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Home › NC › Kings Mountain › Grace Christian Academy OF Kings Mountain, Inc.
420 Branch Street, Kings Mountain NC 28086 · License #23000483 · Center · Child Care Center
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10A NCAC 09 .0604 · Violation
Name of Operation: GRACE CHRISTIAN ACADEMY OF KINGS MOUNTAIN, INC. Facility ID: 23000483 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 9/5/2025 Number Present: 28 Completed Date: 9/5/2025 Age: From 3 To 5 Total Minutes: 330 Time In: 09:30 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements including health and safety requirements. You, Stephanie Chambers, Administrator, assisted me with the visit today. The Secretary of State website was checked on September 3, 2025, and your business, Christian Academy of Kings Mountain, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, Tiffani Sims, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Your program currently operates with a 3-star license effective November 26, 2019. You have earned four (4) points in staff education, two (2) points in program standards, and one (1) quality point. The program's license restrictions include the following: daytime care and meets enhanced space. A walk-through of the facility was completed today, and all indoor and outdoor areas were monitored. During today’s visit, the children were observed indoor gross motor play, indoor free play, group time, lunch time, and nap time. Inspections/Emergency Drills: Fire Inspection: The last fire inspection was completed on February 15, 2025. Sanitation Inspection: The last sanitation inspection was completed on December 18, 2024. A “superior” classification was issued with six (6) demerits noted on the grade card. Emergency Drills/Playground Inspections: The last shelter in place drill was completed on _May 21, 2025, at 10:00am and recorded. The last playground inspection was completed on August 15, 2025. The last fire drill was completed on August 20, 2025, at 10:00am and recorded. A complete walk-through of licensed indoor and outdoor spaces was conducted. The playground was monitored during today’s visit, but due to storm damage that occurred on September 4, 2025, tents used for shade were blown down and were removed and mulch was being added during the visit. A checklist was used to note the requirements I monitored today. Files Reviewed: Children’s files, program files, and staff files were monitored today. Five (5) children's files were reviewed during today’s visit. One (1) staff file was reviewed and two (2) new staff files were reviewed today. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The following violations were observed during the visit today. I discussed these violations with you in detail at the end of the visit. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #2, an outlet plug on the wall in the Science area was not covered. In Space #3, the bathroom accessible to children did not have an outlet plug was not covered in the outlet next to the sink. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The medical statement documentation available for review for a staff member employed on June 9, 2025, was dated October 26, 2023. The documentation available for review was older than 12 months. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB Test documentation available for review for a staff member employed on June 9, 2025, was dated October 26, 2023, and was older than 12 months. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The documentation available for review for a shelter in place emergency drill was completed and recorded on May 21, 2025, at 10:00am. There was no documentation available for review for an emergency that should have been completed in August 2025. .0604(u);.0302(d)(8) The following Technical Assistance regarding the violations observed during today’s visit was provided: Electrical Outlets: -I suggested that you monitor all spaces throughout the day to ensure all electrical outlets not in use are covered with a safety plug. Instruct staff to check all electrical outlets at the beginning of the day. The outlets were covered during the visit. -Emergency Drills: As a reminder, emergency drills must be completed and documented every three months with all the required information included on the emergency drill form. I suggested highlighting a date on the calendar every three months as reminder of when emergency drills need to be completed. Staff medical records- -Medical statements for new staff must be received and on file prior to employment. I suggested that you utilize the Staff File Checklist available on the DCDEE website to ensure all applicable documents that are required prior to employment are on file prior to the staff beginning work. Staff medical records (TB Test)- -Tuberculin (TB) Test or Screening must be received on or before the staff members first day of employment. Results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. If the TB Screening questions are all answered no and signed by a health care professional, then a TB test is not required. I suggested that you utilize the Staff File Checklist available on the DCDEE website to ensure all applicable documents that are required prior to employment are on file prior to the staff beginning work. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was ninety-five (95%). Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by September 19, 2025. Please include in that letter each item 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 tiffani.sims@dhhs.nc.gov Tiffani Sims PO Box 185 Glen Alpine, NC 28628 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. Consultation: -Provider Access to ABCMS I reviewed the ABCMS Portal Roster for your child care program on September 3, 2025, and you have linked staff to the facility’s ABCMS Portal page. I reviewed for accuracy the ABCMS Portal to the staff and training worksheet that you had provided to me prior to today’s visit. One current staff has not been linked due their ccriminal background check is processing due to her previous out of state residency status. I reminded you to link your newly hired staff member. I discussed that when new staff are hired and/or when staff are terminated you are required to update the ABCMS Portal Page. -Child Care Rule Effective January 1, 2024 Lead Testing: Child Care Rule .0601(f)- Safe Environments We discussed the test results that were available for review on the Clean Classrooms for Carolina Kids website for lead testing water testing, lead-based paint testing, and asbestos testing for your facility. The lead water testing results were completed on July 26, 2024. On September 3, 2025, I checked the Clean Classrooms for Carolina Kids website, and it stated that your facility’s lead-based paint and asbestos testing had not been completed at this time. I discussed this issue with you and told you this task must be completed as soon as possible. Violations may be cited during future visits. You stated that -QRIS Moderation For more information on the new QRIS system, please visit the DCDEE website, homepage click the What’s new Tab and click onto the QRIS System link. I discussed with you the three different pathways available through the new QRIS System and the resources available for review on the DCDEE website. Information was discussed included the following: the Continuous Quality Improvement Plan for each staff and the program, Enhanced Education standards for the different staff positions, Family and Community Engagement Standards, curriculum, Staff/Child Ratios requirements, and approved Early Childhood Formative Assessments. We discussed you letting me know by October 20, 2025, which of the three pathways for stars you have chosen for your facility. Links for Resources Approved Curriculum: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_Curriculum.pdf?ver=Hxr2QwCIRb8kdaccUr3ETA%3d%3d2023 NC Child Care Commission Approved Formative Assessments: ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_Curriculum.pdf?ver=Hxr2QwCIRb8kdaccUr3ETA%3d%3d Technical Assistance for QRIS and ERS-3 & SACERS-U: I suggested that you contact Child Care Connections of Cleveland County for technical assistance and trainings. I have provided their contact information below. Southwestern Child Development Commission for SACERS-U (828)586-5561 Tina Williams, Director of Provider Services ShaKaren Dade, Birth-Three Specialist (704) 487-7397 Resource: Healthychildren.org, powered by the American Academy of Pediatrics Link: https://www.healthychildren.org/English/Pages/default.aspx -Updating DCDEE WORKS Account: We discussed updating and/or creating an account on the DCDEE WORKS portal for staff’s education to be evaluated for the upcoming Pathways to the Stars process. The link is the following: https://dcdee.works.nc.gov/ and scroll down to the DCDEE WORKS logon link. An updated DCDEE WORKS account is required for all staff to process the education standard for your program. Education will be evaluated for administrators and staff who provide direct care to children. Additional trainings and resources can be accessed from the NC Rated License Assessment Project for the Environment Rating Scales Third Edition for the ECERS-3. -Safe Environment/Supervision During Naptime: We discussed naptime classroom environment during the visit today. I reminded you that the naptime classrooms are not allowed to be pitch dark and that lighting should be provided in the classroom to allow staff to supervise and/or aid a child if needed. I also discussed that naptime music should not be so loud that staff are unable to hear children in case assistance is needed. I reviewed with you the child care rules concerning the safe environment and supervision. Child Care Rule References: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; 10A NCAC 09 .0601 SAFE ENVIRONMENT All child care centers shall provide a safe indoor and outdoor environment for the children in care. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Incident Report: You asked me questions on how to complete an incident report. We reviewed an incident report and discussed the required information that needs to be documented. Activity Plans: You asked me questions concerning how to complete activity plans. I reviewed with you and offered suggestions on how to complete these plans. I also suggested that you visit the Provider Documents page and print the activity plan for preschool to use. NCFELD Training: I suggested that teaching staff enroll in the NCFELD training. This training will help staff in planning activities. DCDEE Updates: What’s New Tab I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children and families of North Carolina. 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 .0601 · Violation
Name of Operation: GRACE CHRISTIAN ACADEMY OF KINGS MOUNTAIN, INC. Facility ID: 23000483 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 9/5/2025 Number Present: 28 Completed Date: 9/5/2025 Age: From 3 To 5 Total Minutes: 330 Time In: 09:30 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements including health and safety requirements. You, Stephanie Chambers, Administrator, assisted me with the visit today. The Secretary of State website was checked on September 3, 2025, and your business, Christian Academy of Kings Mountain, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, Tiffani Sims, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Your program currently operates with a 3-star license effective November 26, 2019. You have earned four (4) points in staff education, two (2) points in program standards, and one (1) quality point. The program's license restrictions include the following: daytime care and meets enhanced space. A walk-through of the facility was completed today, and all indoor and outdoor areas were monitored. During today’s visit, the children were observed indoor gross motor play, indoor free play, group time, lunch time, and nap time. Inspections/Emergency Drills: Fire Inspection: The last fire inspection was completed on February 15, 2025. Sanitation Inspection: The last sanitation inspection was completed on December 18, 2024. A “superior” classification was issued with six (6) demerits noted on the grade card. Emergency Drills/Playground Inspections: The last shelter in place drill was completed on _May 21, 2025, at 10:00am and recorded. The last playground inspection was completed on August 15, 2025. The last fire drill was completed on August 20, 2025, at 10:00am and recorded. A complete walk-through of licensed indoor and outdoor spaces was conducted. The playground was monitored during today’s visit, but due to storm damage that occurred on September 4, 2025, tents used for shade were blown down and were removed and mulch was being added during the visit. A checklist was used to note the requirements I monitored today. Files Reviewed: Children’s files, program files, and staff files were monitored today. Five (5) children's files were reviewed during today’s visit. One (1) staff file was reviewed and two (2) new staff files were reviewed today. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The following violations were observed during the visit today. I discussed these violations with you in detail at the end of the visit. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #2, an outlet plug on the wall in the Science area was not covered. In Space #3, the bathroom accessible to children did not have an outlet plug was not covered in the outlet next to the sink. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The medical statement documentation available for review for a staff member employed on June 9, 2025, was dated October 26, 2023. The documentation available for review was older than 12 months. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB Test documentation available for review for a staff member employed on June 9, 2025, was dated October 26, 2023, and was older than 12 months. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The documentation available for review for a shelter in place emergency drill was completed and recorded on May 21, 2025, at 10:00am. There was no documentation available for review for an emergency that should have been completed in August 2025. .0604(u);.0302(d)(8) The following Technical Assistance regarding the violations observed during today’s visit was provided: Electrical Outlets: -I suggested that you monitor all spaces throughout the day to ensure all electrical outlets not in use are covered with a safety plug. Instruct staff to check all electrical outlets at the beginning of the day. The outlets were covered during the visit. -Emergency Drills: As a reminder, emergency drills must be completed and documented every three months with all the required information included on the emergency drill form. I suggested highlighting a date on the calendar every three months as reminder of when emergency drills need to be completed. Staff medical records- -Medical statements for new staff must be received and on file prior to employment. I suggested that you utilize the Staff File Checklist available on the DCDEE website to ensure all applicable documents that are required prior to employment are on file prior to the staff beginning work. Staff medical records (TB Test)- -Tuberculin (TB) Test or Screening must be received on or before the staff members first day of employment. Results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. If the TB Screening questions are all answered no and signed by a health care professional, then a TB test is not required. I suggested that you utilize the Staff File Checklist available on the DCDEE website to ensure all applicable documents that are required prior to employment are on file prior to the staff beginning work. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was ninety-five (95%). Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by September 19, 2025. Please include in that letter each item 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 tiffani.sims@dhhs.nc.gov Tiffani Sims PO Box 185 Glen Alpine, NC 28628 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. Consultation: -Provider Access to ABCMS I reviewed the ABCMS Portal Roster for your child care program on September 3, 2025, and you have linked staff to the facility’s ABCMS Portal page. I reviewed for accuracy the ABCMS Portal to the staff and training worksheet that you had provided to me prior to today’s visit. One current staff has not been linked due their ccriminal background check is processing due to her previous out of state residency status. I reminded you to link your newly hired staff member. I discussed that when new staff are hired and/or when staff are terminated you are required to update the ABCMS Portal Page. -Child Care Rule Effective January 1, 2024 Lead Testing: Child Care Rule .0601(f)- Safe Environments We discussed the test results that were available for review on the Clean Classrooms for Carolina Kids website for lead testing water testing, lead-based paint testing, and asbestos testing for your facility. The lead water testing results were completed on July 26, 2024. On September 3, 2025, I checked the Clean Classrooms for Carolina Kids website, and it stated that your facility’s lead-based paint and asbestos testing had not been completed at this time. I discussed this issue with you and told you this task must be completed as soon as possible. Violations may be cited during future visits. You stated that -QRIS Moderation For more information on the new QRIS system, please visit the DCDEE website, homepage click the What’s new Tab and click onto the QRIS System link. I discussed with you the three different pathways available through the new QRIS System and the resources available for review on the DCDEE website. Information was discussed included the following: the Continuous Quality Improvement Plan for each staff and the program, Enhanced Education standards for the different staff positions, Family and Community Engagement Standards, curriculum, Staff/Child Ratios requirements, and approved Early Childhood Formative Assessments. We discussed you letting me know by October 20, 2025, which of the three pathways for stars you have chosen for your facility. Links for Resources Approved Curriculum: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_Curriculum.pdf?ver=Hxr2QwCIRb8kdaccUr3ETA%3d%3d2023 NC Child Care Commission Approved Formative Assessments: ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_Curriculum.pdf?ver=Hxr2QwCIRb8kdaccUr3ETA%3d%3d Technical Assistance for QRIS and ERS-3 & SACERS-U: I suggested that you contact Child Care Connections of Cleveland County for technical assistance and trainings. I have provided their contact information below. Southwestern Child Development Commission for SACERS-U (828)586-5561 Tina Williams, Director of Provider Services ShaKaren Dade, Birth-Three Specialist (704) 487-7397 Resource: Healthychildren.org, powered by the American Academy of Pediatrics Link: https://www.healthychildren.org/English/Pages/default.aspx -Updating DCDEE WORKS Account: We discussed updating and/or creating an account on the DCDEE WORKS portal for staff’s education to be evaluated for the upcoming Pathways to the Stars process. The link is the following: https://dcdee.works.nc.gov/ and scroll down to the DCDEE WORKS logon link. An updated DCDEE WORKS account is required for all staff to process the education standard for your program. Education will be evaluated for administrators and staff who provide direct care to children. Additional trainings and resources can be accessed from the NC Rated License Assessment Project for the Environment Rating Scales Third Edition for the ECERS-3. -Safe Environment/Supervision During Naptime: We discussed naptime classroom environment during the visit today. I reminded you that the naptime classrooms are not allowed to be pitch dark and that lighting should be provided in the classroom to allow staff to supervise and/or aid a child if needed. I also discussed that naptime music should not be so loud that staff are unable to hear children in case assistance is needed. I reviewed with you the child care rules concerning the safe environment and supervision. Child Care Rule References: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; 10A NCAC 09 .0601 SAFE ENVIRONMENT All child care centers shall provide a safe indoor and outdoor environment for the children in care. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Incident Report: You asked me questions on how to complete an incident report. We reviewed an incident report and discussed the required information that needs to be documented. Activity Plans: You asked me questions concerning how to complete activity plans. I reviewed with you and offered suggestions on how to complete these plans. I also suggested that you visit the Provider Documents page and print the activity plan for preschool to use. NCFELD Training: I suggested that teaching staff enroll in the NCFELD training. This training will help staff in planning activities. DCDEE Updates: What’s New Tab I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children and families of North Carolina. 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 .0701 · Violation
