10A NCAC 09 .0803 · Violation

Name of Operation: KID'S KORNER CHILD DEVELOPMENT, INC. Facility ID: 13000148 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 84 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 435 Time In: 09:15 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor you program for compliance with all applicable child care requirements during an annual compliance visit. You, Andrea Mayle, Director and Medina Gibson, Director, assisted me Meria Wilder, Child Care Consultant, with today’s visit. Your program operates with a Five-Star license that was issued on October 15, 2014, with the following restrictions: 1st shift (Daytime care), meets enhanced space and meets enhanced ratios. Your program earned 6 points in program standards, 7 points in staff education and 1 quality point met by enhanced policies approved, having an infrastructure of parent involvement and a staff benefits package for a total of 14 points earned. Your last annual compliance visit was conducted on April 20, 2023. Prior to today’s visit your program’s compliance history score was 98%. Your business Kids Korner Child Development, LLC was checked on the North Carolina Secretary of State website and your business was listed as current and active. I observed the following to be prominently posted at the entrance to the facility: Five-Star Rated License, North Carolina Summary of Child Care Summary of Law, First Aid information poster, safe arrival and departure procedures, Emergency Medical Care Plan, Emergency Phone Numbers, tobacco free signage, sanitation placard, and menu. I monitored for the following inspections: sanitation inspection dated February 16, 2024, fire inspection dated August 4, 2023, and your playground inspections were current for 12 months. I monitored your incident log, most recent fire drill log, and your emergency drill log. I observed your Emergency Preparedness and Response plan to be current and printed. I monitored your menu and observed cheese pizza, green beans, peaches and 1% unflavored white milk being served for lunch today. I monitored your indoors and outside spaces for health and safety standards. I observed adequate supervision, adequate and approved spaces being used, appropriate group sizes being met, appropriate discipline and staff child ratios being met. I observed children being cared for in a nurturing way. I observed your indoor toys and furnishings to be of sufficient quantity and in good repair. I observed children participating in teacher directed activities, free choice play, outside play, toileting, and handwashing routines. I observed sign in/sign out sheets to be current and attendance to be up to date. In the infant classrooms I observed safe sleep checks, infant feeding plans to be current, and posted. I observed an allergy listing to be posted in all classrooms. I observed activity plans to be posted in all classrooms. I observed NCPK requirements being met in classroom 10 where NCPK children are cared for. You stated that you do not provide transportation. You stated that you do not provide screen time. I monitored 51 diaper creams, 2 chapsticks, and 7 emergency medications for a total of 60 medications and their permissions to administer authorization forms. I monitored a random sampling of 10 children’s records including 2 NCPK children’s records being monitored. I monitored 2 existing staff files and 9 new staff files. The following violations were cited during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Two stationary structures on the playground used by toddler and preschool aged children had rust, chipping, and peeling paint. G.S. 110-91(6); .0601(b) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. In the classroom where children under 3 years old are cared for there was a Ziploc baggie with a child’s clothes in it that was in a cubby below five feet, not in locked storage and not made inaccessible to children. .0604(a) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. There were 5 medications that were not labeled with the child's name. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. The Diastat emergency medication in classroom 11 had a discard after date of 1/19/2023 as specified on the prescription label. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two staff members with hire dates of 3/18/19 and 4/23/08, did not review the Emergency Medical Care plan annually. 10A NCAC 09 .0802(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. .1102(f) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Two staff members with hire dates of 3/18/19 and 4/23/08, did not review the Emergency Preparedness and Response plan annually. .0607(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch on the playground used by toddler and preschool aged children did not have a sufficient amount of surfacing under the stationary structure that was over 18 inches from the ground. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff members did not have the Prevention of the Shaken Baby and Abusive Head Trauma policy acknowledgement statement signed and dated by the staff must include the individual’s name, the date the center’s policy was given and explained to the individual, the individual’s signature, and the date the individual signed the acknowledgment on file for review. .0608(d)(1-4) 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 4/23/08 had medical information stored with their personnel file. .0701(d) Technical Assistance: All violations cited during today’s visit must be corrected immediately. • In the classroom where children under 3 years old are cared for there was a Ziploc baggie with a child’s clothes inside of it that was in a cubby below five feet, not in locked storage and not made inaccessible to children. I recommend that a training be conducted with staff to ensure that all items that are hazardous to children under three years of age are stored properly. Items such has plastic bags, latex gloves, hand sanitizer, and anything that has just one warning must be stored at five feet off the floor. • Staff files must be gone through in detail to ensure that all required paperwork is on file, accurate, and complete according to the File Checklist for Staff Files form. It is important that the staff and training worksheet is complete and accurate at all times. Create a system for reviewing and following-up on missing paperwork in children’s files. - One staff member with a hire date of 11/20/23 had an IT’S SIDS certificate that expired on 12/16/2023. - Two staff members with hire dates of 3/18/19 and 4/23/08, did not review the Emergency Preparedness and Response plan annually. - Two staff members with hire dates of 3/18/19 and 4/23/08, did not review the Emergency Medical Care plan annually. - One staff member with a hire date of 4/23/08 had medical information stored with their personnel file. - Staff members did not have the Prevention of the Shaken Baby and Abusive Head Trauma policy acknowledgement statement on file for review. • The mulch on the playground used by toddler and preschool aged children