Cohort 2. The planning year for your facility is set to begin July 1, 2024, through June 30, 2025. The reassessment year is set to begin July 1, 2025, through June 30, 2026. 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. Email information to: Meria Wilder, Child Care Consultant P.O. Box 6591 Statesville, NC 28677 Email: 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: 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 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

10A NCAC 09 .0803 · Violation

Name of Operation: HOPE CHAPEL ACADEMY Facility ID: 13000611 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 11/9/2023 Number Present: 69 Completed Date: 11/9/2023 Age: From 0 To 12 Total Minutes: 446 Time In: 09:19 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance all applicable child care requirements during the 3rd temporary time period visit. You Donna Smith, Director, greeted me, Meria Wilder, Child Care Consultant, upon arrival and I completed the walkthrough of your facility independently. Your 2nd temporary time period visit was conducted on September 22, 2023. Your compliance history prior to today’s visit was 91%. Your business Hope Chapel was checked in the NC Secretary of State and was listed as current and active. The following was prominently displayed in the foyer area: NC Summary of Child Care Law, First Aid Information, Emergency Phone Numbers, Safe Arrival and Departure procedures, Tobacco Free signage, Emergency Medical Care Plan, Sanitation Inspection, and menu. Your program currently operates with a temporary license issued June 12, 2023, and operates with the following restrictions: Daytime Care only. I observed the most recent playground inspection report dated October 30, 2023, the most recent shelter in place emergency drill to be dated August 22, 2023, the most recent sanitation inspection report dated May 4, 2023. I observed your printed Emergency Preparedness and Response Plan to be dated October 2023. I observed your incident report log and found children’s incident reports to be current and logged with the children’s records. I observed adequate supervision, group size, space capacity and staff child ratios. I observed no hazardous materials accessible to children. I observed materials in good repair, child sized, of sufficient quantity, and to be developmentally appropriate. I observed children being cared for in a positive and nurturing way. I monitored your indoor and outdoor spaces. I observed feeding plans and safe sleep checks being conducted and documented in classrooms where infants are cared for. I observed the menu to be posted and current. I observed children being served spaghetti with meat sauce, whole wheat bread, mandarin oranges, corn and 1% milk. I monitored 2 new staff files of staff members that were hired since your second temporary time period visit, and 7 existing staff files. I monitored a random sampling of children’s records. I monitored 32 medications during today’s visit. During your 2nd temporary time period visit conducted on September 22, 2023, your rated license information was reviewed with you, and you stated that due to the facility going through a change of location and being under SB570- Hold Harmless Star Ratings, the previous points achieved from the facilities last star rated license assessment will be used to issue a star rating at the end of the temporary license. This facility will be expected to go through the star rated reassessment during the cohort year established under the previous facility license and identification number. Rated License Summary: Program Standards The Application for Assessment for a Two Component Star Rated License form was reviewed and signed by the director during the September 22, 2023visit. You stated that you do not wish to request the environmental rating scale to be completed. The facility completed the ITERS-R assessment on 9/9/19 and received an average score of 5.27. The facility completed the ECERS-R assessment on 9/11/19 and received an average score of 4.77. The facility earned an average score of 5.02 on the Environmental Rating Scale. You stated that you want to use the points that your previous facility earned on their star rated license. The facility has earned 6 points in program standards. Education Standards: There are a total of 5 lead teachers required. The facility earns 1 point in education from your previous location’s star rated license. Quality Option: The facility has earned a quality point by having a staff benefit package and infrastructure or parent involvement approved by a previous Child Care Consultant. A total of 8 points will be earned for a three-star rated license at the end of your temporary license which will expire on December 12, 2023, and your three- star rated license will be sent to you by mail from the Raleigh office. The following violations were cited during today’s visit. Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 402 (1) Epi-pen was not in it's original packaging. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space 410 medication authorization forms for three (3) medications (2) containers of Eucerine and (1) Tylenol did not have all required information. In space 305 medication authorization forms for (3) medications: (2) authorization forms for diaper creams did not identify a sizable dosage amount. In space 303 medication authorization forms for (1) medication: (1) authorization forms for diaper creams did not identify a sizable dosage amount. In space 301 medication authorization forms for (2) medications: (2) authorization forms for diaper creams did not identify a sizable dosage amount. 10A NCAC 09 .0803(4)(6-9) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One child with a birthdate of 6/20/2023 did not an acknowledgement statement on file that was signed by the parent. 10A NCAC 09 .0606(c) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member with a hire date of 7/6/2022 did not complete an annual staff evaluation by 7/6/23. 