10A NCAC 09 .0803 · Violation

Name of Operation: MANTEO ELEMENTARY ASEP Facility ID: 28000119 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 11/18/2024 Number Present: 45 Completed Date: 11/18/2024 Age: From 5 To 10 Total Minutes: 210 Time In: 01:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced * The purpose of today’s Routine Unannounced visit was to monitor compliance with applicable out of school care requirements. Last Annual Compliance visit – 7/10/24 18-month compliance history from 5/14/23 – 11/13/24 = 92% Last Sanitation Inspection – 5/14/24 - Superior Last Fire Inspection – 11/16/23 – Passed with Comments; A new inspection was completed 11/1/24 but the final report has not been shared with the school *Sanitation and fire inspections are required at least annually by the date of the previous inspection. Send fire inspections to me within seven (7) days of the inspection. Required Water, Lead Paint, and Asbestos Testing - The Clean Classrooms for Carolina Kids website reflects the following information about your center’s required three-year water testing and one-time lead paint testing, and asbestos testing: Three-year Water Testing – 8/20/24; due again 8/20/27 Lead Paint Testing – not started; due 12/31/24 Asbestos Testing – not started; due 12/31/24 Maintain any paperwork received by mail or email in your Program Records file. *Because program is part of a larger DPI school, testing for the school may count as testing for the licensed Pre-K and/or ASEP. Information available on the Clean Classrooms for Carolina Kids reflects different information for the lead paint testing and asbestos testing for Manteo Elementary School (Survey Review Pending) and Manteo Elementary Pre-K (enrollment started). *For more information check out the FAQ page at https://www.cleanwaterforuskids.org/en/carolina/. The facility currently operates with a Five-Star Center License, issued 12/17/2018, earning points in the following components: Program (6 PTS) + Education (7 PTS) + Quality Point (1 PT) = 14 Points = 5 Stars *Quality Point met and remains in effect: Having a staff benefits package and having evidence of an infrastructure of parent involvement. The next rated license assessment was due by 12/17/21, but new legislation (Senate Bill 425) has extended the “hold harmless” period until the new Quality Rating Improvement System (QRIS) is implemented. At this time, you may choose to complete a rated license assessment using the current rated license process or you may wait until the new QRIS is implemented. The SACERS-U will continue to be used as the assessment tool for programs serving school-aged students until it is updated. See Additional Comments for updates on the modernized QRIS. This facility is owned by Dare County Schools. Please contact me prior to any information change regarding the ownership of this facility. License information was current. Contact me to make any changes to address, phone, or email or to request changes to the license. I monitored the spaces used for out-of-school care including primary space in the cafeteria and auxiliary space in the gym using the Child Care Center Requirements, effective 1/1/24 and Item Number Listing, effective 3/2024. Dare County Schools opt to not meet playground safety standards; however, I observed the outdoor play area for hazards. I monitored two staff records and all program records. The facility meets all DPI transportation requirements and continues to be approved for transportation but currently does not do off-site activities that involve transportation at this time. Center Observations: Children arrived from their classrooms and put away their personal belongings. They washed hands. The children were offered honey dew and milk for snack. When they were finished, they played with materials arranged on the tables which included art supplies, building materials, dramatic play materials, and games. They used the restroom and went outdoors to play on the playgrounds which had swings, climbers, sandboxes, and portable gross motor toys. They returned indoors and participated in additional indoor free play. I observed and documented the following violations during today’s visit. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A medication permission form was not available for an Epi-Pen. A medication permission form for the current school year was not available for a second Epi-Pen. Neither Epi-Pens had been administered. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Two EpiPens were labeled with the children's names, but the boxes with the attached prescriptions were not available. .0803(2)(a) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A medical action plan for a child using an Epi Pen expired on November 1, 2024 and was not updated. .0801(b) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4)(d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and reviewed it on my tablet with you, M. Kaiser. Because my printer was not operating, I provided you with a one-page visit summary which you signed. I will email an electronic copy of the visit summary, enrollment page, and any other visit documents to you and L. Murray, Off-site Administrator. Please respond that you receive the email and are able to print the documents. We reviewed the violation(s) documented during today’s visit. Correct these immediately. Send evidence of correction to me so that I receive it no later than 12/2/2024. Your compliance verification letter needs to state your facility name and license number and list each violation by Item # and describe in detail when and how each violation has been corrected. Do not include names of children in the compliance letter. Use their initials. Do not include any copies of medical action plans or medication permission forms. Send compliance verification letter in an email from your fcch’s official email address, murraylt@daretolearn.org to my email address, Marjorie.White@dhhs.nc.gov. You may include the compliance verification as an attachment or in the body of the email. I will email a sample compliance verification letter to you. If sufficient information is not received by the due date, a follow-up visit may be conducted. Please be aware that any information submitted by you is legal documentation. If it is determined the information provided in the compliance letter is not true, this may be considered falsification of information. If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199. Technical Assistance With Documented Violations: Medication Permission Forms - All medications prescribed to be used at the program must have a current, completed medication permission form even if there is a Medical Action Plan. Two EpiPens were observed. There was no medication permission form for an EpiPen used by BC (Group 2); the medication permission form for HH (Group 2) was dated 2/14/24 – 6/7/24 and was expired. You stated that this was overlooked at the beginning of the school year and you only had the medication forms and medical action plans observed in the files. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. Medication permission forms for OTC, prescription, and emergency medication have an administration log as part of the form. This must be completed any time the medication is given. The medication permission forms must include the specific name of the medication. (Coppertone Baby vs. Sunscreen. Cutter Bug Repellant vs. Bug Spray. Albuterol vs. Inhaler). Medication permission forms are valid for a defined length of time and must be updated, if needed. Permission for emergency medications is valid for six months and must be updated every six months. For your compliance letter, have both families complete a medication permission form. State the date when the medication permission forms are available. *Also require the parents to provide the box with the prescription label for each EpiPen. Prescription Medication Labels – To verify that prescription medication supplied to you from parents is for the child using the medication, the parent needs to provide the medication in the original container or box with the prescription attached. Two EpiPens for HH and BC (both Group 2) were available but were only labeled with the children’s names. The boxes with the prescription label were not available. You were not aware that this is required. Ask the parents to provide you with the box with the current prescription label. Note that the EpiPen for HH expires on 11/30/2024. For your compliance letter, state the date when the prescriptions are available for the two EpiPens. Updated Medical Action Plan (MAP) – Medical Action Plans are required for any chronic medical condition but also include medical information that is crucial in the event of a medical emergency that requires medication such as an Epi-pen or Asthma Inhaler. A medical action plan for an Epi-Pen used by HH (Group 2) was dated 11/1/23 and expired on 11/1/24. You were not aware that a new medical action plan was needed. The medical action plan must be completed by the child’s physician or parent and updated annually. (Medication Permission Forms must be updated every six months.). Attach one copy of the MAP to the Child’s Application and a second copy with the Ready to Go File. It is also best practice to have a copy in the classroom with the medication and the required medication permission form. For your compliance letter, ask the parent of HH to provide you with a copy of the current Medical Action Plan and state the date when this is received and available in the child’s file. General Visit Information: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The most recent versions of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. You can also review the “What’s New” section and download a copy of the Items Number Listing which you can use as a checklist for your program. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies and Child Care Health Consultants provide general training to meet on-going training hours, health and safety training requirements, Environment Rating Scale training and training specific to your center’s needs. They can also work with you to provide on-site technical assistance. *Children & Youth Partnership for Dare County: Phone - (252) 441-0614; website - www.darekids.org. *Child Care Health Consultant – S. Rosser - Office: (252) 557-4208 or stacy_rosser@unc.edu Reminders: ***CBC Provider Portal - Technical Assistance & Notification to the Division of New Hires or Residents As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete ABCMS 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. Then you will update this information in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. *Dare County ASEP needs to determine if this training needs to be completed by L. Murray, Off-site Administrator, who will then have the responsibility of ensuring staff are added and terminated off staff rosters in the ABCMS system or if each Program Coordinator needs to take the training and be responsible for maintaining their own staff roster in the system. Staff Worksheets – Your Staff Worksheets are a great tool to help you track when items such as Criminal Background Checks, required trainings and staff forms expire and need to be updated. I encourage you to update information on the staff worksheets throughout the year as items are updated and/or staff change. *We reviewed your staff worksheet. I highlighted items that were delinquent and items that are coming due in the next year. Health and Safety Training and Five (5) Year Cycle Tracking Requirements – Review Row 17 on Staff Worksheet for initial and five-year H&S Training renewal dates. New staff need to complete Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid within three months of hire and the rest of the training modules within twelve months. C. Basnight – Complete Recognizing and Responding to Suspicions of Child Maltreatment by 11/26/2024. On-going Training Hours – Review Row 18 (# hours to carry over) on the Staff Worksheets to determine how many on-going training hours returning staff will need by 7/25/25 (anniversary of last Annual Compliance visit). *Check with your local Child Care Resource & Referral for available training. *The following offer on-line training opportunities at reasonable prices and accessible at times for your busy schedules: *Southwestern Child Development Commission, www.swcdcinc.org - offers DCDEE approved, on-line, self-paced training with affordable annual packages allowing you to take as many courses as you need or want for one price. *The North Carolina CCR&R School Age Initiative can offer training on a wide variety of school-age topics and technical assistance with the SACERS-U. Call Traci Herring at (828) 350-7685 or email at herring.traci@swcdcinc.org. Or go to www.swcdcinc.org, click on the School-age Initiative tab and complete Request Form for technical assistance or check out available trainings. *Use the On-going Training Log to document training annually. Attach copies of certificates. Staff Education and Works – C. Basnight needs to finish Works. Log into Works. Request to be approved as a Group Leader. Upload BSAC Training Certificate. M. Miller needs to register for Works, request to be a group leader and upload BSAC Certificate. Annual Fire Inspection – Annual fire inspections ensure that the building meets fire codes and that your fire detection and alarm systems are operating correctly in the event of a fire. The fire inspector completed a fire inspection on 11/16/2023 and is expired; however, the Assistant Principal informed you that an inspection was completed on 11/1/2024; however, the report has not been shared with the school. When available, please forward a copy to me. Fire Drill – last completed 11/14/24 Emergency Drill – last completed 9/30/24 Additional Comments: I shared information on the following topics and emailed the information to you after the visit: 1. Free Webinar: Emotional Literacy 2. CBC Provider Portal – New Way to Attach Staff to Your License 3. QRIS Update Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today, and I encourage you to share with staff and use the information as a teaching tool. If you have any questions, do not hesitate to call or email me at the contact information listed above. 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: MANTEO ELEMENTARY ASEP Facility ID: 28000119 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 11/18/2024 Number Present: 45 Completed Date: 11/18/2024 Age: From 5 To 10 Total Minutes: 210 Time In: 01:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced * The purpose of today’s Routine Unannounced visit was to monitor compliance with applicable out of school care requirements. Last Annual Compliance visit – 7/10/24 18-month compliance history from 5/14/23 – 11/13/24 = 92% Last Sanitation Inspection – 5/14/24 - Superior Last Fire Inspection – 11/16/23 – Passed with Comments; A new inspection was completed 11/1/24 but the final report has not been shared with the school *Sanitation and fire inspections are required at least annually by the date of the previous inspection. Send fire inspections to me within seven (7) days of the inspection. Required Water, Lead Paint, and Asbestos Testing - The Clean Classrooms for Carolina Kids website reflects the following information about your center’s required three-year water testing and one-time lead paint testing, and asbestos testing: Three-year Water Testing – 8/20/24; due again 8/20/27 Lead Paint Testing – not started; due 12/31/24 Asbestos Testing – not started; due 12/31/24 Maintain any paperwork received by mail or email in your Program Records file. *Because program is part of a larger DPI school, testing for the school may count as testing for the licensed Pre-K and/or ASEP. Information available on the Clean Classrooms for Carolina Kids reflects different information for the lead paint testing and asbestos testing for Manteo Elementary School (Survey Review Pending) and Manteo Elementary Pre-K (enrollment started). *For more information check out the FAQ page at https://www.cleanwaterforuskids.org/en/carolina/. The facility currently operates with a Five-Star Center License, issued 12/17/2018, earning points in the following components: Program (6 PTS) + Education (7 PTS) + Quality Point (1 PT) = 14 Points = 5 Stars *Quality Point met and remains in effect: Having a staff benefits package and having evidence of an infrastructure of parent involvement. The next rated license assessment was due by 12/17/21, but new legislation (Senate Bill 425) has extended the “hold harmless” period until the new Quality Rating Improvement System (QRIS) is implemented. At this time, you may choose to complete a rated license assessment using the current rated license process or you may wait until the new QRIS is implemented. The SACERS-U will continue to be used as the assessment tool for programs serving school-aged students until it is updated. See Additional Comments for updates on the modernized QRIS. This facility is owned by Dare County Schools. Please contact me prior to any information change regarding the ownership of this facility. License information was current. Contact me to make any changes to address, phone, or email or to request changes to the license. I monitored the spaces used for out-of-school care including primary space in the cafeteria and auxiliary space in the gym using the Child Care Center Requirements, effective 1/1/24 and Item Number Listing, effective 3/2024. Dare County Schools opt to not meet playground safety standards; however, I observed the outdoor play area for hazards. I monitored two staff records and all program records. The facility meets all DPI transportation requirements and continues to be approved for transportation but currently does not do off-site activities that involve transportation at this time. Center Observations: Children arrived from their classrooms and put away their personal belongings. They washed hands. The children were offered honey dew and milk for snack. When they were finished, they played with materials arranged on the tables which included art supplies, building materials, dramatic play materials, and games. They used the restroom and went outdoors to play on the playgrounds which had swings, climbers, sandboxes, and portable gross motor toys. They returned indoors and participated in additional indoor free play. I observed and documented the following violations during today’s visit. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A medication permission form was not available for an Epi-Pen. A medication permission form for the current school year was not available for a second Epi-Pen. Neither Epi-Pens had been administered. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Two EpiPens were labeled with the children's names, but the boxes with the attached prescriptions were not available. .0803(2)(a) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A medical action plan for a child using an Epi Pen expired on November 1, 2024 and was not updated. .0801(b) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4)(d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and reviewed it on my tablet with you, M. Kaiser. Because my printer was not operating, I provided you with a one-page visit summary which you signed. I will email an electronic copy of the visit summary, enrollment page, and any other visit documents to you and L. Murray, Off-site Administrator. Please respond that you receive the email and are able to print the documents. We reviewed the violation(s) documented during today’s visit. Correct these immediately. Send evidence of correction to me so that I receive it no later than 12/2/2024. Your compliance verification letter needs to state your facility name and license number and list each violation by Item # and describe in detail when and how each violation has been corrected. Do not include names of children in the compliance letter. Use their initials. Do not include any copies of medical action plans or medication permission forms. Send compliance verification letter in an email from your fcch’s official email address, murraylt@daretolearn.org to my email address, Marjorie.White@dhhs.nc.gov. You may include the compliance verification as an attachment or in the body of the email. I will email a sample compliance verification letter to you. If sufficient information is not received by the due date, a follow-up visit may be conducted. Please be aware that any information submitted by you is legal documentation. If it is determined the information provided in the compliance letter is not true, this may be considered falsification of information. If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199. Technical Assistance With Documented Violations: Medication Permission Forms - All medications prescribed to be used at the program must have a current, completed medication permission form even if there is a Medical Action Plan. Two EpiPens were observed. There was no medication permission form for an EpiPen used by BC (Group 2); the medication permission form for HH (Group 2) was dated 2/14/24 – 6/7/24 and was expired. You stated that this was overlooked at the beginning of the school year and you only had the medication forms and medical action plans observed in the files. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. Medication permission forms for OTC, prescription, and emergency medication have an administration log as part of the form. This must be completed any time the medication is given. The medication permission forms must include the specific name of the medication. (Coppertone Baby vs. Sunscreen. Cutter Bug Repellant vs. Bug Spray. Albuterol vs. Inhaler). Medication permission forms are valid for a defined length of time and must be updated, if needed. Permission for emergency medications is valid for six months and must be updated every six months. For your compliance letter, have both families complete a medication permission form. State the date when the medication permission forms are available. *Also require the parents to provide the box with the prescription label for each EpiPen. Prescription Medication Labels – To verify that prescription medication supplied to you from parents is for the child using the medication, the parent needs to provide the medication in the original container or box with the prescription attached. Two EpiPens for HH and BC (both Group 2) were available but were only labeled with the children’s names. The boxes with the prescription label were not available. You were not aware that this is required. Ask the parents to provide you with the box with the current prescription label. Note that the EpiPen for HH expires on 11/30/2024. For your compliance letter, state the date when the prescriptions are available for the two EpiPens. Updated Medical Action Plan (MAP) – Medical Action Plans are required for any chronic medical condition but also include medical information that is crucial in the event of a medical emergency that requires medication such as an Epi-pen or Asthma Inhaler. A medical action plan for an Epi-Pen used by HH (Group 2) was dated 11/1/23 and expired on 11/1/24. You were not aware that a new medical action plan was needed. The medical action plan must be completed by the child’s physician or parent and updated annually. (Medication Permission Forms must be updated every six months.). Attach one copy of the MAP to the Child’s Application and a second copy with the Ready to Go File. It is also best practice to have a copy in the classroom with the medication and the required medication permission form. For your compliance letter, ask the parent of HH to provide you with a copy of the current Medical Action Plan and state the date when this is received and available in the child’s file. General Visit Information: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The most recent versions of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. You can also review the “What’s New” section and download a copy of the Items Number Listing which you can use as a checklist for your program. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies and Child Care Health Consultants provide general training to meet on-going training hours, health and safety training requirements, Environment Rating Scale training and training specific to your center’s needs. They can also work with you to provide on-site technical assistance. *Children & Youth Partnership for Dare County: Phone - (252) 441-0614; website - www.darekids.org. *Child Care Health Consultant – S. Rosser - Office: (252) 557-4208 or stacy_rosser@unc.edu Reminders: ***CBC Provider Portal - Technical Assistance & Notification to the Division of New Hires or Residents As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete ABCMS 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. Then you will update this information in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. *Dare County ASEP needs to determine if this training needs to be completed by L. Murray, Off-site Administrator, who will then have the responsibility of ensuring staff are added and terminated off staff rosters in the ABCMS system or if each Program Coordinator needs to take the training and be responsible for maintaining their own staff roster in the system. Staff Worksheets – Your Staff Worksheets are a great tool to help you track when items such as Criminal Background Checks, required trainings and staff forms expire and need to be updated. I encourage you to update information on the staff worksheets throughout the year as items are updated and/or staff change. *We reviewed your staff worksheet. I highlighted items that were delinquent and items that are coming due in the next year. Health and Safety Training and Five (5) Year Cycle Tracking Requirements – Review Row 17 on Staff Worksheet for initial and five-year H&S Training renewal dates. New staff need to complete Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid within three months of hire and the rest of the training modules within twelve months. C. Basnight – Complete Recognizing and Responding to Suspicions of Child Maltreatment by 11/26/2024. On-going Training Hours – Review Row 18 (# hours to carry over) on the Staff Worksheets to determine how many on-going training hours returning staff will need by 7/25/25 (anniversary of last Annual Compliance visit). *Check with your local Child Care Resource & Referral for available training. *The following offer on-line training opportunities at reasonable prices and accessible at times for your busy schedules: *Southwestern Child Development Commission, www.swcdcinc.org - offers DCDEE approved, on-line, self-paced training with affordable annual packages allowing you to take as many courses as you need or want for one price. *The North Carolina CCR&R School Age Initiative can offer training on a wide variety of school-age topics and technical assistance with the SACERS-U. Call Traci Herring at (828) 350-7685 or email at herring.traci@swcdcinc.org. Or go to www.swcdcinc.org, click on the School-age Initiative tab and complete Request Form for technical assistance or check out available trainings. *Use the On-going Training Log to document training annually. Attach copies of certificates. Staff Education and Works – C. Basnight needs to finish Works. Log into Works. Request to be approved as a Group Leader. Upload BSAC Training Certificate. M. Miller needs to register for Works, request to be a group leader and upload BSAC Certificate. Annual Fire Inspection – Annual fire inspections ensure that the building meets fire codes and that your fire detection and alarm systems are operating correctly in the event of a fire. The fire inspector completed a fire inspection on 11/16/2023 and is expired; however, the Assistant Principal informed you that an inspection was completed on 11/1/2024; however, the report has not been shared with the school. When available, please forward a copy to me. Fire Drill – last completed 11/14/24 Emergency Drill – last completed 9/30/24 Additional Comments: I shared information on the following topics and emailed the information to you after the visit: 1. Free Webinar: Emotional Literacy 2. CBC Provider Portal – New Way to Attach Staff to Your License 3. QRIS Update Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today, and I encourage you to share with staff and use the information as a teaching tool. If you have any questions, do not hesitate to call or email me at the contact information listed above. 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

NC GS 110-90 · Violation

Name of Operation: MANTEO ELEMENTARY ASEP Facility ID: 28000119 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 11/18/2024 Number Present: 45 Completed Date: 11/18/2024 Age: From 5 To 10 Total Minutes: 210 Time In: 01:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced * The purpose of today’s Routine Unannounced visit was to monitor compliance with applicable out of school care requirements. Last Annual Compliance visit – 7/10/24 18-month compliance history from 5/14/23 – 11/13/24 = 92% Last Sanitation Inspection – 5/14/24 - Superior Last Fire Inspection – 11/16/23 – Passed with Comments; A new inspection was completed 11/1/24 but the final report has not been shared with the school *Sanitation and fire inspections are required at least annually by the date of the previous inspection. Send fire inspections to me within seven (7) days of the inspection. Required Water, Lead Paint, and Asbestos Testing - The Clean Classrooms for Carolina Kids website reflects the following information about your center’s required three-year water testing and one-time lead paint testing, and asbestos testing: Three-year Water Testing – 8/20/24; due again 8/20/27 Lead Paint Testing – not started; due 12/31/24 Asbestos Testing – not started; due 12/31/24 Maintain any paperwork received by mail or email in your Program Records file. *Because program is part of a larger DPI school, testing for the school may count as testing for the licensed Pre-K and/or ASEP. Information available on the Clean Classrooms for Carolina Kids reflects different information for the lead paint testing and asbestos testing for Manteo Elementary School (Survey Review Pending) and Manteo Elementary Pre-K (enrollment started). *For more information check out the FAQ page at https://www.cleanwaterforuskids.org/en/carolina/. The facility currently operates with a Five-Star Center License, issued 12/17/2018, earning points in the following components: Program (6 PTS) + Education (7 PTS) + Quality Point (1 PT) = 14 Points = 5 Stars *Quality Point met and remains in effect: Having a staff benefits package and having evidence of an infrastructure of parent involvement. The next rated license assessment was due by 12/17/21, but new legislation (Senate Bill 425) has extended the “hold harmless” period until the new Quality Rating Improvement System (QRIS) is implemented. At this time, you may choose to complete a rated license assessment using the current rated license process or you may wait until the new QRIS is implemented. The SACERS-U will continue to be used as the assessment tool for programs serving school-aged students until it is updated. See Additional Comments for updates on the modernized QRIS. This facility is owned by Dare County Schools. Please contact me prior to any information change regarding the ownership of this facility. License information was current. Contact me to make any changes to address, phone, or email or to request changes to the license. I monitored the spaces used for out-of-school care including primary space in the cafeteria and auxiliary space in the gym using the Child Care Center Requirements, effective 1/1/24 and Item Number Listing, effective 3/2024. Dare County Schools opt to not meet playground safety standards; however, I observed the outdoor play area for hazards. I monitored two staff records and all program records. The facility meets all DPI transportation requirements and continues to be approved for transportation but currently does not do off-site activities that involve transportation at this time. Center Observations: Children arrived from their classrooms and put away their personal belongings. They washed hands. The children were offered honey dew and milk for snack. When they were finished, they played with materials arranged on the tables which included art supplies, building materials, dramatic play materials, and games. They used the restroom and went outdoors to play on the playgrounds which had swings, climbers, sandboxes, and portable gross motor toys. They returned indoors and participated in additional indoor free play. I observed and documented the following violations during today’s visit. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A medication permission form was not available for an Epi-Pen. A medication permission form for the current school year was not available for a second Epi-Pen. Neither Epi-Pens had been administered. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Two EpiPens were labeled with the children's names, but the boxes with the attached prescriptions were not available. .0803(2)(a) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A medical action plan for a child using an Epi Pen expired on November 1, 2024 and was not updated. .0801(b) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4)(d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and reviewed it on my tablet with you, M. Kaiser. Because my printer was not operating, I provided you with a one-page visit summary which you signed. I will email an electronic copy of the visit summary, enrollment page, and any other visit documents to you and L. Murray, Off-site Administrator. Please respond that you receive the email and are able to print the documents. We reviewed the violation(s) documented during today’s visit. Correct these immediately. Send evidence of correction to me so that I receive it no later than 12/2/2024. Your compliance verification letter needs to state your facility name and license number and list each violation by Item # and describe in detail when and how each violation has been corrected. Do not include names of children in the compliance letter. Use their initials. Do not include any copies of medical action plans or medication permission forms. Send compliance verification letter in an email from your fcch’s official email address, murraylt@daretolearn.org to my email address, Marjorie.White@dhhs.nc.gov. You may include the compliance verification as an attachment or in the body of the email. I will email a sample compliance verification letter to you. If sufficient information is not received by the due date, a follow-up visit may be conducted. Please be aware that any information submitted by you is legal documentation. If it is determined the information provided in the compliance letter is not true, this may be considered falsification of information. If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199. Technical Assistance With Documented Violations: Medication Permission Forms - All medications prescribed to be used at the program must have a current, completed medication permission form even if there is a Medical Action Plan. Two EpiPens were observed. There was no medication permission form for an EpiPen used by BC (Group 2); the medication permission form for HH (Group 2) was dated 2/14/24 – 6/7/24 and was expired. You stated that this was overlooked at the beginning of the school year and you only had the medication forms and medical action plans observed in the files. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. Medication permission forms for OTC, prescription, and emergency medication have an administration log as part of the form. This must be completed any time the medication is given. The medication permission forms must include the specific name of the medication. (Coppertone Baby vs. Sunscreen. Cutter Bug Repellant vs. Bug Spray. Albuterol vs. Inhaler). Medication permission forms are valid for a defined length of time and must be updated, if needed. Permission for emergency medications is valid for six months and must be updated every six months. For your compliance letter, have both families complete a medication permission form. State the date when the medication permission forms are available. *Also require the parents to provide the box with the prescription label for each EpiPen. Prescription Medication Labels – To verify that prescription medication supplied to you from parents is for the child using the medication, the parent needs to provide the medication in the original container or box with the prescription attached. Two EpiPens for HH and BC (both Group 2) were available but were only labeled with the children’s names. The boxes with the prescription label were not available. You were not aware that this is required. Ask the parents to provide you with the box with the current prescription label. Note that the EpiPen for HH expires on 11/30/2024. For your compliance letter, state the date when the prescriptions are available for the two EpiPens. Updated Medical Action Plan (MAP) – Medical Action Plans are required for any chronic medical condition but also include medical information that is crucial in the event of a medical emergency that requires medication such as an Epi-pen or Asthma Inhaler. A medical action plan for an Epi-Pen used by HH (Group 2) was dated 11/1/23 and expired on 11/1/24. You were not aware that a new medical action plan was needed. The medical action plan must be completed by the child’s physician or parent and updated annually. (Medication Permission Forms must be updated every six months.). Attach one copy of the MAP to the Child’s Application and a second copy with the Ready to Go File. It is also best practice to have a copy in the classroom with the medication and the required medication permission form. For your compliance letter, ask the parent of HH to provide you with a copy of the current Medical Action Plan and state the date when this is received and available in the child’s file. General Visit Information: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The most recent versions of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. You can also review the “What’s New” section and download a copy of the Items Number Listing which you can use as a checklist for your program. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies and Child Care Health Consultants provide general training to meet on-going training hours, health and safety training requirements, Environment Rating Scale training and training specific to your center’s needs. They can also work with you to provide on-site technical assistance. *Children & Youth Partnership for Dare County: Phone - (252) 441-0614; website - www.darekids.org. *Child Care Health Consultant – S. Rosser - Office: (252) 557-4208 or stacy_rosser@unc.edu Reminders: ***CBC Provider Portal - Technical Assistance & Notification to the Division of New Hires or Residents As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete ABCMS 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. Then you will update this information in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. *Dare County ASEP needs to determine if this training needs to be completed by L. Murray, Off-site Administrator, who will then have the responsibility of ensuring staff are added and terminated off staff rosters in the ABCMS system or if each Program Coordinator needs to take the training and be responsible for maintaining their own staff roster in the system. Staff Worksheets – Your Staff Worksheets are a great tool to help you track when items such as Criminal Background Checks, required trainings and staff forms expire and need to be updated. I encourage you to update information on the staff worksheets throughout the year as items are updated and/or staff change. *We reviewed your staff worksheet. I highlighted items that were delinquent and items that are coming due in the next year. Health and Safety Training and Five (5) Year Cycle Tracking Requirements – Review Row 17 on Staff Worksheet for initial and five-year H&S Training renewal dates. New staff need to complete Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid within three months of hire and the rest of the training modules within twelve months. C. Basnight – Complete Recognizing and Responding to Suspicions of Child Maltreatment by 11/26/2024. On-going Training Hours – Review Row 18 (# hours to carry over) on the Staff Worksheets to determine how many on-going training hours returning staff will need by 7/25/25 (anniversary of last Annual Compliance visit). *Check with your local Child Care Resource & Referral for available training. *The following offer on-line training opportunities at reasonable prices and accessible at times for your busy schedules: *Southwestern Child Development Commission, www.swcdcinc.org - offers DCDEE approved, on-line, self-paced training with affordable annual packages allowing you to take as many courses as you need or want for one price. *The North Carolina CCR&R School Age Initiative can offer training on a wide variety of school-age topics and technical assistance with the SACERS-U. Call Traci Herring at (828) 350-7685 or email at herring.traci@swcdcinc.org. Or go to www.swcdcinc.org, click on the School-age Initiative tab and complete Request Form for technical assistance or check out available trainings. *Use the On-going Training Log to document training annually. Attach copies of certificates. Staff Education and Works – C. Basnight needs to finish Works. Log into Works. Request to be approved as a Group Leader. Upload BSAC Training Certificate. M. Miller needs to register for Works, request to be a group leader and upload BSAC Certificate. Annual Fire Inspection – Annual fire inspections ensure that the building meets fire codes and that your fire detection and alarm systems are operating correctly in the event of a fire. The fire inspector completed a fire inspection on 11/16/2023 and is expired; however, the Assistant Principal informed you that an inspection was completed on 11/1/2024; however, the report has not been shared with the school. When available, please forward a copy to me. Fire Drill – last completed 11/14/24 Emergency Drill – last completed 9/30/24 Additional Comments: I shared information on the following topics and emailed the information to you after the visit: 1. Free Webinar: Emotional Literacy 2. CBC Provider Portal – New Way to Attach Staff to Your License 3. QRIS Update Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today, and I encourage you to share with staff and use the information as a teaching tool. If you have any questions, do not hesitate to call or email me at the contact information listed above. 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 .0803 · Violation

Name of Operation: MANTEO ELEMENTARY ASEP Facility ID: 28000119 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 33 Completed Date: 1/29/2024 Age: From 6 To 10 Total Minutes: 150 Time In: 03:00 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced * The purpose of today’s Routine Unannounced visit was to monitor compliance with applicable out of school care requirements and continue discussions about the facility’s next rated license reassessment as a part of the Cohort 1 reassessment process. Last Annual Compliance visit – 9/6/23 Last Sanitation Inspection – 12/4/23 with an Approved Rating Last Fire Inspection – 11/16/23 with Passed with Comments rating *Sanitation and fire inspections are required at least annually by the date of the previous inspection. Send fire inspections to me within seven (7) days of the inspection. 18-month compliance history from 7/27/22 – 1/26/24= 100% M. Kaiser, Program Coordinator, was not present. J. Bosely, Group Leader, was filling in with the Program Coordinator responsibilities and assisted me with the visit. The facility currently operates with a Five-Star Center License, issued 12/17/2018, earning points in the following components: Program (6 PTS) + Education (7 PTS) + Quality Point (1 PT) = 14 Points = 5 Stars *Quality Point met and remains in effect: Having a staff benefits package and having evidence of an infrastructure of parent involvement. The next rated license assessment was due by 12/17/2021. See below for more information about the Division’s plan to return to rated license assessments. This facility is owned by Dare County Schools. Please contact me prior to any information change regarding the ownership of this facility. Facility contact information and license information were current. Contact me to make any changes to address, phone, or email or to request changes to the license. I monitored the primary space in the cafeteria using the Child Care Center Requirements, effective 1/1/2024 and Item Number Listing, effective 8/1/2023. Dare County Schools opt to not meet playground safety standards. I monitored three staff records and all program records. The facility meets all transportation requirements and continues to be approved for transportation but currently does not do off-site activities that involve transportation at this time. Center Observations: Two group leaders and a substitute group leader were present with thirty-three children, Kindergarten through Fifth Grade. They arrived, put their materials away in the cubbies, washed hands and ate snack which was tortilla chips and choice of milk. Because of the low attendance, staff absences, and inclement weather, they stayed in the primary space. The children created get well cards for staff, played games, and played with learning toys and materials. I observed and documented the following violations during today’s visit. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Documentation of a monthly fire drill was not available for December 2023. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. An Epi-pen was stored in a bag on a table and was not stored out of reach of children, at least five feet from the floor. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A medication permission form was not available for an Epi-pen. The group leader stated that the medication had not been given to the child. 10A NCAC 09 .0803(1)(a & b) 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. A group leader hired on August 28, 2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. A group leader hired on August 28, 2023 did not complete BSAC training until January 16, 2024. .2510(j) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4)(d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and provided a printed copy of it to J. Bosely, Group Leader and listed Legal Designee. I also emailed an electronic copy to L. Murray, Off-site Administrator and M. Kaiser, Program Coordinator. We reviewed the visit summary and violation(s) documented during today’s visit. Correct these immediately. Send evidence of correction to me so that I receive it no later than 2/12/2024. The compliance verification letter needs to state the facility name and license number and list each violation by Item # and describe in detail when and how each violation has been corrected. If referring to staff or children in your compliance letter, refer to them by initials or position. Also include the following documents/pictures to verify compliance: copy of Recognizing and Responding to Suspicions of Child Maltreatment for RB, copy of updated fire drill log. Send compliance verification letter in an email from the center’s official email address, murraylt@daretolearn.org to my email address, Marjorie.White@dhhs.nc.gov. If sent from another email address, the center’s official address must be Cc’d in the compliance email. You may include the compliance verification as an attachment or in the body of the email. If sufficient information is not received by the due date, a follow-up visit may be conducted. *I will email a sample compliance verification letter to you. *Please be aware that any information submitted by you is legal documentation. If it is determined the information provided in the compliance letter is not true, this may be considered falsification of information. If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199 or Jennifer.Linhardt@dhhs.nc.gov. Technical Assistance With Documented Violations: Fire Drills– Regular fire and emergency drills constitute an important safety practice. The routine practice of such drills fosters a calm, competent response to an emergency when it occurs. Documentation of a monthly fire drill was not available for December 2023. Fire drills must be completed any month that the facility is open including partial months. Storage of Medication - Improper storge of medications results in millions of accidental poisonings in children annually. An Epi-Pen was stored in a bag left on one of the tables and was not stored at least five feet or higher off the floor, out of reach of children. The group leader stated that she was not aware that the Epi-Pen had to be stored out of reach. All medications (topical ointments and creams, OTC, and prescription) must be inaccessible to children. Lotions and non-aerosol sunscreens may be stored out of reach, on a shelf or in a cabinet at least five feet or higher. Emergency medications such as asthma inhalers, Epi-Pens, Diastat, and glucagon may be stored out of reach but easily accessible to a teacher in the event of a medical emergency. OTC and prescription medications must be locked. The group leader corrected this today by removing the Epi-Pen from the bag and moving it to the locked office. Medication Permission Forms - All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. An Epi-pen was observed with a Medical Action Plan, but a medication permission form was not available. Medication permission forms for OTC, prescription, and emergency medication have an administration log as part of the form. This must be completed any time the medication is given. *HH (Group 1) – has Medical Action Plan for an Epi-Pen but does not have Medication Permission Form. Label the Epi-Pen with the child’s name. . Recognizing and Responding to Suspicions of Child Maltreatment – Recognizing and Responding to Suspicions of Child Maltreatment teaches citizens and professionals the signs and symptoms to look out for with child abuse and neglect, what to do when they suspect it is happening, NC’s reporting law, and what happens after a report is made. R. Beasley was hired in 8/28/2023 and required to complete the training by 11/28/2023, but documentation of completion was not available in her file. I will email a list of required trainings/tasks that need to be completed at hire and throughout a new employee’s first year. Basics of School Age Care (BSAC) Training – BSAC Training gives new staff working with school-age children an overview of the unique needs of elementary children, including developmental needs, guidance, health and safety, instructional needs, etc., and is required within three months of hire. R. Beasley, group leader, was hired on 8/28/2023 and was required to completed BSAC by 11/28/2023 but did not complete BSAC training until 1/16/2024. This has been corrected. I will email a list of required trainings/tasks that need to be completed at hire and throughout a new employee’s first year. General Visit Information: Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated 1/1/24) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies are available to assist you with technical assistance and training on a multitude of topics including but not limited to: Environment Rating Scales, healthy behaviors and classroom management, developmentally appropriate practice, EPR plans, activity plans, NC Foundations for Early Learning (developmental domains), etc. Child Care Health Consultants can provide training and technical assistance on topics related to health and safety such as sanitation, handwashing, diapering, illness policies, etc. *Children & Youth Partnership for Dare County: Phone - (252) 441-0614; website - www.darekids.org. *Child Care Health Consultant – S. Rosser - Office: (252) 557-4208 or stacy_rosser@unc.edu *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone (252) 333-1233; website - www.aacfnc.org . *The North Carolina CCR&R School Age Initiative can offer training on a wide variety of school-age topics and technical assistance with the SACERS-U. Email T. Herring at herring.traci@swcdcinc.org. Or go to www.swcdcinc.org, click on the School-age Initiative tab and complete Request Form for technical assistance or check out available trainings. Reminders: Staff Worksheets – Your Staff Worksheets are a great tool to help you track when items such as Criminal Background Checks, required trainings and staff forms expire and need to be updated. I encourage you to update information on the staff worksheets throughout the year as items are updated and/or staff change. Review and update items circle in red. *CPR/First Aid due for S. Williams by 1/31/2024; due for M. Kaiser by 3/31/2024. Health and Safety Training and Five (5) Year Cycle Tracking Requirements – Review Row 17 on Staff Worksheet for staff members needing initial H&S Training or five-year renewal. *R. Bosely needs to complete H&S Training by 8/28/2024. Note that BSAC Training (see below) meets the 5 following topic areas for new employees: 1. Prevention and control of infectious diseases, including immunization; 2. Administration of medication, with standards for parental consent; 3. Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; 4. Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event (not the required EPR training); and 5. Precautions in transporting children, if applicable. New group leaders who take BSAC meet the Health and Safety Training requirements for these topics. On-going Training Hours – Review Row 18 (# hours to carry over) on the Staff Worksheets to determine how many on-going training hours returning staff will need by 9/6/24 (anniversary of last Annual Compliance visit). New staff will complete Health & Safety in their first year and then will complete on-going training annually based upon their level of education posted in DCDEE Works. Staff Education and Works - Formal education (NCECC, college coursework, Principal and Teaching Licenses, BSAC training certificates, and Early Educator Certificates) are submitted to DCDEE through WORKS, an on-line portal where you can register, request to be approved for various positions, and access your education information once evaluated and posted. You can now request to have your transcripts sent electronically from colleges attended. *Staff must complete BSAC within 3 months of hire and submit it to Works within 6 months of hire. *When education is posted, staff need to log back into Works and print a copy of their Education Status Letter for their file. *See information on staff education below in Rated License Update : I shared information on the following topics and emailed the information to you after the visit: 1. Clean Classrooms for Carolina Kids – required testing for lead in water, lead paint, asbestos 2. Resources from Health and Safety Resource Center! 3. Environmental Health Rules Update 4. Moodle Support Email and Phone Contact 5. Challenging Behaviors Helpline! 6. Military Child Care in Your Neighborhood-Plus (MCCYN-PLUS) 7. NC Rated License Assessment Project (NCRLAP) Resources TRANSITION BACK TO RATED LICENSE ASSESSMENTS AND COHORTS To transition back to rated license assessments, the Division has created a two-year Cohort Model. All facilities are assigned to one of three cohorts based on their current rated license assessment due date. Each cohort will have a year for preparation and a year for assessment. Your out-of-school program was due for a three-year rated license reassessment by 12/17/2021 and has been assigned to Cohort 1. The Cohort 1 Rated License Preparation Year is from 7/1/2023 – 6/30/2024. (You are halfway through your Preparation Year.) During your preparation year, if you are interested in having the Environment Rating Scales completed, review the SACERS-U by obtaining the manuals for each group and looking for assessment related resources at ncrlap.org. Request technical assistance and training for your staff from Children & Youth Partnership for Dare County and the NC School Age Initiative. You can request and complete a SACERS-U during your preparation year. If your scores help you meet or exceed your current star rating and you are ready to move forward with your rated license assessment, you may choose to do so during your preparation year. Contact me if you would like to request a Preparation Year SACERS-U Your preparation year is also the time to continue to work on staff education and ensure that Works accounts are completed and up to date for staff members. To earn more than five points in Program Coordinator Education, M. Kaiser will need to complete two ECE/SA classes. Group Leaders need to complete BSAC and complete the NCECC or equivalent or earn 600 hours in licensed school-age care. The Cohort 1 Rated License Assessment Year is from 7/1/2024 – 6/30/2025. During your assessment year you may choose to complete the SACERS-U again at no cost even if you completed it during your preparation