Quest AT C.H. Tuttle Elementary

10A NCAC 09 .0304 · Violation

Name of Operation: QUEST AT C.H. TUTTLE ELEMENTARY Facility ID: 18000513 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 11 Completed Date: 2/8/2024 Age: From 5 To 10 Total Minutes: 145 Time In: 01:50 PM Time Out: 04:15 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 applicable child care requirements during a routine announced visit. You, Candace Poe, Program Coordinator, assisted me Meria Wilder, Child Care Consultant, with today’s visit. Your program operates with a four-star license that was issued on March 2, 2018. Your program earned 2 points in program standards, 7 points in staff education and 1 quality point for a total of 10 points earned. Your program operates with the following restrictions: 1st shift (daytime care), school age only, meets enhanced space, playground does not meet child care safety standards and group size reduced by 1 from the 7-point level and age range extended to 14 years old. Your last annual compliance visit was conducted on September 6, 2023. Your compliance history score prior to today’s visit was 95%. The following required postings were posted in your parent information area: License, NC Summary of Child Care Law, first aid information sheet, emergency phone numbers posted, safe arrival and departure procedures, tobacco free signage, emergency medical care plan, activity plan, daily schedule and menu. The menu posted was current for the month of February stating snack for today consisted of whole grain rich cheddar Sun Chips and 1% unflavored white milk. The activity plan posted was current and it included 4 activities and one being outside. The daily schedule that was posted was developmentally appropriate for school age children. During today’s visit I observed your emergency drill log. I observed your fire drill logs. I observed your incident log. You stated that your program uses C. H. Tuttle Elementary Schools Safe Schools Plan that was dated for the 2023 – 2024 school year. You stated that your program does not provide transportation. You stated there were no children that take any medications at this time. During today’s visit I observed your most recent fire inspection dated December 13, 2023. I observed your most recent sanitation inspection as being conducted on November 1, 2023, with a grade of Superior and 6 demerits. During today’s visit I monitored your screen time log. I observed all children to be signed in upon arrival and attendance records to be up to date and accurate. I observed all of the children being signed in upon arrival. All of the children remained in one group. I observed children participating in toileting routines and having snack. During today’s visit I observed children being cared for and spoken to in a nurturing way. I observed positive interactions between children and group leaders and the program coordinator. I observed a variety of toys and furnishings on the stage to be child size, of sufficient quantity, in good repair and developmentally appropriate. During today’s visit all existing staff files were monitored for criminal background qualification letters, Recognizing and Responding to Suspicions of Child Maltreatment, BSAC, First Aid and CPR Certificates and special trainings. There was one new staff file that was monitored during today’s visit. Your playground is exempt from meeting NC child care safety requirements as indicated on your star rated license. The outdoor play area was monitored today for general safety and sufficient materials. The following violations were observed during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection report that was completed on 12/13/2023 was not sent to me and I received the inspection report during today’s visit. 10A NCAC 09 .0304(a) 853 Incident logs were not completed and maintained as required. Incident reports for 11 children were stored with the incident logs and not with the child’s file. .0802(g)(1-6) Technical Assistance: • Incident reports for 11 children were stored with the incident logs and not with the child’s file. As discussed, incident reports are to be stored with the child’s file. • The fire inspection report that was completed on 12/13/2023 was not sent to me and I received the inspection report during today’s visit. As discussed, fire inspection reports are required to be sent to the consultant within 7 business days of the inspection being completed. Consultation: • As of September 2023, the NC Summary of Child Care Law has been updated, be sure that parents receive, sign and acknowledgement of receipt as well as post the updated information with other required postings in your facility. • Your program is in cohort 1 for the rated license reassessment. Your program’s planning year will be from July 1, 2023, to June 30, 2024. Your program’s reassessment year will be 2024 to 2025 and the month of your reassessment will be the month that your current rated license expires. As you plan for the reassessment of the rated license, please be sure that all staff has their most recent education updated and verified in WORKS and that you are in touch with your local Partnership and Resource and Referral agencies to provide technical assistance and help you prepare for reassessment. • When reviewing staff files, you may utilize the schools Off Site Verification Forms which identifies information that is stored off site. The bulleted items identified on the form is not required to be maintained in the file of that staff member as long as that staff members name and date of employment is listed on the employee roster that should be attached to the form. The information that is stored “off-site” should be available upon the consultant’s request in the event that the consultant would need to verify that information. That Off Site Verification Form should be updated annually and/or as staff members are hired. • Although not an issue today, one staff member with a hire date of 3/1/2020 has a CPR and First Aid certification that expires on 5/6/2024. Be sure to schedule this training to be completed prior to the current certification’s expiration date to prevent this staff member from being out of compliance with child care rules. • Stay updated with changes and new rule updates by visiting DCDEE new website at http://ncchildcare.nc.gov/general/home.asp. Due to all violations cited today being corrected during today’s visit there will be no compliance letter due to be sent to me. 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 insufficient information is not received by the due date, a follow-up visit may be completed. 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 75% 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