10A NCAC 09 .0514(f) 1319 Medical authorizations were not accessible to staff. In space 402 medication authorization forms for 2 emergency medications (Albuterol HFA and an Epi-pen) were not available for review. In space 410 medication authorization forms for 2 emergency medications (Albuterol Sulfate Solution 0.083%) was not available for review. .0802(d) 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 with a hire date of 7/12/2023 had medical information stored with their personnel file. .0701(d) 1898 Staff did not complete the health and safety training within one year of employment. . One staff member with a hire date of 3/17/22 did not complete all required health and safety topics. .1102(a) Technical Assistance: • All Health and Safety Topics must be completed within one year of being hire. One staff member with a hire date of 3/17/22 did not complete all required health and safety topics. Be sure to utilize the staff file checklist that can be found on the DCDEE website to monitor staff files and to ensure that all required training is completed within the specified time frame. • An annual staff evaluation is to be completed annually. One staff member with a hire date of 7/6/2022 did not complete an annual staff evaluation by 7/6/23. Be sure to utilize the staff file checklist that can be found on the DCDEE website to monitor staff files and to ensure that all required training is completed within the specified time frame. • All staff health information should be stored in a file separate from the staff member’s personnel file. One staff member with a hire date of 7/12/2023 had medical information stored with their personnel file. Be sure to review staff files periodically to ensure that file information is stored properly according to child care rule. • Signed and dated statement by the parent acknowledging receipt and explanation of safe sleep policy. One child with a birthdate of 6/20/2023 did not an acknowledgement statement on file that was signed by the parent. Prior to accepting application information from parents prior to children’s enrollment please ensure that all documentation is accurate and complete without any blank spaces being left. If a statement does not apply have the parent acknowledge that item with “N/A”. • Children’s Medical report is required to be on file within 30 days of the child’s enrollment. One child with the date of birth 8/13/2023 did not have a medical report on file signed by a physician. Prior to accepting paperwork from parents please ensure that all documentation is accurate and complete without any blank spaces being left. If a statement does not apply have the parent acknowledge that item with “N/A”. • Medication Authorization forms should be completed with all required information. Ten medication authorization forms that were monitored did not have all required information. Prior to accepting paperwork from parents please ensure that all documentation is accurate and complete without any blank spaces being left. If a statement does not apply have the parent acknowledge that item with “N/A”. 1. In space 410, 3 medication authorization forms did not have all required information listed. 2. In space 402, 2 emergency medications did not have a permission to administer form on file, and one emergency medication was not in its original packaging. 3. In space 305, 4 over the counter medication did not have all required information listed on the permission to administer form and, 1 medication was not labeled with the child’s name. 4. In space 303, 1 diaper cream was not labeled with the child’s name. In space 301, 2 diaper creams did not identify a sizable dosage amount. Child care programs are expected to achieve and maintain compliance at all times and are required to 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 must be corrected immediately. On or before November 23, 2023, I must receive a written, dated and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. Consultation: We discussed that your facility is listed in Cohort 2. The planning year for your facility is set to begin July 1, 2024, through June 30, 2025. The reassessment year is set to begin July 1, 2025, through June 30, 2026. 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. Email information to: Meria Wilder, Child Care Consultant P.O. Box 6591 Statesville, NC 28677 Email: 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: 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 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

NC GS 110-90 · Violation

Name of Operation: HOPE CHAPEL ACADEMY Facility ID: 13000611 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 11/9/2023 Number Present: 69 Completed Date: 11/9/2023 Age: From 0 To 12 Total Minutes: 446 Time In: 09:19 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance all applicable child care requirements during the 3rd temporary time period visit. You Donna Smith, Director, greeted me, Meria Wilder, Child Care Consultant, upon arrival and I completed the walkthrough of your facility independently. Your 2nd temporary time period visit was conducted on September 22, 2023. Your compliance history prior to today’s visit was 91%. Your business Hope Chapel was checked in the NC Secretary of State and was listed as current and active. The following was prominently displayed in the foyer area: NC Summary of Child Care Law, First Aid Information, Emergency Phone Numbers, Safe Arrival and Departure procedures, Tobacco Free signage, Emergency Medical Care Plan, Sanitation Inspection, and menu. Your program currently operates with a temporary license issued June 12, 2023, and operates with the following restrictions: Daytime Care only. I observed the most recent playground inspection report dated October 30, 2023, the most recent shelter in place emergency drill to be dated August 22, 2023, the most recent sanitation inspection report dated May 4, 2023. I observed your printed Emergency