year. Use the feedback from your preparation year scores to create a plan to improve your scores. During this year, all education needs to be posted in Works. At some point during that year, you will have your rated license assessed. Update on Center Rated License Points PROGRAM STANDARDS – Six (6) Points – will be reassessed when SACERS-U completed *meets enhanced space and enhanced ratios EDUCATION STANDARDS – Seven (7) Points – currently eligible for One (1) Point *Based in information available in DCDEE Works *Points are earned based on the lowest level of education for any one position. Administrator Education – 7 Points - currently eligible for 7 Points LT Murray – NCECAC III w/ 5+y ad experience = 7 points Program Coordinator Education – 7 Points - current eligible for 5 Points M. Kaiser – NCECC (eq) + BSAC w/ 19+y exp = 5 points *To earn 7 points, complete 2 classes in early childhood or school-age education (EDU 119 and a second class) Group Leader Education – 7 Points – currently eligible for 1 Point Group 1 (Kindergarten/1st) – R. Bosely – HS + BSAC (not posted on Works) w/ 5m s/a exp = 1 point *Needs to register for Works, apply for Group Leader and upload BSAC certificate Group 2 (1st/2nd) - M. Miller (long term sub) *will need to meet education requirements if assigned to a group next year Group 3 (2nd/3rd): S. Williams – HS + BSAC w/ 14y sa exp = 7 points Group 4 (4th/5th): J. Bosely – HS + BSAC (not posted in Works) w/ 1y sa exp = 1 point *Needs to register for Works, apply for Group Leader and upload BSAC certificate QUALTY POINT - One (1) Point Staff Benefits and Parent Involvement Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today, and I encourage you to share with staff and use the information as a teaching tool. If you have any questions, do not hesitate to call or email me at the contact information listed above. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: MANTEO ELEMENTARY ASEP Facility ID: 28000119 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 33 Completed Date: 1/29/2024 Age: From 6 To 10 Total Minutes: 150 Time In: 03:00 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced * The purpose of today’s Routine Unannounced visit was to monitor compliance with applicable out of school care requirements and continue discussions about the facility’s next rated license reassessment as a part of the Cohort 1 reassessment process. Last Annual Compliance visit – 9/6/23 Last Sanitation Inspection – 12/4/23 with an Approved Rating Last Fire Inspection – 11/16/23 with Passed with Comments rating *Sanitation and fire inspections are required at least annually by the date of the previous inspection. Send fire inspections to me within seven (7) days of the inspection. 18-month compliance history from 7/27/22 – 1/26/24= 100% M. Kaiser, Program Coordinator, was not present. J. Bosely, Group Leader, was filling in with the Program Coordinator responsibilities and assisted me with the visit. The facility currently operates with a Five-Star Center License, issued 12/17/2018, earning points in the following components: Program (6 PTS) + Education (7 PTS) + Quality Point (1 PT) = 14 Points = 5 Stars *Quality Point met and remains in effect: Having a staff benefits package and having evidence of an infrastructure of parent involvement. The next rated license assessment was due by 12/17/2021. See below for more information about the Division’s plan to return to rated license assessments. This facility is owned by Dare County Schools. Please contact me prior to any information change regarding the ownership of this facility. Facility contact information and license information were current. Contact me to make any changes to address, phone, or email or to request changes to the license. I monitored the primary space in the cafeteria using the Child Care Center Requirements, effective 1/1/2024 and Item Number Listing, effective 8/1/2023. Dare County Schools opt to not meet playground safety standards. I monitored three staff records and all program records. The facility meets all transportation requirements and continues to be approved for transportation but currently does not do off-site activities that involve transportation at this time. Center Observations: Two group leaders and a substitute group leader were present with thirty-three children, Kindergarten through Fifth Grade. They arrived, put their materials away in the cubbies, washed hands and ate snack which was tortilla chips and choice of milk. Because of the low attendance, staff absences, and inclement weather, they stayed in the primary space. The children created get well cards for staff, played games, and played with learning toys and materials. I observed and documented the following violations during today’s visit. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Documentation of a monthly fire drill was not available for December 2023. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. An Epi-pen was stored in a bag on a table and was not stored out of reach of children, at least five feet from the floor. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A medication permission form was not available for an Epi-pen. The group leader stated that the medication had not been given to the child. 10A NCAC 09 .0803(1)(a & b) 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. A group leader hired on August 28, 2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. A group leader hired on August 28, 2023 did not complete BSAC training until January 16, 2024. .2510(j) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4)(d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and provided a printed copy of it to J. Bosely, Group Leader and listed Legal Designee. I also emailed an electronic copy to L. Murray, Off-site Administrator and M. Kaiser, Program Coordinator. We reviewed the visit summary and violation(s) documented during today’s visit. Correct these immediately. Send evidence of correction to me so that I receive it no later than 2/12/2024. The compliance verification letter needs to state the facility name and license number and list each violation by Item # and describe in detail when and how each violation has been corrected. If referring to staff or children in your compliance letter, refer to them by initials or position. Also include the following documents/pictures to verify compliance: copy of Recognizing and Responding to Suspicions of Child Maltreatment for RB, copy of updated fire drill log. Send compliance verification letter in an email from the center’s official email address, murraylt@daretolearn.org to my email address, Marjorie.White@dhhs.nc.gov. If sent from another email address, the center’s official address must be Cc’d in the compliance email. You may include the compliance verification as an attachment or in the body of the email. If sufficient information is not received by the due date, a follow-up visit may be conducted. *I will email a sample compliance verification letter to you. *Please be aware that any information submitted by you is legal documentation. If it is determined the information provided in the compliance letter is not true, this may be considered falsification of information. If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199 or Jennifer.Linhardt@dhhs.nc.gov. Technical Assistance With Documented Violations: Fire Drills– Regular fire and emergency drills constitute an important safety practice. The routine practice of such drills fosters a calm, competent response to an emergency when it occurs. Documentation of a monthly fire drill was not available for December 2023. Fire drills must be completed any month that the facility is open including partial months. Storage of Medication - Improper storge of medications results in millions of accidental poisonings in children annually. An Epi-Pen was stored in a bag left on one of the tables and was not stored at least five feet or higher off the floor, out of reach of children. The group leader stated that she was not aware that the Epi-Pen had to be stored out of reach. All medications (topical ointments and creams, OTC, and prescription) must be inaccessible to children. Lotions and non-aerosol sunscreens may be stored out of reach, on a shelf or in a cabinet at least five feet or higher. Emergency medications such as asthma inhalers, Epi-Pens, Diastat, and glucagon may be stored out of reach but easily accessible to a teacher in the event of a medical emergency. OTC and prescription medications must be locked. The group leader corrected this today by removing the Epi-Pen from the bag and moving it to the locked office. Medication Permission Forms - All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. An Epi-pen was observed with a Medical Action Plan, but a medication permission form was not available. Medication permission forms for OTC, prescription, and emergency medication have an administration log as part of the form. This must be completed any time the medication is given. *HH (Group 1) – has Medical Action Plan for an Epi-Pen but does not have Medication Permission Form. Label the Epi-Pen with the child’s name. . Recognizing and Responding to Suspicions of Child Maltreatment – Recognizing and Responding to Suspicions of Child Maltreatment teaches citizens and professionals the signs and symptoms to look out for with child abuse and neglect, what to do when they suspect it is happening, NC’s reporting law, and what happens after a report is made. R. Beasley was hired in 8/28/2023 and required to complete the training by 11/28/2023, but documentation of completion was not available in her file. I will email a list of required trainings/tasks that need to be completed at hire and throughout a new employee’s first year. Basics of School Age Care (BSAC) Training – BSAC Training gives new staff working with school-age children an overview of the unique needs of elementary children, including developmental needs, guidance, health and safety, instructional needs, etc., and is required within three months of hire. R. Beasley, group leader, was hired on 8/28/2023 and was required to completed BSAC by 11/28/2023 but did not complete BSAC training until 1/16/2024. This has been corrected. I will email a list of required trainings/tasks that need to be completed at hire and throughout a new employee’s first year. General Visit Information: Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated 1/1/24) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies are available to assist you with technical assistance and training on a multitude of topics including but not limited to: Environment Rating Scales, healthy behaviors and classroom management, developmentally appropriate practice, EPR plans, activity plans, NC Foundations for Early Learning (developmental domains), etc. Child Care Health Consultants can provide training and technical assistance on topics related to health and safety such as sanitation, handwashing, diapering, illness policies, etc. *Children & Youth Partnership for Dare County: Phone - (252) 441-0614; website - www.darekids.org. *Child Care Health Consultant – S. Rosser - Office: (252) 557-4208 or stacy_rosser@unc.edu *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone (252) 333-1233; website - www.aacfnc.org . *The North Carolina CCR&R School Age Initiative can offer training on a wide variety of school-age topics and technical assistance with the SACERS-U. Email T. Herring at herring.traci@swcdcinc.org. Or go to www.swcdcinc.org, click on the School-age Initiative tab and complete Request Form for technical assistance or check out available trainings. Reminders: Staff Worksheets – Your Staff Worksheets are a great tool to help you track when items such as Criminal Background Checks, required trainings and staff forms expire and need to be updated. I encourage you to update information on the staff worksheets throughout the year as items are updated and/or staff change. Review and update items circle in red. *CPR/First Aid due for S. Williams by 1/31/2024; due for M. Kaiser by 3/31/2024. Health and Safety Training and Five (5) Year Cycle Tracking Requirements – Review Row 17 on Staff Worksheet for staff members needing initial H&S Training or five-year renewal. *R. Bosely needs to complete H&S Training by 8/28/2024. Note that BSAC Training (see below) meets the 5 following topic areas for new employees: 1. Prevention and control of infectious diseases, including immunization; 2. Administration of medication, with standards for parental consent; 3. Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; 4. Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event (not the required EPR training); and 5. Precautions in transporting children, if applicable. New group leaders who take BSAC meet the Health and Safety Training requirements for these topics. On-going Training Hours – Review Row 18 (# hours to carry over) on the Staff Worksheets to determine how many on-going training hours returning staff will need by 9/6/24 (anniversary of last Annual Compliance visit). New staff will complete Health & Safety in their first year and then will complete on-going training annually based upon their level of education posted in DCDEE Works. Staff Education and Works - Formal education (NCECC, college coursework, Principal and Teaching Licenses, BSAC training certificates, and Early Educator Certificates) are submitted to DCDEE through WORKS, an on-line portal where you can register, request to be approved for various positions, and access your education information once evaluated and posted. You can now request to have your transcripts sent electronically from colleges attended. *Staff must complete BSAC within 3 months of hire and submit it to Works within 6 months of hire. *When education is posted, staff need to log back into Works and print a copy of their Education Status Letter for their file. *See information on staff education below in Rated License Update : I shared information on the following topics and emailed the information to you after the visit: 1. Clean Classrooms for Carolina Kids – required testing for lead in water, lead paint, asbestos 2. Resources from Health and Safety Resource Center! 3. Environmental Health Rules Update 4. Moodle Support Email and Phone Contact 5. Challenging Behaviors Helpline! 6. Military Child Care in Your Neighborhood-Plus (MCCYN-PLUS) 7. NC Rated License Assessment Project (NCRLAP) Resources TRANSITION BACK TO RATED LICENSE ASSESSMENTS AND COHORTS To transition back to rated license assessments, the Division has created a two-year Cohort Model. All facilities are assigned to one of three cohorts based on their current rated license assessment due date. Each cohort will have a year for preparation and a year for assessment. Your out-of-school program was due for a three-year rated license reassessment by 12/17/2021 and has been assigned to Cohort 1. The Cohort 1 Rated License Preparation Year is from 7/1/2023 – 6/30/2024. (You are halfway through your Preparation Year.) During your preparation year, if you are interested in having the Environment Rating Scales completed, review the SACERS-U by obtaining the manuals for each group and looking for assessment related resources at ncrlap.org. Request technical assistance and training for your staff from Children & Youth Partnership for Dare County and the NC School Age Initiative. You can request and complete a SACERS-U during your preparation year. If your scores help you meet or exceed your current star rating and you are ready to move forward with your rated license assessment, you may choose to do so during your preparation year. Contact me if you would like to request a Preparation Year SACERS-U Your preparation year is also the time to continue to work on staff education and ensure that Works accounts are completed and up to date for staff members. To earn more than five points in Program Coordinator Education, M. Kaiser will need to complete two ECE/SA classes. Group Leaders need to complete BSAC and complete the NCECC or equivalent or earn 600 hours in licensed school-age care. The Cohort 1 Rated License Assessment Year is from 7/1/2024 – 6/30/2025. During your assessment year you may choose to complete the SACERS-U again at no cost even if you completed it during your preparation year. Use the feedback from your preparation year scores to create a plan to improve your scores. During this year, all education needs to be posted in Works. At some point during that year, you will have your rated license assessed. Update on Center Rated License Points PROGRAM STANDARDS – Six (6) Points – will be reassessed when SACERS-U completed *meets enhanced space and enhanced ratios EDUCATION STANDARDS – Seven (7) Points – currently eligible for One (1) Point *Based in information available in DCDEE Works *Points are earned based on the lowest level of education for any one position. Administrator Education – 7 Points - currently eligible for 7 Points LT Murray – NCECAC III w/ 5+y ad experience = 7 points Program Coordinator Education – 7 Points - current eligible for 5 Points M. Kaiser – NCECC (eq) + BSAC w/ 19+y exp = 5 points *To earn 7 points, complete 2 classes in early childhood or school-age education (EDU 119 and a second class) Group Leader Education – 7 Points – currently eligible for 1 Point Group 1 (Kindergarten/1st) – R. Bosely – HS + BSAC (not posted on Works) w/ 5m s/a exp = 1 point *Needs to register for Works, apply for Group Leader and upload BSAC certificate Group 2 (1st/2nd) - M. Miller (long term sub) *will need to meet education requirements if assigned to a group next year Group 3 (2nd/3rd): S. Williams – HS + BSAC w/ 14y sa exp = 7 points Group 4 (4th/5th): J. Bosely – HS + BSAC (not posted in Works) w/ 1y sa exp = 1 point *Needs to register for Works, apply for Group Leader and upload BSAC certificate QUALTY POINT - One (1) Point Staff Benefits and Parent Involvement Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today, and I encourage you to share with staff and use the information as a teaching tool. If you have any questions, do not hesitate to call or email me at the contact information listed above. 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

NC GS 110-90 · Violation

Name of Operation: MANTEO ELEMENTARY ASEP Facility ID: 28000119 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 9/6/2023 Number Present: 42 Completed Date: 9/6/2023 Age: From 5 To 10 Total Minutes: 245 Time In: 01:45 PM Time Out: 05:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s Annual Compliance visit was to monitor compliance with applicable out of school care requirements and begin discussions about the facility’s rated license reassessment. Last Annual Compliance visit – 10/18/2022 Last Sanitation Inspection – 6/6/2023 with Approved Rating; expires 6/6/2024 Last Fire Inspection – 4/11/2023 with Passed with Comments rating; expires 4/11/2024 *Sanitation and fire inspections are required at least annually by the date of the previous inspection. Send fire inspections to me within seven (7) days of the inspection. 18-month compliance history from 3/1/2022 – 8/31/2023 = 100% M. Kaiser, Program Coordinator, assisted me with the visit. The facility currently operates with a Five-Star Center License, issued 12/17/2018, earning points in the following components: Program (6 PTS) + Education (7 PTS) + Quality Point (1 PT) = 14 Points = 5 Stars *Quality Point met and remains in effect: Having a staff benefits package and having evidence of an infrastructure of parent involvement. The next rated license assessment was due by 12/17/2021. See below for more information about the Division’s plan to return to rated license assessments. This facility is owned by Dare County Schools. Please contact me prior to any information change regarding the ownership of this facility. Facility contact information and license information were current. Contact me to make any changes to address, phone, or email or to request changes to the license. I monitored the spaces used for out-of-school care including primary space in the cafeteria and auxiliary space in the gym using the Child Care Center Requirements, effective 7/1/2023 and Item Number Listing, effective 6/2022. Dare County Schools opts to not meet playground safety standards; however, I observed the outdoor play area for hazards. I monitored five children’s records, five staff records and all program records. The facility meets all transportation requirements and continues to be approved for transportation but currently does not do off-site activities that involve transportation at this time. Center Observations: Children were greeted as they arrived. They put away their personal items in their brand new cubbies before lining up to wash hands and pick up snack. Snack was Cool Ranch Doritos and choice of plain or chocolate milk. They sat with their groups and group leaders and enjoyed chatting and catching up. Group 1 used the bathroom and went outdoors. Group 2 went outdoors later. They had access to portable and stationary gross motor materials. They returned indoors, washed hands and participated in indoor free play. They used water colors to paint a mural. Interactions were warm and friendly. I observed and documented the following violation during today’s visit. Violation Number Comment Rule 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. A new staff person who started on August 28, 2023 had not completed a Staff Emergency Information Form. Four returning staff members had not documented their annual review of the Staff Emergency Information Form. .0701(a) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4)(d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and provided a printed copy of it to M. Kaiser, Program Coordinator. We reviewed the visit summary and violation documented during today’s visit. You corrected the violation during the visit. No further action is required except to maintain compliance in the future. If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199 or Jennifer.Linhardt@dhhs.nc.gov. TECHNICAL ASSISTANCE WITH DOCUMENTED VIOLATIONS: Staff Emergency Information Form – The Staff Emergency Information Form provides contact information (physician, hospital, emergency contacts) in the event a staff member has a medical emergency. A new staff person had not completed a Staff Emergency Information Form by her first day of employment. Four returning staff members had not updated their Staff Emergency Information forms. You stated that you did not realize these forms had to be updated. Using a Staff File Check list to track receipt of required documents at employment helps you ensure required forms are received before a new employee starts. Your staff worksheet is a tool to help you track due dates for employee updates. To streamline the update process, have all staff review and update their Health Questionnaires and Emergency Information forms at the same time in August before