did not have a sufficient amount of surfacing under the stationary structure that was over 18 inches from the ground. As discussed, the mulch must be kept resilient by fluffing or tilling the mulch often in order to maintain the required six inches of mulch under and around the stationary equipment to extend six feet. As discussed, I recommend, when excessive rain washes the mulch, be sure to rake the mulch back into place to maintain required surfacing depth and compliance with child care requirements. Be sure to keep the children off the pieces of equipment where mulch depth is not sufficient depth within the fall zones to meet child care requirements until the mulch depth can be brought back in compliance. • There were 5 medications that were not labeled with the child’s name. I recommend that you check all medications at least quarterly to ensure that they are labeled with the child’s name. • Two stationary structures on the playground used by toddler and preschool aged children had rust, chipping, and peeling paint. As discussed, all equipment and furnishings must be kept in good repair. I recommend utilizing the monthly playground inspections to identify when the outside equipment has rust and/or chipped and peeling paint. • The Diastat emergency medication in classroom 11 had a discard after date of 1/19/2023 as specified on the prescription label. Emergency medications such as EpiPens, seizure medications, and inhalers should be monitored at least quarterly to ensure that all medications and their permission to administer forms are valid and within the expiration and/or discard after date. Child care facilities must comply with all state laws, federal laws and local ordinances that pertain to child health, safety, and welfare of children (GS110-91 – Mandatory standards for a license). Failure to comply may lead to an administrative action (General statue 110-102-2- Administrative penalties). Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Consultation: • As of September 2023, the Summary of NC Child Care Law was updated and available on the DCDEE website. Please print this form to post in your classroom with your required postings and give the updated information to parents and have them sign and date that they have received the updated document and place each signed acknowledgement in each child’s file. • As discussed, please use the Staff File Checklist and Children’s Records Checklist to ensure that files contain all required documents, and that training and documentation is completed within the specified timeframe to ensure compliance with child care rules. • Although not an issue today, remember fire inspection reports are required to be sent to the consultant within 7 business days of the inspection being completed. If the fire inspection report is not sent to the consultant within 7 business days a violation will be cited at the next monitoring visit. • Your program is in cohort 1 for the rated license reassessment. Your program’s planning year will be from July 1, 2023, to June 30, 2024. Your program’s reassessment year will be 2024 to 2025 and the month of your reassessment will be the month that your current rated license expires. As you plan for the reassessment of the rated license, please be sure that all staff has their most recent education updated and verified in WORKS and that you are in touch with your local Partnership and Resource and Referral agencies to provide technical assistance and help you prepare for reassessment. All violations cited must be corrected immediately and a compliance letter for violations cited during today’s visit must be sent to me by April 4, 2024. Meria Wilder, Child Care Consultant P.O. Box 6591 Statesville, NC 28677 Email: meria.wilder@dhhs.nc.gov If you email the compliance letter, from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: Name, position, Facility name, Facility ID number Violation Item number Date of violation correction How the violation was corrected How the violation will be prevented in the future Thank you for your time today. If I can be of assistance in the future, please feel free to contact me at (980) 434-3877 or email meria.wilder@dhhs.nc.gov or Erin Pickard, Supervisor, at erin.pickard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0802 · Violation

Name of Operation: KID'S KORNER CHILD DEVELOPMENT, INC. Facility ID: 13000148 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 84 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 435 Time In: 09:15 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor you program for compliance with all applicable child care requirements during an annual compliance visit. You, Andrea Mayle, Director and Medina Gibson, Director, assisted me Meria Wilder, Child Care Consultant, with today’s visit. Your program operates with a Five-Star license that was issued on October 15, 2014, with the following restrictions: 1st shift (Daytime care), meets enhanced space and meets enhanced ratios. Your program earned 6 points in program standards, 7 points in staff education and 1 quality point met by enhanced policies approved, having an infrastructure of parent involvement and a staff benefits package for a total of 14 points earned. Your last annual compliance visit was conducted on April 20, 2023. Prior to today’s visit your program’s compliance history score was 98%. Your business Kids Korner Child Development, LLC was checked on the North Carolina Secretary of State website and your business was listed as current and active. I observed the following to be prominently posted at the entrance to the facility: Five-Star Rated License, North Carolina Summary of Child Care Summary of Law, First Aid information poster, safe arrival and departure procedures, Emergency Medical Care Plan, Emergency Phone Numbers, tobacco free signage, sanitation placard, and menu. I monitored for the following inspections: sanitation inspection dated February 16, 2024, fire inspection dated August 4, 2023, and your playground inspections were current for 12 months. I monitored your incident log, most recent fire drill log, and your emergency drill log. I observed your Emergency Preparedness and Response plan to be current and printed. I monitored your menu and observed cheese pizza, green beans, peaches and 1% unflavored white milk being served for lunch today. I monitored your indoors and outside spaces for health and safety standards. I observed adequate supervision, adequate and approved spaces being used, appropriate group sizes being met, appropriate discipline and staff child ratios being met. I observed children being cared for in a nurturing way. I observed your indoor toys and furnishings to be of sufficient quantity and in good repair. I observed children participating in teacher directed activities, free choice play, outside play, toileting, and handwashing routines. I observed sign in/sign out sheets to be current and attendance to be up to date. In the infant classrooms I observed safe sleep checks, infant feeding plans to be current, and posted. I observed an allergy listing to