G.S. 110-90 · Violation

Name of Operation: SHIRLEY'S DAYCARE Facility ID: 91000119 Consultant: EMILY HARGROVE Operation Type: Family CC Home Case Number: Visit Date: 4/24/2025 Number Present: 4 Completed Date: 4/24/2025 Age: From 2 To 4 Total Minutes: 119 Time In: 10:11 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Family CC Home 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 during a routine unannounced visit. S. Couch, Owner/Operator assisted with the visit. Four (4) children were observed in care today ranging from ages two to four years old. Children were engaged in free choice play with developmentally age-appropriate materials, completing a teacher-directed coloring activity, interacting with the caregiver, completing toileting, and hand washing routines and outdoor play. Currently this program operates with a Four-Star License earning seven points in education, two points in program standards and one quality point for serving no more than two children under age one. The last annual compliance visit was completed on November 20, 2024. The following violations were documented today. Violation Number Comment Rule 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. Operator did not complete fire drill for the month of March 2024. The last fire drill was conducted on February 7, 2025. .1721 (e)(7) 1735 The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. Operator did not have a weekly activity plan posted nor available for review. .1721((f)(4)(A) 1739 All records required shall be available during operating hours, for review by a representative of the Division. EMC Plan was not completed and was not available for review. .1721(f)(7) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Emily Hargrove, PO Box 1974 Henderson NC 27536, or email emily.hargrove@dhhs.nc.gov. The compliance verification letter must be received on or before May 8, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 100% percent as of November 20, 2024. OWNERSHIP STATUS: You (Shirley Couch) are listed as the owner of this family child care home. Prior to making changes in the ownership status, contact me to discuss ownership procedures. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your program are correct. If changes in your facility information occurs, please contact me at 252-214-8458 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. STAFF/CHILD INTERACTIONS: Upon arrival children were engaged in free play outdoor playground area. Hand washing occurred after toileting after outdoor play. You assisted the child in the handwashing and toileting process. You interacted with children. You engaged them in conversation by asking open-ended questions. Children responded to you as they were guided how properly play with the materials. RECORD KEEPING: EMERGENCY MEDICAL CARE PLAN: The EMCP was not posted or available for review. We discussed that this form is a requirement of child care rules and must be updated annually. I printed the form off for you and you completed the form during the visit. I encouraged you to check and every six months to ensure nothing has change or if anything changes you can update at that time. ACTIVITY PLAN: We discussed that an activity plan must completed every week and posted for review. You stated, that you had one and gave a copy to your daughter and you didn't get it back. You stated that you would complete and post immediately. MONTHLY FIRE DRILLS: You stated you probably did the fire drill and didn't write information on form for March 2025. I recommended you complete an fire drill immediately. You completed this during the visit. I recommended you set an ongoing schedule for completing fire drills. Once completed, the observation should be documented on the fire drill form provided by the Division. You can retain the records in a file folder or notebook for easy access. ABCMS & CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at 919.814.6401. and someone will assist you. RESOURCES: • The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov/ • NCRLAP: https://NCRLAP.org • NC Child Care Health & Safety Resource Center www.healthychildcare.unc.edu If you have questions related to this visit or if I can be of additional assistance, I can be reached at 252-214-8454 or emily.hargrove@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809 or susan.fuller@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2703 · Violation

Name of Operation: SHIRLEY'S DAYCARE Facility ID: 91000119 Consultant: KESHIA HAYWARD Operation Type: Family CC Home Case Number: Visit Date: 12/5/2023 Number Present: 2 Completed Date: 12/5/2023 Age: From 2 To 2 Total Minutes: 130 Time In: 12:05 PM Time Out: 02:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your facility for compliance with applicable child care requirements during an annual compliance visit. S. Couch, Owner/Operator assisted with the visit. Two children were observed in care. Both children were two years old. The children were observed playing with developmentally appropriate materials, completing toileting and hand washing routines, interacting with the caregiver, and napping. Currently this family child care home operates with a Four-Star License earning seven points in education standards, two points in program standards and one quality point for caring for no more than two infants under age one. The last annual compliance visit was conducted on January 19, 2023. The following violations of the child care requirements were documented today. Violation Number Comment Rule 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. Documentation of an outdoor play inspection for November 2023 was not on file and available for review. .1721 (e)(7) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The operator did not review the emergency preparedness and response plan annually as required. The last review date was June 12, 2017. .1714(e ) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before December 19, 2023. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 91% percent as of December 4, 2023. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your family child care home are correct. If changes in your facility information occurs, please contact me at telephone number 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. LICENSEE: You are listed as the sole proprietor on the child care license. Prior to changing the facility name and/or ownership (i.e., forming a corporation), please contact me to discuss change of ownership procedures. Failure to comply may affect your child care license. STAR RATED LICENSE: I informed you that your program star rating will be assessed in Cohort 1. We discussed the following information regarding preparation for reassessment of your rated license. Education – You will continue to be eligible to maintain points earned in the Education component. Your education has not changed since the last rated license assessment. Quality Point Option: You are meeting the quality point option for serving no more than two children under age one. Your program currently does not have any infant enrolled. You stated you would like to maintain the quality point option. According to you no more infants will be enrolled in the program because you are in the process of planning for retirement soon. PROGRAM STANDARDS: We discussed completing the three-month self-assessment to continue maintaining points earned in program standards. I recommended you starting the process of completing the self-assessment to ensure it is finished and documentation is available when at the time your rated license assessment is done. We talked about using the Family Daycare Rating Scale Booklet to assist with the three-month self-assessment. I explained using the booklet to complete the self-assessment was a requirement. I suggested contacting your local partnership for assistance if needed with completing your three-month self-assessment. Documentation verifying completion of the three-month self-assessment must be retained and available for review during the process of your rated license. EMERGENCY PREPAREDNESS AND RESPONSE PLAN REVIEW (EPR): The last review of the program’s emergency preparedness and response plan was June 12, 2017. You stated you looked at the plan; however, the review date was not documented in the risk management portal. I recommended that you review the plan, make updates as needed and document the date in the template on the risk management portal. I explained the EPR plan must be reviewed annually. I recommended scheduling a designated time to conduct the review each year to ensure it is done. OUTDOOR INSPECTIONS: You stated you forgot to complete the outdoor inspection for November 2023. I recommended you complete an inspection as soon as possible to ensure the outdoor play area if free from hazards. I recommended you set an ongoing schedule for completing monthly inspection. Once completed, the observation should be documented on the outdoor inspection form provided by the Division. You can retain the records in a file folder or notebook for easy access. It is your responsibility to ensure a safe environment is always provided for children in care. CRIMINAL BACKGROUND CHECK REVISIONS: Please take time to read the updated Child Care Rule 10A NCAC 09 .2703 Criminal History Record Check Requirements for Child Care Providers that was revised and amended effective October 1, 2023. Read the entire rule at https://ncchildcare.ncdhhs.gov/Home/Child-Care-Commission/Rule-Changes RED WASTE BAGS: If you receive red waste bags from NCDHHS, please do not use them, and do not throw them away. These are not for use in child care, school or residential settings. They were sent in error. Red biohazard bags are intended for medical waste that requires special handling. Local waste management cannot collect or accept them. You may even be subject to a fine for putting them in your trash. NCDHHS is working on a solution. For now, please put these bags aside and make sure all staff know not to use them. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. You can also complete training modules located in MOODLE platform, access provider's documents, and the child care rules and laws. At the end of this visit, the visit summary report was printed, reviewed with you, and a copy left for your records. CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.