G.S. 110-90 · Violation

Name of Operation: Maiden Elementary Pre K Facility ID: 18000625 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 9/11/2025 Number Present: 24 Completed Date: 9/11/2025 Age: From 4 To 11 Total Minutes: 200 Time In: 10:40 AM Time Out: 02:00 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. Jennifer Davis, NCPK Lead Teacher, in space #307, Candace Stephens, School Age Developmental Day Lead Teacher, in space #402 and Sydney Mateyunas, in space #401 assisted me with today’s visit. I conducted your last annual compliance visit on March 31, 2025. I reviewed with you today the facility information found in our system. You stated there have been no changes to the facility phone number, fax number, email address, or mailing address. You asked that I add the facility’s web address to our public database. I made that addition for you today. I reviewed the permit restrictions, capacity, and age range on your permit and observed these being maintained. Your center's compliance history was 91% prior to today’s visit and was reviewed with you today. Your program currently operates with a five-star license, issued on August 22, 2025, earning seven (7) points in staff education, seven (7) points in program standards, and one (1) quality point for having an infrastructure of parent involvement and a staff benefits package. Your most recent fire inspection was dated August 20, 2025, and received in my office on August 21, 2025. Your most recent sanitation inspection was dated December 4, 2024, with a Superior classification and zero demerits. I have verified that you have completed the lead water testing required to be completed every three years. Today, I verified that the test results dated December 16, 2024. I verified that you have enrolled for the lead-based paint testing and the asbestos testing. I completed a walk-through of the facility today. I monitored all of the indoor and outdoor licensed spaces. Children were playing in activity areas, participating in teacher-directed activities, participated in personal care routines and free choice play activities. Staff facilitated play/learning, peer interactions, talked through behavior management needs with the children, assisted with self-regulation and positive choices, lead teacher-directed activities, and assisted the children with personal care routines as needed. A current menu was posted in each classroom, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Meals were prepared in the kitchen and served in the classrooms. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline. I monitored program records including emergency medical care plan, safe arrival and departure procedures, incident log, outdoor safety inspections, fire drills, emergency drills, and your School Risk Management Plan. Today, monitored six (6) returning staff files and four (4) new staff files for current and valid Criminal Background Check qualification letters, current and valid CPR and First Aid training, Recognizing and Responding to Suspicions of Child Maltreatment training, and completion of playground safety training for at least one staff member. I reviewed the written operational, administrative, and personnel policies and the parent participation plan for the 2025 – 2026 school year which are used by the NC PreK program sites for Catawba County Schools. You stated your written policies and procedures had not changed. The NC PreK and School Age Developmental Day classrooms operate Monday – Friday on the Catawba County Schools calendar during the hours of 8:15am to 3:15pm. I monitored developmental day (DD) requirements during today’s visit. Staff members met the education requirements for DD staff. The children identified with developmental delays have care plans documented on an IFSP, IEP or PCP. Typically developing children participated in daily activities that were outlined in a plan of care documented on an activity plan meeting all child care requirements. Activities allowed the children to participate as a whole group, small group, part of the group or independently. Children identified with developmental delays were enrolled, interacting, and participating in all classroom activities alongside typically developing children. The DD program offers family involvement including providing quarterly parent education sessions, holding parent-teacher conferences at least twice a year, communicating on an individual basis with parents, having parents as members of an advisory board, providing opportunities for parent volunteers to assist with special classroom activities, field trips, etc. and providing parents with referral information about other community programs and resources serving young children. The DD program followed the Catawba County Schools calendar for the 2025 – 2026 school year. I monitored NC PreK requirements during today’s visit. The administrator does not serve as the lead teacher or assistant teacher in the classroom. You used Ages and Stages Developmental Screening tool. You used Teaching Strategies Gold as the Formative Assessment tool and The Creative Curriculum for Preschool, as your approved curriculum. Your family engagement component included formal and informal parent-teacher conferences, classroom visits and options for parents and families to participate in classroom activities, parent education, opportunities for involvement in decision making about the early childhood program, and opportunities to engage families outside the regular school day. You call or text the parent on the day of absence and at least by the third day of any child’s absence to inquire about the reason for the absence and report absences to the Catawba County Partnership for Children. The NC PreK program followed the Catawba County Schools calendar for the 2025 – 2026 school year. I monitored supervision, staff-child ratios, group sizes, approved space use, space capacities, and permit restrictions. I monitored health and safety requirements. I observed and cited the following violations during today’s visit: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff member with a hire date of 8/14/23, did not have documentation of completing First Aid training prior to the certificate’s expiration date of 8/18/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member with a hire date of 8/14/23, did not have documentation of completing CPR training prior to the certificate’s expiration