Preparedness and Response Plan to be dated October 2023. I observed your incident report log and found children’s incident reports to be current and logged with the children’s records. I observed adequate supervision, group size, space capacity and staff child ratios. I observed no hazardous materials accessible to children. I observed materials in good repair, child sized, of sufficient quantity, and to be developmentally appropriate. I observed children being cared for in a positive and nurturing way. I monitored your indoor and outdoor spaces. I observed feeding plans and safe sleep checks being conducted and documented in classrooms where infants are cared for. I observed the menu to be posted and current. I observed children being served spaghetti with meat sauce, whole wheat bread, mandarin oranges, corn and 1% milk. I monitored 2 new staff files of staff members that were hired since your second temporary time period visit, and 7 existing staff files. I monitored a random sampling of children’s records. I monitored 32 medications during today’s visit. During your 2nd temporary time period visit conducted on September 22, 2023, your rated license information was reviewed with you, and you stated that due to the facility going through a change of location and being under SB570- Hold Harmless Star Ratings, the previous points achieved from the facilities last star rated license assessment will be used to issue a star rating at the end of the temporary license. This facility will be expected to go through the star rated reassessment during the cohort year established under the previous facility license and identification number. Rated License Summary: Program Standards The Application for Assessment for a Two Component Star Rated License form was reviewed and signed by the director during the September 22, 2023visit. You stated that you do not wish to request the environmental rating scale to be completed. The facility completed the ITERS-R assessment on 9/9/19 and received an average score of 5.27. The facility completed the ECERS-R assessment on 9/11/19 and received an average score of 4.77. The facility earned an average score of 5.02 on the Environmental Rating Scale. You stated that you want to use the points that your previous facility earned on their star rated license. The facility has earned 6 points in program standards. Education Standards: There are a total of 5 lead teachers required. The facility earns 1 point in education from your previous location’s star rated license. Quality Option: The facility has earned a quality point by having a staff benefit package and infrastructure or parent involvement approved by a previous Child Care Consultant. A total of 8 points will be earned for a three-star rated license at the end of your temporary license which will expire on December 12, 2023, and your three- star rated license will be sent to you by mail from the Raleigh office. The following violations were cited during today’s visit. Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 402 (1) Epi-pen was not in it's original packaging. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space 410 medication authorization forms for three (3) medications (2) containers of Eucerine and (1) Tylenol did not have all required information. In space 305 medication authorization forms for (3) medications: (2) authorization forms for diaper creams did not identify a sizable dosage amount. In space 303 medication authorization forms for (1) medication: (1) authorization forms for diaper creams did not identify a sizable dosage amount. In space 301 medication authorization forms for (2) medications: (2) authorization forms for diaper creams did not identify a sizable dosage amount. 10A NCAC 09 .0803(4)(6-9) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One child with a birthdate of 6/20/2023 did not an acknowledgement statement on file that was signed by the parent. 10A NCAC 09 .0606(c) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member with a hire date of 7/6/2022 did not complete an annual staff evaluation by 7/6/23. 10A NCAC 09 .0514(f) 1319 Medical authorizations were not accessible to staff. In space 402 medication authorization forms for 2 emergency medications (Albuterol HFA and an Epi-pen) were not available for review. In space 410 medication authorization forms for 2 emergency medications (Albuterol Sulfate Solution 0.083%) was not available for review. .0802(d) 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 with a hire date of 7/12/2023 had medical information stored with their personnel file. .0701(d) 1898 Staff did not complete the health and safety training within one year of employment. . One staff member with a hire date of 3/17/22 did not complete all required health and safety topics. .1102(a) Technical Assistance: • All Health and Safety Topics must be completed within one year of being hire. One staff member with a hire date of 3/17/22 did not complete all required health and safety topics. Be sure to utilize the staff file checklist that can be found on the DCDEE website to monitor staff files and to ensure that all required training is completed within the specified time frame. • An annual staff evaluation is to be completed annually. One staff member with a hire date of 7/6/2022 did not complete an annual staff evaluation by 7/6/23. Be sure to utilize the staff file checklist that can be found on the DCDEE website to monitor staff files and to ensure that all required training is completed within the specified time frame. • All staff health information should be stored in a file separate from the staff member’s personnel file. One staff member with a hire date of 7/12/2023 had medical information stored with their personnel file. Be sure to review staff files periodically to ensure that file information is stored properly according to child care rule. • Signed and dated statement by the parent acknowledging receipt and explanation of safe sleep policy. One