G.S. 110-90 · Violation

Name of Operation: QUEST AT C.H. TUTTLE ELEMENTARY Facility ID: 18000513 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 11 Completed Date: 2/8/2024 Age: From 5 To 10 Total Minutes: 145 Time In: 01:50 PM Time Out: 04:15 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 applicable child care requirements during a routine announced visit. You, Candace Poe, Program Coordinator, assisted me Meria Wilder, Child Care Consultant, with today’s visit. Your program operates with a four-star license that was issued on March 2, 2018. Your program earned 2 points in program standards, 7 points in staff education and 1 quality point for a total of 10 points earned. Your program operates with the following restrictions: 1st shift (daytime care), school age only, meets enhanced space, playground does not meet child care safety standards and group size reduced by 1 from the 7-point level and age range extended to 14 years old. Your last annual compliance visit was conducted on September 6, 2023. Your compliance history score prior to today’s visit was 95%. The following required postings were posted in your parent information area: License, NC Summary of Child Care Law, first aid information sheet, emergency phone numbers posted, safe arrival and departure procedures, tobacco free signage, emergency medical care plan, activity plan, daily schedule and menu. The menu posted was current for the month of February stating snack for today consisted of whole grain rich cheddar Sun Chips and 1% unflavored white milk. The activity plan posted was current and it included 4 activities and one being outside. The daily schedule that was posted was developmentally appropriate for school age children. During today’s visit I observed your emergency drill log. I observed your fire drill logs. I observed your incident log. You stated that your program uses C. H. Tuttle Elementary Schools Safe Schools Plan that was dated for the 2023 – 2024 school year. You stated that your program does not provide transportation. You stated there were no children that take any medications at this time. During today’s visit I observed your most recent fire inspection dated December 13, 2023. I observed your most recent sanitation inspection as being conducted on November 1, 2023, with a grade of Superior and 6 demerits. During today’s visit I monitored your screen time log. I observed all children to be signed in upon arrival and attendance records to be up to date and accurate. I observed all of the children being signed in upon arrival. All of the children remained in one group. I observed children participating in toileting routines and having snack. During today’s visit I observed children being cared for and spoken to in a nurturing way. I observed positive interactions between children and group leaders and the program coordinator. I observed a variety of toys and furnishings on the stage to be child size, of sufficient quantity, in good repair and developmentally appropriate. During today’s visit all existing staff files were monitored for criminal background qualification letters, Recognizing and Responding to Suspicions of Child Maltreatment, BSAC, First Aid and CPR Certificates and special trainings. There was one new staff file that was monitored during today’s visit. Your playground is exempt from meeting NC child care safety requirements as indicated on your star rated license. The outdoor play area was monitored today for general safety and sufficient materials. The following violations were observed during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection report that was completed on 12/13/2023 was not sent to me and I received the inspection report during today’s visit. 10A NCAC 09 .0304(a) 853 Incident logs were not completed and maintained as required. Incident reports for 11 children were stored with the incident logs and not with the child’s file. .0802(g)(1-6) Technical Assistance: • Incident reports for 11 children were stored with the incident logs and not with the child’s file. As discussed, incident reports are to be stored with the child’s file. • The fire inspection report that was completed on 12/13/2023 was not sent to me and I received the inspection report during today’s visit. As discussed, fire inspection reports are required to be sent to the consultant within 7 business days of the inspection being completed. Consultation: • As of September 2023, the NC Summary of Child Care Law has been updated, be sure that parents receive, sign and acknowledgement of receipt as well as post the updated information with other required postings in your facility. • Your program is in cohort 1 for the rated license reassessment. Your program’s planning year will be from July 1, 2023, to June 30, 2024. Your program’s reassessment year will be 2024 to 2025 and the month of your reassessment will be the month that your current rated license expires. As you plan for the reassessment of the rated license, please be sure that all staff has their most recent education updated and verified in WORKS and that you are in touch with your local Partnership and Resource and Referral agencies to provide technical