date of 8/18/25. .1102(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. This facility has not completed the ABCMS portal roster. G.S. 110-90.2 & .2703(r) 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. • This facility has not completed the ABCMS portal roster. As discussed, all facilities are required to complete the facility roster in the ABCMS portal and have all of the staff that work at the facility linked to the facilities roster. I suggest contacting your program Administrator to assist you with completing this process. If you have questions regarding the process, you may reach out to the Criminal Background unit regarding the ABCMS Portal at ABCMS Provider Portal email support: DCDEE_ABCMS_PROVIDER@dhhs.nc.gov Criminal Background Unit: 919-814-6401. • One (1) staff member with a hire date of 8/14/23, did not have documentation of completing first aid training prior to the certificate’s expiration date of 8/18/25. As staff members First Aid and CPR training approaches the expiration date, it is recommended that you begin searching for available training courses to enroll staff in. You may search for training opportunities at your local Partnership for Young Children, Fire Departments, approved trainers, EMS, and outside of your county. Please keep in mind that first aid and CPR must be renewed on or before the expiration date. • One (1) staff member with a hire date of 8/14/23, did not have documentation of completing CPR training prior to the certificate’s expiration date of 8/18/25. As staff members First Aid and CPR training approaches the expiration date, it is recommended that you begin searching for available training courses to enroll staff in. You may search for training opportunities at your local Partnership for Young Children, Fire Departments, approved trainers, EMS, and outside of your county. Please keep in mind that first aid and CPR must be renewed on or before the expiration date. CONSULTATION: • DCDEE Resources - QRIS Modernization: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization - 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 • WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework. • 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: All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email address below detailing the steps taken to correct each violation. Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Your signature I must receive your compliance letter no later than September 25, 2025. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. Failure to correct the violations and send the written statement by the due date listed above may 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 and Early Education 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. For your convenience, your compliance letter may be sent by email to: meria.wilder@dhhs.nc.gov At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all that you and your staff do to serve the children and families in our community. If you have any questions, feel free to contact me by phone at (980) 434-3877 or by email at meria.wilder@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: Maiden Elementary Pre K Facility ID: 18000625 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 3/11/2025 Number Present: 25 Completed Date: 3/11/2025 Age: From 3 To 12 Total Minutes: 330 Time In: 10:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Compliance with requirements located in Child Care Rule Sections .3000 in space #307, where children participating in the NC Pre-K program are cared for as well as Child Care Rule Section .2900 in space #402 where children participating in Certified Developmental Day programs are cared for were also monitored. Jennifer Davis, NCPK Lead Teacher, in space #307 and Candace Stephens, School Age Developmental Day Lead Teacher, in space #402 assisted me with today’s visit. A temporary license was issued to Maiden Elementary Pre K on August 26, 2024, due to a change of location that took place in August of 2024. As of March 10, 2025, your compliance history score was 89% on March 10, 2025. The following required posting was posted at the entrance in each classroom: NC Summary of Child Care Law, Five Star License, safe arrival and departure procedure, sanitation placard, emergency phone numbers, Emergency Medical Care Plan, daily schedule, menu, daily schedule and a current activity plan. Your program currently operates with a five-star license, issued on February 27, 2025, earning seven (7) points in the education component, seven (7) points in the program standards component and one (1) quality point. Your program operates with the following permit restrictions, daytime care only, meets enhanced ratios, meets enhanced space, meeting enhanced ratios minus 1, and Certified Developmental Day. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the facility. I reviewed the facility’s permit with you today. Adequate and approved space, capacity, supervision, staff/ratios, group size, and appropriate discipline were observed today. The most recent sanitation inspection was completed December 4, 2024, with a “Superior” classification and the most recent fire inspection was conducted August 28, 2024. The most recent fire drill was conducted on February 24, 2025, and the most recent shelter in place emergency drill was conducted on March 4, 2025. Playground inspections, incident report logs, and screen time logs were monitored. Arrival and departure records and daily attendance records were current in both classrooms. Lunch today consisted of cheese sticks, broccoli, applesauce and 1% unflavored white milk as listed on the menu. You stated that your program uses the Maiden Elementary School Risk Management Plan for the 2024-2025 school year. Each licensed indoor and outdoor space was monitored. Students were observed to be participating in teacher-directed whole group activities, outdoor play, transitioning, preparing for lunch, eating lunch, and napping. Teacher interactions with children were positive and nurturing. All program records were monitored. A random selection of four (4) children’s records were monitored. Staff files were monitored including: three (3) new staff files and one (1) existing staff file. In space #307 there were two (2) emergency medications, two (2) medication permission to administer forms and one (1) Medical Action plan monitored today. In space #402 