child with a birthdate of 6/20/2023 did not an acknowledgement statement on file that was signed by the parent. Prior to accepting application information from parents prior to children’s enrollment please ensure that all documentation is accurate and complete without any blank spaces being left. If a statement does not apply have the parent acknowledge that item with “N/A”. • Children’s Medical report is required to be on file within 30 days of the child’s enrollment. One child with the date of birth 8/13/2023 did not have a medical report on file signed by a physician. Prior to accepting paperwork from parents please ensure that all documentation is accurate and complete without any blank spaces being left. If a statement does not apply have the parent acknowledge that item with “N/A”. • Medication Authorization forms should be completed with all required information. Ten medication authorization forms that were monitored did not have all required information. Prior to accepting paperwork from parents please ensure that all documentation is accurate and complete without any blank spaces being left. If a statement does not apply have the parent acknowledge that item with “N/A”. 1. In space 410, 3 medication authorization forms did not have all required information listed. 2. In space 402, 2 emergency medications did not have a permission to administer form on file, and one emergency medication was not in its original packaging. 3. In space 305, 4 over the counter medication did not have all required information listed on the permission to administer form and, 1 medication was not labeled with the child’s name. 4. In space 303, 1 diaper cream was not labeled with the child’s name. In space 301, 2 diaper creams did not identify a sizable dosage amount. Child care programs are expected to achieve and maintain compliance at all times and are required to 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 must be corrected immediately. On or before November 23, 2023, I must receive a written, dated and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. Consultation: We discussed that your facility is listed in Cohort 2. The planning year for your facility is set to begin July 1, 2024, through June 30, 2025. The reassessment year is set to begin July 1, 2025, through June 30, 2026. 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. Email information to: Meria Wilder, Child Care Consultant P.O. Box 6591 Statesville, NC 28677 Email: 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: 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 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

10A NCAC 09 .0302 · Violation

Name of Operation: HOPE CHAPEL ACADEMY Facility ID: 13000611 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 9/22/2023 Number Present: 54 Completed Date: 9/22/2023 Age: From 0 To 4 Total Minutes: 327 Time In: 09:33 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your program for compliance with all applicable child care requirements during the second temporary time period visit. Rebbecca Hayes, Child Care Consultant, assisted with today’s visit. You, Donna Smith, Director, assisted us with today’s visit. Your facility currently operates with a temporary license issued on June 12, 2023, with the following restrictions: daytime care only. The last sanitation inspection was completed on May 4, 2023, and you received a superior classification and two demerits. The last fire inspection was completed on, May 11, 2023, and your facility was approved for daytime care only. We observed adequate supervision, staff/child ratios, licensed capacity, and approved space used during today’s visit. We observed daily sign in and out sheets located on clipboards posted outside of each classroom. We observed attendance record sheets to be current as required. We observed your Temporary License, Safe Procedures for Arrival and Departure, current menu, sanitation inspection, Emergency Numbers, Emergency Medical Care Plan, First Aid information sheet, tobacco free policy signage, Summary of NC Child Care Law dated January 2021, evacuation plans, current daily schedules, current activity plans, staff-child ratio sheets, and allergies posted as required. We observed children engaged in free choice activities, outdoor play, small group activities, and teacher directed activities. In the infant room, we observed infants being held for bottle feeding, diapering, and handwashing procedures being followed. We observed lunch to consist of a taco with ground hamburger meat, peas, mandarin oranges, and milk. We monitored a total of 27 over-the-counter topical ointment creams, insect repellents, diapering creams, and sunscreens and their Medication Administration Permission Form for Over-The-Counter Topical Medications. We monitored a total of 5 prescription emergency medications and the Medical Action Plan. We monitored 1 prescription topical ointment We monitored 1 over-the-counter We observed monthly outdoor inspections documented on the Playground Inspection Checklist. We observed your most recent outdoor inspection was conducted on August 22, 2023. We observed monthly fire drills documented on the Emergency Drill Log and Report Form for Child Care Centers. We observed the most recent fire drill was conducted on August 30, 2023, at 9:43am with one minute to eighteen seconds to evacuate. We observed the most recent emergency drill was conducted on August 22, 2023, at 9:11am with two minutes nine seconds to evacuate. We observed your incident log to be current and complete as required. Incident reports were filed in children’s individual files. We observed one new staff member that had been hired since your first temporary time period visit conducted on July 26, 2023. We monitored these new staff members files during today’s visit. We monitored five existing staff members files during today’s visit. We monitored a selection of children’s files during today’s visit. I observed no violations