be posted in all classrooms. I observed activity plans to be posted in all classrooms. I observed NCPK requirements being met in classroom 10 where NCPK children are cared for. You stated that you do not provide transportation. You stated that you do not provide screen time. I monitored 51 diaper creams, 2 chapsticks, and 7 emergency medications for a total of 60 medications and their permissions to administer authorization forms. I monitored a random sampling of 10 children’s records including 2 NCPK children’s records being monitored. I monitored 2 existing staff files and 9 new staff files. The following violations were cited during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Two stationary structures on the playground used by toddler and preschool aged children had rust, chipping, and peeling paint. G.S. 110-91(6); .0601(b) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. In the classroom where children under 3 years old are cared for there was a Ziploc baggie with a child’s clothes in it that was in a cubby below five feet, not in locked storage and not made inaccessible to children. .0604(a) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. There were 5 medications that were not labeled with the child's name. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. The Diastat emergency medication in classroom 11 had a discard after date of 1/19/2023 as specified on the prescription label. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two staff members with hire dates of 3/18/19 and 4/23/08, did not review the Emergency Medical Care plan annually. 10A NCAC 09 .0802(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. .1102(f) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Two staff members with hire dates of 3/18/19 and 4/23/08, did not review the Emergency Preparedness and Response plan annually. .0607(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch on the playground used by toddler and preschool aged children did not have a sufficient amount of surfacing under the stationary structure that was over 18 inches from the ground. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff members did not have the Prevention of the Shaken Baby and Abusive Head Trauma policy acknowledgement statement signed and dated by the staff must include the individual’s name, the date the center’s policy was given and explained to the individual, the individual’s signature, and the date the individual signed the acknowledgment on file for review. .0608(d)(1-4) 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 4/23/08 had medical information stored with their personnel file. .0701(d) Technical Assistance: All violations cited during today’s visit must be corrected immediately. • In the classroom where children under 3 years old are cared for there was a Ziploc baggie with a child’s clothes inside of it that was in a cubby below five feet, not in locked storage and not made inaccessible to children. I recommend that a training be conducted with staff to ensure that all items that are hazardous to children under three years of age are stored properly. Items such has plastic bags, latex gloves, hand sanitizer, and anything that has just one warning must be stored at five feet off the floor. • Staff files must be gone through in detail to ensure that all required paperwork is on file, accurate, and complete according to the File Checklist for Staff Files form. It is important that the staff and training worksheet is complete and accurate at all times. Create a system for reviewing and following-up on missing paperwork in children’s files. - One staff member with a hire date of 11/20/23 had an IT’S SIDS certificate that expired on 12/16/2023. - Two staff members with hire dates of 3/18/19 and 4/23/08, did not review the Emergency Preparedness and Response plan annually. - Two staff members with hire dates of 3/18/19 and 4/23/08, did not review the Emergency Medical Care plan annually. - One staff member with a hire date of 4/23/08 had medical information stored with their personnel file. - Staff members did not have the Prevention of the Shaken Baby and Abusive Head Trauma policy acknowledgement statement on file for review. • The mulch on the playground used by toddler and preschool aged children did not have a sufficient amount of surfacing under the stationary structure that was over 18 inches from the ground. As discussed, the mulch must be kept resilient by fluffing or tilling the mulch often in order to maintain the required six inches of mulch under and around the stationary equipment to extend six feet. As discussed, I recommend, when excessive rain washes the mulch, be sure to rake the mulch back into place to maintain required surfacing depth and compliance with child care requirements. Be sure to keep the children off the pieces of equipment where mulch depth is not sufficient depth within the fall zones to meet child care requirements until the mulch depth can be brought back in compliance. • There were 5 medications that were not labeled with the child’s name. I recommend that you check all medications at least quarterly to ensure that they are labeled with the child’s name. • Two stationary structures on the playground used by toddler and preschool aged children had rust, chipping, and peeling paint. As discussed, all equipment and furnishings must be kept in good repair. I recommend utilizing the monthly playground inspections to identify when the outside equipment has rust and/or chipped and peeling paint. • The Diastat emergency medication in classroom 11 had a discard after date of 1/19/2023 as specified on the prescription label. Emergency medications such as EpiPens, seizure medications, and inhalers should be monitored at least quarterly to ensure that all medications and their permission to administer forms are valid and within the expiration and/or discard after date. Child care facilities must comply with all state laws, federal laws and local ordinances that pertain to child health, safety, and welfare of children (GS110-91 – Mandatory standards for a license). Failure to comply may lead to an administrative action (General statue 110-102-2- Administrative penalties). Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Consultation: • As of September 2023, the Summary of NC Child Care Law was updated and available on the DCDEE website. Please print this form to post in your classroom with your required postings and give the updated information to parents and have them sign and date that they have received the updated document and place each signed acknowledgement in each child’s file. • As discussed, please use the Staff File Checklist and Children’s Records Checklist to ensure that files contain all required documents, and that training and documentation is completed within the specified timeframe to ensure compliance with child care rules. • Although not an issue today, remember fire inspection reports are required to be sent to the consultant within 7 business days of the inspection being completed. If the fire inspection report is not sent to the consultant within 7 business days a violation will be cited at the next monitoring visit. • Your program is in cohort 1 for the rated license reassessment. Your program’s planning year will be from July 1, 2023, to June 30, 2024. Your program’s reassessment year will be 2024 to 2025 and the month of your reassessment will be the month that your current rated license expires. As you plan for the reassessment of the rated license, please be sure that all staff has their most recent education updated and verified in WORKS and that you are in touch with your local Partnership and Resource and Referral agencies to provide technical assistance and help you prepare for reassessment. All violations cited must be corrected immediately and a compliance letter for violations cited during today’s visit must be sent to me by April 4, 2024. Meria Wilder, Child Care Consultant P.O. Box 6591 Statesville, NC 28677 Email: meria.wilder@dhhs.nc.gov If you email the compliance letter, from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: Name, position, Facility name, Facility ID number Violation Item number Date of violation correction How the violation was corrected How the violation will be prevented in the future Thank you for your time today. If I can be of assistance in the future, please feel free to contact me at (980) 434-3877 or email meria.wilder@dhhs.nc.gov or Erin Pickard, Supervisor, at erin.pickard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: KID'S KORNER CHILD DEVELOPMENT, INC. Facility ID: 13000148 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 84 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 435 Time In: 09:15 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor you program for compliance with all applicable child care requirements during an annual compliance visit. You, Andrea Mayle, Director and Medina Gibson, Director, assisted me Meria Wilder, Child Care Consultant, with today’s visit. Your program operates with a Five-Star license that was issued on October 15, 2014, with the following restrictions: 1st shift (Daytime care), meets enhanced space and meets enhanced ratios. Your program earned 6 points in program standards, 7 points in staff education and 1 quality point met by enhanced policies approved, having an infrastructure of parent involvement and a staff benefits package for a total of 14 points earned. Your last annual compliance visit was conducted on April 20, 2023. Prior to today’s visit your program’s compliance history score was 98%. Your business Kids Korner Child Development, LLC was checked on the North Carolina Secretary of State website and your business was listed as current and active. I observed the following to be prominently posted at the entrance to the facility: Five-Star Rated License, North Carolina Summary of Child Care Summary of Law, First Aid information poster, safe arrival and departure procedures, Emergency Medical Care Plan, Emergency Phone Numbers, tobacco free signage, sanitation placard, and menu. I monitored for the following inspections: sanitation inspection dated February 16, 2024, fire inspection dated August 4, 2023, and your playground inspections were current for 12 months. I monitored your incident log, most recent fire drill log, and your emergency drill log. I observed your Emergency Preparedness and Response plan to be current and printed. I monitored your menu and observed cheese pizza, green beans, peaches and 1% unflavored white milk being served for lunch today. I monitored your indoors and outside spaces for health and safety standards. I observed adequate supervision, adequate and approved spaces being used, appropriate group sizes being met, appropriate discipline and staff child ratios being met. I observed children being cared for in a nurturing way. I observed your indoor toys and furnishings to be of sufficient quantity and in good repair. I observed children participating in teacher directed activities, free choice play, outside play, toileting, and handwashing routines. I observed sign in/sign out sheets to be current and attendance to be up to date. In the infant classrooms I observed safe sleep checks, infant feeding plans to be current, and posted. I observed an allergy listing to be posted in all classrooms. I observed activity plans to be posted in all classrooms. I observed NCPK requirements being met in classroom 10 where NCPK children are cared for. You stated that you do not provide transportation. You stated that you do not provide screen time. I monitored 51 diaper creams, 2 chapsticks, and 7 emergency medications for a total of 60 medications and their permissions to administer authorization forms. I monitored a random sampling of 10 children’s records including 2 NCPK children’s records being monitored. I monitored 2 existing staff files and 9 new staff files. The following violations were cited during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Two stationary structures on the playground used by toddler and preschool aged children had rust, chipping, and peeling paint. G.S. 110-91(6); .0601(b) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. In the classroom where children under 3 years old are cared for there was a Ziploc baggie with a child’s clothes in it that was in a cubby below five feet, not in locked storage and not made inaccessible to children. .0604(a) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. There were 5 medications that were not labeled with the child's name. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. The Diastat emergency medication in classroom 11 had a discard after date of 1/19/2023 as specified on the prescription label. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two staff members with hire dates of 3/18/19 and 4/23/08, did not review the Emergency Medical Care plan annually. 10A NCAC 09 .0802(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. .1102(f) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Two staff members with hire dates of 3/18/19 and 4/23/08, did not review the Emergency Preparedness and Response plan annually. .0607(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch on the playground used by toddler and preschool aged children did not have a sufficient amount of surfacing under the stationary structure that was over 18 inches from the ground. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff members did not have the Prevention of the Shaken Baby and Abusive Head Trauma policy acknowledgement statement signed and dated by the staff must include the individual’s name, the date the center’s policy was given and explained to the individual, the individual’s signature, and the date the individual signed the acknowledgment on file for review. .0608(d)(1-4) 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 4/23/08 had medical information stored with their personnel file. .0701(d) Technical Assistance: All violations cited during today’s visit must be corrected immediately. • In the classroom where children under 3 years old are cared for there was a Ziploc baggie with a child’s clothes inside of it that was in a cubby below five feet, not in locked storage and not made inaccessible to children. I recommend that a training be conducted with staff to ensure that all items that are hazardous to children under three years of age are stored properly. Items such has plastic bags, latex gloves, hand sanitizer, and anything that has just one warning must be stored at five feet off the floor. • Staff files must be gone through in detail to ensure that all required paperwork is on file, accurate, and complete according to the File Checklist for Staff Files form. It is important that the staff and training worksheet is complete and accurate at all times. Create a system for reviewing and following-up on missing paperwork in children’s files. - One staff member with a hire date of 11/20/23 had an IT’S SIDS certificate that expired on 12/16/2023. - Two staff members with hire dates of 3/18/19 and 4/23/08, did not review the Emergency Preparedness and Response plan annually. - Two staff members with hire dates of 3/18/19 and 4/23/08, did not review the Emergency Medical Care plan annually. - One staff member with a hire date of 4/23/08 had medical information stored with their personnel file. - Staff members did not have the Prevention of the Shaken Baby and Abusive Head Trauma policy acknowledgement statement on file for review. • The mulch on the playground used by toddler and preschool aged children did not have a sufficient amount of surfacing under the stationary structure that was over 18 inches from the ground. As discussed, the mulch must be kept resilient by fluffing or tilling the mulch often in order to maintain the required six inches of mulch under and around the stationary equipment to extend six feet. As discussed, I recommend, when excessive rain washes the mulch, be sure to rake the mulch back into place to maintain required surfacing depth and compliance with child care requirements. Be sure to keep the children off the pieces of equipment where mulch depth is not sufficient depth within the fall zones to meet child care requirements until the mulch depth can be brought back in compliance. • There were 5 medications that were not labeled with the child’s name. I recommend that you check all medications at least quarterly to ensure that they are labeled with the child’s name. • Two stationary structures on the playground used by toddler and preschool aged children had rust, chipping, and peeling paint. As discussed, all equipment and furnishings must be kept in good repair. I recommend utilizing the monthly playground inspections to identify when the outside equipment has rust and/or chipped and peeling paint. • The Diastat emergency medication in classroom 11 had a discard after date of 1/19/2023 as specified on the prescription label. Emergency medications such as EpiPens, seizure medications, and inhalers should be monitored at least quarterly to ensure that all medications and their permission to administer forms are valid and within the expiration and/or discard after date. Child care facilities must comply with all state laws, federal laws and local ordinances that pertain to child health, safety, and welfare of children (GS110-91 – Mandatory standards for a license). Failure to comply may lead to an administrative action (General statue 110-102-2- Administrative penalties). Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Consultation: • As of September 2023, the Summary of NC Child Care Law was updated and available on the DCDEE website. Please print this form to post in your classroom with your required postings and give the updated information to parents and have them sign and date that they have received the updated document and place each signed acknowledgement in each child’s file. • As discussed, please use the Staff File Checklist and Children’s Records Checklist to ensure that files contain all required documents, and that training and documentation is completed within the specified timeframe to ensure compliance with child care rules. • Although not an issue today, remember fire inspection reports are required to be sent to the consultant within 7 business days of the inspection being completed. If the fire inspection report is not sent to the consultant within 7 business days a violation will be cited at the next monitoring visit. • Your program is in cohort 1 for the rated license reassessment. Your program’s planning year will be from July 1, 2023, to June 30, 2024. Your program’s reassessment year will be 2024 to 2025 and the month of your reassessment will be the month that your current rated license expires. As you plan for the reassessment of the rated license, please be sure that all staff has their most recent education updated and verified in WORKS and that you are in touch with your local Partnership and Resource and Referral agencies to provide technical assistance and help you prepare for reassessment. All violations cited must be corrected immediately and a compliance letter for violations cited during today’s visit must be sent to me by April 4, 2024. Meria Wilder, Child Care Consultant P.O. Box 6591 Statesville, NC 28677 Email: meria.wilder@dhhs.nc.gov If you email the compliance letter, from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: Name, position, Facility name, Facility ID number Violation Item number Date of violation correction How the violation was corrected How the violation will be prevented in the future Thank you for your time today. If I can be of assistance in the future, please feel free to contact me at (980) 434-3877 or email meria.wilder@dhhs.nc.gov or Erin Pickard, Supervisor, at erin.pickard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: KID'S KORNER CHILD DEVELOPMENT, INC. Facility ID: 13000148 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 84 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 435 Time In: 09:15 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor you program for compliance with all applicable child care requirements during an annual compliance visit. You, Andrea Mayle, Director and Medina Gibson, Director, assisted me Meria Wilder, Child Care Consultant, with today’s visit. Your program operates with a Five-Star license that was issued on October 15, 2014, with the following restrictions: 1st shift (Daytime care), meets enhanced space and meets enhanced ratios. Your program earned 6 points in program standards, 7 points in staff education and 1 quality point met by enhanced policies approved, having an infrastructure of parent involvement and a staff benefits package for a total of 14 points earned. Your last annual compliance visit was conducted on April 20, 2023. Prior to today’s visit your program’s compliance history score was 98%. Your business Kids Korner Child Development, LLC was checked on the North Carolina Secretary of State website and your business was listed as current and active. I observed the following to be prominently posted at the entrance to the facility: Five-Star Rated License, North Carolina Summary of Child Care Summary of Law, First Aid information