there was one (1) emergency medications, one (1) medication permission to administer forms and one (1) Medical Action plan monitored today. Your NC Pre K classroom uses Ages and Stages as the developmental screening tool and Teaching Strategies Gold as the Formative Assessment tool. Creative Curriculum is your approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The Developmental Day and the NC PreK programs follow the Catawba County Schools calendar for the 2024 – 2025 school year. A selection of files was monitored for having completed health assessments and developmental screenings. Your facility does not provide transportation. All health and safety requirements were monitored. The “Annual Compliance Monitoring Checklist for Child Care Centers” was used during today’s visit. The following violations were cited during today's visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In classroom 407, there were four (4) aerosol “Equate Shave Foam” cans with warning labels that states, “Keep Out of Reach of Children” and additional warnings that were stored in an unlocked cabinet above 5 ft. .2820(b) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. In space 302, one (1) child did not have a date of enrollment identified on the discipline policy located in the child’s file and space 407, one (1) child did not have a date of enrollment identified on the discipline policy located in the child’s file. .1804(b) 1329 Application for enrollment did not include all required information. In classroom 407 one (1) child had an application on file that did not identify the child's fears, allergies, unique behavior characteristics, and health concerns. .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. One (1) teacher with a hire date of 7/1/2022, did not have documentation for completing an annual review of the Emergency Preparedness Response (EPR) plan. .0607(f) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. • In space 407, one (1) teacher did not have documentation available of completing Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of hire. .1102(g) TECHNICAL ASSISTANCE: • In classroom 407, there were four (4) aerosol “Equate Shave Foam” cans with warning labels that states, “Keep Out of Reach of Children” and additional warnings that were stored in an unlocked cabinet above 5 ft. As discussed, all items that are pressurized and have warning labels are not to be accessible to children and should be kept in locked storage. I suggest that each classroom be monitored prior to children arriving to ensure that all items that are hazardous to children are locked up. This violation was corrected during the visit. • In classroom 407 one (1) child had an application on file that did not contain all of the required information. As discussed, each child’s enrollment application must include all information related to the child’s specific health care needs. I suggest you review all of the child enrollment applications with the parent(s) when the application is accepted to ensure all of the information is provided, complete and accurate. Children’s files must be gone through in detail to ensure that all of the required paperwork is on file, accurate, and complete according to the File Checklist for Children’s Files and there are no spaces that are left blank. If there are any items that are not applicable that line item should be labeled “NA”. • In space 302, one (1) teacher did not have documentation of completing the Emergency Preparedness Response (EPR) training review annually. As discussed, the (EPR) Plan should be reviewed annually and when changes are made in the plan. The EPR Plan should be reviewed and updated by the person in the facility who has completed the Emergency Preparedness and Response Planning training using the emergency management portal. I suggest that staff files be reviewed to ensure that all required documents are present in the file and available for review when monitoring visits take place. This violation was corrected during the visit. • In space 302, one (1) child enrolled in the NC Pre K program did not have a dental, vision and hearing screening completed on file. The screening on file was labeled “WNL” indicating that the child wouldn’t allow the physical to complete the assessment. A Children’s Medical Report with section A completed by the parent and section B completed by the health care professional and should include a current vision, dental and hearing screening. This requirement should be maintained for all children enrolled in the NC Pre K program. Dental, vision and hearing screenings should be on file for each child within the first 30 days of the child’s attendance. To maintain compliance with this child care requirement, I suggest that you review each document completed by the parent(s) and received by you during the enrollment process prior to the child’s first day of attendance. • In space 302, one (1) child did not have a date of enrollment identified on the discipline policy located in the child’s file and space 407, one (1) child did not have a date of enrollment identified on the discipline policy located in the child’s file. As discussed, the discipline policy acknowledgement statement signed and dated by the parent should include the child’s date of enrollment. To maintain compliance with this child care requirement, I suggest that you review this document when received from the parent during the enrollment process prior to the child’s first day of attendance. • In space 407, one (1) teacher did not have documentation available of completing Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of hire. As discussed, all staff working with children must have documentation of completing Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of hire. I suggest you use the Staff File Checklist to review staff files at least quarterly to ensure all required documents and training are current and in the staff member’s file. CONSULTATION: • 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.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 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. • 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. • 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. • 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: In the visit summary, I documented the corrective actions taken today to correct those violations. All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. • Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature • Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I must receive your compliance letter no later than March 25, 2025. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may 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 and Early Education 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. 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. Your letter may be mailed to me at: Meria Wilder Post Office Box 9591 Statesville, NC 28677 For your convenience, your compliance letter may be sent by email to: meria.wilder@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 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 meria.wilder@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: Maiden Elementary Pre K Facility ID: 18000625 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 11/5/2024 Number Present: 28 Completed Date: 11/5/2024 Age: From 4 To 11 Total Minutes: 315 Time In: 10:30 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Jennifer Davis, NC Pre-K Lead Teacher, and Candace Stephens, Developmental Day Lead Teacher, assisted me with the visit today. Currently this center operates with a Temporary License, issued on August 26, 2024. The restrictions include 1st shift Daytime care only and Certified Developmental Day. As of November 5, 2024, your facilities compliance history score was 95% The following required postings were observed to be prominently posted in the foyer at the entrance to both classrooms spaces 307 and 402: Temporary license, safe arrival and departure procedures, tobacco free signage, sanitation placard, Emergency Medical Care Plan, First Aid Information sheet, activity plans, daily schedules, Menu and the NC Summary of Child Care Law. All indoor and outdoor spaces were monitored. The last monthly fire drill was completed on October 22, 2024. The last monthly outdoor inspection was completed on October 4, 2024. The last shelter-in-place emergency drill was completed on September 26, 2024. The last sanitation inspection was completed on August 23, 2024. Your program uses the Maiden Elementary School Risk Management Plan dated for the 2024 – 2025 school year. Incident report logs were monitored, and incident reports were logged with children’s records. The menu that was posted was current and listed today’s lunch that was served, as cheeseburger, French Fries, cole slaw, and 1% unflavored white milk. You stated that you do not provide transportation. Adequate supervision, appropriate group sizes, appropriate discipline, permit restrictions, adequate and approved spaces were observed. Children were being cared for in a caring and nurturing way through positive interactions between teachers and children. A variety of materials were available to the children and were of sufficient quantity, clean, and in good repair. Children transitioned through toileting routines, whole group, free choice play, lunch, indoor gross motor play and teacher directed activities. Daily sign in/out sheet and attendance records were monitored. Activity plans were posted and current. Allergy listings were posted. Screen time was logged on the lesson plan. A random sampling of 4 children’s files were monitored. Staff files for 3 existing staff members in the NC Pre-K classroom were monitored. I monitored 6 medications, the medications Permission to Administer forms and 2 Medication Action Plans. All health and safety standards were monitored during today’s visit. During today's visit I monitored for NC Pre-K and Developmental Day requirements. The following violations were cited during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 402 there were (4) cans of Equate Shave Foam stored in an unlocked cabinet below five (5) vertical feet from the floor that had a warning of “Keep out of Reach of Children” and additional warnings. .2820(b) 1043 All staff records, except financial records, were not made available for review. Staff files for 3 teachers were not available for review on two (2) consecutive visits dated 11/5/2024 and 11/12/2024. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. On 11/19/2024, I monitored that three staff members in space 402 with the hire date of 8/19/2024 did not complete First Aid training within 90 days of being hired. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. On 11/19/2024, I monitored that three staff members in space 402 with the hire date of 8/19/2024 did not complete CPR training within 90 days of being hired. .1102(d) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. .1804(b) 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. In space 307 one (1) child with an EpiPen and in space 402 one (1) child with a Ventolin HFA 90mcg inhaler did not have a Medical Action Plan (MAP) on file. .0801(b) 1870 The prevention of Shaken Baby Syndrome and Abusive Head Trauma policy did not have the required information. The Prevention of Shaken Baby and Abusive Head Trauma Policy for three (3) children in space 307 did not have the date that the policy was given and explained to the parent listed on the document. .0608(a)(1-6) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space 402 one (1) child with a Ventolin HFA 90 mcg inhaler did not have a medication permission to administer form on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance: All violations that were cited must be corrected immediately. • One (1) child in space 307 and one (1) child in space 402 did not have the child’s date of enrollment listed on the discipline policy stored in the child’s children’s record file. As discussed, each discipline policy acknowledgement statement signed and dated by the parent should include the child’s name and date of enrollment. I suggest that children’s records be monitored upon receiving them from parents at enrollment and again by another teacher to ensure that all documentation is complete and accurate prior to storing each children’s record file. • Three (3) children in space 307 did not have the date that the Prevention of Shaken Baby Syndrome policy was given and explained to the parent listed on the document. As discussed, each Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement signed and dated by the parent should include the date the policy was given and explained to the parent. I suggest that children’s records documents be monitored upon receiving them from