related to children’s files. Rated License Summary: Program Standards The Application for Assessment for a Two Component Star Rated License form was reviewed and signed by the director during today’s visit. You stated that you do not wish to request the environmental rating scale to be completed. Due to the facility going through a change of location and being under SB570- Hold Harmless Star Ratings, the previous points achieved from the facilities last star rated license assessment will be used to issue a star rating at the end of the temporary license. This facility will be expected to go through the star rated reassessment during the cohort year established under the previous facility license and identification number. The facility completed the ITERS-R assessment on 9/9/19 and received an average score of 5.27. The facility completed the ECERS-R assessment on 9/11/19 and received an average score of 4.77. The facility earned an average score of 5.02 on the Environmental Rating Scale. You stated that you want to use the points that your previous facility earned on their star rated license. The facility has earned 6 points in program standards. Education Standards: There are a total of 5 lead teachers required. The facility earns 1 point in education from your previous locations star rated license. Quality Option: The facility has earned a quality point by having a staff benefit package and infrastructure or parent involvement approved by a previous Child Care Consultant. A total of 8 points will be earned for a three-star rated license at the end of your temporary license which will expire on December 12, 2023, and your three- star rated license will be sent to you by mail from the Raleigh office. 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. In space 305 one child was not signed in by the parent upon arrival. In space 303 two children were not signed by the parent upon arrival. In space 412 two children had not been signed in by the parent upon arrival. 10A NCAC 09 .0302(d)(4) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 412 one emergency medication did not have a permission to administer form with the medication. .0803(12) The following Technical Assistance (TA) was provided during today’s visit: 1. We discussed that the facility must earn a minimum of a three-star rated license to continue to be eligible to receive DSS Subsidy. 2. We discussed that the facility must maintain a compliance history of 75% to be eligible for a star rated license. 3. We discussed ensuring that staff are double checking their sign in/out sheets to make sure that each child in attendance has been signed in or out daily. 4. We discussed ensuring that Medication Administration Permission Form for Over-The-Counter Topical Medications are completed in its entirety. 5. We discussed creating a system that allows staff the view when medications and their permission to administer medication forms expire. 6. We discussed ensuring that all children’s topical ointments are labeled with their name. 7. We discussed that it is best practice to store medication admiration forms separately and not taped on the medication or cream. This will prevent the permission form from being torn and easy to review. 8. We discussed that staff should properly clean medication cups after each use. 9. We discussed creating a system for staff personnel files to separate current years information from previous years information. This can be in the form of an “inactive file”, paper clip previous years information together, separating previous years information with a page divider, etc. 10. We discussed that menus should document the month and the appropriate date for each day listed so that it is easily visible to know what is being served each day. 11. We discussed that it is best practice to have trashcans with tight fitting liners and lids in the classrooms for infants and children under two years of age. 12. We discussed that it is best practice to leave all exit doors free of furniture and clutter. We discussed that your facility is listed in Cohort 2. The planning year for your facility is set to begin July 1, 2024, through June 30, 2025. The reassessment year is set to begin July 1, 2025, through June 30, 2026. 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. The violation(s) documented must be corrected immediately. On or before October 6, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Meria Wilder, Child Care Consultant P.O. Box 6591 Statesville, NC 28677 Email: 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: name, position, facility name, and facility ID number. 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 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: HOPE CHAPEL ACADEMY Facility ID: 13000611 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 9/22/2023 Number Present: 54 Completed Date: 9/22/2023 Age: From 0 To 4 Total Minutes: 327 Time In: 09:33 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your program for compliance with all applicable child care requirements during the second temporary time period visit. Rebbecca Hayes, Child Care Consultant, assisted with today’s visit. You, Donna Smith, Director, assisted us with today’s visit. Your facility currently operates with a temporary license issued on June 12, 2023, with the following restrictions: daytime care only. The last sanitation inspection was completed on May 4, 2023, and you received a superior classification and two demerits. The last fire inspection was completed on, May 11, 2023, and your facility was approved for daytime care only. We observed adequate supervision, staff/child ratios, licensed capacity, and approved space used during today’s visit. We observed daily sign in and out sheets located on clipboards posted outside of each classroom. We observed attendance record sheets to be current as required. We observed your Temporary License, Safe Procedures for Arrival and Departure, current menu, sanitation inspection, Emergency