10A NCAC 09 .0803 · Violation

Name of Operation: MILLERS CREEK CHILD CARE LLC Facility ID: 97000236 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 18 Completed Date: 5/16/2024 Age: From 0 To 4 Total Minutes: 155 Time In: 10:10 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Takyah Whittington, director, and M. Billings assisted me with the visit. Your program currently operates with a FOUR (4) Star license effective 4/24/18. Restrictions include 1st shift daytime care; five (5) children in diapers if at full capacity; meets enhanced space; meets enhanced ratios. The program’s compliance history was 94% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. During the visit today, I observed the new playground equipment that has been installed on playground three (3) for the three-and four-year-old and school age children. The children have not yet played on this equipment. Ms. Whitington called to let me know it was finished. I stated that I needed to come out to check it out. I observed rough edges on the green plastic part of the upper structure at the curvy blue slide that needs to be sanded down. There are sharp, rough edges where the children will place their hands and bodies. The mulch on the large playground with the new equipment needs the mulch re-tilled and mulch evenly dispersed to measure 6 in. all around. There is a large plastic blue structure that was on the playground that must be removed. Children cannot play on this structure until these items cited have been brought into compliance. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice center time, playing on two (2) of the three (3) playgrounds, children eating lunch, and napping/resting. No new staff were reported in this program. No prescription medications were observed nor reported. Over the counter medications were monitored. Storage hazardous items was monitored today. A playground inspection was recorded 4/15/24 by T. Whittington. It was noted on the inspection sheet that playground three (3) was closed due to new playground equipment being installed. A fire drill was recorded 5/8/24 at 9:45 am with four (4) minutes to evacuate eighteen (18) children and six (6) adults by T. Whittington. A lockdown drill for the facility was last recorded 2/23/24 at 9:30 am with three (3) minutes to lockdown by T. Whittington. The most recent fire inspection was on 6/15/23. I observed a sanitation inspection was last conducted on 3/1/24 earning a Superior classification with fourteen (14) demerits. You stated that you do provide transportation in the afternoon for children. There are currently eight (8) riders in the afternoon. Ms. Whittington stated that all permission and emergency forms with photos for children who are transported on the bus are located on the bus and this was observed today. I observed the one (1) 2007 Thomas private mini bus with license HEZ6034 expiring 2/28/25. The inspection is due 2/28/25. Insurance is with Progressive Southern Insurance Company expiring 1/29/25. Policy # is 01732196. Drivers for the mini bus are T. Whittington, D. Akers, L. Triplette, and H. Triplette. Driver’s licenses were observed today. The following violations were cited during today’s visit: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. I observed there is a section behind the door at the bottom of the corner of the wall in Space 3 where the paint is peeled away and there is a small visible hole in the wall. I observed that the mirror needs to be cleaned in Space 2. I observed shelves need cleaning throughout the center. I observed light bulbs need to be replaced in the school age room Space 4. I observed the toilet seat off of Space 4 should be replaced as it is dingy and stained. 15A NCAC 18A .2825(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. I observed the new playground equipment on playground three (3) has some rough and sharp edges that must be sanded down where the children will place their hands and bodies. This is on the green portion of the new equipment above the blue curvy slide. .0601(c) 847 Parent's medication authorization did not include required information. I observed one (1) child in the infant room did not have the amount listed on her permission to administer medication form for her over the counter ointment. 10A NCAC 09 .0803(4)(6-9) 1867 The depth of the loose surfacing was not based on critical height of the equipment. I observed the mulch on playground three (3) where the new equipment has been installed does not meet the 6 inches of surfacing requirement. .0605(k)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Thursday, May 30, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • All equipment used by children should be safe and free of hazards. See Child Care Rule .0601(c). • Mulch is to be 6 inches in depth under all installed equipment. See Child Care Rule .0605(k)(1-4). • Items are to be safe and in good repair throughout the center. General cleaning is needed throughout the center. See sanitation/Child Care Rule 15A NCAC 18A .2825(a). • Permission to administer over the counter medications should be completed with all required information including the amount to be administered. See Child Care Rule.0803(4) & (6-9). Consultation during today’s visit: • You are in Cohort 1 for license reassessment which means your prep year is now 7/1/23 and go through 6/30/24. Your actual license reassessment year will be 7/1/24 – 6/30/25. • I have sent you tasks and activities to complete during your prep year so that you will be ready during your reassessment year. • Send all updated education to DCDEE WORKS with official transcripts so that all education is up to date in WORKS. • Contact me or Stacy Daniels at the Wilkes County Partnership for any assistance needed. • Contact Stacy Daniels to schedule mock assessments for practice on the ITERS, ECERS, & SACERS assessments. This will highlight your strengths and also let you know areas that need more attention prior to the actual assessments. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: MILLERS CREEK CHILD CARE LLC Facility ID: 97000236 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 18 Completed Date: 5/16/2024 Age: From 0 To 4 Total Minutes: 155 Time In: 10:10 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Takyah Whittington, director, and M. Billings assisted me with the visit. Your program currently operates with a FOUR (4) Star license effective 4/24/18. Restrictions include 1st shift daytime care; five (5) children in diapers if at full capacity; meets enhanced space; meets enhanced ratios. The program’s compliance history was 94% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. During the visit today, I observed the new playground equipment that has been installed on playground three (3) for the three-and four-year-old and school age children. The children have not yet played on this equipment. Ms. Whitington called to let me know it was finished. I stated that I needed to come out to check it out. I observed rough edges on the green plastic part of the upper structure at the curvy blue slide that needs to be sanded down. There are sharp, rough edges where the children will place their hands and bodies. The mulch on the large playground with the new equipment needs the mulch re-tilled and mulch evenly dispersed to measure 6 in. all around. There is a large plastic blue structure that was on the playground that must be removed. Children cannot play on this structure until these items cited have been brought into compliance. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice center time, playing on two (2) of the three (3) playgrounds, children eating lunch, and napping/resting. No new staff were reported in this program. No prescription medications were observed nor reported. Over the counter medications were monitored. Storage hazardous items was monitored today. A playground inspection was recorded 4/15/24 by T. Whittington. It was noted on the inspection sheet that playground three (3) was closed due to new playground equipment being installed. A fire drill was recorded 5/8/24 at 9:45 am with four (4) minutes to evacuate eighteen (18) children and six (6) adults by T. Whittington. A lockdown drill for the facility was last recorded 2/23/24 at 9:30 am with three (3) minutes to lockdown by T. Whittington. The most recent fire inspection was on 6/15/23. I observed a sanitation inspection was last conducted on 3/1/24 earning a Superior classification with fourteen (14) demerits. You stated that you do provide transportation in the afternoon for children. There are currently eight (8) riders in the afternoon. Ms. Whittington stated that all permission and emergency forms with photos for children who are transported on the bus are located on the bus and this was observed today. I observed the one (1) 2007 Thomas private mini bus with license HEZ6034 expiring 2/28/25. The inspection is due 2/28/25. Insurance is with Progressive Southern Insurance Company expiring 1/29/25. Policy # is 01732196. Drivers for the mini bus are T. Whittington, D. Akers, L. Triplette, and H. Triplette. Driver’s licenses were observed today. The following violations were cited during today’s visit: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. I observed there is a section behind the door at the bottom of the corner of the wall in Space 3 where the paint is peeled away and there is a small visible hole in the wall. I observed that the mirror needs to be cleaned in Space 2. I observed shelves need cleaning throughout the center. I observed light bulbs need to be replaced in the school age room Space 4. I observed the toilet seat off of Space 4 should be replaced as it is dingy and stained. 15A NCAC 18A .2825(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. I observed the new playground equipment on playground three (3) has some rough and sharp edges that must be sanded down where the children will place their hands and bodies. This is on the green portion of the new equipment above the blue curvy slide. .0601(c) 847 Parent's medication authorization did not include required information. I observed one (1) child in the infant room did not have the amount listed on her permission to administer medication form for her over the counter ointment. 