school starts. All staff completed the Staff Emergency Forms today. GENERAL VISIT INFORMATION: Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated 7/1/23) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies are available to assist you with technical assistance and training on a multitude of topics including but not limited to: Environment Rating Scales, healthy behaviors and classroom management, developmentally appropriate practice, activity plans, etc. *Children & Youth Partnership for Dare County: Phone - (252) 441-0614; website - www.darekids.org. *The North Carolina CCR&R School Age Initiative can offer training on a wide variety of school-age topics and technical assistance with the SACERS-U. Call Angela Pate at (252) 640-0122 or email at pate.angela@swcdcinc.org. Or go to www.swcdcinc.org, click on the School-age Initiative tab and complete Request Form for technical assistance or check out available trainings. REMINDERS: Off-site Verification Records – Your DPI Off-site Children’s Records and Off-site Staff Records forms are due by 10/1/2023. Children’s Records – Use a Children’s File Checklist to verify all required enrollment documents are received, and review documents to verify all required information is completed, and forms are signed and dated. Review Health Care Needs section on Child’s Application for Enrollment to verify that parent provides a response to all questions. Staff Worksheets – Your Staff Worksheets are a great tool to help you track when items such as Criminal Background Checks, required trainings and staff forms expire and need to be updated. I encourage you to update information on the staff worksheets throughout the year as items are updated and/or staff change. *Encourage staff to maintain copies of all initial hire documents, Qualifying Letters, training certificates, etc. in their own professional file maintained at home. *Make it easier on yourself and schedule annual updates for staff evaluations, professional development plans, health questionnaires, emergency information forms, and EPR plan and Emergency Medical Care Plan at the same time to streamline your staff updates. *We reviewed your staff worksheet. I highlighted items that were delinquent and items that are coming due in the next year. Health and Safety Training and Five (5) Year Cycle Tracking Requirements – Review Row 17 on Staff Worksheet for staff members needing initial H&S Training or five-year renewal. New staff are required to complete Health & Safety Training (H&S Training) within one year of hire (CPR/First Aid and Recognizing and Responding to Suspicions of Child Maltreatment within 3 months of hire) and then complete training in all topic areas every five years. *J. Bosely has one module to complete for his initial H&S Training – Prevention of Food and Allergic Reactions *R. Bosely needs to complete H&S Training by 8/28/2024. Note that BSAC Training (see below) meets the 5 following topic areas for new employees: 1. Prevention and control of infectious diseases, including immunization; 2. Administration of medication, with standards for parental consent; 3. Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; 4. Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event (not the required EPR training); and 5. Precautions in transporting children, if applicable. New group leaders who take BSAC meet the Health and Safety Training requirements for these topics. Moodle Support - DCDEE has established a new email address and phone number for Moodle Support. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Staff Education and Works - Formal education (NCECC, college coursework, Principal and Teaching Licenses, BSAC training certificates, and Early Educator Certificates) are submitted to DCDEE through WORKS, an on-line portal where you can register, request to be approved for various positions, and access your education information once evaluated and posted. You can now request to have your transcripts sent electronically from colleges attended. *Staff must complete BSAC within 3 months of hire and submit it to Works within 6 months of hire. *When education is posted, staff need to log back into Works and print a copy of their Education Status Letter for their file. *See information on staff education below in Rated License Update *J. Bosely needs to register for Works, request to be approved as Group Leader and upload BSAC Certificate. ADDITIONAL COMMENTS: I shared information on the following topics: 1. Environmental Health Rules Update 2. New Rules – July 2023 – enhanced outdoor space, cooperative arrangements, multi-age grouping 3. New Challenging Behaviors Helpline! 4. Available on Moodle! NC Early Childhood Credential (NCECC) Equivalency Exam 5. NC Rated License Assessment Project (NCRLAP) Resources TRANSITION BACK TO RATED LICENSE ASSESSMENTS AND COHORTS To transition back to rated license assessments, the Division has created a two-year Cohort Model. All facilities are assigned to one of three cohorts based on their current rated license assessment due date. Each cohort will have a year for preparation and a year for assessment. (However, you are encouraged to begin preparations now so that you are ready when your cohort group is due!) Your out-of-school program was due for a three-year rated license reassessment by 12/17/2021 and has been assigned to Cohort 1. The Cohort 1 Rated License Preparation Year is from 7/1/2023 – 6/30/2024. During your preparation year, if you are interested in having the Environment Rating Scales completed, review the SACERS-U by obtaining the manuals for each group and looking for assessment related resources at ncrlap.org. Request technical assistance and training for your staff from Children & Youth Partnership for Dare County and the NC School Age Initiative. You can request and complete a SACERS-R during your preparation year. If your scores help you meet or exceed your current star rating and you are ready to move forward with your rated license assessment, you may choose to do so during your preparation year. Your preparation year is also the time to continue to work on staff education and ensure that Works accounts are completed and up to date for staff members. To earn more than five points in Program Coordinator Education, M. Kaiser will need to complete two ECE/SA classes. Group Leaders need to complete BSAC and complete the NCECC or equivalent or earn 600 hours in licensed school-age care. The Cohort 1 Rated License Assessment Year is from 7/1/2024 – 6/30/2025. During your assessment year you may choose to complete the SACERS-U again at no cost even if you completed them during your preparation year. Use the feedback from your preparation year scores to create a plan to improve your scores. During this year, all education needs to be posted in Works. At some point during that year, you will have your rated license assessed. Update on Center Rated License Points PROGRAM STANDARDS – Six (6) Points – will be reassessed when SACERS-U completed *meets enhanced space and enhanced ratios minus one EDUCATION STANDARDS – Six (6) Points – currently eligible for Five (5) Points *Based in information available in DCDEE Works *Points are earned based on the lowest level of education for any one position. Administrator Education – Currently eligible for 7 Points LT Murray – NCECAC III w/ 5+y ad experience = 7 points Program Coordinator Education – 5 Points M. Kaiser – NCECC (eq) + BSAC w/ 22+y exp = 7 points *To earn 7 points, complete 2 classes in early childhood or school-age education (EDU 119 and a second class) Group Leader Education – 7 Points – Current eligible for 1 Point Group 1 (Kindergarten): M. Walker – HS + BSAC w/ 15y sa exp = 7 points Group 2 (First): J. Bosely – HS + BSAC (not posted in Works) w/ 1y sa exp = 1 point *Needs to register for Works, apply for Group Leader and upload BSAC certificate Group 3 ( ): R. Bosely – HS + w/ <1m sa exp = 1 point *Needs to complete BSAC, register for Works, apply for Group Leader and upload BSAC certificate QUALTY POINT - One (1) Point Staff Benefits and Parent Involvement Technical Assistance to Improve SACERS-U Scores – The website for the NC Rated License Assessment Project (NCRLAP), www.ncrlap.org, has a wealth of resources and training opportunities to help you intentionally prepare for your upcoming SACERS-U assessment. From the main webpage, you can access self-assessment tools to review each subscale in detail and determine how you can make improvements in each area. See “Thinking More About Space and Furnishing,” “Thinking More About Health and Safety,” “Thinking More About Language and Interactions,” “Thinking More About Activities,” and “Thinking More About Program Structure.” Taking the time to work through these activities with your staff and using that self-reflection to purchase materials, rearrange your space, work on interactions, improve daily routines, etc. will help you improve your environment and your scores. Also check out the training options under the training tab. Trainings are both self-guided and live (virtual). You and your staff can earn training credit for participating in these trainings. You stated that you participated in Outreach opportunities with NCRLAP and have received your results. Use the information from the report to adjust your program. Focus on what is in your control. In 2018, you scored the lowest on SACERS-U - Subscale 2: Health and Safety. I provided technical assistance for those items in your Annual Compliance visit summary on 10/18/2023. Review that visit summary for that information. You scored second lowest on Subscale 3: Activities. Look at the following and consider ways to improve your scores: Item #22 – Dramatic play/theater - Dramatic play is more than a housekeeping center with a kitchen and dolls. For school-age programs dramatic play should be focused more on theater, allowing children to put on plays. Add open-ended costumes for children to create characters, e.g., hats, capes, aprons, costume jewelry, suit jacket, shawl, etc. Item #23 – Language/reading activities – Check books carefully to ensure that they are in good condition (completely intact with no broken or frayed spines or torn pages) and that they do not depict violence. Even historical books that reflect people fighting or deceased people should not be available because your group includes young children in Kindergarten. Also provide ways for children to use reading and writing in practical situations. This could include having journals that children write in at least weekly, materials for writing letters or post cards, opportunities to read directions for a game. Item #25 – Science/nature activities – Offer special activities (projects) to provide extended opportunities for children to interact with nature, e.g., planting a garden or plants (journal their observations, measure growth), watch butterflies develop with a butterfly life cycle science kit, observe and document change of seasons (draw, photograph) Item #26 – Cultural awareness – Review materials to ensure they reflect diversity of gender, ethnicity, language, culture, age, ability. Also review books and remove if they depict violence against an ethnic group Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today, and I encourage you to share with staff and use the information as a teaching tool. If you have any questions, do not hesitate to call or email me at the contact information listed above. 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.