Numbers, Emergency Medical Care Plan, First Aid information sheet, tobacco free policy signage, Summary of NC Child Care Law dated January 2021, evacuation plans, current daily schedules, current activity plans, staff-child ratio sheets, and allergies posted as required. We observed children engaged in free choice activities, outdoor play, small group activities, and teacher directed activities. In the infant room, we observed infants being held for bottle feeding, diapering, and handwashing procedures being followed. We observed lunch to consist of a taco with ground hamburger meat, peas, mandarin oranges, and milk. We monitored a total of 27 over-the-counter topical ointment creams, insect repellents, diapering creams, and sunscreens and their Medication Administration Permission Form for Over-The-Counter Topical Medications. We monitored a total of 5 prescription emergency medications and the Medical Action Plan. We monitored 1 prescription topical ointment We monitored 1 over-the-counter We observed monthly outdoor inspections documented on the Playground Inspection Checklist. We observed your most recent outdoor inspection was conducted on August 22, 2023. We observed monthly fire drills documented on the Emergency Drill Log and Report Form for Child Care Centers. We observed the most recent fire drill was conducted on August 30, 2023, at 9:43am with one minute to eighteen seconds to evacuate. We observed the most recent emergency drill was conducted on August 22, 2023, at 9:11am with two minutes nine seconds to evacuate. We observed your incident log to be current and complete as required. Incident reports were filed in children’s individual files. We observed one new staff member that had been hired since your first temporary time period visit conducted on July 26, 2023. We monitored these new staff members files during today’s visit. We monitored five existing staff members files during today’s visit. We monitored a selection of children’s files during today’s visit. I observed no violations related to children’s files. Rated License Summary: Program Standards The Application for Assessment for a Two Component Star Rated License form was reviewed and signed by the director during today’s visit. You stated that you do not wish to request the environmental rating scale to be completed. Due to the facility going through a change of location and being under SB570- Hold Harmless Star Ratings, the previous points achieved from the facilities last star rated license assessment will be used to issue a star rating at the end of the temporary license. This facility will be expected to go through the star rated reassessment during the cohort year established under the previous facility license and identification number. The facility completed the ITERS-R assessment on 9/9/19 and received an average score of 5.27. The facility completed the ECERS-R assessment on 9/11/19 and received an average score of 4.77. The facility earned an average score of 5.02 on the Environmental Rating Scale. You stated that you want to use the points that your previous facility earned on their star rated license. The facility has earned 6 points in program standards. Education Standards: There are a total of 5 lead teachers required. The facility earns 1 point in education from your previous locations star rated license. Quality Option: The facility has earned a quality point by having a staff benefit package and infrastructure or parent involvement approved by a previous Child Care Consultant. A total of 8 points will be earned for a three-star rated license at the end of your temporary license which will expire on December 12, 2023, and your three- star rated license will be sent to you by mail from the Raleigh office. 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. In space 305 one child was not signed in by the parent upon arrival. In space 303 two children were not signed by the parent upon arrival. In space 412 two children had not been signed in by the parent upon arrival. 10A NCAC 09 .0302(d)(4) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 412 one emergency medication did not have a permission to administer form with the medication. .0803(12) The following Technical Assistance (TA) was provided during today’s visit: 1. We discussed that the facility must earn a minimum of a three-star rated license to continue to be eligible to receive DSS Subsidy. 2. We discussed that the facility must maintain a compliance history of 75% to be eligible for a star rated license. 3. We discussed ensuring that staff are double checking their sign in/out sheets to make sure that each child in attendance has been signed in or out daily. 4. We discussed ensuring that Medication Administration Permission Form for Over-The-Counter Topical Medications are completed in its entirety. 5. We discussed creating a system that allows staff the view when medications and their permission to administer medication forms expire. 6. We discussed ensuring that all children’s topical ointments are labeled with their name. 7. We discussed that it is best practice to store medication admiration forms separately and not taped on the medication or cream. This will prevent the permission form from being torn and easy to review. 8. We discussed that staff should properly clean medication cups after each use. 9. We discussed creating a system for staff personnel files to separate current years information from previous years information. This can be in the form of an “inactive file”, paper clip previous years information together, separating previous years information with a page divider, etc. 10. We discussed that menus should document the month and the appropriate date for each day listed so that it is easily visible to know what is being served each day. 11. We discussed that it is best practice to have trashcans with tight fitting liners and lids in the classrooms for infants and children under two years of age. 12. We discussed that it is best practice to leave all exit doors free of furniture and clutter. We discussed that your facility is listed in Cohort 2. The planning year for your facility is set to begin July 1, 2024, through June 30, 2025. The reassessment year is set to begin July 1, 2025, through June 30, 2026. 