parents at the time of enrollment and again by another teacher to ensure that all documentation is complete and accurate prior to storing each children’s record file. • In space 402 there were (4) cans of Equate Shave Foam stored in an unlocked cabinet below five (5) vertical feet from the floor that had a warning of “Keep out of Reach of Children” and additional warnings. As discussed, all cleaning supplies, aerosol cans, and items with “Keep out of the reach children” labels with additional warnings such as poison control contact numbers or first aid procedures must be stored in a locked cabinet, drawer, or closet. I suggest that you complete a walkthrough of the classroom daily prior to the children’s arrival, to ensure that all items that are hazardous to children and contain warning labels are stored out of reach as child care rules require. • In space 307 one (1) child with an EpiPen and in space 402 one (1) child with a Ventolin HFA 90mcg inhaler did not have a Medical Action Plan (MAP) on file. Emergency medications such as EpiPens, seizure medications, and inhalers must have a medication form completed in addition to the Action Plans. As discussed, create a schedule to check all medications, medication permission to administer forms and Medical Action Plans monthly. • In space 402 one (1) child with a Ventolin HFA 90 mcg inhaler did not have a medication permission to administer form on file. All medications that are to be administered while in care must have a medication permission to administer form on file. As discussed, create a schedule to check all medications, medication permission to administer forms and Medical Action Plans monthly. 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. • Stay updated with changes and new rule updates by visiting DCDEE new website at http://ncchildcare.nc.gov/general/home.asp. • 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. • 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 upcoming monitoring visits. This document can be downloaded to your computer and completed electronically. • Due to me not being able to monitor staff files in the certified developmental day classroom during today’s visit, I will conduct an other visit by November 12, 2024, to review files that were not monitored today. • Today we discussed the rated license process, because your facility completed a location change you may choose to use the Environment Rating Scale scores from your previous assessment. If you choose to use the ERS scores from your previous rated license assessment your program will not be required to complete the ERS assessment at this time. Previously your program earned the following points: staff education: 7 points, program standards: 7 points and meeting 1 quality point for using a staff benefits package as well as having an infrastructure of parent involvement for a total of 15 points earned towards your five-star rated license. During today’s visit I left the following rated license paperwork with you to complete and send back to me: Application for Assessment for a Two Component Star Rated License and the Rated License Assessment Request Review form. If you and your Administrator decide that you do not wish to use the scores from the previous ERS assessment you may move forward with preparing to complete the ERS assessment. You may send me an email letting me know what your wishes are regarding the assessment and at that time I will begin completing the paperwork required. All violations cited must be corrected immediately and a compliance letter for violations cited during today’s visit must be sent to me by November 19, 2024. Email information to: Meria Wilder, Child Care Consultant P.O. Box 6591 Statesville, NC 28677 Email: meria.wilder@dhhs.nc.gov If you email the compliance letter, it must include the following information: Name, position, Facility name, Facility ID number Violation Item number Date of violation correction How the violation was corrected How the violation will be prevented in the future Child care facilities must comply with all state laws, federal laws and local ordinances that pertain to child health, safety, and welfare of children (GS110-91 – Mandatory standards for a license). Failure to comply may lead to an administrative action (General statue 110-102-2- Administrative penalties). Any observed violations cited during visits will negatively affect the center’s Compliance History Score. Your program must maintain a compliance score of at least 95% as required by G.S. 110-90 (4)(c) in order to be eligible for a star rated license. You may contact me by phone at (980) 434-3877 or by email at meria.wilder@dhhs.nc.gov or Erin Pickard by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time and assistance 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: Maiden Elementary Pre K Facility ID: 18000625 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 11/5/2024 Number Present: 28 Completed Date: 11/5/2024 Age: From 4 To 11 Total Minutes: 315 Time In: 10:30 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Jennifer Davis, NC Pre-K Lead Teacher, and Candace Stephens, Developmental Day Lead Teacher, assisted me with the visit today. Currently this center operates with a Temporary License, issued on August 26, 2024. The restrictions include 1st shift Daytime care only and Certified Developmental Day. As of November 5, 2024, your facilities compliance history score was 95% The following required postings were observed to be prominently posted in the foyer at the entrance to both classrooms spaces 307 and 402: Temporary license, safe arrival and departure procedures, tobacco free signage, sanitation placard, Emergency Medical Care Plan, First Aid Information sheet, activity plans, daily schedules, Menu and the NC Summary of Child Care Law. All indoor and outdoor spaces were monitored. The last monthly fire drill was completed on October 22, 2024. The last monthly outdoor inspection was completed on October 4, 2024. The last shelter-in-place emergency drill was completed on September 26, 2024. The last sanitation inspection was completed on August 23, 2024. Your program uses the Maiden Elementary School Risk Management Plan dated for the 2024 – 2025 school year. Incident report logs were monitored, and incident reports were logged with children’s records. The menu that was posted was current and listed today’s lunch that was served, as cheeseburger, French