poster, safe arrival and departure procedures, Emergency Medical Care Plan, Emergency Phone Numbers, tobacco free signage, sanitation placard, and menu. I monitored for the following inspections: sanitation inspection dated February 16, 2024, fire inspection dated August 4, 2023, and your playground inspections were current for 12 months. I monitored your incident log, most recent fire drill log, and your emergency drill log. I observed your Emergency Preparedness and Response plan to be current and printed. I monitored your menu and observed cheese pizza, green beans, peaches and 1% unflavored white milk being served for lunch today. I monitored your indoors and outside spaces for health and safety standards. I observed adequate supervision, adequate and approved spaces being used, appropriate group sizes being met, appropriate discipline and staff child ratios being met. I observed children being cared for in a nurturing way. I observed your indoor toys and furnishings to be of sufficient quantity and in good repair. I observed children participating in teacher directed activities, free choice play, outside play, toileting, and handwashing routines. I observed sign in/sign out sheets to be current and attendance to be up to date. In the infant classrooms I observed safe sleep checks, infant feeding plans to be current, and posted. I observed an allergy listing to be posted in all classrooms. I observed activity plans to be posted in all classrooms. I observed NCPK requirements being met in classroom 10 where NCPK children are cared for. You stated that you do not provide transportation. You stated that you do not provide screen time. I monitored 51 diaper creams, 2 chapsticks, and 7 emergency medications for a total of 60 medications and their permissions to administer authorization forms. I monitored a random sampling of 10 children’s records including 2 NCPK children’s records being monitored. I monitored 2 existing staff files and 9 new staff files. The following violations were cited during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Two stationary structures on the playground used by toddler and preschool aged children had rust, chipping, and peeling paint. G.S. 110-91(6); .0601(b) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. In the classroom where children under 3 years old are cared for there was a Ziploc baggie with a child’s clothes in it that was in a cubby below five feet, not in locked storage and not made inaccessible to children. .0604(a) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. There were 5 medications that were not labeled with the child's name. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. The Diastat emergency medication in classroom 11 had a discard after date of 1/19/2023 as specified on the prescription label. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two staff members with hire dates of 3/18/19 and 4/23/08, did not review the Emergency Medical Care plan annually. 10A NCAC 09 .0802(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. .1102(f) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Two staff members with hire dates of 3/18/19 and 4/23/08, did not review the Emergency Preparedness and Response plan annually. .0607(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch on the playground used by toddler and preschool aged children did not have a sufficient amount of surfacing under the stationary structure that was over 18 inches from the ground. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff members did not have the Prevention of the Shaken Baby and Abusive Head Trauma policy acknowledgement statement signed and dated by the staff must include the individual’s name, the date the center’s policy was given and explained to the individual, the individual’s signature, and the date the individual signed the acknowledgment on file for review. .0608(d)(1-4) 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 4/23/08 had medical information stored with their personnel file. .0701(d) Technical Assistance: All violations cited during today’s visit must be corrected immediately. • In the classroom where children under 3 years old are cared for there was a Ziploc baggie with a child’s clothes inside of it that was in a cubby below five feet, not in locked storage and not made inaccessible to children. I recommend that a training be conducted with staff to ensure that all items that are hazardous to children under three years of age are stored properly. Items such has plastic bags, latex gloves, hand sanitizer, and anything that has just one warning must be stored at five feet off the floor. • Staff files must be gone through in detail to ensure that all required paperwork is on file, accurate, and complete according to the File Checklist for Staff Files form. It is important that the staff and training worksheet is complete and accurate at all times. Create a system for reviewing and following-up on missing paperwork in children’s files. - One staff member with a hire date of 11/20/23 had an IT’S SIDS certificate that expired on 12/16/2023. - Two staff members with hire dates of 3/18/19 and 4/23/08, did not review the Emergency Preparedness and Response plan annually. - Two staff members with hire dates of 3/18/19 and 4/23/08, did not review the Emergency Medical Care plan annually. - One staff member with a hire date of 4/23/08 had medical information stored with their personnel file. - Staff members did not have the Prevention of the Shaken Baby and Abusive Head Trauma policy acknowledgement statement on file for review. • The mulch on the playground used by toddler and preschool aged children did not have a sufficient amount of surfacing under the stationary structure that was over 18 inches from the ground. As discussed, the mulch must be kept resilient by fluffing or tilling the mulch often in order to maintain the required six inches of mulch under and around the stationary equipment to extend six feet. As discussed, I recommend, when excessive rain washes the mulch, be sure to rake the mulch back into place to maintain required surfacing depth and compliance with child care requirements. Be sure to keep the children off the pieces of equipment where mulch depth is not sufficient depth within the fall zones to meet child care requirements until the mulch depth can be brought back in compliance. • There were 5 medications that were not labeled with the child’s name. I recommend that you check all medications at least quarterly to ensure that they are labeled with the child’s name. • Two stationary structures on the playground used by toddler and preschool aged children had rust, chipping, and peeling paint. As discussed, all equipment and furnishings must be kept in good repair. I recommend utilizing the monthly playground inspections to identify when the outside equipment has rust and/or chipped and peeling paint. • The Diastat emergency medication in classroom 11 had a discard after date of 1/19/2023 as specified on the prescription label. Emergency medications such as EpiPens, seizure medications, and inhalers should be monitored at least quarterly to ensure that all medications and their permission to administer forms are valid and within the expiration and/or discard after date. Child care facilities must comply with all state laws, federal laws and local ordinances that pertain to child health, safety, and welfare of children (GS110-91 – Mandatory standards for a license). Failure to comply may lead to an administrative action (General statue 110-102-2- Administrative penalties). Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Consultation: • As of September 2023, the Summary of NC Child Care Law was updated and available on the DCDEE website. Please print this form to post in your classroom with your required postings and give the updated information to parents and have them sign and date that they have received the updated document and place each signed acknowledgement in each child’s file. • As discussed, please use the Staff File Checklist and Children’s Records Checklist to ensure that files contain all required documents, and that training and documentation is completed within the specified timeframe to ensure compliance with child care rules. • Although not an issue today, remember fire inspection reports are required to be sent to the consultant within 7 business days of the inspection being completed. If the fire inspection report is not sent to the consultant within 7 business days a violation will be cited at the next monitoring visit. • Your program is in cohort 1 for the rated license reassessment. Your program’s planning year will be from July 1, 2023, to June 30, 2024. Your program’s reassessment year will be 2024 to 2025 and the month of your reassessment will be the month that your current rated license expires. As you plan for the reassessment of the rated license, please be sure that all staff has their most recent education updated and verified in WORKS and that you are in touch with your local Partnership and Resource and Referral agencies to provide technical assistance and help you prepare for reassessment. All violations cited must be corrected immediately and a compliance letter for violations cited during today’s visit must be sent to me by April 4, 2024. Meria Wilder, Child Care Consultant P.O. Box 6591 Statesville, NC 28677 Email: meria.wilder@dhhs.nc.gov If you email the compliance letter, from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: Name, position, Facility name, Facility ID number Violation Item number Date of violation correction How the violation was corrected How the violation will be prevented in the future Thank you for your time today. If I can be of assistance in the future, please feel free to contact me at (980) 434-3877 or email meria.wilder@dhhs.nc.gov or Erin Pickard, Supervisor, at erin.pickard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: KID'S KORNER CHILD DEVELOPMENT, INC. Facility ID: 13000148 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 84 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 435 Time In: 09:15 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor you program for compliance with all applicable child care requirements during an annual compliance visit. You, Andrea Mayle, Director and Medina Gibson, Director, assisted me Meria Wilder, Child Care Consultant, with today’s visit. Your program operates with a Five-Star license that was issued on October 15, 2014, with the following restrictions: 1st shift (Daytime care), meets enhanced space and meets enhanced ratios. Your program earned 6 points in program standards, 7 points in staff education and 1 quality point met by enhanced policies approved, having an infrastructure of parent involvement and a staff benefits package for a total of 14 points earned. Your last annual compliance visit was conducted on April 20, 2023. Prior to today’s visit your program’s compliance history score was 98%. Your business Kids Korner Child Development, LLC was checked on the North Carolina Secretary of State website and your business was listed as current and active. I observed the following to be prominently posted at the entrance to the facility: Five-Star Rated License, North Carolina Summary of Child Care Summary of Law, First Aid information poster, safe arrival and departure procedures, Emergency Medical Care Plan, Emergency Phone Numbers, tobacco free signage, sanitation placard, and menu. I monitored for the following inspections: sanitation inspection dated February 16, 2024, fire inspection dated August 4, 2023, and your playground inspections were current for 12 months. I monitored your incident log, most recent fire drill log, and your emergency drill log. I observed your Emergency Preparedness and Response plan to be current and printed. I monitored your menu and observed cheese pizza, green beans, peaches and 1% unflavored white milk being served for lunch today. I monitored your indoors and outside spaces for health and safety standards. I observed adequate supervision, adequate and approved spaces being used, appropriate group sizes being met, appropriate discipline and staff child ratios being met. I observed children being cared for in a nurturing way. I observed your indoor toys and furnishings to be of sufficient quantity and in good repair. I observed children participating in teacher directed activities, free choice play, outside play, toileting, and handwashing routines. I observed sign in/sign out sheets to be current and attendance to be up to date. In the infant classrooms I observed safe sleep checks, infant feeding plans to be current, and posted. I observed an allergy listing to be posted in all classrooms. I observed activity plans to be posted in all classrooms. I observed NCPK requirements being met in classroom 10 where NCPK children are cared for. You stated that you do not provide transportation. You stated that you do not provide screen time. I monitored 51 diaper creams, 2 chapsticks, and 7 emergency medications for a total of 60 medications and their permissions to administer authorization forms. I monitored a random sampling of 10 children’s records including 2 NCPK children’s records being monitored. I monitored 2 existing staff files and 9 new staff files. The following violations were cited during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Two stationary structures on the playground used by toddler and preschool aged children had rust, chipping, and peeling paint. G.S. 110-91(6); .0601(b) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. In the classroom where children under 3 years old are cared for there was a Ziploc baggie with a child’s clothes in it that was in a cubby below five feet, not in locked storage and not made inaccessible to children. .0604(a) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. There were 5 medications that were not labeled with the child's name. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. The Diastat emergency medication in classroom 11 had a discard after date of 1/19/2023 as specified on the prescription label. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two staff members with hire dates of 3/18/19 and 4/23/08, did not review the Emergency Medical Care plan annually. 10A NCAC 09 .0802(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. .1102(f) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Two staff members with hire dates of 3/18/19 and 4/23/08, did not review the Emergency Preparedness and Response plan annually. .0607(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch on the playground used by toddler and preschool aged children did not have a sufficient amount of surfacing under the stationary structure that was over 18 inches from the ground. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff members did not have the Prevention of the Shaken Baby and Abusive Head Trauma policy acknowledgement statement signed and dated by the staff must include the individual’s name, the date the center’s policy was given and explained to the individual, the individual’s signature, and the date the individual signed the acknowledgment on file for review. .0608(d)(1-4) 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 4/23/08 had medical information stored with their personnel file. .0701(d) Technical Assistance: All violations cited during today’s visit must be corrected immediately. • In the classroom where children under 3 years old are cared for there was a Ziploc baggie with a child’s clothes inside of it that was in a cubby below five feet, not in locked storage and not made inaccessible to children. I recommend that a training be conducted with staff to ensure that all items that are hazardous to children under three years of age are stored properly. Items such has plastic bags, latex gloves, hand sanitizer, and anything that has just one warning must be stored at five feet off the floor. • Staff files must be gone through in detail to ensure that all required paperwork is on file, accurate, and complete according to the File Checklist for Staff Files form. It is important that the staff and training worksheet is complete and accurate at all times. Create a system for reviewing and following-up on missing paperwork in children’s files. - One staff member with a hire date of 11/20/23 had an IT’S SIDS certificate that expired on 12/16/2023. - Two staff members with hire dates of 3/18/19 and 4/23/08, did not review the Emergency Preparedness and Response plan annually. - Two staff members with hire dates of 3/18/19 and 4/23/08, did not review the Emergency Medical Care plan annually. - One staff member with a hire date of 4/23/08 had medical information stored with their personnel file. - Staff members did not have the Prevention of the Shaken Baby and Abusive Head Trauma policy acknowledgement statement on file for review. • The mulch on the playground used by toddler and preschool aged children did not have a sufficient amount of surfacing under the stationary structure that was over 18 inches from the ground. As discussed, the mulch must be kept resilient by fluffing or tilling the mulch often in order to maintain the required six inches of mulch under and around the stationary equipment to extend six feet. As discussed, I recommend, when excessive rain washes the mulch, be sure to rake the mulch back into place to maintain required surfacing depth and compliance with child care requirements. Be sure to keep the children off the pieces of equipment where mulch depth is not sufficient depth within the fall zones to meet child care requirements until the mulch depth can be brought back in compliance. • There were 5 medications that were not labeled with the child’s name. I recommend that you check all medications at least quarterly to ensure that they are labeled with the child’s name. • Two stationary structures on the playground used by toddler and preschool aged children had rust, chipping, and peeling paint. As discussed, all equipment and furnishings must be kept in good repair. I recommend utilizing the monthly playground inspections to identify when the outside equipment has rust and/or chipped and peeling paint. • The Diastat emergency medication in classroom 11 had a discard after date of 1/19/2023 as specified on the prescription label. Emergency medications such as EpiPens, seizure medications, and inhalers should be monitored at least quarterly to ensure that all medications and their permission to administer forms are valid and within the expiration and/or discard after date. Child care facilities must comply with all state laws, federal laws and local ordinances that pertain to child health, safety, and welfare of children (GS110-91 – Mandatory standards for a license). Failure to comply may lead to an administrative action (General statue 110-102-2- Administrative penalties). Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Consultation: • As of September 2023, the Summary of NC Child Care Law was updated and available on the DCDEE website. Please print this form to post in your classroom with your required postings and give the updated information to parents and have them sign and date that they have received the updated document and place each signed acknowledgement in each child’s file. • As discussed, please use the Staff File Checklist and Children’s Records Checklist to ensure that files contain all required documents, and that training and documentation is completed within the specified timeframe to ensure compliance with child care rules. • Although not an issue today, remember fire inspection reports are required to be sent to the consultant within 7 business days of the inspection being completed. If the fire inspection report is not sent to the consultant within 7 business days a violation will be cited at the next monitoring visit. • Your program is in cohort 1 for the rated license reassessment. Your program’s planning year will be from July 1, 2023, to June 30, 2024. Your program’s reassessment year will be 2024 to 2025 and the month of your reassessment will be the month that your current rated license expires. As you plan for the reassessment of the rated license, please be sure that all staff has their most recent education updated and verified in WORKS and that you are in touch with your local Partnership and Resource and Referral agencies to provide technical assistance and help you prepare for reassessment. All violations cited must be corrected immediately and a compliance letter for violations cited during today’s visit must be sent to me by April 4, 2024. Meria Wilder, Child Care Consultant P.O. Box 6591 Statesville, NC 28677 Email: meria.wilder@dhhs.nc.gov If you email the compliance letter, from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: Name, position, Facility name, Facility ID number Violation Item number Date of violation correction How the violation was corrected How the violation will be prevented in the future Thank you for your time today. If I can be of assistance in the future, please feel free to contact me at (980) 434-3877 or email meria.wilder@dhhs.nc.gov or Erin Pickard, Supervisor, at erin.pickard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times