10A NCAC 09 .0701 · Violation

Name of Operation: BEST ENRICHMENT CHILD DEVELOPMENT CENTER II Facility ID: 54000353 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 24 Completed Date: 9/5/2024 Age: From 0 To 4 Total Minutes: 190 Time In: 09:20 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during an unannounced annual compliance visit. H. Best, Administrator, was present and available to assist with today’s visit. Your program operates with a four-star license issued on April 5, 2023, earning seven (7) points in the education component, two (2) points in the program standards component and one (1) quality point for all lead teachers and teachers have at least five (5) years of EC work experience in no more than two (2) different centers. The last annual compliance visit was conducted on October 11, 2023. The sanitation inspection was completed on February 29, 2024, with a “Superior” classification “2” demerits. The fire inspection was completed on August 8, 2024, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Twenty-four (24) children ages zero (0) to four (4) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I found supervision and staff/child ratios to be in compliance. Children were observed engaging in gross-motor play in the outdoor play area. Children were observed eating the following for lunch, chicken nuggets, peas, fruit cocktail, bread, and milk. The caregivers were interacting and meeting the developmental needs for each of the children. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations were documented during today’s visit: Violation Number Comment Rule 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. In the outdoor play environment, the grass was growing past the ankles and needed to be cut. 15A NCAC 18A .2832(a) 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 number one (1) there was a tube of Nystatin cream. The medicine was not in its original pharmacy labeled container. .0803(2)(a) 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.. S. Blow began employment on August 26, 2024, and had a health assessment form from her doctor; however, it was not on the Division of Child Development and Early Education’s (DCDEE) form and did not have the required information. 10A NCAC 09 .0701(a) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 19, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame 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 today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 99%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. OWNER/FACILITY PROFILE INFORMATION: Best Enrichment Child Development Center, LLC is listed as the current owner of this facility. The NC Secretary of State website was reviewed on September 4, 2024, Best Enrichment Child Development Center, LLC verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE: CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children’s records were monitored. The files were well organized and in compliance. One(1) volunteer record was reviewed today. M. Miller's record met all requirements to volunteer in the facility. Ten percent (10%) or more of existing staff files were monitored. S. Blow began employment on August 26, 2024, and had a health assessment form from her doctor; however, it was not on the Division of Child Development and Early Education’s (DCDEE) form. The required information was not available on the form provided by the doctor. Please have Ms. Blow have her doctor fill-out the Medical Assessment form and retain in her staff file. The staff files were well organized and available for review. MEDICATION: In space number one (1) there was a tube of nystatin cream. The medicine was not in its original pharmacy labeled container. Please remember any medicines that are prescribed by a doctor must be in their original container and have the pharmacy label on it. SANITATION: In the outdoor play environment, the grass was growing past the ankles. Please remember grass needs to be maintained in order to prevent unwanted pests in the outdoor play environment. You stated the grass is scheduled to be cut on Friday, September 6, 2024. TRANSPORTATION: Your 15-passenger mini-bus with the license plate KKM-1468, met all transportation requirements. CLEAN WATER FOR CAROLINA KIDS: According to the Clean Water for Us Kids website, you tested your water on June 19, 2024, you have completed the lead paint testing, and the information was uploaded on September 2, 2024, there was lead found in the exterior crawl space door. Your asbestos testing has been completed and the information was uploaded on August 19, 2024, there was asbestos found in the hallway ceiling. You have not been contacted since the testing was completed. You accessed your reports through the Clean Water for Us Kids. You have tried several times to contact RTI to understand next steps and you were told you would receive a call to discuss the results. EMERGENCY PREPAREDNESS AND RESPONSE (EPR) PLAN: As a reminder your EPR plan will need to be updated in the NC Risk Management Portal (https://rmp.nc.gov/portal/) on or prior to September 7, 2024. DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, or training. We discussed making sure you submit your education transcripts to the “WORKS” system, so your education can be evaluated. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in the education standards component. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. RESOURCES: START RATED LICENSE/QUALITY IMPROVEMENT RATING SYSTEM (QRIS) UPDATE: The Governor signed 12 bills on July 8, 2024. Including the Adjustments to the Appropriations Act (SB 357) which includes the $67.5 million for reduced compensation payments for first two quarters of FY 24-25 and the DHHS Agency Bill (Senate Bill 425) which includes the QRIS provisions: • QRIS modernization (3 new pathways to stars) is now approved (SB 425). • Hold harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year unless they want to. • SB 425 does mean that programs currently accredited through the approved accrediting bodies can move to a 3- or 5-star license if they are not already at this star level. Providers will need to submit a request to their consultant and provide a copy of their accreditation certificate for processing. • SB 425 also requires that we move to the ERS-3 versions for ECCERS. ITERS and FCCERS, effective February 1, 2025. Self-paced online training modules regarding the new assessments will be available in September 2024. • SB 357 provides $67.5 million dollars to continue a reduced level of funding for the compensation portion only of the Child Care Stabilization Grant. Funding is designated for the first two quarters of FY 2024-25 and provides only about 75% of funding needed to maintain compensation payment amounts provided through ARPA funding which ended June 30, 2024. DCDEE will continue to utilize the NC FAST Stabilization Grant portal to distribute funds. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at 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.