Name of Operation: GRACE CHRISTIAN ACADEMY OF KINGS MOUNTAIN, INC. Facility ID: 23000483 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 9/5/2025 Number Present: 28 Completed Date: 9/5/2025 Age: From 3 To 5 Total Minutes: 330 Time In: 09:30 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements including health and safety requirements. You, Stephanie Chambers, Administrator, assisted me with the visit today. The Secretary of State website was checked on September 3, 2025, and your business, Christian Academy of Kings Mountain, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, Tiffani Sims, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Your program currently operates with a 3-star license effective November 26, 2019. You have earned four (4) points in staff education, two (2) points in program standards, and one (1) quality point. The program's license restrictions include the following: daytime care and meets enhanced space. A walk-through of the facility was completed today, and all indoor and outdoor areas were monitored. During today’s visit, the children were observed indoor gross motor play, indoor free play, group time, lunch time, and nap time. Inspections/Emergency Drills: Fire Inspection: The last fire inspection was completed on February 15, 2025. Sanitation Inspection: The last sanitation inspection was completed on December 18, 2024. A “superior” classification was issued with six (6) demerits noted on the grade card. Emergency Drills/Playground Inspections: The last shelter in place drill was completed on _May 21, 2025, at 10:00am and recorded. The last playground inspection was completed on August 15, 2025. The last fire drill was completed on August 20, 2025, at 10:00am and recorded. A complete walk-through of licensed indoor and outdoor spaces was conducted. The playground was monitored during today’s visit, but due to storm damage that occurred on September 4, 2025, tents used for shade were blown down and were removed and mulch was being added during the visit. A checklist was used to note the requirements I monitored today. Files Reviewed: Children’s files, program files, and staff files were monitored today. Five (5) children's files were reviewed during today’s visit. One (1) staff file was reviewed and two (2) new staff files were reviewed today. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The following violations were observed during the visit today. I discussed these violations with you in detail at the end of the visit. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #2, an outlet plug on the wall in the Science area was not covered. In Space #3, the bathroom accessible to children did not have an outlet plug was not covered in the outlet next to the sink. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The medical statement documentation available for review for a staff member employed on June 9, 2025, was dated October 26, 2023. The documentation available for review was older than 12 months. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB Test documentation available for review for a staff member employed on June 9, 2025, was dated October 26, 2023, and was older than 12 months. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The documentation available for review for a shelter in place emergency drill was completed and recorded on May 21, 2025, at 10:00am. There was no documentation available for review for an emergency that should have been completed in August 2025. .0604(u);.0302(d)(8) The following Technical Assistance regarding the violations observed during today’s visit was provided: Electrical Outlets: -I suggested that you monitor all spaces throughout the day to ensure all electrical outlets not in use are covered with a safety plug. Instruct staff to check all electrical outlets at the beginning of the day. The outlets were covered during the visit. -Emergency Drills: As a reminder, emergency drills must be completed and documented every three months with all the required information included on the emergency drill form. I suggested highlighting a date on the calendar every three months as reminder of when emergency drills need to be completed. Staff medical records- -Medical statements for new staff must be received and on file prior to employment. I suggested that you utilize the Staff File Checklist available on the DCDEE website to ensure all applicable documents that are required prior to employment are on file prior to the staff beginning work. Staff medical records (TB Test)- -Tuberculin (TB) Test or Screening must be received on or before the staff members first day of employment. Results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. If the TB Screening questions are all answered no and signed by a health care professional, then a TB test is not required. I suggested that you utilize the Staff File Checklist available on the DCDEE website to ensure all applicable documents that are required prior to employment are on file prior to the staff beginning work. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was ninety-five (95%). Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by September 19, 2025. Please include in that letter each item 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 tiffani.sims@dhhs.nc.gov Tiffani Sims PO Box 185 Glen Alpine, NC 28628 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. Consultation: -Provider Access to ABCMS I reviewed the ABCMS Portal Roster for your child care program on September 3, 2025, and you have linked staff to the facility’s ABCMS Portal page. I reviewed for accuracy the ABCMS Portal to the staff and training worksheet that you had provided to me prior to today’s visit. One current staff has not been linked due their ccriminal background check is processing due to her previous out of state residency status. I reminded you to link your newly hired staff member. I discussed that when new staff are hired and/or when staff are terminated you are required to update the ABCMS Portal Page. -Child Care Rule Effective January 1, 2024 Lead Testing: Child Care Rule .0601(f)- Safe Environments We discussed the test results that were available for review on the Clean Classrooms for Carolina Kids website for lead testing water testing, lead-based paint testing, and asbestos testing for your facility. The lead water testing results were completed on July 26, 2024. On September 3, 2025, I checked the Clean Classrooms for Carolina Kids website, and it stated that your facility’s lead-based paint and asbestos testing had not been completed at this time. I discussed this issue with you and told you this task must be completed as soon as possible. Violations may be cited during future visits. You stated that -QRIS Moderation For more information on the new QRIS system, please visit the DCDEE website, homepage click the What’s new Tab and click onto the QRIS System link. I discussed with you the three different pathways available through the new QRIS System and the resources available for review on the DCDEE website. Information was discussed included the following: the Continuous Quality Improvement Plan for each staff and the program, Enhanced Education standards for the different staff positions, Family and Community Engagement Standards, curriculum, Staff/Child Ratios requirements, and approved Early Childhood Formative Assessments. We discussed you letting me know by October 20, 2025, which of the three pathways for stars you have chosen for your facility. Links for Resources Approved Curriculum: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_Curriculum.pdf?ver=Hxr2QwCIRb8kdaccUr3ETA%3d%3d2023 NC Child Care Commission Approved Formative Assessments: ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_Curriculum.pdf?ver=Hxr2QwCIRb8kdaccUr3ETA%3d%3d Technical Assistance for QRIS and ERS-3 & SACERS-U: I suggested that you contact Child Care Connections of Cleveland County for technical assistance and trainings. I have provided their contact information below. Southwestern Child Development Commission for SACERS-U (828)586-5561 Tina Williams, Director of Provider Services ShaKaren Dade, Birth-Three Specialist (704) 487-7397 Resource: Healthychildren.org, powered by the American Academy of Pediatrics Link: https://www.healthychildren.org/English/Pages/default.aspx -Updating DCDEE WORKS Account: We discussed updating and/or creating an account on the DCDEE WORKS portal for staff’s education to be evaluated for the upcoming Pathways to the Stars process. The link is the following: https://dcdee.works.nc.gov/ and scroll down to the DCDEE WORKS logon link. An updated DCDEE WORKS account is required for all staff to process the education standard for your program. Education will be evaluated for administrators and staff who provide direct care to children. Additional trainings and resources can be accessed from the NC Rated License Assessment Project for the Environment Rating Scales Third Edition for the ECERS-3. -Safe Environment/Supervision During Naptime: We discussed naptime classroom environment during the visit today. I reminded you that the naptime classrooms are not allowed to be pitch dark and that lighting should be provided in the classroom to allow staff to supervise and/or aid a child if needed. I also discussed that naptime music should not be so loud that staff are unable to hear children in case assistance is needed. I reviewed with you the child care rules concerning the safe environment and supervision. Child Care Rule References: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; 10A NCAC 09 .0601 SAFE ENVIRONMENT All child care centers shall provide a safe indoor and outdoor environment for the children in care. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Incident Report: You asked me questions on how to complete an incident report. We reviewed an incident report and discussed the required information that needs to be documented. Activity Plans: You asked me questions concerning how to complete activity plans. I reviewed with you and offered suggestions on how to complete these plans. I also suggested that you visit the Provider Documents page and print the activity plan for preschool to use. NCFELD Training: I suggested that teaching staff enroll in the NCFELD training. This training will help staff in planning activities. DCDEE Updates: What’s New Tab I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children and families of North Carolina. 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 .1801 · Violation
Name of Operation: GRACE CHRISTIAN ACADEMY OF KINGS MOUNTAIN, INC. Facility ID: 23000483 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 9/5/2025 Number Present: 28 Completed Date: 9/5/2025 Age: From 3 To 5 Total Minutes: 330 Time In: 09:30 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements including health and safety requirements. You, Stephanie Chambers, Administrator, assisted me with the visit today. The Secretary of State website was checked on September 3, 2025, and your business, Christian Academy of Kings Mountain, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, Tiffani Sims, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Your program currently operates with a 3-star license effective November 26, 2019. You have earned four (4) points in staff education, two (2) points in program standards, and one (1) quality point. The program's license restrictions include the following: daytime care and meets enhanced space. A walk-through of the facility was completed today, and all indoor and outdoor areas were monitored. During today’s visit, the children were observed indoor gross motor play, indoor free play, group time, lunch time, and nap time. Inspections/Emergency Drills: Fire Inspection: The last fire inspection was completed on February 15, 2025. Sanitation Inspection: The last sanitation inspection was completed on December 18, 2024. A “superior” classification was issued with six (6) demerits noted on the grade card. Emergency Drills/Playground Inspections: The last shelter in place drill was completed on _May 21, 2025, at 10:00am and recorded. The last playground inspection was completed on August 15, 2025. The last fire drill was completed on August 20, 2025, at 10:00am and recorded. A complete walk-through of licensed indoor and outdoor spaces was conducted. The playground was monitored during today’s visit, but due to storm damage that occurred on September 4, 2025, tents used for shade were blown down and were removed and mulch was being added during the visit. A checklist was used to note the requirements I monitored today. Files Reviewed: Children’s files, program files, and staff files were monitored today. Five (5) children's files were reviewed during today’s visit. One (1) staff file was reviewed and two (2) new staff files were reviewed today. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The following violations were observed during the visit today. I discussed these violations with you in detail at the end of the visit. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #2, an outlet plug on the wall in the Science area was not covered. In Space #3, the bathroom accessible to children did not have an outlet plug was not covered in the outlet next to the sink. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The medical statement documentation available for review for a staff member employed on June 9, 2025, was dated October 26, 2023. The documentation available for review was older than 12 months. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB Test documentation available for review for a staff member employed on June 9, 2025, was dated October 26, 2023, and was older than 12 months. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The documentation available for review for a shelter in place emergency drill was completed and recorded on May 21, 2025, at 10:00am. There was no documentation available for review for an emergency that should have been completed in August 2025. .0604(u);.0302(d)(8) The following Technical Assistance regarding the violations observed during today’s visit was provided: Electrical Outlets: -I suggested that you monitor all spaces throughout the day to ensure all electrical outlets not in use are covered with a safety plug. Instruct staff to check all electrical outlets at the beginning of the day. The outlets were covered during the visit. -Emergency Drills: As a reminder, emergency drills must be completed and documented every three months with all the required information included on the emergency drill form. I suggested highlighting a date on the calendar every three months as reminder of when emergency drills need to be completed. Staff medical records- -Medical statements for new staff must be received and on file prior to employment. I suggested that you utilize the Staff File Checklist available on the DCDEE website to ensure all applicable documents that are required prior to employment are on file prior to the staff beginning work. Staff medical records (TB Test)- -Tuberculin (TB) Test or Screening must be received on or before the staff members first day of employment. Results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. If the TB Screening questions are all answered no and signed by a health care professional, then a TB test is not required. I suggested that you utilize the Staff File Checklist available on the DCDEE website to ensure all applicable documents that are required prior to employment are on file prior to the staff beginning work. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was ninety-five (95%). Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by September 19, 2025. Please include in that letter each item 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 tiffani.sims@dhhs.nc.gov Tiffani Sims PO Box 185 Glen Alpine, NC 28628 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. Consultation: -Provider Access to ABCMS I reviewed the ABCMS Portal Roster for your child care program on September 3, 2025, and you have linked staff to the facility’s ABCMS Portal page. I reviewed for accuracy the ABCMS Portal to the staff and training worksheet that you had provided to me prior to today’s visit. One current staff has not been linked due their ccriminal background check is processing due to her previous out of state residency status. I reminded you to link your newly hired staff member. I discussed that when new staff are hired and/or when staff are terminated you are required to update the ABCMS Portal Page. -Child Care Rule Effective January 1, 2024 Lead Testing: Child Care Rule .0601(f)- Safe Environments We discussed the test results that were available for review on the Clean Classrooms for Carolina Kids website for lead testing water testing, lead-based paint testing, and asbestos testing for your facility. The lead water testing results were completed on July 26, 2024. On September 3, 2025, I checked the Clean Classrooms for Carolina Kids website, and it stated that your facility’s lead-based paint and asbestos testing had not been completed at this time. I discussed this issue with you and told you this task must be completed as soon as possible. Violations may be cited during future visits. You stated that -QRIS Moderation For more information on the new QRIS system, please visit the DCDEE website, homepage click the What’s new Tab and click onto the QRIS System link. I discussed with you the three different pathways available through the new QRIS System and the resources available for review on the DCDEE website. Information was discussed included the following: the Continuous Quality Improvement Plan for each staff and the program, Enhanced Education standards for the different staff positions, Family and Community Engagement Standards, curriculum, Staff/Child Ratios requirements, and approved Early Childhood Formative Assessments. We discussed you letting me know by October 20, 2025, which of the three pathways for stars you have chosen for your facility. Links for Resources Approved Curriculum: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_Curriculum.pdf?ver=Hxr2QwCIRb8kdaccUr3ETA%3d%3d2023 NC Child Care Commission Approved Formative Assessments: ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_Curriculum.pdf?ver=Hxr2QwCIRb8kdaccUr3ETA%3d%3d Technical Assistance for QRIS and ERS-3 & SACERS-U: I suggested that you contact Child Care Connections of Cleveland County for technical assistance and trainings. I have provided their contact information below. Southwestern Child Development Commission for SACERS-U (828)586-5561 Tina Williams, Director of Provider Services ShaKaren Dade, Birth-Three Specialist (704) 487-7397 Resource: Healthychildren.org, powered by the American Academy of Pediatrics Link: https://www.healthychildren.org/English/Pages/default.aspx -Updating DCDEE WORKS Account: We discussed updating and/or creating an account on the DCDEE WORKS portal for staff’s education to be evaluated for the upcoming Pathways to the Stars process. The link is the following: https://dcdee.works.nc.gov/ and scroll down to the DCDEE WORKS logon link. An updated DCDEE WORKS account is required for all staff to process the education standard for your program. Education will be evaluated for administrators and staff who provide direct care to children. Additional trainings and resources can be accessed from the NC Rated License Assessment Project for the Environment Rating Scales Third Edition for the ECERS-3. -Safe Environment/Supervision During Naptime: We discussed naptime classroom environment during the visit today. I reminded you that the naptime classrooms are not allowed to be pitch dark and that lighting should be provided in the classroom to allow staff to supervise and/or aid a child if needed. I also discussed that naptime music should not be so loud that staff are unable to hear children in case assistance is needed. I reviewed with you the child care rules concerning the safe environment and supervision. Child Care Rule References: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; 10A NCAC 09 .0601 SAFE ENVIRONMENT All child care centers shall provide a safe indoor and outdoor environment for the children in care. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Incident Report: You asked me questions on how to complete an incident report. We reviewed an incident report and discussed the required information that needs to be documented. Activity Plans: You asked me questions concerning how to complete activity plans. I reviewed with you and offered suggestions on how to complete these plans. I also suggested that you visit the Provider Documents page and print the activity plan for preschool to use. NCFELD Training: I suggested that teaching staff enroll in the NCFELD training. This training will help staff in planning activities. DCDEE Updates: What’s New Tab I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children and families of North Carolina. 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 .0302 · Violation
Name of Operation: GRACE CHRISTIAN ACADEMY OF KINGS MOUNTAIN, INC. Facility ID: 23000483 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 2/13/2025 Number Present: 23 Completed Date: 2/13/2025 Age: From 3 To 5 Total Minutes: 140 Time In: 11:00 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety for a routine unannounced visit. You, Wendy Morgan, Administrative Assistant, assisted me with the visit. The Secretary of State website was checked on February 12, 2025, and your business, Christian Academy of Kings Mountain, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, Tiffani Sims, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Your program currently operates with a 3-star license effective November 26, 2019. You have earned four (4) points in staff education, two (2) points in program standards, and one (1) quality point. The program's license restrictions include the following: daytime care and meets enhanced space. A walk-through of the facility was completed today, and all indoor and outdoor areas were monitored. Staff and children were observed during indoor free play, group time, teacher directed activities, lunch time, and story time. Inspections/Emergency Drills: Fire Inspection: The last fire inspection available for review as during the last annual compliance monitoring visit conducted on September 12, 2024. The fire inspection was completed on October 5, 2023. The next fire inspection was due by October 5, 2024. Sanitation Inspection: The last sanitation inspection was completed on December 20, 2024. A “superior” classification was issued with six (6) demerits noted on the grade card. The next sanitation inspection needs to be completed by December 31, 2025. The last shelter in place emergency drill documentation available for review was during the last annual compliance monitoring visit conducted on September 12, 2024. The shelter in place emergency was completed on August 27, 2024, at 10:30am and recorded. The last playground inspection documentation available for review was during the last annual compliance monitoring visit conducted on September 12, 2024. The playground inspection was completed on August 26, 2024. The most recent fire drill was conducted on January 28, 2025, at 10:00am and recorded. You stated no new staff have been hired since your most recent annual compliance visit conducted on September 12, 2024. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. As a result of tropical storm Helene and a declared natural disaster in Western North Carolina, technical assistance was provided to assist the child care provider in achieving compliance. The following item listing numbers were given technical assistance due to the Administrator, Stephanie Chambers, was not present during the routine unannounced monitoring visit and her office door was locked where program files were kep and no one on the premises had a key to unlock the door. Fire Inspections: I reminded you to contact the Fire Marshall’s office to remind them that the fire inspection expired on October 5, 2024. I also suggested that you keep documentation when you have contacted their office to schedule your fire inspections. I reminded you that once the fire inspection has been completed you have seven days to send it to me. Playground Inspections: I reminded you to send me copies of the completed playground inspections forms from September 2024 through January 2025 for review. I also suggested that copies of the completed playground inspections forms be kept in one of classrooms in a notebook for review. Emergency Drills: I reminded you to send me a copy of the emergency drill log for review. I also suggested since the classrooms keep a log of the fire drills that you also give them a copy of emergency drills form to keep in a notebook for review. The following violation of child care requirements was observed and documented during today’s visit. Violation and technical assistance were thoroughly reviewed with you and documented in the visit summary. At the end of the routine unannounced visit, the visit summary was not signed due to Mrs. Stephanie Chambers, Administrator, was not present during the visit and no one on-site was designated to be the legal designee for the child care facility. A visit summary was left for Mrs. Chambers to sign on the first page and return the signed page to me. A legal designee form was left as well if you would like to update on who can sign documents during visits. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, on January 16, 2025, one child’s arrival time was not documented and on January 24, 2025, one child’s arrival time was not documented. In Space #2, on February 5, 2025, one child’s arrival time was not documented. 10A NCAC 09 .0302(d)(4) Technical Assistance regarding the violations observed during today’s visit: Arrival/Departure Times As a reminder, daily sign-in and sign-out times must be recorded when children arrive and depart the child care facility to ensure accurate records are kept. I suggested creating a system and review with staff of the procedures of recording sign-in and sign-out times. I also suggested that the closing teacher in each classroom checks the daily sign-in and sign-out documentation to ensure each child present has been checked in and out for the day. I suggested that you follow-up with the closing staff to ensure accurate records are maintained. Compliance Letter Documentation: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your letter of compliance by February 27, 2025. Please send your compliance letter to Tiffani Sims PO Box 185 Glen Alpine, NC 28628 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was ninety-one percent (91%). Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Consultation: -Resuming Star Rated License Reassessment Information Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. For further information on the proposed QRIS Moderation, please visit the DCDEE Home Page and click on the “What’s New” tab/QRIS Moderation. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. -Provider Access to ABCMS North Carolina Child Care Providers can obtain access to the Provider Access to ABCMS after completing the Moodle training and completing the form afterward. Once you are logged in, you can access codes to allow your staff and applicants to create a connecting application to link themselves to your facility. The links include help documents to assist you. -Recognizing and Responding to Suspicions of Child Maltreatment Training To access the Recognizing and Responding to Suspicions of Child Maltreatment Training, please review the following information: •This training does not use your NCID username and password •For this training providers must create a separate username and password for this course. •If you need further assistance, contact info@preventchildabusenc.org or call 919-829-8009. •The link to access Recognizing and Responding to Suspicions of Child Maltreatment Training, is the following https://preventchildabusenc-lms.org/ -RaiseNC Toolkit and Other Resources: Raise your voice to Raise NC is a good resource for you and your staff to explore and download the full suite of easy-to-use educational and promotional materials, including flyers, social media posts, graphics, talking points and more. Whether you’re an organization or an individual, these materials are free and available on the website RaiseNC.nc.gov. The link is https://www.ncdhhs.gov/about/department-initiatives/raise-nc/toolkit. -Child Care Rule Effective January 1, 2024 Lead Testing: Child Care Rule .0601(f)- Safe Environments We discussed the test results that were available for review on the Clean Classrooms for Carolina Kids website for lead testing water testing, lead-based paint testing, and asbestos testing for your facility. The lead water testing results were completed on July 26, 2024. On February 12, 2025, I checked the Clean Classrooms for Carolina Kids website, and it stated that your facility had no results available for review for lead-based paint or asbestos testing. Lead testing must be completed every three years. You may review your results by visiting https://www.cleanwaterforuskids.org/en/carolina/. -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. Training hours and resources are available from the NC Rated License Assessment Project. The link to their website is www.ncrlap.org. -How to Access Health and Safety Training on DCDEE Moodle I have provided information and on how to access CCDF Health and Safety in Child Care or Medication in Child Care trainings on Moodle: 1. If you can log into Moodle with your MyNCID but need support with completing CCDF Health and Safety in Child Care or Medication in Child Care training, use this contact form: healthychildcare.unc.edu/contact-us-form If you cannot log into Moodle, try visiting https://myncid.nc.gov/ for technical support unlocking or resetting your NCID password. 2. If you still cannot access Moodle, one alternative to completing the CCDF Health and Safety in Child Care Trainings or Medication in Child Care training on Moodle is to contact a primary Child Care Health Consultant (CCHC) for training options: healthychildcare.unc.edu/find-a-cchc. However, while CCHCs have the ability to provide CCDF trainings equivalent to what is available in Moodle, their capacity is dependent on their current working priorities. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. DCDEE Updates: What’s New Tab Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children and families of North Carolina. 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 .0302 · Violation
Name of Operation: GRACE CHRISTIAN ACADEMY OF KINGS MOUNTAIN, INC. Facility ID: 23000483 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 21 Completed Date: 4/23/2024 Age: From 3 To 5 Total Minutes: 235 Time In: 10:30 AM Time Out: 02:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety for a routine unannounced visit. You, Stephanie Chambers, Administrator, assisted me with the visit. Your program currently operates with a 3-star license effective November 26, 2019. You have earned four (4) points in staff education, two (2) points in program standards, and one (1) quality point. The program's license restrictions include the following: daytime care and meets enhanced space. The Secretary of State website was checked on April 22, 2024, and your business Grace Christian Academy of Kings Mountain, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, Tiffani Sims, at least thirty days prior to any changes occurring. The license cannot be bought, A walk-through of the facility was completed today, and all indoor and outdoor areas were monitored. Staff and children were observed during outdoor gross motor play music, and story time. Inspections/Drills: The most recent sanitation inspection for your facility was conducted on September 6, 2023. A superior sanitation classification was issued with six (6) demerits noted on the grade card. The next sanitation inspection is due by September 30, 2024. The most recent fire inspection for your facility was conducted on October 5, 2023. The next fire inspection is due by October 5, 2024. The most recent fire drill was conducted on March 22, 2024, at 9:00am and recorded. The most recent lockdown emergency drill was conducted on February 29, 2024, at 9:30am and recorded. The most recent playground safety inspection was conducted on March 3, 2024. You stated two (2) new staff have been hired since your most recent annual compliance visit conducted on September 22, 2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed and documented during today’s visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were nIn Space #1, on 11, 2024, one child’s arrival time departure times were not documented; on August 23, 2023, one child’s arrival time and six children’s departure time was not documented; On April 16, 2024, one child’s departure time was not documented. In Space #2, on April 4, 2024, one child’s departure time was not documented. 10A NCAC 09 .0302(d)(4) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member employed on January 29, 2024, the medical report available for review was dated February 9, 2024. The medical report was not completed prior to the first day of employment. One staff member employed on April 8, 2024, the medical report available for review was dated April 3, 2023. The medical report was older than twelve months. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member employed on April 8, 2024, the TB test results available for review were dated April 3, 2023. The TB test results were older than twelve months. .0701(a) 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. 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 personal file. One staff member employed on January 29, 2024, and one staff employed on April 8, 2024, did not have documentation on file available for review of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to the first day caring for children. The documentation available for review of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy for both staff was completed during today’s visit on April 23, 2024. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #2, the medication permission form to administer the prescription medication, Albuterol HFA rescue inhaler, for a child enrolled on January 30, 2023, was dated for one year from January 30, 2023, through January 30, 2024, instead of the six months blanket medication permission that is required. The medication permission form expired on January 30, 2024. The medication has not been administered to the child. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance regarding the violations observed during today’s visit: -Arrival/Departure Times As a reminder, daily sign-in and sign-out times must be recorded when children arrive and depart the child care facility each day. I suggested creating a system and reviewing with staff the procedures of recording sign-in and sign-out times daily to ensure accurate records are kept. An example of a strategy to implement with staff would be checking arrival times mid-morning and departure times as a classroom’s closing activity. -Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy: As a reminder, documentation of review of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be kept in the staff’s file and be available for review prior to providing care with children. -Prescription Medication Permission Form As a reminder, medication permission forms can give blanket permission to certain medication for up to six months. I referenced the child care rule 10A NCAC 09 .0803 Administering Medication in Child Care Centers (6) (a-i) which states “(6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months.” Medical Report: As a reminder, staff must have a medical report on file prior to the first day of employment that was signed by a health care professional.10A NCAC 09 .0701(a). I suggested using the staff files checklist and attaching it to each staff’s file to document specific due dates of documentation required. Also as a reminder, staff medical reports must not be older than twelve months. TB Test/Screening: As a reminder, before the first day of work, all staff must provide results indicating they are free of active TB and/or provide a TB screening that is not older than 12 months. 10A NCAC 09 .0701(a). I suggested using the staff files checklist and attaching it to each staff’s file to document when specific due dates of documentation are required. Compliance Letter Documentation: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance letter by May 7, 2024. Please send your compliance letter to Tiffani Sims PO Box 185 Glen Alpine, NC 28628 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was eighty-six percent (86%). Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Consultation: -Child Care Rule Effective January 1, 2024 Lead Testing: Child Care Rule .0601(f)- Safe Environments Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816 require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. -Emergency Preparedness and Response Plan Help Request We discussed your issue of accessing the facility’s Emergency Preparedness and Response Plan from the Emergency Management Portal. You requested information on receiving help with your EPR Plan and access. I provided you with the following information. EPR Help Requests need to be emailed to DCDEE at dcdee.inservice.training@dhhs.nc.gov. To request EPR help, please call 919-814-6365. The more information you provide, the easier it is to transfer a plan. In the subject line of the email, indicate your request (i.e. Request to Transfer EPR Plan to New NCID). Provide the following information in the message body of the email: Old user’s email address and old user’s NCID username •New user’s email address and new users NCID username •Your contact information •EPR Plan title, facility name, and the city and county name for facility location -Updating DCDEE WORKS Account: We discussed updating and/or creating an account on the DCDEE WORKS portal for staff’s education to be evaluated for the upcoming Star Rated License Reassessment process. The link is the following: https://dcdee.works.nc.gov/ and scroll down to the DCDEE WORKS logon link. -Resuming Star Rated License Reassessment Information I shared information concerning resuming the star rated license reassessment. Grace Christian Academy of Kings Mountain is in cohort #2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2025, through June 30, 2026. Your child care program’s reassessment year will begin on July 1, 2026, through June 30, 2027. For more information, please visit the DCDEE website under the providers tab. You will then scroll to Licensing tab, scroll to the Star Rated License tab, and then click on to the Resuming Star Rated License tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. -How to Access Health and Safety Training on DCDEE Moodle I have provided information and on how to access CCDF Health and Safety in Child Care or Medication in Child Care trainings on Moodle: 1. If you can log into Moodle with your MyNCID but need support with completing CCDF Health and Safety in Child Care or Medication in Child Care training, use this contact form: healthychildcare.unc.edu/contact-us-form If you cannot log into Moodle, try visiting https://myncid.nc.gov/ for technical support unlocking or resetting your NCID password. 2. If you still cannot access Moodle, one alternative to completing the CCDF Health and Safety in Child Care Trainings or Medication in Child Care training on Moodle is to contact a primary Child Care Health Consultant (CCHC) for training options: healthychildcare.unc.edu/find-a-cchc. However, while CCHCs have the ability to provide CCDF trainings equivalent to what is available in Moodle, their capacity is dependent on their current working priorities. -Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. DCDEE Updates: What’s New Tab Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children and families of North Carolina. 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 .0701 · Violation
Name of Operation: GRACE CHRISTIAN ACADEMY OF KINGS MOUNTAIN, INC. Facility ID: 23000483 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 21 Completed Date: 4/23/2024 Age: From 3 To 5 Total Minutes: 235 Time In: 10:30 AM Time Out: 02:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety for a routine unannounced visit. You, Stephanie Chambers, Administrator, assisted me with the visit. Your program currently operates with a 3-star license effective November 26, 2019. You have earned four (4) points in staff education, two (2) points in program standards, and one (1) quality point. The program's license restrictions include the following: daytime care and meets enhanced space. The Secretary of State website was checked on April 22, 2024, and your business Grace Christian Academy of Kings Mountain, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, Tiffani Sims, at least thirty days prior to any changes occurring. The license cannot be bought, A walk-through of the facility was completed today, and all indoor and outdoor areas were monitored. Staff and children were observed during outdoor gross motor play music, and story time. Inspections/Drills: The most recent sanitation inspection for your facility was conducted on September 6, 2023. A superior sanitation classification was issued with six (6) demerits noted on the grade card. The next sanitation inspection is due by September 30, 2024. The most recent fire inspection for your facility was conducted on October 5, 2023. The next fire inspection is due by October 5, 2024. The most recent fire drill was conducted on March 22, 2024, at 9:00am and recorded. The most recent lockdown emergency drill was conducted on February 29, 2024, at 9:30am and recorded. The most recent playground safety inspection was conducted on March 3, 2024. You stated two (2) new staff have been hired since your most recent annual compliance visit conducted on September 22, 2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed and documented during today’s visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were nIn Space #1, on 11, 2024, one child’s arrival time departure times were not documented; on August 23, 2023, one child’s arrival time and six children’s departure time was not documented; On April 16, 2024, one child’s departure time was not documented. In Space #2, on April 4, 2024, one child’s departure time was not documented. 10A NCAC 09 .0302(d)(4) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member employed on January 29, 2024, the medical report available for review was dated February 9, 2024. The medical report was not completed prior to the first day of employment. One staff member employed on April 8, 2024, the medical report available for review was dated April 3, 2023. The medical report was older than twelve months. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member employed on April 8, 2024, the TB test results available for review were dated April 3, 2023. The TB test results were older than twelve months. .0701(a) 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. 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 personal file. One staff member employed on January 29, 2024, and one staff employed on April 8, 2024, did not have documentation on file available for review of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to the first day caring for children. The documentation available for review of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy for both staff was completed during today’s visit on April 23, 2024. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #2, the medication permission form to administer the prescription medication, Albuterol HFA rescue inhaler, for a child enrolled on January 30, 2023, was dated for one year from January 30, 2023, through January 30, 2024, instead of the six months blanket medication permission that is required. The medication permission form expired on January 30, 2024. The medication has not been administered to the child. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance regarding the violations observed during today’s visit: -Arrival/Departure Times As a reminder, daily sign-in and sign-out times must be recorded when children arrive and depart the child care facility each day. I suggested creating a system and reviewing with staff the procedures of recording sign-in and sign-out times daily to ensure accurate records are kept. An example of a strategy to implement with staff would be checking arrival times mid-morning and departure times as a classroom’s closing activity. -Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy: As a reminder, documentation of review of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be kept in the staff’s file and be available for review prior to providing care with children. -Prescription Medication Permission Form As a reminder, medication permission forms can give blanket permission to certain medication for up to six months. I referenced the child care rule 10A NCAC 09 .0803 Administering Medication in Child Care Centers (6) (a-i) which states “(6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months.” Medical Report: As a reminder, staff must have a medical report on file prior to the first day of employment that was signed by a health care professional.10A NCAC 09 .0701(a). I suggested using the staff files checklist and attaching it to each staff’s file to document specific due dates of documentation required. Also as a reminder, staff medical reports must not be older than twelve months. TB Test/Screening: As a reminder, before the first day of work, all staff must provide results indicating they are free of active TB and/or provide a TB screening that is not older than 12 months. 10A NCAC 09 .0701(a). I suggested using the staff files checklist and attaching it to each staff’s file to document when specific due dates of documentation are required. Compliance Letter Documentation: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance letter by May 7, 2024. Please send your compliance letter to Tiffani Sims PO Box 185 Glen Alpine, NC 28628 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was eighty-six percent (86%). Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Consultation: -Child Care Rule Effective January 1, 2024 Lead Testing: Child Care Rule .0601(f)- Safe Environments Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816 require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. -Emergency Preparedness and Response Plan Help Request We discussed your issue of accessing the facility’s Emergency Preparedness and Response Plan from the Emergency Management Portal. You requested information on receiving help with your EPR Plan and access. I provided you with the following information. EPR Help Requests need to be emailed to DCDEE at dcdee.inservice.training@dhhs.nc.gov. To request EPR help, please call 919-814-6365. The more information you provide, the easier it is to transfer a plan. In the subject line of the email, indicate your request (i.e. Request to Transfer EPR Plan to New NCID). Provide the following information in the message body of the email: Old user’s email address and old user’s NCID username •New user’s email address and new users NCID username •Your contact information •EPR Plan title, facility name, and the city and county name for facility location -Updating DCDEE WORKS Account: We discussed updating and/or creating an account on the DCDEE WORKS portal for staff’s education to be evaluated for the upcoming Star Rated License Reassessment process. The link is the following: https://dcdee.works.nc.gov/ and scroll down to the DCDEE WORKS logon link. -Resuming Star Rated License Reassessment Information I shared information concerning resuming the star rated license reassessment. Grace Christian Academy of Kings Mountain is in cohort #2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2025, through June 30, 2026. Your child care program’s reassessment year will begin on July 1, 2026, through June 30, 2027. For more information, please visit the DCDEE website under the providers tab. You will then scroll to Licensing tab, scroll to the Star Rated License tab, and then click on to the Resuming Star Rated License tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. -How to Access Health and Safety Training on DCDEE Moodle I have provided information and on how to access CCDF Health and Safety in Child Care or Medication in Child Care trainings on Moodle: 1. If you can log into Moodle with your MyNCID but need support with completing CCDF Health and Safety in Child Care or Medication in Child Care training, use this contact form: healthychildcare.unc.edu/contact-us-form If you cannot log into Moodle, try visiting https://myncid.nc.gov/ for technical support unlocking or resetting your NCID password. 2. If you still cannot access Moodle, one alternative to completing the CCDF Health and Safety in Child Care Trainings or Medication in Child Care training on Moodle is to contact a primary Child Care Health Consultant (CCHC) for training options: healthychildcare.unc.edu/find-a-cchc. However, while CCHCs have the ability to provide CCDF trainings equivalent to what is available in Moodle, their capacity is dependent on their current working priorities. -Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. DCDEE Updates: What’s New Tab Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children and families of North Carolina. 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: GRACE CHRISTIAN ACADEMY OF KINGS MOUNTAIN, INC. Facility ID: 23000483 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 21 Completed Date: 4/23/2024 Age: From 3 To 5 Total Minutes: 235 Time In: 10:30 AM Time Out: 02:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety for a routine unannounced visit. You, Stephanie Chambers, Administrator, assisted me with the visit. Your program currently operates with a 3-star license effective November 26, 2019. You have earned four (4) points in staff education, two (2) points in program standards, and one (1) quality point. The program's license restrictions include the following: daytime care and meets enhanced space. The Secretary of State website was checked on April 22, 2024, and your business Grace Christian Academy of Kings Mountain, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, Tiffani Sims, at least thirty days prior to any changes occurring. The license cannot be bought, A walk-through of the facility was completed today, and all indoor and outdoor areas were monitored. Staff and children were observed during outdoor gross motor play music, and story time. Inspections/Drills: The most recent sanitation inspection for your facility was conducted on September 6, 2023. A superior sanitation classification was issued with six (6) demerits noted on the grade card. The next sanitation inspection is due by September 30, 2024. The most recent fire inspection for your facility was conducted on October 5, 2023. The next fire inspection is due by October 5, 2024. The most recent fire drill was conducted on March 22, 2024, at 9:00am and recorded. The most recent lockdown emergency drill was conducted on February 29, 2024, at 9:30am and recorded. The most recent playground safety inspection was conducted on March 3, 2024. You stated two (2) new staff have been hired since your most recent annual compliance visit conducted on September 22, 2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed and documented during today’s visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were nIn Space #1, on 11, 2024, one child’s arrival time departure times were not documented; on August 23, 2023, one child’s arrival time and six children’s departure time was not documented; On April 16, 2024, one child’s departure time was not documented. In Space #2, on April 4, 2024, one child’s departure time was not documented. 10A NCAC 09 .0302(d)(4) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member employed on January 29, 2024, the medical report available for review was dated February 9, 2024. The medical report was not completed prior to the first day of employment. One staff member employed on April 8, 2024, the medical report available for review was dated April 3, 2023. The medical report was older than twelve months. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member employed on April 8, 2024, the TB test results available for review were dated April 3, 2023. The TB test results were older than twelve months. .0701(a) 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. 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 personal file. One staff member employed on January 29, 2024, and one staff employed on April 8, 2024, did not have documentation on file available for review of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to the first day caring for children. The documentation available for review of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy for both staff was completed during today’s visit on April 23, 2024. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #2, the medication permission form to administer the prescription medication, Albuterol HFA rescue inhaler, for a child enrolled on January 30, 2023, was dated for one year from January 30, 2023, through January 30, 2024, instead of the six months blanket medication permission that is required. The medication permission form expired on January 30, 2024. The medication has not been administered to the child. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance regarding the violations observed during today’s visit: -Arrival/Departure Times As a reminder, daily sign-in and sign-out times must be recorded when children arrive and depart the child care facility each day. I suggested creating a system and reviewing with staff the procedures of recording sign-in and sign-out times daily to ensure accurate records are kept. An example of a strategy to implement with staff would be checking arrival times mid-morning and departure times as a classroom’s closing activity. -Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy: As a reminder, documentation of review of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be kept in the staff’s file and be available for review prior to providing care with children. -Prescription Medication Permission Form As a reminder, medication permission forms can give blanket permission to certain medication for up to six months. I referenced the child care rule 10A NCAC 09 .0803 Administering Medication in Child Care Centers (6) (a-i) which states “(6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months.” Medical Report: As a reminder, staff must have a medical report on file prior to the first day of employment that was signed by a health care professional.10A NCAC 09 .0701(a). I suggested using the staff files checklist and attaching it to each staff’s file to document specific due dates of documentation required. Also as a reminder, staff medical reports must not be older than twelve months. TB Test/Screening: As a reminder, before the first day of work, all staff must provide results indicating they are free of active TB and/or provide a TB screening that is not older than 12 months. 10A NCAC 09 .0701(a). I suggested using the staff files checklist and attaching it to each staff’s file to document when specific due dates of documentation are required. Compliance Letter Documentation: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance letter by May 7, 2024. Please send your compliance letter to Tiffani Sims PO Box 185 Glen Alpine, NC 28628 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was eighty-six percent (86%). Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Consultation: -Child Care Rule Effective January 1, 2024 Lead Testing: Child Care Rule .0601(f)- Safe Environments Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816 require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. -Emergency Preparedness and Response Plan Help Request We discussed your issue of accessing the facility’s Emergency Preparedness and Response Plan from the Emergency Management Portal. You requested information on receiving help with your EPR Plan and access. I provided you with the following information. EPR Help Requests need to be emailed to DCDEE at dcdee.inservice.training@dhhs.nc.gov. To request EPR help, please call 919-814-6365. The more information you provide, the easier it is to transfer a plan. In the subject line of the email, indicate your request (i.e. Request to Transfer EPR Plan to New NCID). Provide the following information in the message body of the email: Old user’s email address and old user’s NCID username •New user’s email address and new users NCID username •Your contact information •EPR Plan title, facility name, and the city and county name for facility location -Updating DCDEE WORKS Account: We discussed updating and/or creating an account on the DCDEE WORKS portal for staff’s education to be evaluated for the upcoming Star Rated License Reassessment process. The link is the following: https://dcdee.works.nc.gov/ and scroll down to the DCDEE WORKS logon link. -Resuming Star Rated License Reassessment Information I shared information concerning resuming the star rated license reassessment. Grace Christian Academy of Kings Mountain is in cohort #2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2025, through June 30, 2026. Your child care program’s reassessment year will begin on July 1, 2026, through June 30, 2027. For more information, please visit the DCDEE website under the providers tab. You will then scroll to Licensing tab, scroll to the Star Rated License tab, and then click on to the Resuming Star Rated License tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. -How to Access Health and Safety Training on DCDEE Moodle I have provided information and on how to access CCDF Health and Safety in Child Care or Medication in Child Care trainings on Moodle: 1. If you can log into Moodle with your MyNCID but need support with completing CCDF Health and Safety in Child Care or Medication in Child Care training, use this contact form: healthychildcare.unc.edu/contact-us-form If you cannot log into Moodle, try visiting https://myncid.nc.gov/ for technical support unlocking or resetting your NCID password. 2. If you still cannot access Moodle, one alternative to completing the CCDF Health and Safety in Child Care Trainings or Medication in Child Care training on Moodle is to contact a primary Child Care Health Consultant (CCHC) for training options: healthychildcare.unc.edu/find-a-cchc. However, while CCHCs have the ability to provide CCDF trainings equivalent to what is available in Moodle, their capacity is dependent on their current working priorities. -Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. DCDEE Updates: What’s New Tab Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children and families of North Carolina. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0302 · Violation
Name of Operation: GRACE CHRISTIAN ACADEMY OF KINGS MOUNTAIN, INC. Facility ID: 23000483 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 9/22/2023 Number Present: 25 Completed Date: 9/22/2023 Age: From 3 To 5 Total Minutes: 415 Time In: 09:35 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 annual compliance visit was to monitor your compliance with all applicable child care requirements including health and safety requirements. You, Stephanie Chambers, Administrator, assisted me with the visit today. The NC Secretary of State website was viewed on September 21, 2023, and Grace Christian Academy of Kings Mountain, Inc. was listed as current and active. The facility currently operates with a 3-star rated license issued on November 26, 2019, earning four (4) points in staff education, two (2) points in the program standards and one (1) quality point. The program's license restrictions include the following: daytime care and enhanced space. Inspections/Emergency Drills: Fire Inspection: The last fire inspection was completed on June 13, 2022. Sanitation Inspection: The last sanitation inspection was completed on September 6, 2023. A “superior” classification was issued with six (6) demerits noted on the grade card. Emergency Drills/Playground Inspections: The last lockdown drill was completed on August 24, 2023, at 11:15am and recorded. The last playground inspection was completed on August 14, 2023. The last fire drill was completed on September 14, 2023, at 10:30am and recorded. A complete walkthrough of licensed indoor and outdoor spaces was conducted. A checklist was used to note the requirements I monitored today. Staff and children were observed during outdoor free play, story time, music and movement, and group time. Files Reviewed: Children’s files, program files, and staff files were monitored today. Three (3) children's files were reviewed during today’s visit. Two (2) staff files were reviewed today. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The following violations were observed during the walk through today. I discussed these violations with you in detail at the end of the visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent annual fire inspection documentation on file for review was completed on June 13, 2022. The facility’s annual fire inspection was due by June 13, 2023. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, on August 22, 2023, seven children’s departure times were not documented; on August 23, 2023, one child’s arrival time and six children’s departure times were not documented; on August 24, 2023, two children’s arrival times and five children’s departure times were not documented; on August 25, 2023, one child’s arrival time and six children’s departure times were not documented; on August 28, 2023, five children’s departure times were not documented; on August 29, 2023, seven children’s departure times were not documented; on August 30, 2023, six children’s departure times were not documented; on August 31, 2023, four children’s departure times were not documented; on September 1, 2023, seven children’s departure times were not documented; on September 5, 2023, four children’s departure times were not documented; on September 6, 2023, six children’s departure times were not documented; on September 7, 2023, eight children’s departure times were not documented; on September 8, 2023, twelve children’s departure times were not documented; on September 11, 2023, eight children’s departure times were not documented; on September 12, 2023, six children’s departure times were not documented; on September 13, 2023, eight children’s departure times were not documented; on September 14, 2023, six children’s departure times were not documented; on September 15, 2023, one child’s arrival time and four children’s departure times were not documented; on September 18, 2023, one child’s arrival time and six children’s departure times were not documented; on September 19, 2023, seven children’s departure times were not documented; on September 20, 2023, six children’s departure times were not documented; and on September 21, 2023, four children’s arrival times and three children’s departure times were not documented. In Space #2, on August 22, 2023, nine children’s departure times were not documented; on August 23, 2023, nine children’s departure times were not documented; on August 24, 2023, eight children’s departure times were not documented; on August 25, 2023, nine children’s departure times were not documented; on August 28, 2023, ten children’s departure times were not documented; on August 29, 2023, nine children’s departure times were not documented; on August 30, 2023, eight children’s departure times were not documented; on August 31, 2023, nine children’s departure times were not documented; on September 1, 2023, six children’s departure times were not documented; on September 5, 2023, six children’s departure times were not documented; on September 6, 2023, eight children’s departure times were not documented; on September 7, 2023, eight children’s departure times were not documented; on September 8, 2023, eight children’s departure times were not documented; on September 11, 2023, one child’s arrival time and nine children’s departure times were not documented; on September 12, 2023, nine children’s departure times were not documented; on September 13, 2023, eight children’s departure times were not documented; on September 14, 2023, nine children’s departure times were not documented; on September 15, 2023, eight children’s departure times were not documented; on September 18, 2023, ten children’s departure times were not documented; on September 19, 2023, nine children’s departure times were not documented; on September 20, 2023, nine children’s departure times were not documented; and on September 21, 2023, nine children’s departure times were not documented. 10A NCAC 09 .0302(d)(4) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #2, an Albuterol HFA rescue inhaler was not in its original container and did not include the pharmacy label. .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two staff members employed on August 12, 2020, and March 23, 2022, did not have on file for review documentation of reviewing of the emergency medical care plan annually. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member employed on August 12, 2020, did not have documentation of an annual staff evaluation on file for review. One staff member employed on March 23, 2022, did not have documentation an annual staff evaluation on file for review. 10A NCAC 09 .0514(f) 1329 Application for enrollment did not include all required information. One child enrolled on January 30, 2023, did not include the required information in the health care needs section of the child’s application. .0801(a)(1-7) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Two staff members employed on August 12, 2020, and March 23, 2022, did not have documentation on file for review of reviewing the annual Emergency Preparedness and Response plan. .0607(f) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. The application for one child enrolled on 1/30/2023, did not have a medical action plan on file for review. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #2, the medication permission form to administer the prescription medication, Albuterol HFA rescue inhaler, for a child enrolled on January 30, 2023, was dated for one year from January 30, 2023, through January 30, 2024, instead of the six months blanket medication permission that is required. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The following Technical Assistance regarding the violations observed during today’s visit was provided: -Arrival/Departure Times As a reminder, daily sign-in and sign-out times must be recorded when children arrive and depart the child care facility to ensure accurate records are kept. I suggested creating a system and review with staff the procedures of recording sign-in and sign-out times daily to ensure accurate records are kept. -Fire Inspections Reports: As a reminder an approved fire inspection report is required to be completed either on or before the date of the last fire inspection. I suggested contacting the Fire Marshall’s office at least four to six weeks prior to when the fire inspection expires. The child care rule reference is 10A NCAC 09 .0304 On-going Requirements for a License (a). As another reminder, fire inspection reports must be sent to me within seven days. Documentation for Completing a Staff’s Annual Staff Evaluation/ Review of EPR Plan and Emergency Medical Care Plan: I suggested creating a schedule to ensure the required documents are completed, reviewed, and placed in the staff’s files. I also suggested you use the DCDEE file checklist for Staff to either set up staff files and/or to update staff files with specific dates on when staff need to review and complete specific forms and documents. -Prescription Medication in the Original Container with a Pharmacy Label: As a reminder, prescribed medication must be kept in the original pharmacy labeled container with the pharmacy label attached that includes the child’s name and administering instructions. I recommended you monitor all medications received from the parent/guardian prior to the medication being stored in the classroom and review with the staff on the policy of receiving medications from parents. -Prescription Medication Permission Form As a reminder, medication permission forms can give blanket permission to certain medication for up to six months. I referenced the child care rule 10A NCAC 09 .0803 Administering Medication in Child Care Centers (6) (a-i) which states “(6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months.” Medical Action Plan: We discussed reviewing children’s files to ensure if a medical action plan is required for a child with a chronic illness that a medical action plan for a specific health need is completed and kept on file with the child’s application and available for review. Health Care Needs Section on the Children’s Application: As a reminder, please review all children’s applications upon enrollment to ensure all required information is completed on the child’s application. This includes the health care needs section on the child’s application, which includes pertinent information required to be completed if a child has a special health needs. I suggested reviewing currently enrolled children’s files to ensure accurate records are kept. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was one hundred percent (100) %. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by October 6, 2023. Please include in that letter each item 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 tiffani.sims@dhhs.nc.gov Tiffani Sims PO Box 185 Glen Alpine, NC 28628 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. Consultation: -Upcoming Training Announcement- Children’s Environmental Health has set up virtual trainings for child care center operators on the newly readopted child care sanitation rules. The date for the training is September 26, 2023; scheduled from 9:00am – 11:30am. The training is optional, and you are not required to attend. -COVID-19 Information and Resources: I share information and resources about COVID-19 vaccines, visit MySpot.nc.gov, call the CDC-INFO Contact Center at 800-CDC-INFO, or visit ncdhhs.gov/LHD to contact a local health department. Read the CDC’s full statement about recommending the updated COVID-19 vaccine for the fall/winter virus season. Info/Guidance for Educators & Child Care Providers Link: https://covid19.ncdhhs.gov/guidance-for-educators-and-child-care-providers Current Guidance for COVID-19 Protection – link below https://www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/index.html -Resuming Star Rated License Reassessment Information I shared information concerning resuming the star rated license reassessment. Grace Christian Academy of Kings Mountain, Inc. is in cohort #2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. You will then scroll to Licensing tab, scroll to the Star Rated License tab, and then click on to the Resuming Star Rated License tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License Medication Return Policy -We discussed and I answered your questions concerning returning medications to parents when the course of treatment is completed. We reviewed your medication return policy and procedures. We also reviewed your medication return policy for when children are no longer enrolled in your child care program and what your procedures are to contact parents to return the medication. -Early Childhood Equivalency Exam The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. or more information, visit the DCDEE website at https://ncchildcare.ncdhhs.gov/Whats-New/north-carolina-early-childhood-equivalency-exam-now-available. -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. -Health and Safety Trainings We discussed staff completing the required Health/Safety trainings. -Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the flier with you with information on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. -Criminal Background Check Legislative Changes: The 2022-2023 Appropriations Bill (HB 103) signed by Governor Cooper on July 11, 2022, made two important changes to North Carolina General Statute 110-90-2 regarding child care Criminal Background Checks. 1. The period for background check qualification renewals was revised from three years to five years. 2. The provisional qualification period was reduced to forty-five days. DCDEE Updates: What’s New Tab Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all 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 .0304 · Violation
