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Home › NC › Kings Mountain › Bloom Preschool & Childcare
Kings Mountain NC 28086 · License #23000515 · Home-based · Family Child Care Home
Not published by the state. Owners can add hours via profile claim.
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10A NCAC 09 .1703 · Violation
Name of Operation: Bloom Preschool & Childcare Facility ID: 23000515 Consultant: JENNIFER H ROBERTS Operation Type: Family CC Home Case Number: Visit Date: 9/16/2025 Number Present: 4 Completed Date: 9/16/2025 Age: From 0 To 1 Total Minutes: 185 Time In: 12:10 PM Time Out: 03:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Jessica Crocker, Operator, assisted me with the visit today. Currently this family child care home operates with a Temporary License, issued on July 2, 2025. The restrictions include first and second shift, maximum of 5 preschool children at any time, fireplace/woodstove not used during operating hours. The Secretary of State website was checked on September 16, 2025, and your business Bloom Preschool & Childcare LLC was current and not active. If any changes to the business type need to be made or you decide to sell your business, then you must notify me, your consultant, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. All designated indoor and outdoor spaces used for child care were monitored. Children were observed during nap/rest, transitions, afternoon snack, and indoor free play. You conducted a fire drill on September 2, 2025, at 8:30am. You completed a monthly outdoor inspection on September 2, 2025. You have a total of five (5) children enrolled including your preschool age child. You currently do not have any children enrolled on second shift and you stated that the children enrolled typically leave by 4:00pm. There were five (5) children’s files available for review. Four (4) children were in attendance during the visit. You do not provide transportation. You completed the lead water test on April 10, 2025. You completed the lead in paint and asbestos survey and based on the date the home was built, you are exempt from further testing. I discussed the Pathways to the Stars options with you. You said that you wanted to apply for a rated license, and you are not sure if pathway #1 or #2 would be your best option. We discussed if pathway #1 was chosen, you would need to complete the three-month self-assessment using the tools on the following website NCRLAP.org. I requested that you review the application for a star rated license on DCDEE’s website and review the requirements to meet pathway #1 and #2. The application has hyperlinks and I suggested that you click on each hyperlink for the pathway you choose and begin completing the requirements for the chosen pathway. We discussed and I gave you a copy of the Rated License Assessment Request Review form today to complete, and requested that you email me no later than Friday, September 19, 2025, if pathway #1 is chosen to allow time for the Family Child Care Environment Rating Scale to be completed. I discussed with you that programs with less than a three-star license will not be able to receive subsidy funding. We discussed your education evaluation results in your WORKS account. An extension of time is not given, and your rated license points will be processed with the current points you have earned prior to the temporary license expiring. The following violation was observed during the visit today. Violation Number Comment Rule 1990 Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference. One toddler, fourteen months of age did not have a written feeding plan on file for reference. .1706(i) Technical assistance was provided on the following: Written Feeding Plans For children under fifteen months of age, a written feeding plan must be completed and signed by the parent. Written feeding plans must be on file for infants and toddlers under fifteen months of age. I suggested that you have blank copies of the written feeding plan available for parents/guardians to complete when infants and toddlers under fifteen months of age are enrolled. Consultation was provided on the following: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Your business, Bloom Preschool & Childcare LLC, was active but not current. We discussed that you would need to complete and submit your annual report on the North Carolina Secretary of State’s website for your business to become current. Please complete this as soon as possible. Your business must always remain current and active. You must complete the Recognizing and Responding to Suspicions of Child Maltreatment training by October 2, 2025. This training can be completed on the website Prevent Child Abuse North Carolina at https://preventchildabusenc.org/. You will need to complete the Health and Safety Trainings and will need to print out a copy of the certificates by July 2, 2026. Environment Rating Scale Assessment I suggested that you visit ncrlap.org for additional information and complete trainings/Webinars regarding the FCCERS-3 assessment. FCCERS-3 Assessment In preparation of the Environment Rating Scale Assessment, I suggested that you contact Child Care Connections in Cleveland County for technical assistance regarding the assessment. You stated that you have contact information for the agency and did not want me to provide you with the information. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (a) For purposes of this Rule, the Emergency Preparedness and Response in Child Care is a training developed by the Division of Public Health for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to, and recovering from emergencies in child care facilities. (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/#, completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. (d) The Emergency Preparedness and Response Plan shall include the following: (1) written procedures for accounting for all in attendance, including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan (9) specific considerations for non-mobile children and children with special needs; and (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) The operator shall review the Family Child Care Home's Emergency Preparedness and Response Plan with additional caregivers prior to the individual caring for children and on an annual basis. (g) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. You completed the Emergency Preparedness and Response training on August 13, 2025. You have four months to complete your Emergency Preparedness and Response Plan after you complete the training. You will need to have your plan completed on or before December 13, 2025. You will place a hard copy on file for review with your Ready to Go file. Then you will begin completing and documenting Emergency Drills. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (b) Family child care home operators and staff members shall complete health and safety training within one year of employment, unless the operator or staff member has completed the training within the year prior to beginning employment or within the year prior to receiving a license. Health and safety training shall be in addition to the pre-licensing visit and new staff orientation requirements set forth in Rules .1702(d) and .1729(c) of this Section. The following persons shall be exempt from this requirement: (1) service providers such as speech therapists, occupational therapists, and physical therapists; and (2) substitutes who provide services for less than 10 days in a 12-month period. (c) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Rule .1102(c) and (d) of this Chapter; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Your temporary license will end after January 2, 2026. The next visit will be an unannounced visit to monitor applicable child care requirements and confirm the rated license points earned. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. You may access these trainings on DCDEE’s website under the provider tab. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Your annual compliance visit will be conducted prior to July 2, 2026. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by September 30, 2025. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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
Generated from this facility's specific inspection record
Data synced from North Carolina's child care licensing agency on Jul 9, 2026 · Report an error
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .1714 · Violation
Name of Operation: Bloom Preschool & Childcare Facility ID: 23000515 Consultant: JENNIFER H ROBERTS Operation Type: Family CC Home Case Number: Visit Date: 9/16/2025 Number Present: 4 Completed Date: 9/16/2025 Age: From 0 To 1 Total Minutes: 185 Time In: 12:10 PM Time Out: 03:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Jessica Crocker, Operator, assisted me with the visit today. Currently this family child care home operates with a Temporary License, issued on July 2, 2025. The restrictions include first and second shift, maximum of 5 preschool children at any time, fireplace/woodstove not used during operating hours. The Secretary of State website was checked on September 16, 2025, and your business Bloom Preschool & Childcare LLC was current and not active. If any changes to the business type need to be made or you decide to sell your business, then you must notify me, your consultant, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. All designated indoor and outdoor spaces used for child care were monitored. Children were observed during nap/rest, transitions, afternoon snack, and indoor free play. You conducted a fire drill on September 2, 2025, at 8:30am. You completed a monthly outdoor inspection on September 2, 2025. You have a total of five (5) children enrolled including your preschool age child. You currently do not have any children enrolled on second shift and you stated that the children enrolled typically leave by 4:00pm. There were five (5) children’s files available for review. Four (4) children were in attendance during the visit. You do not provide transportation. You completed the lead water test on April 10, 2025. You completed the lead in paint and asbestos survey and based on the date the home was built, you are exempt from further testing. I discussed the Pathways to the Stars options with you. You said that you wanted to apply for a rated license, and you are not sure if pathway #1 or #2 would be your best option. We discussed if pathway #1 was chosen, you would need to complete the three-month self-assessment using the tools on the following website NCRLAP.org. I requested that you review the application for a star rated license on DCDEE’s website and review the requirements to meet pathway #1 and #2. The application has hyperlinks and I suggested that you click on each hyperlink for the pathway you choose and begin completing the requirements for the chosen pathway. We discussed and I gave you a copy of the Rated License Assessment Request Review form today to complete, and requested that you email me no later than Friday, September 19, 2025, if pathway #1 is chosen to allow time for the Family Child Care Environment Rating Scale to be completed. I discussed with you that programs with less than a three-star license will not be able to receive subsidy funding. We discussed your education evaluation results in your WORKS account. An extension of time is not given, and your rated license points will be processed with the current points you have earned prior to the temporary license expiring. The following violation was observed during the visit today. Violation Number Comment Rule 1990 Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference. One toddler, fourteen months of age did not have a written feeding plan on file for reference. .1706(i) Technical assistance was provided on the following: Written Feeding Plans For children under fifteen months of age, a written feeding plan must be completed and signed by the parent. Written feeding plans must be on file for infants and toddlers under fifteen months of age. I suggested that you have blank copies of the written feeding plan available for parents/guardians to complete when infants