NC GS 110-90 · Violation

Name of Operation: BEST ENRICHMENT CHILD DEVELOPMENT CENTER II Facility ID: 54000353 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 24 Completed Date: 9/5/2024 Age: From 0 To 4 Total Minutes: 190 Time In: 09:20 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during an unannounced annual compliance visit. H. Best, Administrator, was present and available to assist with today’s visit. Your program operates with a four-star license issued on April 5, 2023, earning seven (7) points in the education component, two (2) points in the program standards component and one (1) quality point for all lead teachers and teachers have at least five (5) years of EC work experience in no more than two (2) different centers. The last annual compliance visit was conducted on October 11, 2023. The sanitation inspection was completed on February 29, 2024, with a “Superior” classification “2” demerits. The fire inspection was completed on August 8, 2024, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Twenty-four (24) children ages zero (0) to four (4) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I found supervision and staff/child ratios to be in compliance. Children were observed engaging in gross-motor play in the outdoor play area. Children were observed eating the following for lunch, chicken nuggets, peas, fruit cocktail, bread, and milk. The caregivers were interacting and meeting the developmental needs for each of the children. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations were documented during today’s visit: Violation Number Comment Rule 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. In the outdoor play environment, the grass was growing past the ankles and needed to be cut. 15A NCAC 18A .2832(a) 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 number one (1) there was a tube of Nystatin cream. The medicine was not in its original pharmacy labeled container. .0803(2)(a) 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.. S. Blow began employment on August 26, 2024, and had a health assessment form from her doctor; however, it was not on the Division of Child Development and Early Education’s (DCDEE) form and did not have the required information. 10A NCAC 09 .0701(a) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 19, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame 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 today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 99%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. OWNER/FACILITY PROFILE INFORMATION: Best Enrichment Child Development Center, LLC is listed as the current owner of this facility. The NC Secretary of State website was reviewed on September 4, 2024, Best Enrichment Child Development Center, LLC verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE: CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children’s records were monitored. The files were well organized and in compliance. One(1) volunteer record was reviewed today. M. Miller's record met all requirements to volunteer in the facility. Ten percent (10%) or more of existing staff files were monitored. S. Blow began employment on August 26, 2024, and had a health assessment form from her doctor; however, it was not on the Division of Child Development and Early Education’s (DCDEE) form. The required information was not available on the form provided by the doctor. Please have Ms. Blow have her doctor fill-out the Medical Assessment form and retain in her staff file. The staff files were well organized and available for review. MEDICATION: In space number one (1) there was a tube of nystatin cream. The medicine was not in its original pharmacy labeled container. Please remember any medicines that are prescribed by a doctor must be in their original container and have the pharmacy label on it. SANITATION: In the outdoor play environment, the grass was growing past the ankles. Please remember grass needs to be maintained in order to prevent unwanted pests in the outdoor play environment. You stated the grass is scheduled to be cut on Friday, September 6, 2024. TRANSPORTATION: Your 15-passenger mini-bus with the license plate KKM-1468, met all transportation requirements. CLEAN WATER FOR CAROLINA KIDS: According to the Clean Water for Us Kids website, you tested your water on June 19, 2024, you have completed the lead paint testing, and the information was uploaded on September 2, 2024, there was lead found in the exterior crawl space door. Your asbestos testing has been completed and the information was uploaded on August 19, 2024, there was asbestos found in the hallway ceiling. You have not been contacted since the testing was completed. You accessed your reports through the Clean Water for Us Kids. You have tried several times to contact RTI to understand next steps and you were told you would receive a call to discuss the results. EMERGENCY PREPAREDNESS AND RESPONSE (EPR) PLAN: As a reminder your EPR plan will need to be updated in the NC Risk Management Portal (https://rmp.nc.gov/portal/) on or prior to September 7, 2024. DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, or training. We discussed making sure you submit your education transcripts to the “WORKS” system, so your education can be evaluated. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in the education standards component. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. RESOURCES: START RATED LICENSE/QUALITY IMPROVEMENT RATING SYSTEM (QRIS) UPDATE: The Governor signed 12 bills on July 8, 2024. Including the Adjustments to the Appropriations Act (SB 357) which includes the $67.5 million for reduced compensation payments for first two quarters of FY 24-25 and the DHHS Agency Bill (Senate Bill 425) which includes the QRIS provisions: • QRIS modernization (3 new pathways to stars) is now approved (SB 425). • Hold harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year unless they want to. • SB 425 does mean that programs currently accredited through the approved accrediting bodies can move to a 3- or 5-star license if they are not already at this star level. Providers will need to submit a request to their consultant and provide a copy of their accreditation certificate for processing. • SB 425 also requires that we move to the ERS-3 versions for ECCERS. ITERS and FCCERS, effective February 1, 2025. Self-paced online training modules regarding the new assessments will be available in September 2024. • SB 357 provides $67.5 million dollars to continue a reduced level of funding for the compensation portion only of the Child Care Stabilization Grant. Funding is designated for the first two quarters of FY 2024-25 and provides only about 75% of funding needed to maintain compensation payment amounts provided through ARPA funding which ended June 30, 2024. DCDEE will continue to utilize the NC FAST Stabilization Grant portal to distribute funds. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at 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