assistance and help you prepare for reassessment. • When reviewing staff files, you may utilize the schools Off Site Verification Forms which identifies information that is stored off site. The bulleted items identified on the form is not required to be maintained in the file of that staff member as long as that staff members name and date of employment is listed on the employee roster that should be attached to the form. The information that is stored “off-site” should be available upon the consultant’s request in the event that the consultant would need to verify that information. That Off Site Verification Form should be updated annually and/or as staff members are hired. • Although not an issue today, one staff member with a hire date of 3/1/2020 has a CPR and First Aid certification that expires on 5/6/2024. Be sure to schedule this training to be completed prior to the current certification’s expiration date to prevent this staff member from being out of compliance with child care rules. • Stay updated with changes and new rule updates by visiting DCDEE new website at http://ncchildcare.nc.gov/general/home.asp. Due to all violations cited today being corrected during today’s visit there will be no compliance letter due to be sent to me. 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 insufficient information is not received by the due date, a follow-up visit may be completed. 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 75% 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

10A NCAC 09 .0514 · Violation

Name of Operation: QUEST AT C.H. TUTTLE ELEMENTARY Facility ID: 18000513 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 9/6/2023 Number Present: 19 Completed Date: 9/6/2023 Age: From 5 To 11 Total Minutes: 207 Time In: 02:08 PM Time Out: 05:35 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 for compliance during an Annual Compliance Visit (ACV). Your last ACV was conducted on September 23, 2022. You, Helene Cobb, Recruitment Assistant/Program Coordinator, assisted me with today’s visit. Your facilities compliance history score prior to today’s visit was 96%. I used the Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Four-Star License, NC Child Care Summary of the Law dated January 2021, Safe Procedures for Arrival & Departure, current menus, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, daily schedules, activity plans, staff-child ratio worksheet, tobacco free policy signage and evacuation plans posted as required. I observed children adequately supervised during today’s visit. I observed enhanced staff-child ratios reduced by one (1) maintained during today’s visit. I observed adequate approved space used during today’s visit. I observed permit restrictions including “Daytime Care Only”, “School age only”, “Reduced staff-child ratio by one per group”, and “Meet enhanced space”, “Playground does not meet playground safety standards”, and age range extended to 14 years old’ being maintained during today’s visit. I observed children engaged in free play in activity areas and outdoors and eating snacks in the cafeteria. I observed developmentally appropriate materials provided in sufficient quantities and in good repair. I observed no potentially hazardous items accessible to the children. Your playgrounds are exempt from meeting child care playground safety requirements as indicated on your license. No recommendations were made concerning your playgrounds today. I observed current menus posted with today’s snack listed as whole grain Dorito’s and 1% white milk. You stated that you do not have any medications at this time. I observed your incident log to be current. You stated your program does not provide transportation. Quest at CH Tuttle Elementary follows the Tuttle Elementary School Risk Management plan for emergency situations that may occur. I observed your monthly fire drills log documented for the past twelve (12) months. I observed your last fire drill was dated August 31, 2023. I observed your shelter-in-place and lockdown drill log documented for the past twelve (12) months. I observed your last shelter-in-place drill was dated August 31, 2023. I observed your last fire inspection report dated April 13, 2023. I observed your last sanitation inspection dated February 22, 2023, with a superior classification and six (6) demerits. Child records were reviewed today. During today's visit I randomly selected three (3) child files for review. Staff records were reviewed today. During today’s visit I monitored one (1) existing staff file and three (3) new staff files. The following violations was observed and cited during this visit: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One child's incident report was not maintained with the child's file. .0802 (e) 1030 Application for employment and date of birth was not on file for all staff. Two staff members did not have an application for employment on file for review. .0302(d)(1)(A) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two staff members did not have an annual health questionnaire on file for review. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two staff members did not have an Emergency Information Form on file for review. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Two staff members did not have a staff development plan and an annual staff evaluation on file for review. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Two staff members did not have on file a signed dated statement of having received personnel and operational policies and a job description. 10A NCAC 09 .0514(g) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. One staff member did not have documentation of having completed the required training topics within the first 6 weeks of being responsible for children. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibility for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. One staff member was not able to provide documentation of completing at least 6 hours of the required training topics within the first 2 weeks of being responsible for children. .2510(i)(1)(A-D) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member did not have documentation on file for review of having completed the EPR training. .0607(f) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. One staff member did not have their Heal Questionnaire maintained in a separate location from their personnel file. .0701(d) During today’s visit, I provided technical assistance regarding the following topics: 1) During today’s visit we discussed utilizing the Staff File Checklist to ensure that all files are maintained as required by child care rules. This form can be found on the DCDEE website under provider documents. 2) All staff members are required by rule to have documentation on file of completion of the 1st 2 weeks orientation training being completed within the first 2 weeks of being hired. Six hours of new staff orientation must be completed within the first two weeks of employment. 3) All staff members are required by rule to have documentation on file of completion of the 1st 6 weeks orientation training being completed within the first 6 weeks of being hired. Ten hours of new staff orientation must be completed within the first six weeks of employment. 4) All staff members are required by child care rules to have documentation of having completed Emergency preparedness and Response Training. 5) All staff members are required by child care rules to have documentation of having reviewed the Emergency Medical Care Plan. 6) Incident reports are to be stored with the child’s record. 7) One staff member had a Health Questionnaire stored with their personnel file and not in a separate location. 8) A Health Questionnaire should be on file prior to the first day of work and updated annually. 9) An Emergency Information Form should be on file prior to the first day of work and updated annually. 10) All staff members should have an application for employment on file prior to the first day of work. 11) All staff must have documentation on file that they have reviewed the operational and personnel policies with staff upon employment. I suggest completing all staff orientation and paperwork prior to staff working in a classroom full-time to ensure that it is all completed within the required timeframes. All violations sited 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 letter must include the following: 1. The name of your center 2. The centers ID number 3. The date you wrote 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 I suggest you to be prepared to provide supporting documentation in the form of photos, documents, certificates, et. should I request them in order to clarify or verify compliance. Your Letter may be mailed to me at P. O. Box 6591 Statesville, NC 28677 For your convenience, your letter may be sent by email to: meria.wilder@dhhs.nc.gov I must receive your compliance letter no later than September 20, 2023. Please note: If you state in your 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 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. Compliance History: You 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 18months or during the length of the time the facility has operated, whichever is less. Failure to do so may result in issuance of a provisional license or other administrative action against the facility’s license. Any violations cited during a visit may affect your score. We appreciate all you are doing to serve the children and families. 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, Kris Updike, by email at kris.updike@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

10A NCAC 09 .2510 · Violation

Name of Operation: QUEST AT C.H. TUTTLE ELEMENTARY Facility ID: 18000513 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 9/6/2023 Number Present: 19 Completed Date: 9/6/2023 Age: From 5 To 11 Total Minutes: 207 Time In: 02:08 PM Time Out: 05:35 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 for compliance during an Annual Compliance Visit (ACV). Your last ACV was conducted on September 23, 2022. You, Helene Cobb, Recruitment Assistant/Program Coordinator, assisted me with today’s visit. Your facilities compliance history score prior to today’s visit was 96%. I used the Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Four-Star License, NC Child Care Summary of the Law dated January 2021, Safe Procedures for Arrival & Departure, current menus, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, daily schedules, activity plans, staff-child ratio worksheet, tobacco free policy signage and evacuation plans posted as required. I observed children adequately supervised during today’s visit. I observed enhanced staff-child ratios reduced by one (1) maintained during today’s visit. I observed adequate approved space used during today’s visit. I observed permit restrictions including “Daytime Care Only”, “School age only”, “Reduced staff-child ratio by one per group”, and “Meet enhanced space”, “Playground does not meet playground safety standards”, and age range extended to 14 years old’ being maintained during today’s visit. I observed children engaged in free play in activity areas and outdoors and eating snacks in the cafeteria. I observed developmentally appropriate materials provided in sufficient quantities and in good repair. I observed no potentially hazardous items accessible to the children. Your playgrounds are exempt from meeting child care playground safety requirements as indicated on your license. No recommendations were made concerning your playgrounds today. I observed current menus posted with today’s snack listed as whole grain Dorito’s and 1% white milk. You stated that you do not have any medications at this time. I observed your incident log to be current. You stated your program does not provide transportation. Quest at CH Tuttle