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. The violation(s) documented must be corrected immediately. On or before October 6, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Meria Wilder, Child Care Consultant P.O. Box 6591 Statesville, NC 28677 Email: 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: name, position, facility name, and facility ID number. 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 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: HOPE CHAPEL ACADEMY Facility ID: 13000611 Consultant: DANA STIKELEATHER Operation Type: Center Case Number: Visit Date: 7/26/2023 Number Present: 51 Completed Date: 7/26/2023 Age: From 0 To 5 Total Minutes: 255 Time In: 09:45 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the first temporary time period visit (TTP). Donna Smith, director, assisted me with the visit. This facility was issued a temporary license on June 12, 2023, with a restriction of daytime care only. A sampling of classrooms, the outdoor learning environment, sampling of staff and child files, and other required program records were monitored. I observed children during outdoor play time, free play activities, routines, and lunch. Lunch included a ham and cheese sandwich, carrots, pears, and milk. In space 3, there was not a thermometer in the refrigerator therefore the temperature could not be checked. In space 4, the medication form for Boudreaux’s Butt Paste has not been signed and dated by the parent. A fire drill has not been conducted. A playground safety inspection was conducted on July 13, 2023. A playground safety inspection was not completed in June 2023. A sanitation inspection was conducted on May 24, 2023. The following violations were observed: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space 3, there was not a thermometer in the refrigerator therefore the temperature could not be checked. 15A NCAC 18A .2806(j)(2) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill has not been conducted. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. In space 4, the medication form for Boudreaux’s Butt Paste has not been signed and dated by the parent. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground safety inspection was not completed in June 2023. .0605(q) 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. The violation(s) documented must be corrected immediately. On or before August 9, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. While the Division allows you time to explain how you have corrected violations when violations are cited, it is expected you correct all violations immediately. When you are asked to send a compliance letter to me, it is expected and required that your compliance letter be sent to me no later than the date indicated in this documentation. Your letter must include the following: -Name of your program -ID number of your program -Date of Letter -Violation number -Explain how you corrected the violation (send supporting documentation to show compliance) -Describe your plan to make sure you will not have that same violation in the future -Name or signature of the person who wrote the letter. (If emailing the letter, your email address will be considered your digital signature.) We discussed the rated license process. You were reminded a compliance history score of seventy five percent or above must be maintained in order to receive a rated license. You were given the Application for Assessment for a Two Component Star Rated License. You stated that you have not decided if you would like to request the Environment Rating Scales (ERS) be completed. As discussed, once you decide and complete the application, please send it to me. I gave you the Rated License Assessment Request Review form during today’s visit. If you decide you would like to request the Environment Rating Scales, please complete this form, and send to me. I explained the process to register and submit information in the DCDEE WORKS System for all staff. Only the information reflected in WORKS will be used to determine the number of points earned in the education component. We discussed the quality point options. For continued eligibility in the subsidized child care program, you must achieve a three star or higher rated license at the end of the temporary licensed period. Technical assistance - Instructions for the DCDEE WORKS system, including establishing a NCID, is located on our website at https://ncchildcare.ncdhhs.gov/. Remember to track the date information is submitted by staff. If you have questions regarding submitting information in the WORKS system, contact WORKS at 1-800-859-0829. We reviewed and discussed medication requirements. We discussed having someone in the office check the medication and form when it is brought in. Make sure that all required information is complete. We discussed making sure dates are accurate, the amount and how to apply is a measurable description. We discussed that any refrigerators that are used need to have a thermometer in them to make sure they are maintaining a temperature of 45 degrees or below. We discussed that once you complete a shelter-in-place and/or lockdown drill, one will need to be completed every three months and all required information recorded on the emergency drill log. We discussed that fire drills need to be conducted monthly and all required information recorded. We discussed that playground safety inspections need to be completed monthly. We discussed setting a reminder on your phone or computer calendar to alert and remind you when it needs to be completed. Your temporary license expires on December 12, 2023. Prior to the expiration date of your license, two additional unannounced monitoring visits will be completed. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was reviewed with you and a copy was emailed to you. Contact me at 704-594-0049 or by email at dana.stikeleather@dhhs.nc.gov or Kris Updike, Supervisor, at 336-404-4133 or by email at kris.updike@dhhs.nc.gov if you have questions. 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: HOPE CHAPEL ACADEMY Facility ID: 13000611 Consultant: DANA STIKELEATHER Operation Type: Center Case Number: Visit Date: 7/26/2023 Number Present: 51 Completed Date: 7/26/2023 Age: From 0 To 5 Total Minutes: 255 Time In: 09:45 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the first temporary time period visit (TTP). Donna Smith, director, assisted me with the visit. This facility was issued a temporary license on June 12, 2023, with a restriction of daytime care only. A sampling of classrooms, the outdoor learning environment, sampling of staff and child files, and other required program records were monitored. I observed children during outdoor play time, free play activities, routines, and lunch. Lunch included a ham and cheese sandwich, carrots, pears, and milk. In space 3, there was not a thermometer in the refrigerator therefore the temperature could not be checked. In space 4, the medication form for Boudreaux’s Butt Paste has not been signed and dated by the parent. A fire drill has not been conducted. A playground safety inspection was conducted on July 13, 2023. A playground safety inspection was not completed in June 2023. A sanitation inspection was conducted on May 24, 2023. The following violations were observed: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space 3, there was not a thermometer in the refrigerator therefore the temperature could not be checked. 15A NCAC 18A .2806(j)(2) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill has not been conducted. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. In space 4, the medication form for Boudreaux’s Butt Paste has not been signed and dated by the parent. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground safety inspection was not completed in June 2023. .0605(q) 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. The violation(s) documented must be corrected immediately. On or before August 9, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. While the Division allows you time to explain how you have corrected violations when violations are cited, it is expected you correct all violations immediately. When you are asked to send a compliance letter to me, it is expected and required that your compliance letter be sent to me no later than the date indicated in this documentation. Your letter must include the following: -Name of your program -ID number of your program -Date of Letter -Violation number -Explain how you corrected the violation (send supporting documentation to show compliance) -Describe your plan to make sure you will not have that same violation in the future -Name or signature of the person who wrote the letter. (If emailing the letter, your email address will be considered your digital signature.) We discussed the rated license process. You were reminded a compliance history score of seventy five percent or above must be maintained in order to receive a rated license. You were given the Application for Assessment for a Two Component Star Rated License. You stated that you have not decided if you would like to request the Environment Rating Scales (ERS) be completed. As discussed, once you decide and complete the application, please send it to me. I gave you the Rated License Assessment Request Review form during today’s visit. If you decide you would like to request the Environment Rating Scales, please complete this form, and send to me. I explained the process to register and submit information in the DCDEE WORKS System for all staff. Only the information reflected in WORKS will be used to determine the number of points earned in the education component. We discussed the quality point options. For continued eligibility in the subsidized child care program, you must achieve a three star or higher rated license at the end of the temporary licensed period. Technical assistance - Instructions for the DCDEE WORKS system, including establishing a NCID, is located on our website at https://ncchildcare.ncdhhs.gov/. Remember to track the date information is submitted by staff. If you have questions regarding submitting information in the WORKS system, contact WORKS at 1-800-859-0829. We reviewed and discussed medication requirements. We discussed having someone in the office check the medication and form when it is brought in. Make sure that all required information is complete. We discussed making sure dates are accurate, the amount and how to apply is a measurable description. We discussed that any refrigerators that are used need to have a thermometer in them to make sure they are maintaining a temperature of 45 degrees or below. We discussed that once you complete a shelter-in-place and/or lockdown drill, one will need to be completed every three months and all required information recorded on the emergency drill log. We discussed that fire drills need to be conducted monthly and all required information recorded. We discussed that playground safety inspections need to be completed monthly. We discussed setting a reminder on your phone or computer calendar to alert and remind you when it needs to be completed. Your temporary license expires on December 12, 2023. Prior to the expiration date of your license, two additional unannounced monitoring visits will be completed. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was reviewed with you and a copy was emailed to you. Contact me at 704-594-0049 or by email at dana.stikeleather@dhhs.nc.gov or Kris Updike, Supervisor, at 336-404-4133 or by email at kris.updike@dhhs.nc.gov if you have questions. 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