and toddlers under fifteen months of age are enrolled. Consultation was provided on the following: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Your business, Bloom Preschool & Childcare LLC, was active but not current. We discussed that you would need to complete and submit your annual report on the North Carolina Secretary of State’s website for your business to become current. Please complete this as soon as possible. Your business must always remain current and active. You must complete the Recognizing and Responding to Suspicions of Child Maltreatment training by October 2, 2025. This training can be completed on the website Prevent Child Abuse North Carolina at https://preventchildabusenc.org/. You will need to complete the Health and Safety Trainings and will need to print out a copy of the certificates by July 2, 2026. Environment Rating Scale Assessment I suggested that you visit ncrlap.org for additional information and complete trainings/Webinars regarding the FCCERS-3 assessment. FCCERS-3 Assessment In preparation of the Environment Rating Scale Assessment, I suggested that you contact Child Care Connections in Cleveland County for technical assistance regarding the assessment. You stated that you have contact information for the agency and did not want me to provide you with the information. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (a) For purposes of this Rule, the Emergency Preparedness and Response in Child Care is a training developed by the Division of Public Health for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to, and recovering from emergencies in child care facilities. (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/#, completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. (d) The Emergency Preparedness and Response Plan shall include the following: (1) written procedures for accounting for all in attendance, including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan (9) specific considerations for non-mobile children and children with special needs; and (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) The operator shall review the Family Child Care Home's Emergency Preparedness and Response Plan with additional caregivers prior to the individual caring for children and on an annual basis. (g) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. You completed the Emergency Preparedness and Response training on August 13, 2025. You have four months to complete your Emergency Preparedness and Response Plan after you complete the training. You will need to have your plan completed on or before December 13, 2025. You will place a hard copy on file for review with your Ready to Go file. Then you will begin completing and documenting Emergency Drills. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (b) Family child care home operators and staff members shall complete health and safety training within one year of employment, unless the operator or staff member has completed the training within the year prior to beginning employment or within the year prior to receiving a license. Health and safety training shall be in addition to the pre-licensing visit and new staff orientation requirements set forth in Rules .1702(d) and .1729(c) of this Section. The following persons shall be exempt from this requirement: (1) service providers such as speech therapists, occupational therapists, and physical therapists; and (2) substitutes who provide services for less than 10 days in a 12-month period. (c) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Rule .1102(c) and (d) of this Chapter; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Your temporary license will end after January 2, 2026. The next visit will be an unannounced visit to monitor applicable child care requirements and confirm the rated license points earned. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. You may access these trainings on DCDEE’s website under the provider tab. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Your annual compliance visit will be conducted prior to July 2, 2026. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by September 30, 2025. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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 .2201 · Violation
Name of Operation: Bloom Preschool & Childcare Facility ID: 23000515 Consultant: JENNIFER H ROBERTS Operation Type: Family CC Home Case Number: Visit Date: 9/16/2025 Number Present: 4 Completed Date: 9/16/2025 Age: From 0 To 1 Total Minutes: 185 Time In: 12:10 PM Time Out: 03:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Jessica Crocker, Operator, assisted me with the visit today. Currently this family child care home operates with a Temporary License, issued on July 2, 2025. The restrictions include first and second shift, maximum of 5 preschool children at any time, fireplace/woodstove not used during operating hours. The Secretary of State website was checked on September 16, 2025, and your business Bloom Preschool & Childcare LLC was current and not active. If any changes to the business type need to be made or you decide to sell your business, then you must notify me, your consultant, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. All designated indoor and outdoor spaces used for child care were monitored. Children were observed during nap/rest, transitions, afternoon snack, and indoor free play. You conducted a fire drill on September 2, 2025, at 8:30am. You completed a monthly outdoor inspection on September 2, 2025. You have a total of five (5) children enrolled including your preschool age child. You currently do not have any children enrolled on second shift and you stated that the children enrolled typically leave by 4:00pm. There were five (5) children’s files available for review. Four (4) children were in attendance during the visit. You do not provide transportation. You completed the lead water test on April 10, 2025. You completed the lead in paint and asbestos survey and based on the date the home was built, you are exempt from further testing. I discussed the Pathways to the Stars options with you. You