10A NCAC 09 .0601 · Violation

Name of Operation: BEST ENRICHMENT CHILD DEVELOPMENT CENTER II Facility ID: 54000353 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 4/10/2024 Number Present: 13 Completed Date: 4/10/2024 Age: From 0 To 2 Total Minutes: 65 Time In: 12:00 PM Time Out: 01:05 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 this facility for compliance with applicable child care requirements during a routine unannounced visit. Upon Arrival, T. McMillan informed me, that Ms. Best was not present, however she called Ms. Best to notify her of my visit. H. Best, Administrator, arrived shortly after the visit began and was available to assist with today’s visit. Your program operates with a four-star license issued on April 5, 2023, earning seven (7) points in the education component, two (2) points in the program standards component and one (1) quality point for all lead teachers and teachers have at least five (5) years of EC work experience in no more than two (2) different centers. The last annual compliance visit was conducted on October 11, 2023. The sanitation inspection was completed on February 29, 2024, with a “Superior” classification “2” demerits. The fire inspection was completed on August 10, 2023, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Thirteen (13) children ages zero (0) to two (2) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in nap time. There were a couple of children in the infant room who were awake and playing with developmentally appropriate toys and the caregivers were interacting in a positive and nurturing manner. The preschool aged children were on a field trip and not present. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. Due to connectivity issues a hand written visit summary was left with you at the conclusion of the visit. A computer generated visit summary and enrollment was emailed to you. The following violation(s) of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There were three (3) active ant hills located at the back part of the preschool playground number two (#2). 10A NCAC 09 .0601(a) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 24, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame 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 today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 98%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. OWNER/FACILITY PROFILE INFORMATION: Best Enrichment Child Development Center, LLC is listed as the current owner of this facility. The NC Secretary of State website was reviewed on April 9, 2024, Best Enrichment Child Development Center, LLC verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: SAFETY AND HEALTH: There were three (3) active ant hills located at the back part of the preschool playground number two (#2). You called the exterminator as soon as we came inside and scheduled for the exterminator to come out at 4pm that afternoon. We also discussed making sure your teachers monitored the playground prior to the children coming outside to play and notifying you if they see any active ant hills so they can be treated as soon as possible. You also stated that you would put crates around the area to keep children from stepping in the ant hills until they could be treated. As we are entering the warmer months, please continue to check on the outdoor environment, ensuring there are no active ant hills on the playground, the grass remains cut and check under climbing equipment and any awnings to make sure there are no insect hives in these places. CPR AND FIRST AID: As a reminder the following staff will need to complete CPR and First Aid prior to their May 2024 expiration dates: A. Lassiter, T. McMillian, J. Bullock, G. Miller, and G. Wooten-Branch. CLEAN WATER FOR CAROLINA KIDS: We discussed the Clean Water for Carolina Kids program and what that means for you as a child care center. I also informed you that I sent an email to you on March 5, 2024, with the following information included. I also attached to that email three (3) flyers that discuss the process for testing, for lead in the water, lead in paint, and asbestos. You completed the lead water testing on April 2, 2021, you need to complete the water lead testing again. Please remember centers must test their water every three years. You stated you have requested your testing kits and are waiting for them to be delivered. According to Clean Water for Us Kids, you have started enrollment for the lead paint and asbestos testing. The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Most of you have completed your initial testing and now it is time for your three-year retest. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. CHILD A CARE RULE CHANGES: The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at 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.