Fries, cole slaw, and 1% unflavored white milk. You stated that you do not provide transportation. Adequate supervision, appropriate group sizes, appropriate discipline, permit restrictions, adequate and approved spaces were observed. Children were being cared for in a caring and nurturing way through positive interactions between teachers and children. A variety of materials were available to the children and were of sufficient quantity, clean, and in good repair. Children transitioned through toileting routines, whole group, free choice play, lunch, indoor gross motor play and teacher directed activities. Daily sign in/out sheet and attendance records were monitored. Activity plans were posted and current. Allergy listings were posted. Screen time was logged on the lesson plan. A random sampling of 4 children’s files were monitored. Staff files for 3 existing staff members in the NC Pre-K classroom were monitored. I monitored 6 medications, the medications Permission to Administer forms and 2 Medication Action Plans. All health and safety standards were monitored during today’s visit. During today's visit I monitored for NC Pre-K and Developmental Day requirements. The following violations were cited during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 402 there were (4) cans of Equate Shave Foam stored in an unlocked cabinet below five (5) vertical feet from the floor that had a warning of “Keep out of Reach of Children” and additional warnings. .2820(b) 1043 All staff records, except financial records, were not made available for review. Staff files for 3 teachers were not available for review on two (2) consecutive visits dated 11/5/2024 and 11/12/2024. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. On 11/19/2024, I monitored that three staff members in space 402 with the hire date of 8/19/2024 did not complete First Aid training within 90 days of being hired. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. On 11/19/2024, I monitored that three staff members in space 402 with the hire date of 8/19/2024 did not complete CPR training within 90 days of being hired. .1102(d) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. .1804(b) 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. In space 307 one (1) child with an EpiPen and in space 402 one (1) child with a Ventolin HFA 90mcg inhaler did not have a Medical Action Plan (MAP) on file. .0801(b) 1870 The prevention of Shaken Baby Syndrome and Abusive Head Trauma policy did not have the required information. The Prevention of Shaken Baby and Abusive Head Trauma Policy for three (3) children in space 307 did not have the date that the policy was given and explained to the parent listed on the document. .0608(a)(1-6) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space 402 one (1) child with a Ventolin HFA 90 mcg inhaler did not have a medication permission to administer form on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance: All violations that were cited must be corrected immediately. • One (1) child in space 307 and one (1) child in space 402 did not have the child’s date of enrollment listed on the discipline policy stored in the child’s children’s record file. As discussed, each discipline policy acknowledgement statement signed and dated by the parent should include the child’s name and date of enrollment. I suggest that children’s records be monitored upon receiving them from parents at enrollment and again by another teacher to ensure that all documentation is complete and accurate prior to storing each children’s record file. • Three (3) children in space 307 did not have the date that the Prevention of Shaken Baby Syndrome policy was given and explained to the parent listed on the document. As discussed, each Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement signed and dated by the parent should include the date the policy was given and explained to the parent. I suggest that children’s records documents be monitored upon receiving them from parents at the time of enrollment and again by another teacher to ensure that all documentation is complete and accurate prior to storing each children’s record file. • In space 402 there were (4) cans of Equate Shave Foam stored in an unlocked cabinet below five (5) vertical feet from the floor that had a warning of “Keep out of Reach of Children” and additional warnings. As discussed, all cleaning supplies, aerosol cans, and items with “Keep out of the reach children” labels with additional warnings such as poison control contact numbers or first aid procedures must be stored in a locked cabinet, drawer, or closet. I suggest that you complete a walkthrough of the classroom daily prior to the children’s arrival, to ensure that all items that are hazardous to children and contain warning labels are stored out of reach as child care rules require. • In space 307 one (1) child with an EpiPen and in space 402 one (1) child with a Ventolin HFA 90mcg inhaler did not have a Medical Action Plan (MAP) on file. Emergency medications such as EpiPens, seizure medications, and inhalers must have a medication form completed in addition to the Action Plans. As discussed, create a schedule to check all medications, medication permission to administer forms and Medical Action Plans monthly. • In space 402 one (1) child with a Ventolin HFA 90 mcg inhaler did not have a medication permission to administer form on file. All medications that are to be administered while in care must have a medication permission to administer form on file. As discussed, create a schedule to check all medications, medication permission to administer forms and Medical Action Plans monthly. 