said that you wanted to apply for a rated license, and you are not sure if pathway #1 or #2 would be your best option. We discussed if pathway #1 was chosen, you would need to complete the three-month self-assessment using the tools on the following website NCRLAP.org. I requested that you review the application for a star rated license on DCDEE’s website and review the requirements to meet pathway #1 and #2. The application has hyperlinks and I suggested that you click on each hyperlink for the pathway you choose and begin completing the requirements for the chosen pathway. We discussed and I gave you a copy of the Rated License Assessment Request Review form today to complete, and requested that you email me no later than Friday, September 19, 2025, if pathway #1 is chosen to allow time for the Family Child Care Environment Rating Scale to be completed. I discussed with you that programs with less than a three-star license will not be able to receive subsidy funding. We discussed your education evaluation results in your WORKS account. An extension of time is not given, and your rated license points will be processed with the current points you have earned prior to the temporary license expiring. The following violation was observed during the visit today. Violation Number Comment Rule 1990 Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference. One toddler, fourteen months of age did not have a written feeding plan on file for reference. .1706(i) Technical assistance was provided on the following: Written Feeding Plans For children under fifteen months of age, a written feeding plan must be completed and signed by the parent. Written feeding plans must be on file for infants and toddlers under fifteen months of age. I suggested that you have blank copies of the written feeding plan available for parents/guardians to complete when infants and toddlers under fifteen months of age are enrolled. Consultation was provided on the following: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Your business, Bloom Preschool & Childcare LLC, was active but not current. We discussed that you would need to complete and submit your annual report on the North Carolina Secretary of State’s website for your business to become current. Please complete this as soon as possible. Your business must always remain current and active. You must complete the Recognizing and Responding to Suspicions of Child Maltreatment training by October 2, 2025. This training can be completed on the website Prevent Child Abuse North Carolina at https://preventchildabusenc.org/. You will need to complete the Health and Safety Trainings and will need to print out a copy of the certificates by July 2, 2026. Environment Rating Scale Assessment I suggested that you visit ncrlap.org for additional information and complete trainings/Webinars regarding the FCCERS-3 assessment. FCCERS-3 Assessment In preparation of the Environment Rating Scale Assessment, I suggested that you contact Child Care Connections in Cleveland County for technical assistance regarding the assessment. You stated that you have contact information for the agency and did not want me to provide you with the information. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (a) For purposes of this Rule, the Emergency Preparedness and Response in Child Care is a training developed by the Division of Public Health for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to, and recovering from emergencies in child care facilities. (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/#, completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. (d) The Emergency Preparedness and Response Plan shall include the following: (1) written procedures for accounting for all in attendance, including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan (9) specific considerations for non-mobile children and children with special needs; and (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) The operator shall review the Family Child Care Home's Emergency Preparedness and Response Plan with additional caregivers prior to the individual caring for children and on an annual basis. (g) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. You completed the Emergency Preparedness and Response training on August 13, 2025. You have four months to complete your Emergency Preparedness and Response Plan after you complete the training. You will need to have your plan completed on or before December 13, 2025. You will place a hard copy on file for review with your Ready to Go file. Then you will begin completing and documenting Emergency Drills. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (b) Family child care home operators and staff members shall complete health and safety training within one year of employment, unless the operator or staff member has completed the training within the year prior to beginning employment or within the year prior to receiving a license. Health and safety training shall be in addition to the pre-licensing visit and new staff orientation requirements set forth in Rules .1702(d) and .1729(c) of this Section. The following persons shall be exempt from this requirement: (1) service providers such as speech therapists, occupational therapists, and physical therapists; and (2) substitutes who provide services for less than 10 days in a 12-month period. (c) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Rule .1102(c) and (d) of this Chapter; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Your temporary license will end after January 2, 2026. The next visit will be an unannounced visit to monitor applicable child care requirements and confirm the rated license points earned. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. You may access these trainings on DCDEE’s website under the provider tab. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Your annual compliance visit will be conducted prior to July 2, 2026. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by September 30, 2025. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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.