NC GS 110-90 · Violation

Name of Operation: BEST ENRICHMENT CHILD DEVELOPMENT CENTER II Facility ID: 54000353 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 4/10/2024 Number Present: 13 Completed Date: 4/10/2024 Age: From 0 To 2 Total Minutes: 65 Time In: 12:00 PM Time Out: 01:05 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 this facility for compliance with applicable child care requirements during a routine unannounced visit. Upon Arrival, T. McMillan informed me, that Ms. Best was not present, however she called Ms. Best to notify her of my visit. H. Best, Administrator, arrived shortly after the visit began and was available to assist with today’s visit. Your program operates with a four-star license issued on April 5, 2023, earning seven (7) points in the education component, two (2) points in the program standards component and one (1) quality point for all lead teachers and teachers have at least five (5) years of EC work experience in no more than two (2) different centers. The last annual compliance visit was conducted on October 11, 2023. The sanitation inspection was completed on February 29, 2024, with a “Superior” classification “2” demerits. The fire inspection was completed on August 10, 2023, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Thirteen (13) children ages zero (0) to two (2) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in nap time. There were a couple of children in the infant room who were awake and playing with developmentally appropriate toys and the caregivers were interacting in a positive and nurturing manner. The preschool aged children were on a field trip and not present. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. Due to connectivity issues a hand written visit summary was left with you at the conclusion of the visit. A computer generated visit summary and enrollment was emailed to you. The following violation(s) of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There were three (3) active ant hills located at the back part of the preschool playground number two (#2). 10A NCAC 09 .0601(a) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 24, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame 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 today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 98%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. OWNER/FACILITY PROFILE INFORMATION: Best Enrichment Child Development Center, LLC is listed as the current owner of this facility. The NC Secretary of State website was reviewed on April 9, 2024, Best Enrichment Child Development Center, LLC verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: SAFETY AND HEALTH: There were three (3) active ant hills located at the back part of the preschool playground number two (#2). You called the exterminator as soon as we came inside and scheduled for the exterminator to come out at 4pm that afternoon. We also discussed making sure your teachers monitored the playground prior to the children coming outside to play and notifying you if they see any active ant hills so they can be treated as soon as possible. You also stated that you would put crates around the area to keep children from stepping in the ant hills until they could be treated. As we are entering the warmer months, please continue to check on the outdoor environment, ensuring there are no active ant hills on the playground, the grass remains cut and check under climbing equipment and any awnings to make sure there are no insect hives in these places. CPR AND FIRST AID: As a reminder the following staff will need to complete CPR and First Aid prior to their May 2024 expiration dates: A. Lassiter, T. McMillian, J. Bullock, G. Miller, and G. Wooten-Branch. CLEAN WATER FOR CAROLINA KIDS: We discussed the Clean Water for Carolina Kids program and what that means for you as a child care center. I also informed you that I sent an email to you on March 5, 2024, with the following information included. I also attached to that email three (3) flyers that discuss the process for testing, for lead in the water, lead in paint, and asbestos. You completed the lead water testing on April 2, 2021, you need to complete the water lead testing again. Please remember centers must test their water every three years. You stated you have requested your testing kits and are waiting for them to be delivered. According to Clean Water for Us Kids, you have started enrollment for the lead paint and asbestos testing. The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Most of you have completed your initial testing and now it is time for your three-year retest. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. CHILD A CARE RULE CHANGES: The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at 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