NC GS 110-90 · Violation

Name of Operation: ROYAL OAKS KIDS:PLUS Facility ID: 13000542 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 12/1/2025 Number Present: 24 Completed Date: 12/1/2025 Age: From 5 To 12 Total Minutes: 150 Time In: 01:15 PM Time Out: 03:45 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, Doraine Goodwin, Group Leader, assisted me with today’s visit. The last annual compliance visit was conducted on January 24, 2025. Your facility was approved for daytime care only. The program’s compliance history was 100% prior to today’s visit. The center's notice of compliance, 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 transitioning into the after school program, children were observed engaging in staff/child interaction, routine care taking and snack 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. During my walkthrough of the playground I noticed a broken chain on the black tire swing and noticed there were spots where the mulch was thin. We discussed you placing a work order with maintenance for these items. Materials, toys, and equipment throughout the facility were developmentally appropriate, of sufficient quantity and in good repair. No emergency medications and permission to administer forms are currently on site. One staff file and four children’s files were monitored during today’s visit. There was no staff and training worksheet completed for the employee hired on 10/4/23 so I created a worksheet. Please complete a worksheet for this employee and submit to me by 12/15/25 when the compliance letter is due. This program does not provide transportation. The following violations were cited today: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 10/4/23 did not have a certification in First Aid on file and available for review. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member hired on 10/4/23 did not have a certification in CPR training on file and available for review. .1102(d) 1898 Staff did not complete the health and safety training within one year of employment. A staff member hired on 10/4/23 did not have the health and safety trainings on file and available for review. .1102(a) Technical Assistance: Please monitor staff and training worksheets and staff files closely, to ensure all items are current. This is including but not limited to First Aid/CPR and Health & Safety certificates. Also, it is highly recommended that health and safety trainings are printed out and placed in staff files for review. All staff, including substitutes need to have the required items on file and available for review, no matter what site they're assisting at. Consultation was provided on the following: After the children transitioned into the after school program they were sitting at the table for more than 15 minutes without an activity. Please ensure that children are not sitting and waiting without an activity for several minutes. Try to follow your schedule as closely as possible. During today’s visit there was an old lesson and menu posted when I arrived. You quickly obtained copies of both items to replace the outdated copies. We discussed the QRIS process today and reviewed each pathway. I encouraged you to continue reviewing the QRIS Modernization information and documents on the DCDEE website. Also, please continue reviewing section .3200 in child care rules, which contains all the new rules related to QRIS. You stated at this current time you are interested in pursuing pathway #2. I have listed a link to find information concerning QRIS Pathways: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A three star licensed is required to be eligible to receive DSS subsidy. The violation(s) documented must be corrected immediately. On or before December 15, 2025, I must receive a 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. You can send an email and in the body of the email you can simply include the following items: Facility Name: Facility ID #: Administrator's Name: Violation Item # (List each violation item # separately): How the violation was corrected or what you will do to prevent this violation from reoccurring (List each violation correction separately under the corresponding violation item #): 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