G.S. 110-90 · Violation
Name of Operation: Bloom Preschool & Childcare Facility ID: 23000515 Consultant: JENNIFER H ROBERTS Operation Type: Family CC Home Case Number: Visit Date: 9/16/2025 Number Present: 4 Completed Date: 9/16/2025 Age: From 0 To 1 Total Minutes: 185 Time In: 12:10 PM Time Out: 03:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Jessica Crocker, Operator, assisted me with the visit today. Currently this family child care home operates with a Temporary License, issued on July 2, 2025. The restrictions include first and second shift, maximum of 5 preschool children at any time, fireplace/woodstove not used during operating hours. The Secretary of State website was checked on September 16, 2025, and your business Bloom Preschool & Childcare LLC was current and not active. If any changes to the business type need to be made or you decide to sell your business, then you must notify me, your consultant, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. All designated indoor and outdoor spaces used for child care were monitored. Children were observed during nap/rest, transitions, afternoon snack, and indoor free play. You conducted a fire drill on September 2, 2025, at 8:30am. You completed a monthly outdoor inspection on September 2, 2025. You have a total of five (5) children enrolled including your preschool age child. You currently do not have any children enrolled on second shift and you stated that the children enrolled typically leave by 4:00pm. There were five (5) children’s files available for review. Four (4) children were in attendance during the visit. You do not provide transportation. You completed the lead water test on April 10, 2025. You completed the lead in paint and asbestos survey and based on the date the home was built, you are exempt from further testing. I discussed the Pathways to the Stars options with you. You said that you wanted to apply for a rated license, and you are not sure if pathway #1 or #2 would be your best option. We discussed if pathway #1 was chosen, you would need to complete the three-month self-assessment using the tools on the following website NCRLAP.org. I requested that you review the application for a star rated license on DCDEE’s website and review the requirements to meet pathway #1 and #2. The application has hyperlinks and I suggested that you click on each hyperlink for the pathway you choose and begin completing the requirements for the chosen pathway. We discussed and I gave you a copy of the Rated License Assessment Request Review form today to complete, and requested that you email me no later than Friday, September 19, 2025, if pathway #1 is chosen to allow time for the Family Child Care Environment Rating Scale to be completed. I discussed with you that programs with less than a three-star license will not be able to receive subsidy funding. We discussed your education evaluation results in your WORKS account. An extension of time is not given, and your rated license points will be processed with the current points you have earned prior to the temporary license expiring. The following violation was observed during the visit today. Violation Number Comment Rule 1990 Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference. One toddler, fourteen months of age did not have a written feeding plan on file for reference. .1706(i) Technical assistance was provided on the following: Written Feeding Plans For children under fifteen months of age, a written feeding plan must be completed and signed by the parent. Written feeding plans must be on file for infants and toddlers under fifteen months of age. I suggested that you have blank copies of the written feeding plan available for parents/guardians to complete when infants and toddlers under fifteen months of age are enrolled. Consultation was provided on the following: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Your business, Bloom Preschool & Childcare LLC, was active but not current. We discussed that you would need to complete and submit your annual report on the North Carolina Secretary of State’s website for your business to become current. Please complete this as soon as possible. Your business must always remain current and active. You must complete the Recognizing and Responding to Suspicions of Child Maltreatment training by October 2, 2025. This training can be completed on the website Prevent Child Abuse North Carolina at https://preventchildabusenc.org/. You will need to complete the Health and Safety Trainings and will need to print out a copy of the certificates by July 2, 2026. Environment Rating Scale Assessment I suggested that you visit ncrlap.org for additional information and complete trainings/Webinars regarding the FCCERS-3 assessment. FCCERS-3 Assessment In preparation of the Environment Rating Scale Assessment, I suggested that you contact Child Care Connections in Cleveland County for technical assistance regarding the assessment. You stated that you have contact information for the agency and did not want me to provide you with the information. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (a) For purposes of this Rule, the Emergency Preparedness and Response in Child Care is a training developed by the Division of Public Health for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to, and recovering from emergencies in child care facilities. (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/#, completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. (d) The Emergency Preparedness and Response Plan shall include the following: (1) written procedures for accounting for all in attendance, including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan (9) specific considerations for non-mobile children and children with special needs; and (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) The operator shall review the Family Child Care Home's Emergency Preparedness and Response Plan with additional caregivers prior to the individual caring for children and on an annual basis. (g) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. You completed the Emergency Preparedness and Response training on August 13, 2025. You have four months to complete your Emergency Preparedness and Response Plan after you complete the training. You will need to have your plan completed on or before December 13, 2025. You will place a hard copy on file for review with your Ready to Go file. Then you will begin completing and documenting Emergency Drills. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (b) Family child care home operators and staff members shall complete health and safety training within one year of employment, unless the operator or staff member has completed the training within the year prior to beginning employment or within the year prior to receiving a license. Health and safety training shall be in addition to the pre-licensing visit and new staff orientation requirements set forth in Rules .1702(d) and .1729(c) of this Section. The following persons shall be exempt from this requirement: (1) service providers such as speech therapists, occupational therapists, and physical therapists; and (2) substitutes who provide services for less than 10 days in a 12-month period. (c) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Rule .1102(c) and (d) of this Chapter; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Your temporary license will end after January 2, 2026. The next visit will be an unannounced visit to monitor applicable child care requirements and confirm the rated license points earned. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. You may access these trainings on DCDEE’s website under the provider tab. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Your annual compliance visit will be conducted prior to July 2, 2026. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by September 30, 2025. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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.