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. • Stay updated with changes and new rule updates by visiting DCDEE new website at http://ncchildcare.nc.gov/general/home.asp. • 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. • 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 upcoming monitoring visits. This document can be downloaded to your computer and completed electronically. • Due to me not being able to monitor staff files in the certified developmental day classroom during today’s visit, I will conduct an other visit by November 12, 2024, to review files that were not monitored today. • Today we discussed the rated license process, because your facility completed a location change you may choose to use the Environment Rating Scale scores from your previous assessment. If you choose to use the ERS scores from your previous rated license assessment your program will not be required to complete the ERS assessment at this time. Previously your program earned the following points: staff education: 7 points, program standards: 7 points and meeting 1 quality point for using a staff benefits package as well as having an infrastructure of parent involvement for a total of 15 points earned towards your five-star rated license. During today’s visit I left the following rated license paperwork with you to complete and send back to me: Application for Assessment for a Two Component Star Rated License and the Rated License Assessment Request Review form. If you and your Administrator decide that you do not wish to use the scores from the previous ERS assessment you may move forward with preparing to complete the ERS assessment. You may send me an email letting me know what your wishes are regarding the assessment and at that time I will begin completing the paperwork required. All violations cited must be corrected immediately and a compliance letter for violations cited during today’s visit must be sent to me by November 19, 2024. Email information to: Meria Wilder, Child Care Consultant P.O. Box 6591 Statesville, NC 28677 Email: meria.wilder@dhhs.nc.gov If you email the compliance letter, it must include the following information: Name, position, Facility name, Facility ID number Violation Item number Date of violation correction How the violation was corrected How the violation will be prevented in the future Child care facilities must comply with all state laws, federal laws and local ordinances that pertain to child health, safety, and welfare of children (GS110-91 – Mandatory standards for a license). Failure to comply may lead to an administrative action (General statue 110-102-2- Administrative penalties). Any observed violations cited during visits will negatively affect the center’s Compliance History Score. Your program must maintain a compliance score of at least 95% as required by G.S. 110-90 (4)(c) in order to be eligible for a star rated license. You may contact me by phone at (980) 434-3877 or by email at meria.wilder@dhhs.nc.gov or Erin Pickard by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time and assistance 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

GS110-91 · Violation

Name of Operation: Maiden Elementary Pre K Facility ID: 18000625 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 11/5/2024 Number Present: 28 Completed Date: 11/5/2024 Age: From 4 To 11 Total Minutes: 315 Time In: 10:30 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Jennifer Davis, NC Pre-K Lead Teacher, and Candace Stephens, Developmental Day Lead Teacher, assisted me with the visit today. Currently this center operates with a Temporary License, issued on August 26, 2024. The restrictions include 1st shift Daytime care only and Certified Developmental Day. As of November 5, 2024, your facilities compliance history score was 95% The following required postings were observed to be prominently posted in the foyer at the entrance to both classrooms spaces 307 and 402: Temporary license, safe arrival and departure procedures, tobacco free signage, sanitation placard, Emergency Medical Care Plan, First Aid Information sheet, activity plans, daily schedules, Menu and the NC Summary of Child Care Law. All indoor and outdoor spaces were monitored. The last monthly fire drill was completed on October 22, 2024. The last monthly outdoor inspection was completed on October 4, 2024. The last shelter-in-place emergency drill was completed on September 26, 2024. The last sanitation inspection was completed on August 23, 2024. Your program uses the Maiden Elementary School Risk Management Plan dated for the 2024 – 2025 school year. Incident report logs were monitored, and incident reports were logged with children’s records. The menu that was posted was current and listed today’s lunch that was served, as cheeseburger, French Fries, cole slaw, and 1% unflavored white milk. You stated that you do not provide transportation. Adequate supervision, appropriate group sizes, appropriate discipline, permit restrictions, adequate and approved spaces were observed. Children were being cared for in a caring and nurturing way through positive interactions between teachers and children. A variety of materials were available to the children and were of sufficient quantity, clean, and in good repair. Children transitioned through toileting routines, whole group, free choice play, lunch, indoor gross motor play and teacher directed activities. Daily sign in/out sheet and attendance records were monitored. Activity plans were posted and current. Allergy listings were posted. Screen time was logged on the lesson plan. A random sampling of 4 children’s files were monitored. Staff files for 3 existing staff members in the NC Pre-K classroom were monitored. I monitored 6 medications, the medications Permission to Administer forms and 2 Medication Action Plans. All health and safety standards were monitored during today’s visit. During today's visit I monitored for NC Pre-K and Developmental Day requirements. The following violations were cited during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 402 there were (4) cans of Equate Shave Foam stored in an unlocked cabinet below five (5) vertical feet from the floor that had a warning of “Keep out of Reach of Children” and additional warnings. .2820(b) 1043 All staff records, except financial records, were not made available for review. Staff files for 3 teachers were not available for review on two (2) consecutive visits dated 11/5/2024 and 11/12/2024. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. On 11/19/2024, I monitored that three staff members in space 402 with the hire date of 8/19/2024 did not complete First Aid training within 90 days of being hired. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. On 11/19/2024, I monitored that three staff members in space 402 with the hire date of 8/19/2024 did not complete CPR training within 90 days of being hired. .1102(d) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. .1804(b) 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. In space 307 one (1) child with an EpiPen and in space 402 one (1) child with a Ventolin HFA 90mcg inhaler did not have a Medical Action Plan (MAP) on file. .0801(b) 1870 The prevention of Shaken Baby Syndrome and Abusive Head Trauma policy did not have the required information. The Prevention of Shaken Baby and Abusive Head Trauma Policy for three (3) children in space 307 did not have the date that the policy was given and explained to the parent listed on the document. .0608(a)(1-6) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space 402 one (1) child with a Ventolin HFA 90 mcg inhaler did not have a medication permission to administer form on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance: All violations that were cited must be corrected immediately. • One (1) child in space 307 and one (1) child in space 402 did not have the child’s date of enrollment listed on the discipline policy stored in the child’s children’s record file. As discussed, each discipline policy acknowledgement statement signed and dated by the parent should include the child’s name and date of enrollment. I suggest that children’s records be monitored upon receiving them from parents at enrollment and again by another teacher to ensure that all documentation is complete and accurate prior to storing each children’s record file. • Three (3) children in space 307 did not have the date that the Prevention of Shaken Baby Syndrome policy was given and explained to the parent listed on the document. As discussed, each Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement signed and dated by the parent should include the date the policy was given and explained to the parent. I suggest that children’s records documents be monitored upon receiving them from parents at the time of enrollment and again by another teacher to ensure that all documentation is complete and accurate prior to storing each children’s record file. • In space 402 there were (4) cans of Equate Shave Foam stored in an unlocked cabinet below five (5) vertical feet from the floor that had a warning of “Keep out of Reach of Children” and additional warnings. As discussed, all cleaning supplies, aerosol cans, and items with “Keep out of the reach children” labels with additional warnings such as poison control contact numbers or first aid procedures must be stored in a locked cabinet, drawer, or closet. I suggest that you complete a walkthrough of the classroom daily prior to the children’s arrival, to ensure that all items that are hazardous to children and contain warning labels are stored out of reach as child care rules require. • In space 307 one (1) child with an EpiPen and in space 402 one (1) child with a Ventolin HFA 90mcg inhaler did not have a Medical Action Plan (MAP) on file. Emergency medications such as EpiPens, seizure medications, and inhalers must have a medication form completed in addition to the Action Plans. As discussed, create a schedule to check all medications, medication permission to administer forms and Medical Action Plans monthly. • In space 402 one (1) child with a Ventolin HFA 90 mcg inhaler did not have a medication permission to administer form on file. All medications that are to be administered while in care must have a medication permission to administer form on file. As discussed, create a schedule to check all medications, medication permission to administer forms and Medical Action Plans monthly. 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. • Stay updated with changes and new rule updates by visiting DCDEE new website at http://ncchildcare.nc.gov/general/home.asp. • 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. • 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 upcoming monitoring visits. This document can be downloaded to your computer and completed electronically. • Due to me not being able to monitor staff files in the certified developmental day classroom during today’s visit, I will conduct an other visit by November 12, 2024, to review files that were not monitored today. • Today we discussed the rated license process, because your facility completed a location change you may choose to use the Environment Rating Scale scores from your previous assessment. If you choose to use the ERS scores from your previous rated license assessment your program will not be required to complete the ERS assessment at this time. Previously your program earned the following points: staff education: 7 points, program standards: 7 points and meeting 1 quality point for using a staff benefits package as well as having an infrastructure of parent involvement for a total of 15 points earned towards your five-star rated license. During today’s visit I left the following rated license paperwork with you to complete and send back to me: Application for Assessment for a Two Component Star Rated License and the Rated License Assessment Request Review form. If you and your Administrator decide that you do not wish to use the scores from the previous ERS assessment you may move forward with preparing to complete the ERS assessment. You may send me an email letting me know what your wishes are regarding the assessment and at that time I will begin completing the paperwork required. All violations cited must be corrected immediately and a compliance letter for violations cited during today’s visit must be sent to me by November 19, 2024. Email information to: Meria Wilder, Child Care Consultant P.O. Box 6591 Statesville, NC 28677 Email: meria.wilder@dhhs.nc.gov If you email the compliance letter, it must include the following information: Name, position, Facility name, Facility ID number Violation Item number Date of violation correction How the violation was corrected How the violation will be prevented in the future Child care facilities must comply with all state laws, federal laws and local ordinances that pertain to child health, safety, and welfare of children (GS110-91 – Mandatory standards for a license). Failure to comply may lead to an administrative action (General statue 110-102-2- Administrative penalties). Any observed violations cited during visits will negatively affect the center’s Compliance History Score. Your program must maintain a compliance score of at least 95% as required by G.S. 110-90 (4)(c) in order to be eligible for a star rated license. You may contact me by phone at (980) 434-3877 or by email at meria.wilder@dhhs.nc.gov or Erin Pickard by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time and assistance 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