Elementary follows the Tuttle Elementary School Risk Management plan for emergency situations that may occur. I observed your monthly fire drills log documented for the past twelve (12) months. I observed your last fire drill was dated August 31, 2023. I observed your shelter-in-place and lockdown drill log documented for the past twelve (12) months. I observed your last shelter-in-place drill was dated August 31, 2023. I observed your last fire inspection report dated April 13, 2023. I observed your last sanitation inspection dated February 22, 2023, with a superior classification and six (6) demerits. Child records were reviewed today. During today's visit I randomly selected three (3) child files for review. Staff records were reviewed today. During today’s visit I monitored one (1) existing staff file and three (3) new staff files. The following violations was observed and cited during this visit: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One child's incident report was not maintained with the child's file. .0802 (e) 1030 Application for employment and date of birth was not on file for all staff. Two staff members did not have an application for employment on file for review. .0302(d)(1)(A) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two staff members did not have an annual health questionnaire on file for review. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two staff members did not have an Emergency Information Form on file for review. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Two staff members did not have a staff development plan and an annual staff evaluation on file for review. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Two staff members did not have on file a signed dated statement of having received personnel and operational policies and a job description. 10A NCAC 09 .0514(g) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. One staff member did not have documentation of having completed the required training topics within the first 6 weeks of being responsible for children. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibility for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. One staff member was not able to provide documentation of completing at least 6 hours of the required training topics within the first 2 weeks of being responsible for children. .2510(i)(1)(A-D) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member did not have documentation on file for review of having completed the EPR training. .0607(f) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. One staff member did not have their Heal Questionnaire maintained in a separate location from their personnel file. .0701(d) During today’s visit, I provided technical assistance regarding the following topics: 1) During today’s visit we discussed utilizing the Staff File Checklist to ensure that all files are maintained as required by child care rules. This form can be found on the DCDEE website under provider documents. 2) All staff members are required by rule to have documentation on file of completion of the 1st 2 weeks orientation training being completed within the first 2 weeks of being hired. Six hours of new staff orientation must be completed within the first two weeks of employment. 3) All staff members are required by rule to have documentation on file of completion of the 1st 6 weeks orientation training being completed within the first 6 weeks of being hired. Ten hours of new staff orientation must be completed within the first six weeks of employment. 4) All staff members are required by child care rules to have documentation of having completed Emergency preparedness and Response Training. 5) All staff members are required by child care rules to have documentation of having reviewed the Emergency Medical Care Plan. 6) Incident reports are to be stored with the child’s record. 7) One staff member had a Health Questionnaire stored with their personnel file and not in a separate location. 8) A Health Questionnaire should be on file prior to the first day of work and updated annually. 9) An Emergency Information Form should be on file prior to the first day of work and updated annually. 10) All staff members should have an application for employment on file prior to the first day of work. 11) All staff must have documentation on file that they have reviewed the operational and personnel policies with staff upon employment. I suggest completing all staff orientation and paperwork prior to staff working in a classroom full-time to ensure that it is all completed within the required timeframes. All violations sited 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 letter must include the following: 1. The name of your center 2. The centers ID number 3. The date you wrote 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 I suggest you to be prepared to provide supporting documentation in the form of photos, documents, certificates, et. should I request them in order to clarify or verify compliance. Your Letter may be mailed to me at P. O. Box 6591 Statesville, NC 28677 For your convenience, your letter may be sent by email to: meria.wilder@dhhs.nc.gov I must receive your compliance letter no later than September 20, 2023. Please note: If you state in your 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 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. Compliance History: You 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 18months or during the length of the time the facility has operated, whichever is less. Failure to do so may result in issuance of a provisional license or other administrative action against the facility’s license. Any violations cited during a visit may affect your score. We appreciate all you are doing to serve the children and families. 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, Kris Updike, by email at kris.updike@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