Supervision
Name of Operation: FOUNDATIONS EARLY LEARNING CENTER #238 Facility ID: 18000594 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 4/24/2025 Number Present: 44 Completed Date: 4/24/2025 Age: From 0 To 5 Total Minutes: 307 Time In: 09:38 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Deborah Johnson, Center Director, assisted me with today’s visit. I observed all of the required posted in the foyer area including the following: five-star rated license, NC Summary of Child Care Law dated February 2025, sanitation placard, Emergency Medical Care Plan, Emergency Phone Numbers, First Aid poster, tobacco free signage, daily schedule, current activity plan, and safe arrival and departure procedures. Your program currently operates with a five-star license, issued on December 27, 2022, earning seven (7) points in staff education, six (6) points in program standards and one (1) quality point for having an infrastructure of parent involvement, for a total of 14 total points earned. Your facility operates with the following permit restrictions: daytime care only, meets enhanced space and meets enhanced ratios. Your center's compliance history was 90% as of April 21, 2025, and was reviewed with you today. Your last annual compliance visit was conducted on January 21, 2025. I monitored all of the indoor and outdoor areas. I observed children throughout the classrooms participating in free play in activity areas, transitions, and personal care routines. I monitored for general safety, storage of hazardous products, appropriate discipline, storage of medication and medication administration. Program records including emergency medical care plan, safe arrival and departure procedures, incident log, outdoor safety inspections, fire drills, emergency drills, and your Emergency Preparedness Response (EPR) Plan were monitored. Today, reviewed staff record files for eleven (11) returning staff members to verify current and valid Criminal Background Check qualification letters, valid CPR and First Aid training, valid ITS-SIDS training, BSAC training, playground safety, Emergency Medical Care Plan training/review, Emergency Preparedness and Response training/review and completion of the Recognizing and Responding to Suspicions of Child Maltreatment training. I monitored two (2) new staff files for all requirements. You sent me your current handbook by email on February 5, 2025, and it included: written operational, administrative, and personnel policies and your parent participation plan in my office. You stated your written policies and procedures had not changed. Children were adequately supervised, staff-child ratios were maintained, adequate approved space was used, appropriate discipline, space capacities were maintained, and permit restrictions including daytime care only, meets enhanced space, meets enhanced ratios were maintained during today’s visit. Today’s lunch consisted of cheeseburgers, tater tots, peaches and 1% unflavored white milk as listed on the menu. You stated that there were fourteen (14) medications, fourteen (14) medication permission to administer forms and no Medical Action Plans to monitor. I monitored incident report logs and your current EPR plan. You stated that your program does not provide transportation. You stated that your program does not provide screen time. Your most recent fire drill was conducted on April 23, 2025, and has been completed monthly for the past twelve (12) months and your most recent lockdown emergency drill was conducted on March 14, 2025, and has been completed quarterly. Your most recent fire inspection was completed on February 5, 2025, and was sent to me by email on February 5, 2025. Your most recent sanitation inspection was completed on December 27, 2024, with a superior classification. I monitored for all health and safety requirements during today’s visit. The following violation was cited during today’s visit. Violation Number Comment Rule 1870 The prevention of Shaken Baby Syndrome and Abusive Head Trauma policy did not have the required information. Two (2) staff members with the hire dates 2/22/23 and 2/6/23 did not have the date listed on the form that the Prevention of Shaken Baby and Abusive Head Trauma Policy was given and explained to them. .0608(a)(1-6) TECHNICAL ASSISTANCE: • Two (2) staff members with hire dates of 2/22/23 and 2/6/23 did not have the date listed on the form that the Prevention of Shaken Baby and Abusive Head Trauma Policy was given and explained to them. As discussed, per child care rule 10A NCAC 09 .0608(d)(1-4), the Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement signed and dated by the staff should include the individual’s name, the date the center’s policy was given and explained to the individual, the individual’s signature, and the date the individual signed the acknowledgment. To maintain compliance with this child care requirement, I suggest you double-check each staff member’s acknowledgement statement during the orientation training process to be sure the statement has been signed, dated and all items on the form have been completed as required by child care rule prior to placing the document in the staff file. This violation was corrected during the visit by the Director having staff members with hire dates 2/22/23 and 2/6/23 update the Shaken Baby and Abusive Head Trauma Policy with the date that the policy was given and explained. CONSULTATION: • Fire inspections are to be sent to the consultant within 7 business days of the inspection being completed. If the fire inspection report is not sent to the consultant within 7 business days a violation will be cited at the next monitoring visit. • During outside time be sure that there are sufficient materials available for children to play with to engage in rigorous play. • When reviewing Staff Files, Children’s Files, and Program Records, utilize the Staff Files Checklist, Children’s File Checklist, Volunteer Files Checklist and the Program Records File Checklist to ensure that you are maintaining compliance with all of the files that are monitored by DCDEE and that all of the documents within those files are current, accurate and relevant. These forms should be updated annually with staff files, children’s records and program record documents to ensure that all information stored in your facilities files are current and accurate prior to DCDEE monitoring visits. These file checklists can be found on the DCDEE website under provider documents. DCDEE Resources: • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. • Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License • Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development • Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings • Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy • DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • Child Care facility’s now have until May 31, 2025, to enroll in the lead in water testing, lead based paint testing and Asbestos testing through Clean Water for US Kids. The following link will take you to the website to enroll https://www.cleanwaterforuskids.org/en/carolina/. • ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days 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. 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 as stated in G.S. 110-90.2 & .2703(r) to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • Located on the DCDEE website there is an editable form of the staff and training worksheet that you may utilize when completing the staff and training worksheet to assist you with being prepared for your upcoming monitoring visits. This document can be downloaded to your computer and completed electronically. • Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. • Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. COMPLIANCE PLAN: Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. • No compliance documentation is needed. All violations that were cited during today’s visit were corrected during the visit. In the visit summary, I documented the corrective actions taken today to correct those violations. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (980)434-3877 or by email at [email protected] or my supervisor, Erin Pickard, by email at [email protected]. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times