Name of Operation: GRACE CHRISTIAN ACADEMY OF KINGS MOUNTAIN, INC. Facility ID: 23000483 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 9/22/2023 Number Present: 25 Completed Date: 9/22/2023 Age: From 3 To 5 Total Minutes: 415 Time In: 09:35 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 annual compliance visit was to monitor your compliance with all applicable child care requirements including health and safety requirements. You, Stephanie Chambers, Administrator, assisted me with the visit today. The NC Secretary of State website was viewed on September 21, 2023, and Grace Christian Academy of Kings Mountain, Inc. was listed as current and active. The facility currently operates with a 3-star rated license issued on November 26, 2019, earning four (4) points in staff education, two (2) points in the program standards and one (1) quality point. The program's license restrictions include the following: daytime care and enhanced space. Inspections/Emergency Drills: Fire Inspection: The last fire inspection was completed on June 13, 2022. Sanitation Inspection: The last sanitation inspection was completed on September 6, 2023. A “superior” classification was issued with six (6) demerits noted on the grade card. Emergency Drills/Playground Inspections: The last lockdown drill was completed on August 24, 2023, at 11:15am and recorded. The last playground inspection was completed on August 14, 2023. The last fire drill was completed on September 14, 2023, at 10:30am and recorded. A complete walkthrough of licensed indoor and outdoor spaces was conducted. A checklist was used to note the requirements I monitored today. Staff and children were observed during outdoor free play, story time, music and movement, and group time. Files Reviewed: Children’s files, program files, and staff files were monitored today. Three (3) children's files were reviewed during today’s visit. Two (2) staff files were reviewed today. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The following violations were observed during the walk through today. I discussed these violations with you in detail at the end of the visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent annual fire inspection documentation on file for review was completed on June 13, 2022. The facility’s annual fire inspection was due by June 13, 2023. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, on August 22, 2023, seven children’s departure times were not documented; on August 23, 2023, one child’s arrival time and six children’s departure times were not documented; on August 24, 2023, two children’s arrival times and five children’s departure times were not documented; on August 25, 2023, one child’s arrival time and six children’s departure times were not documented; on August 28, 2023, five children’s departure times were not documented; on August 29, 2023, seven children’s departure times were not documented; on August 30, 2023, six children’s departure times were not documented; on August 31, 2023, four children’s departure times were not documented; on September 1, 2023, seven children’s departure times were not documented; on September 5, 2023, four children’s departure times were not documented; on September 6, 2023, six children’s departure times were not documented; on September 7, 2023, eight children’s departure times were not documented; on September 8, 2023, twelve children’s departure times were not documented; on September 11, 2023, eight children’s departure times were not documented; on September 12, 2023, six children’s departure times were not documented; on September 13, 2023, eight children’s departure times were not documented; on September 14, 2023, six children’s departure times were not documented; on September 15, 2023, one child’s arrival time and four children’s departure times were not documented; on September 18, 2023, one child’s arrival time and six children’s departure times were not documented; on September 19, 2023, seven children’s departure times were not documented; on September 20, 2023, six children’s departure times were not documented; and on September 21, 2023, four children’s arrival times and three children’s departure times were not documented. In Space #2, on August 22, 2023, nine children’s departure times were not documented; on August 23, 2023, nine children’s departure times were not documented; on August 24, 2023, eight children’s departure times were not documented; on August 25, 2023, nine children’s departure times were not documented; on August 28, 2023, ten children’s departure times were not documented; on August 29, 2023, nine children’s departure times were not documented; on August 30, 2023, eight children’s departure times were not documented; on August 31, 2023, nine children’s departure times were not documented; on September 1, 2023, six children’s departure times were not documented; on September 5, 2023, six children’s departure times were not documented; on September 6, 2023, eight children’s departure times were not documented; on September 7, 2023, eight children’s departure times were not documented; on September 8, 2023, eight children’s departure times were not documented; on September 11, 2023, one child’s arrival time and nine children’s departure times were not documented; on September 12, 2023, nine children’s departure times were not documented; on September 13, 2023, eight children’s departure times were not documented; on September 14, 2023, nine children’s departure times were not documented; on September 15, 2023, eight children’s departure times were not documented; on September 18, 2023, ten children’s departure times were not documented; on September 19, 2023, nine children’s departure times were not documented; on September 20, 2023, nine children’s departure times were not documented; and on September 21, 2023, nine children’s departure times were not documented. 10A NCAC 09 .0302(d)(4) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #2, an Albuterol HFA rescue inhaler was not in its original container and did not include the pharmacy label. .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two staff members employed on August 12, 2020, and March 23, 2022, did not have on file for review documentation of reviewing of the emergency medical care plan annually. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member employed on August 12, 2020, did not have documentation of an annual staff evaluation on file for review. One staff member employed on March 23, 2022, did not have documentation an annual staff evaluation on file for review. 10A NCAC 09 .0514(f) 1329 Application for enrollment did not include all required information. One child enrolled on January 30, 2023, did not include the required information in the health care needs section of the child’s application. .0801(a)(1-7) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Two staff members employed on August 12, 2020, and March 23, 2022, did not have documentation on file for review of reviewing the annual Emergency Preparedness and Response plan. .0607(f) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. The application for one child enrolled on 1/30/2023, did not have a medical action plan on file for review. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #2, the medication permission form to administer the prescription medication, Albuterol HFA rescue inhaler, for a child enrolled on January 30, 2023, was dated for one year from January 30, 2023, through January 30, 2024, instead of the six months blanket medication permission that is required. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The following Technical Assistance regarding the violations observed during today’s visit was provided: -Arrival/Departure Times As a reminder, daily sign-in and sign-out times must be recorded when children arrive and depart the child care facility to ensure accurate records are kept. I suggested creating a system and review with staff the procedures of recording sign-in and sign-out times daily to ensure accurate records are kept. -Fire Inspections Reports: As a reminder an approved fire inspection report is required to be completed either on or before the date of the last fire inspection. I suggested contacting the Fire Marshall’s office at least four to six weeks prior to when the fire inspection expires. The child care rule reference is 10A NCAC 09 .0304 On-going Requirements for a License (a). As another reminder, fire inspection reports must be sent to me within seven days. Documentation for Completing a Staff’s Annual Staff Evaluation/ Review of EPR Plan and Emergency Medical Care Plan: I suggested creating a schedule to ensure the required documents are completed, reviewed, and placed in the staff’s files. I also suggested you use the DCDEE file checklist for Staff to either set up staff files and/or to update staff files with specific dates on when staff need to review and complete specific forms and documents. -Prescription Medication in the Original Container with a Pharmacy Label: As a reminder, prescribed medication must be kept in the original pharmacy labeled container with the pharmacy label attached that includes the child’s name and administering instructions. I recommended you monitor all medications received from the parent/guardian prior to the medication being stored in the classroom and review with the staff on the policy of receiving medications from parents. -Prescription Medication Permission Form As a reminder, medication permission forms can give blanket permission to certain medication for up to six months. I referenced the child care rule 10A NCAC 09 .0803 Administering Medication in Child Care Centers (6) (a-i) which states “(6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months.” Medical Action Plan: We discussed reviewing children’s files to ensure if a medical action plan is required for a child with a chronic illness that a medical action plan for a specific health need is completed and kept on file with the child’s application and available for review. Health Care Needs Section on the Children’s Application: As a reminder, please review all children’s applications upon enrollment to ensure all required information is completed on the child’s application. This includes the health care needs section on the child’s application, which includes pertinent information required to be completed if a child has a special health needs. I suggested reviewing currently enrolled children’s files to ensure accurate records are kept. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was one hundred percent (100) %. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by October 6, 2023. Please include in that letter each item 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 tiffani.sims@dhhs.nc.gov Tiffani Sims PO Box 185 Glen Alpine, NC 28628 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. Consultation: -Upcoming Training Announcement- Children’s Environmental Health has set up virtual trainings for child care center operators on the newly readopted child care sanitation rules. The date for the training is September 26, 2023; scheduled from 9:00am – 11:30am. The training is optional, and you are not required to attend. -COVID-19 Information and Resources: I share information and resources about COVID-19 vaccines, visit MySpot.nc.gov, call the CDC-INFO Contact Center at 800-CDC-INFO, or visit ncdhhs.gov/LHD to contact a local health department. Read the CDC’s full statement about recommending the updated COVID-19 vaccine for the fall/winter virus season. Info/Guidance for Educators & Child Care Providers Link: https://covid19.ncdhhs.gov/guidance-for-educators-and-child-care-providers Current Guidance for COVID-19 Protection – link below https://www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/index.html -Resuming Star Rated License Reassessment Information I shared information concerning resuming the star rated license reassessment. Grace Christian Academy of Kings Mountain, Inc. is in cohort #2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. You will then scroll to Licensing tab, scroll to the Star Rated License tab, and then click on to the Resuming Star Rated License tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License Medication Return Policy -We discussed and I answered your questions concerning returning medications to parents when the course of treatment is completed. We reviewed your medication return policy and procedures. We also reviewed your medication return policy for when children are no longer enrolled in your child care program and what your procedures are to contact parents to return the medication. -Early Childhood Equivalency Exam The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. or more information, visit the DCDEE website at https://ncchildcare.ncdhhs.gov/Whats-New/north-carolina-early-childhood-equivalency-exam-now-available. -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. -Health and Safety Trainings We discussed staff completing the required Health/Safety trainings. -Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the flier with you with information on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. -Criminal Background Check Legislative Changes: The 2022-2023 Appropriations Bill (HB 103) signed by Governor Cooper on July 11, 2022, made two important changes to North Carolina General Statute 110-90-2 regarding child care Criminal Background Checks. 1. The period for background check qualification renewals was revised from three years to five years. 2. The provisional qualification period was reduced to forty-five days. DCDEE Updates: What’s New Tab Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0514 · Violation
Name of Operation: GRACE CHRISTIAN ACADEMY OF KINGS MOUNTAIN, INC. Facility ID: 23000483 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 9/22/2023 Number Present: 25 Completed Date: 9/22/2023 Age: From 3 To 5 Total Minutes: 415 Time In: 09:35 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 annual compliance visit was to monitor your compliance with all applicable child care requirements including health and safety requirements. You, Stephanie Chambers, Administrator, assisted me with the visit today. The NC Secretary of State website was viewed on September 21, 2023, and Grace Christian Academy of Kings Mountain, Inc. was listed as current and active. The facility currently operates with a 3-star rated license issued on November 26, 2019, earning four (4) points in staff education, two (2) points in the program standards and one (1) quality point. The program's license restrictions include the following: daytime care and enhanced space. Inspections/Emergency Drills: Fire Inspection: The last fire inspection was completed on June 13, 2022. Sanitation Inspection: The last sanitation inspection was completed on September 6, 2023. A “superior” classification was issued with six (6) demerits noted on the grade card. Emergency Drills/Playground Inspections: The last lockdown drill was completed on August 24, 2023, at 11:15am and recorded. The last playground inspection was completed on August 14, 2023. The last fire drill was completed on September 14, 2023, at 10:30am and recorded. A complete walkthrough of licensed indoor and outdoor spaces was conducted. A checklist was used to note the requirements I monitored today. Staff and children were observed during outdoor free play, story time, music and movement, and group time. Files Reviewed: Children’s files, program files, and staff files were monitored today. Three (3) children's files were reviewed during today’s visit. Two (2) staff files were reviewed today. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The following violations were observed during the walk through today. I discussed these violations with you in detail at the end of the visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent annual fire inspection documentation on file for review was completed on June 13, 2022. The facility’s annual fire inspection was due by June 13, 2023. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, on August 22, 2023, seven children’s departure times were not documented; on August 23, 2023, one child’s arrival time and six children’s departure times were not documented; on August 24, 2023, two children’s arrival times and five children’s departure times were not documented; on August 25, 2023, one child’s arrival time and six children’s departure times were not documented; on August 28, 2023, five children’s departure times were not documented; on August 29, 2023, seven children’s departure times were not documented; on August 30, 2023, six children’s departure times were not documented; on August 31, 2023, four children’s departure times were not documented; on September 1, 2023, seven children’s departure times were not documented; on September 5, 2023, four children’s departure times were not documented; on September 6, 2023, six children’s departure times were not documented; on September 7, 2023, eight children’s departure times were not documented; on September 8, 2023, twelve children’s departure times were not documented; on September 11, 2023, eight children’s departure times were not documented; on September 12, 2023, six children’s departure times were not documented; on September 13, 2023, eight children’s departure times were not documented; on September 14, 2023, six children’s departure times were not documented; on September 15, 2023, one child’s arrival time and four children’s departure times were not documented; on September 18, 2023, one child’s arrival time and six children’s departure times were not documented; on September 19, 2023, seven children’s departure times were not documented; on September 20, 2023, six children’s departure times were not documented; and on September 21, 2023, four children’s arrival times and three children’s departure times were not documented. In Space #2, on August 22, 2023, nine children’s departure times were not documented; on August 23, 2023, nine children’s departure times were not documented; on August 24, 2023, eight children’s departure times were not documented; on August 25, 2023, nine children’s departure times were not documented; on August 28, 2023, ten children’s departure times were not documented; on August 29, 2023, nine children’s departure times were not documented; on August 30, 2023, eight children’s departure times were not documented; on August 31, 2023, nine children’s departure times were not documented; on September 1, 2023, six children’s departure times were not documented; on September 5, 2023, six children’s departure times were not documented; on September 6, 2023, eight children’s departure times were not documented; on September 7, 2023, eight children’s departure times were not documented; on September 8, 2023, eight children’s departure times were not documented; on September 11, 2023, one child’s arrival time and nine children’s departure times were not documented; on September 12, 2023, nine children’s departure times were not documented; on September 13, 2023, eight children’s departure times were not documented; on September 14, 2023, nine children’s departure times were not documented; on September 15, 2023, eight children’s departure times were not documented; on September 18, 2023, ten children’s departure times were not documented; on September 19, 2023, nine children’s departure times were not documented; on September 20, 2023, nine children’s departure times were not documented; and on September 21, 2023, nine children’s departure times were not documented. 10A NCAC 09 .0302(d)(4) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #2, an Albuterol HFA rescue inhaler was not in its original container and did not include the pharmacy label. .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two staff members employed on August 12, 2020, and March 23, 2022, did not have on file for review documentation of reviewing of the emergency medical care plan annually. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member employed on August 12, 2020, did not have documentation of an annual staff evaluation on file for review. One staff member employed on March 23, 2022, did not have documentation an annual staff evaluation on file for review. 10A NCAC 09 .0514(f) 1329 Application for enrollment did not include all required information. One child enrolled on January 30, 2023, did not include the required information in the health care needs section of the child’s application. .0801(a)(1-7) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Two staff members employed on August 12, 2020, and March 23, 2022, did not have documentation on file for review of reviewing the annual Emergency Preparedness and Response plan. .0607(f) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. The application for one child enrolled on 1/30/2023, did not have a medical action plan on file for review. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #2, the medication permission form to administer the prescription medication, Albuterol HFA rescue inhaler, for a child enrolled on January 30, 2023, was dated for one year from January 30, 2023, through January 30, 2024, instead of the six months blanket medication permission that is required. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The following Technical Assistance regarding the violations observed during today’s visit was provided: -Arrival/Departure Times As a reminder, daily sign-in and sign-out times must be recorded when children arrive and depart the child care facility to ensure accurate records are kept. I suggested creating a system and review with staff the procedures of recording sign-in and sign-out times daily to ensure accurate records are kept. -Fire Inspections Reports: As a reminder an approved fire inspection report is required to be completed either on or before the date of the last fire inspection. I suggested contacting the Fire Marshall’s office at least four to six weeks prior to when the fire inspection expires. The child care rule reference is 10A NCAC 09 .0304 On-going Requirements for a License (a). As another reminder, fire inspection reports must be sent to me within seven days. Documentation for Completing a Staff’s Annual Staff Evaluation/ Review of EPR Plan and Emergency Medical Care Plan: I suggested creating a schedule to ensure the required documents are completed, reviewed, and placed in the staff’s files. I also suggested you use the DCDEE file checklist for Staff to either set up staff files and/or to update staff files with specific dates on when staff need to review and complete specific forms and documents. -Prescription Medication in the Original Container with a Pharmacy Label: As a reminder, prescribed medication must be kept in the original pharmacy labeled container with the pharmacy label attached that includes the child’s name and administering instructions. I recommended you monitor all medications received from the parent/guardian prior to the medication being stored in the classroom and review with the staff on the policy of receiving medications from parents. -Prescription Medication Permission Form As a reminder, medication permission forms can give blanket permission to certain medication for up to six months. I referenced the child care rule 10A NCAC 09 .0803 Administering Medication in Child Care Centers (6) (a-i) which states “(6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months.” Medical Action Plan: We discussed reviewing children’s files to ensure if a medical action plan is required for a child with a chronic illness that a medical action plan for a specific health need is completed and kept on file with the child’s application and available for review. Health Care Needs Section on the Children’s Application: As a reminder, please review all children’s applications upon enrollment to ensure all required information is completed on the child’s application. This includes the health care needs section on the child’s application, which includes pertinent information required to be completed if a child has a special health needs. I suggested reviewing currently enrolled children’s files to ensure accurate records are kept. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was one hundred percent (100) %. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by October 6, 2023. Please include in that letter each item 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 tiffani.sims@dhhs.nc.gov Tiffani Sims PO Box 185 Glen Alpine, NC 28628 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. Consultation: -Upcoming Training Announcement- Children’s Environmental Health has set up virtual trainings for child care center operators on the newly readopted child care sanitation rules. The date for the training is September 26, 2023; scheduled from 9:00am – 11:30am. The training is optional, and you are not required to attend. -COVID-19 Information and Resources: I share information and resources about COVID-19 vaccines, visit MySpot.nc.gov, call the CDC-INFO Contact Center at 800-CDC-INFO, or visit ncdhhs.gov/LHD to contact a local health department. Read the CDC’s full statement about recommending the updated COVID-19 vaccine for the fall/winter virus season. Info/Guidance for Educators & Child Care Providers Link: https://covid19.ncdhhs.gov/guidance-for-educators-and-child-care-providers Current Guidance for COVID-19 Protection – link below https://www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/index.html -Resuming Star Rated License Reassessment Information I shared information concerning resuming the star rated license reassessment. Grace Christian Academy of Kings Mountain, Inc. is in cohort #2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. You will then scroll to Licensing tab, scroll to the Star Rated License tab, and then click on to the Resuming Star Rated License tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License Medication Return Policy -We discussed and I answered your questions concerning returning medications to parents when the course of treatment is completed. We reviewed your medication return policy and procedures. We also reviewed your medication return policy for when children are no longer enrolled in your child care program and what your procedures are to contact parents to return the medication. -Early Childhood Equivalency Exam The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. or more information, visit the DCDEE website at https://ncchildcare.ncdhhs.gov/Whats-New/north-carolina-early-childhood-equivalency-exam-now-available. -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. -Health and Safety Trainings We discussed staff completing the required Health/Safety trainings. -Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the flier with you with information on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. -Criminal Background Check Legislative Changes: The 2022-2023 Appropriations Bill (HB 103) signed by Governor Cooper on July 11, 2022, made two important changes to North Carolina General Statute 110-90-2 regarding child care Criminal Background Checks. 1. The period for background check qualification renewals was revised from three years to five years. 2. The provisional qualification period was reduced to forty-five days. DCDEE Updates: What’s New Tab Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all 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 .0802 · Violation
Name of Operation: GRACE CHRISTIAN ACADEMY OF KINGS MOUNTAIN, INC. Facility ID: 23000483 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 9/22/2023 Number Present: 25 Completed Date: 9/22/2023 Age: From 3 To 5 Total Minutes: 415 Time In: 09:35 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 annual compliance visit was to monitor your compliance with all applicable child care requirements including health and safety requirements. You, Stephanie Chambers, Administrator, assisted me with the visit today. The NC Secretary of State website was viewed on September 21, 2023, and Grace Christian Academy of Kings Mountain, Inc. was listed as current and active. The facility currently operates with a 3-star rated license issued on November 26, 2019, earning four (4) points in staff education, two (2) points in the program standards and one (1) quality point. The program's license restrictions include the following: daytime care and enhanced space. Inspections/Emergency Drills: Fire Inspection: The last fire inspection was completed on June 13, 2022. Sanitation Inspection: The last sanitation inspection was completed on September 6, 2023. A “superior” classification was issued with six (6) demerits noted on the grade card. Emergency Drills/Playground Inspections: The last lockdown drill was completed on August 24, 2023, at 11:15am and recorded. The last playground inspection was completed on August 14, 2023. The last fire drill was completed on September 14, 2023, at 10:30am and recorded. A complete walkthrough of licensed indoor and outdoor spaces was conducted. A checklist was used to note the requirements I monitored today. Staff and children were observed during outdoor free play, story time, music and movement, and group time. Files Reviewed: Children’s files, program files, and staff files were monitored today. Three (3) children's files were reviewed during today’s visit. Two (2) staff files were reviewed today. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The following violations were observed during the walk through today. I discussed these violations with you in detail at the end of the visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent annual fire inspection documentation on file for review was completed on June 13, 2022. The facility’s annual fire inspection was due by June 13, 2023. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, on August 22, 2023, seven children’s departure times were not documented; on August 23, 2023, one child’s arrival time and six children’s departure times were not documented; on August 24, 2023, two children’s arrival times and five children’s departure times were not documented; on August 25, 2023, one child’s arrival time and six children’s departure times were not documented; on August 28, 2023, five children’s departure times were not documented; on August 29, 2023, seven children’s departure times were not documented; on August 30, 2023, six children’s departure times were not documented; on August 31, 2023, four children’s departure times were not documented; on September 1, 2023, seven children’s departure times were not documented; on September 5, 2023, four children’s departure times were not documented; on September 6, 2023, six children’s departure times were not documented; on September 7, 2023, eight children’s departure times were not documented; on September 8, 2023, twelve children’s departure times were not documented; on September 11, 2023, eight children’s departure times were not documented; on September 12, 2023, six children’s departure times were not documented; on September 13, 2023, eight children’s departure times were not documented; on September 14, 2023, six children’s departure times were not documented; on September 15, 2023, one child’s arrival time and four children’s departure times were not documented; on September 18, 2023, one child’s arrival time and six children’s departure times were not documented; on September 19, 2023, seven children’s departure times were not documented; on September 20, 2023, six children’s departure times were not documented; and on September 21, 2023, four children’s arrival times and three children’s departure times were not documented. In Space #2, on August 22, 2023, nine children’s departure times were not documented; on August 23, 2023, nine children’s departure times were not documented; on August 24, 2023, eight children’s departure times were not documented; on August 25, 2023, nine children’s departure times were not documented; on August 28, 2023, ten children’s departure times were not documented; on August 29, 2023, nine children’s departure times were not documented; on August 30, 2023, eight children’s departure times were not documented; on August 31, 2023, nine children’s departure times were not documented; on September 1, 2023, six children’s departure times were not documented; on September 5, 2023, six children’s departure times were not documented; on September 6, 2023, eight children’s departure times were not documented; on September 7, 2023, eight children’s departure times were not documented; on September 8, 2023, eight children’s departure times were not documented; on September 11, 2023, one child’s arrival time and nine children’s departure times were not documented; on September 12, 2023, nine children’s departure times were not documented; on September 13, 2023, eight children’s departure times were not documented; on September 14, 2023, nine children’s departure times were not documented; on September 15, 2023, eight children’s departure times were not documented; on September 18, 2023, ten children’s departure times were not documented; on September 19, 2023, nine children’s departure times were not documented; on September 20, 2023, nine children’s departure times were not documented; and on September 21, 2023, nine children’s departure times were not documented. 10A NCAC 09 .0302(d)(4) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #2, an Albuterol HFA rescue inhaler was not in its original container and did not include the pharmacy label. .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two staff members employed on August 12, 2020, and March 23, 2022, did not have on file for review documentation of reviewing of the emergency medical care plan annually. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member employed on August 12, 2020, did not have documentation of an annual staff evaluation on file for review. One staff member employed on March 23, 2022, did not have documentation an annual staff evaluation on file for review. 10A NCAC 09 .0514(f) 1329 Application for enrollment did not include all required information. One child enrolled on January 30, 2023, did not include the required information in the health care needs section of the child’s application. .0801(a)(1-7) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Two staff members employed on August 12, 2020, and March 23, 2022, did not have documentation on file for review of reviewing the annual Emergency Preparedness and Response plan. .0607(f) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. The application for one child enrolled on 1/30/2023, did not have a medical action plan on file for review. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #2, the medication permission form to administer the prescription medication, Albuterol HFA rescue inhaler, for a child enrolled on January 30, 2023, was dated for one year from January 30, 2023, through January 30, 2024, instead of the six months blanket medication permission that is required. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The following Technical Assistance regarding the violations observed during today’s visit was provided: -Arrival/Departure Times As a reminder, daily sign-in and sign-out times must be recorded when children arrive and depart the child care facility to ensure accurate records are kept. I suggested creating a system and review with staff the procedures of recording sign-in and sign-out times daily to ensure accurate records are kept. -Fire Inspections Reports: As a reminder an approved fire inspection report is required to be completed either on or before the date of the last fire inspection. I suggested contacting the Fire Marshall’s office at least four to six weeks prior to when the fire inspection expires. The child care rule reference is 10A NCAC 09 .0304 On-going Requirements for a License (a). As another reminder, fire inspection reports must be sent to me within seven days. Documentation for Completing a Staff’s Annual Staff Evaluation/ Review of EPR Plan and Emergency Medical Care Plan: I suggested creating a schedule to ensure the required documents are completed, reviewed, and placed in the staff’s files. I also suggested you use the DCDEE file checklist for Staff to either set up staff files and/or to update staff files with specific dates on when staff need to review and complete specific forms and documents. -Prescription Medication in the Original Container with a Pharmacy Label: As a reminder, prescribed medication must be kept in the original pharmacy labeled container with the pharmacy label attached that includes the child’s name and administering instructions. I recommended you monitor all medications received from the parent/guardian prior to the medication being stored in the classroom and review with the staff on the policy of receiving medications from parents. -Prescription Medication Permission Form As a reminder, medication permission forms can give blanket permission to certain medication for up to six months. I referenced the child care rule 10A NCAC 09 .0803 Administering Medication in Child Care Centers (6) (a-i) which states “(6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months.” Medical Action Plan: We discussed reviewing children’s files to ensure if a medical action plan is required for a child with a chronic illness that a medical action plan for a specific health need is completed and kept on file with the child’s application and available for review. Health Care Needs Section on the Children’s Application: As a reminder, please review all children’s applications upon enrollment to ensure all required information is completed on the child’s application. This includes the health care needs section on the child’s application, which includes pertinent information required to be completed if a child has a special health needs. I suggested reviewing currently enrolled children’s files to ensure accurate records are kept. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was one hundred percent (100) %. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by October 6, 2023. Please include in that letter each item 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 tiffani.sims@dhhs.nc.gov Tiffani Sims PO Box 185 Glen Alpine, NC 28628 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. Consultation: -Upcoming Training Announcement- Children’s Environmental Health has set up virtual trainings for child care center operators on the newly readopted child care sanitation rules. The date for the training is September 26, 2023; scheduled from 9:00am – 11:30am. The training is optional, and you are not required to attend. -COVID-19 Information and Resources: I share information and resources about COVID-19 vaccines, visit MySpot.nc.gov, call the CDC-INFO Contact Center at 800-CDC-INFO, or visit ncdhhs.gov/LHD to contact a local health department. Read the CDC’s full statement about recommending the updated COVID-19 vaccine for the fall/winter virus season. Info/Guidance for Educators & Child Care Providers Link: https://covid19.ncdhhs.gov/guidance-for-educators-and-child-care-providers Current Guidance for COVID-19 Protection – link below https://www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/index.html -Resuming Star Rated License Reassessment Information I shared information concerning resuming the star rated license reassessment. Grace Christian Academy of Kings Mountain, Inc. is in cohort #2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. You will then scroll to Licensing tab, scroll to the Star Rated License tab, and then click on to the Resuming Star Rated License tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License Medication Return Policy -We discussed and I answered your questions concerning returning medications to parents when the course of treatment is completed. We reviewed your medication return policy and procedures. We also reviewed your medication return policy for when children are no longer enrolled in your child care program and what your procedures are to contact parents to return the medication. -Early Childhood Equivalency Exam The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. or more information, visit the DCDEE website at https://ncchildcare.ncdhhs.gov/Whats-New/north-carolina-early-childhood-equivalency-exam-now-available. -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. -Health and Safety Trainings We discussed staff completing the required Health/Safety trainings. -Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the flier with you with information on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. -Criminal Background Check Legislative Changes: The 2022-2023 Appropriations Bill (HB 103) signed by Governor Cooper on July 11, 2022, made two important changes to North Carolina General Statute 110-90-2 regarding child care Criminal Background Checks. 1. The period for background check qualification renewals was revised from three years to five years. 2. The provisional qualification period was reduced to forty-five days. DCDEE Updates: What’s New Tab Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all 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: GRACE CHRISTIAN ACADEMY OF KINGS MOUNTAIN, INC. Facility ID: 23000483 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 9/22/2023 Number Present: 25 Completed Date: 9/22/2023 Age: From 3 To 5 Total Minutes: 415 Time In: 09:35 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 annual compliance visit was to monitor your compliance with all applicable child care requirements including health and safety requirements. You, Stephanie Chambers, Administrator, assisted me with the visit today. The NC Secretary of State website was viewed on September 21, 2023, and Grace Christian Academy of Kings Mountain, Inc. was listed as current and active. The facility currently operates with a 3-star rated license issued on November 26, 2019, earning four (4) points in staff education, two (2) points in the program standards and one (1) quality point. The program's license restrictions include the following: daytime care and enhanced space. Inspections/Emergency Drills: Fire Inspection: The last fire inspection was completed on June 13, 2022. Sanitation Inspection: The last sanitation inspection was completed on September 6, 2023. A “superior” classification was issued with six (6) demerits noted on the grade card. Emergency Drills/Playground Inspections: The last lockdown drill was completed on August 24, 2023, at 11:15am and recorded. The last playground inspection was completed on August 14, 2023. The last fire drill was completed on September 14, 2023, at 10:30am and recorded. A complete walkthrough of licensed indoor and outdoor spaces was conducted. A checklist was used to note the requirements I monitored today. Staff and children were observed during outdoor free play, story time, music and movement, and group time. Files Reviewed: Children’s files, program files, and staff files were monitored today. Three (3) children's files were reviewed during today’s visit. Two (2) staff files were reviewed today. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The following violations were observed during the walk through today. I discussed these violations with you in detail at the end of the visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent annual fire inspection documentation on file for review was completed on June 13, 2022. The facility’s annual fire inspection was due by June 13, 2023. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, on August 22, 2023, seven children’s departure times were not documented; on August 23, 2023, one child’s arrival time and six children’s departure times were not documented; on August 24, 2023, two children’s arrival times and five children’s departure times were not documented; on August 25, 2023, one child’s arrival time and six children’s departure times were not documented; on August 28, 2023, five children’s departure times were not documented; on August 29, 2023, seven children’s departure times were not documented; on August 30, 2023, six children’s departure times were not documented; on August 31, 2023, four children’s departure times were not documented; on September 1, 2023, seven children’s departure times were not documented; on September 5, 2023, four children’s departure times were not documented; on September 6, 2023, six children’s departure times were not documented; on September 7, 2023, eight children’s departure times were not documented; on September 8, 2023, twelve children’s departure times were not documented; on September 11, 2023, eight children’s departure times were not documented; on September 12, 2023, six children’s departure times were not documented; on September 13, 2023, eight children’s departure times were not documented; on September 14, 2023, six children’s departure times were not documented; on September 15, 2023, one child’s arrival time and four children’s departure times were not documented; on September 18, 2023, one child’s arrival time and six children’s departure times were not documented; on September 19, 2023, seven children’s departure times were not documented; on September 20, 2023, six children’s departure times were not documented; and on September 21, 2023, four children’s arrival times and three children’s departure times were not documented. In Space #2, on August 22, 2023, nine children’s departure times were not documented; on August 23, 2023, nine children’s departure times were not documented; on August 24, 2023, eight children’s departure times were not documented; on August 25, 2023, nine children’s departure times were not documented; on August 28, 2023, ten children’s departure times were not documented; on August 29, 2023, nine children’s departure times were not documented; on August 30, 2023, eight children’s departure times were not documented; on August 31, 2023, nine children’s departure times were not documented; on September 1, 2023, six children’s departure times were not documented; on September 5, 2023, six children’s departure times were not documented; on September 6, 2023, eight children’s departure times were not documented; on September 7, 2023, eight children’s departure times were not documented; on September 8, 2023, eight children’s departure times were not documented; on September 11, 2023, one child’s arrival time and nine children’s departure times were not documented; on September 12, 2023, nine children’s departure times were not documented; on September 13, 2023, eight children’s departure times were not documented; on September 14, 2023, nine children’s departure times were not documented; on September 15, 2023, eight children’s departure times were not documented; on September 18, 2023, ten children’s departure times were not documented; on September 19, 2023, nine children’s departure times were not documented; on September 20, 2023, nine children’s departure times were not documented; and on September 21, 2023, nine children’s departure times were not documented. 10A NCAC 09 .0302(d)(4) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #2, an Albuterol HFA rescue inhaler was not in its original container and did not include the pharmacy label. .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two staff members employed on August 12, 2020, and March 23, 2022, did not have on file for review documentation of reviewing of the emergency medical care plan annually. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member employed on August 12, 2020, did not have documentation of an annual staff evaluation on file for review. One staff member employed on March 23, 2022, did not have documentation an annual staff evaluation on file for review. 10A NCAC 09 .0514(f) 1329 Application for enrollment did not include all required information. One child enrolled on January 30, 2023, did not include the required information in the health care needs section of the child’s application. .0801(a)(1-7) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Two staff members employed on August 12, 2020, and March 23, 2022, did not have documentation on file for review of reviewing the annual Emergency Preparedness and Response plan. .0607(f) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. The application for one child enrolled on 1/30/2023, did not have a medical action plan on file for review. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #2, the medication permission form to administer the prescription medication, Albuterol HFA rescue inhaler, for a child enrolled on January 30, 2023, was dated for one year from January 30, 2023, through January 30, 2024, instead of the six months blanket medication permission that is required. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The following Technical Assistance regarding the violations observed during today’s visit was provided: -Arrival/Departure Times As a reminder, daily sign-in and sign-out times must be recorded when children arrive and depart the child care facility to ensure accurate records are kept. I suggested creating a system and review with staff the procedures of recording sign-in and sign-out times daily to ensure accurate records are kept. -Fire Inspections Reports: As a reminder an approved fire inspection report is required to be completed either on or before the date of the last fire inspection. I suggested contacting the Fire Marshall’s office at least four to six weeks prior to when the fire inspection expires. The child care rule reference is 10A NCAC 09 .0304 On-going Requirements for a License (a). As another reminder, fire inspection reports must be sent to me within seven days. Documentation for Completing a Staff’s Annual Staff Evaluation/ Review of EPR Plan and Emergency Medical Care Plan: I suggested creating a schedule to ensure the required documents are completed, reviewed, and placed in the staff’s files. I also suggested you use the DCDEE file checklist for Staff to either set up staff files and/or to update staff files with specific dates on when staff need to review and complete specific forms and documents. -Prescription Medication in the Original Container with a Pharmacy Label: As a reminder, prescribed medication must be kept in the original pharmacy labeled container with the pharmacy label attached that includes the child’s name and administering instructions. I recommended you monitor all medications received from the parent/guardian prior to the medication being stored in the classroom and review with the staff on the policy of receiving medications from parents. -Prescription Medication Permission Form As a reminder, medication permission forms can give blanket permission to certain medication for up to six months. I referenced the child care rule 10A NCAC 09 .0803 Administering Medication in Child Care Centers (6) (a-i) which states “(6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months.” Medical Action Plan: We discussed reviewing children’s files to ensure if a medical action plan is required for a child with a chronic illness that a medical action plan for a specific health need is completed and kept on file with the child’s application and available for review. Health Care Needs Section on the Children’s Application: As a reminder, please review all children’s applications upon enrollment to ensure all required information is completed on the child’s application. This includes the health care needs section on the child’s application, which includes pertinent information required to be completed if a child has a special health needs. I suggested reviewing currently enrolled children’s files to ensure accurate records are kept. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was one hundred percent (100) %. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by October 6, 2023. Please include in that letter each item 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 tiffani.sims@dhhs.nc.gov Tiffani Sims PO Box 185 Glen Alpine, NC 28628 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. Consultation: -Upcoming Training Announcement- Children’s Environmental Health has set up virtual trainings for child care center operators on the newly readopted child care sanitation rules. The date for the training is September 26, 2023; scheduled from 9:00am – 11:30am. The training is optional, and you are not required to attend. -COVID-19 Information and Resources: I share information and resources about COVID-19 vaccines, visit MySpot.nc.gov, call the CDC-INFO Contact Center at 800-CDC-INFO, or visit ncdhhs.gov/LHD to contact a local health department. Read the CDC’s full statement about recommending the updated COVID-19 vaccine for the fall/winter virus season. Info/Guidance for Educators & Child Care Providers Link: https://covid19.ncdhhs.gov/guidance-for-educators-and-child-care-providers Current Guidance for COVID-19 Protection – link below https://www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/index.html -Resuming Star Rated License Reassessment Information I shared information concerning resuming the star rated license reassessment. Grace Christian Academy of Kings Mountain, Inc. is in cohort #2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. You will then scroll to Licensing tab, scroll to the Star Rated License tab, and then click on to the Resuming Star Rated License tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License Medication Return Policy -We discussed and I answered your questions concerning returning medications to parents when the course of treatment is completed. We reviewed your medication return policy and procedures. We also reviewed your medication return policy for when children are no longer enrolled in your child care program and what your procedures are to contact parents to return the medication. -Early Childhood Equivalency Exam The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. or more information, visit the DCDEE website at https://ncchildcare.ncdhhs.gov/Whats-New/north-carolina-early-childhood-equivalency-exam-now-available. -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. -Health and Safety Trainings We discussed staff completing the required Health/Safety trainings. -Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the flier with you with information on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. -Criminal Background Check Legislative Changes: The 2022-2023 Appropriations Bill (HB 103) signed by Governor Cooper on July 11, 2022, made two important changes to North Carolina General Statute 110-90-2 regarding child care Criminal Background Checks. 1. The period for background check qualification renewals was revised from three years to five years. 2. The provisional qualification period was reduced to forty-five days. DCDEE Updates: What’s New Tab Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all 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
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