10A NCAC 09 .0803(4)(6-9) 1867 The depth of the loose surfacing was not based on critical height of the equipment. I observed the mulch on playground three (3) where the new equipment has been installed does not meet the 6 inches of surfacing requirement. .0605(k)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Thursday, May 30, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • All equipment used by children should be safe and free of hazards. See Child Care Rule .0601(c). • Mulch is to be 6 inches in depth under all installed equipment. See Child Care Rule .0605(k)(1-4). • Items are to be safe and in good repair throughout the center. General cleaning is needed throughout the center. See sanitation/Child Care Rule 15A NCAC 18A .2825(a). • Permission to administer over the counter medications should be completed with all required information including the amount to be administered. See Child Care Rule.0803(4) & (6-9). Consultation during today’s visit: • You are in Cohort 1 for license reassessment which means your prep year is now 7/1/23 and go through 6/30/24. Your actual license reassessment year will be 7/1/24 – 6/30/25. • I have sent you tasks and activities to complete during your prep year so that you will be ready during your reassessment year. • Send all updated education to DCDEE WORKS with official transcripts so that all education is up to date in WORKS. • Contact me or Stacy Daniels at the Wilkes County Partnership for any assistance needed. • Contact Stacy Daniels to schedule mock assessments for practice on the ITERS, ECERS, & SACERS assessments. This will highlight your strengths and also let you know areas that need more attention prior to the actual assessments. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: MILLERS CREEK CHILD CARE LLC Facility ID: 97000236 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 11/29/2023 Number Present: 17 Completed Date: 11/29/2023 Age: From 0 To 4 Total Minutes: 234 Time In: 09:36 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, Childcare Consultant, with Takyah Whittington, Director. Your program currently operates with a four (4) Star License issued 04/24/2018. Restrictions include daytime care only; 5 children in diapers if at full capacity; Meets enhanced ratios; Meets enhanced space. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 11/27/23 and Millers Creek Child Care LLC was listed as current and active. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. No vioaltions were cited on the outdoor area. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice center time, being read to by teacher, and having lunch and napping. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum with the developmental domains of Foundations. The last annual compliance visit was conducted on 1/6/23. A sanitation inspection was completed 10/18/23 with a Superior classification and thirteen (13). The last fire inspection was conducted 6/15/23. The inspection was approved but not checked as satisfactory. I have asked Ms. Whittington to call the fire inspector back to check if it was satisfactory or unsatisfactory. Program records and required postings were monitored. A fire drill was conducted on 11/20/23 at 8:45 am. With seven (7) minutes to evacuate twenty (20) children and six (6) adults by T. Whittington. A lockdown drill was documented on 11/21/23 at 3 pm with three (3) minutes to lockdown by T. Whittington. An outdoor inspection was documented on 11/15/23. Staff files and children’s records were monitored per DCDEE procedures. Two (2) new staff files were monitored today. One (1) of the two (2) new staff has not started yet. One of the new staff members did not have the medical statement in her file. Four (4) children’s files were monitored today. Three (3) children’s files did not have a medical report signed by the doctor on file. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. There are two (2) allergies center wide with no medications. You stated that you do provide transportation in the afternoon for school age children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored one (1) vehicles today. I observed a 2007 Thomas minibus. License number HEZ 6034. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due by 1/2024 and the insurance is valid through 1/29/24 with Progressive Commercial Insurance, policy number 01732196. The registration expires 2/29/24. The drivers for this minibus are Mr. Lincoln Tripplette, and Takyah Whittington, and Dena Akers. All drivers have current drivers licenses. The following violations were cited during today’s visit: Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. I observed two (2) children's files that did not contain a medical statement signed by the physician. GS110-91(1) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. New staff member A.R. did not have a medical report in the file. .0701(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Wednesday, December 13, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Children’s files must contain the Children’s Medical Report with part A and part B, signed by the physician. If you make your own forms, your forms must contain all the information that the DCDEE forms contain. If the physician does not sign the Medial report, then a well-check report from the physician can be accepted if the report is signed or stamped from the physician. See General Statute 110-91(1). • Staff files are to include the medial statement for the staff member from the physician prior to employment. See Child Care Rule .0701(d). Consultation provided today: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Remember to keep the medical report, the TB screening/report, and the health questionnaire in a separate file folder from other staff information. • You are in Cohort 1 which means you are in your prep year July 1, 2023 – June 30, 2024. Your reassessment year will be July 1, 2024 – June 30, 2025. You may contact your Wilkes Co, Partnership for Children for help from Stacy Daniels. You may request to have mock assessments conducted to practice. You can contact me at any time for assistance or Julie McNeil, your CCHC, for help with medications, illnesses or any health- related concerns. • There is a new Summary of the Law on the DCDEE website. Go to Provider tab > forms and documents > the scroll down to Summary of the Law. • There is a new Staff & Training worksheet on the DCDEE website. Go to Provider tab > forms and documents > then scroll down to Staff and Training worksheet. I sent an email 11/28/23 reagarding weather and wind chill information. Please review this email as it relates to children and the benefits of outside play, even in winter. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 817-2689 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: MILLERS CREEK CHILD CARE LLC Facility ID: 97000236 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 11/29/2023 Number Present: 17 Completed Date: 11/29/2023 Age: From 0 To 4 Total Minutes: 234 Time In: 09:36 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, Childcare Consultant, with Takyah Whittington, Director. Your program currently operates with a four (4) Star License issued 04/24/2018. Restrictions include daytime care only; 5 children in diapers if at full capacity; Meets enhanced ratios; Meets enhanced space. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 11/27/23 and Millers Creek Child Care LLC was listed as current and active. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. No vioaltions were cited on the outdoor area. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice center time, being read to by teacher, and having lunch and napping. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum with the developmental domains of Foundations. The last annual compliance visit was conducted on 1/6/23. A sanitation inspection was completed 10/18/23 with a Superior classification and thirteen (13). The last fire inspection was conducted 6/15/23. The inspection was approved but not checked as satisfactory. I have asked Ms. Whittington to call the fire inspector back to check if it was satisfactory or unsatisfactory. Program records and required postings were monitored. A fire drill was conducted on 11/20/23 at 8:45 am. With seven (7) minutes to evacuate twenty (20) children and six (6) adults by T. Whittington. A lockdown drill was documented on 11/21/23 at 3 pm with three (3) minutes to lockdown by T. Whittington. An outdoor inspection was documented on 11/15/23. Staff files and children’s records were monitored per DCDEE procedures. Two (2) new staff files were monitored today. One (1) of the two (2) new staff has not started yet. One of the new staff members did not have the medical statement in her file. Four (4) children’s files were monitored today. Three (3) children’s files did not have a medical report signed by the doctor on file. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. There are two (2) allergies center wide with no medications. You stated that you do provide transportation in the afternoon for school age children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored one (1) vehicles today. I observed a 2007 Thomas minibus. License number HEZ 6034. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due by 1/2024 and the insurance is valid through 1/29/24 with Progressive Commercial Insurance, policy number 01732196. The registration expires 2/29/24. The drivers for this minibus are Mr. Lincoln Tripplette, and Takyah Whittington, and Dena Akers. All drivers have current drivers licenses. The following violations were cited during today’s visit: Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. I observed two (2) children's files that did not contain a medical statement signed by the physician. GS110-91(1) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. New staff member A.R. did not have a medical report in the file. .0701(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Wednesday, December 13, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Children’s files must contain the Children’s Medical Report with part A and part B, signed by the physician. If you make your own forms, your forms must contain all the information that the DCDEE forms contain. If the physician does not sign the Medial report, then a well-check report from the physician can be accepted if the report is signed or stamped from the physician. See General Statute 110-91(1). • Staff files are to include the medial statement for the staff member from the physician prior to employment. See Child Care Rule .0701(d). Consultation provided today: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Remember to keep the medical report, the TB screening/report, and the health questionnaire in a separate file folder from other staff information. • You are in Cohort 1 which means you are in your prep year July 1, 2023 – June 30, 2024. Your reassessment year will be July 1, 2024 – June 30, 2025. You may contact your Wilkes Co, Partnership for Children for help from Stacy Daniels. You may request to have mock assessments conducted to practice. You can contact me at any time for assistance or Julie McNeil, your CCHC, for help with medications, illnesses or any health- related concerns. • There is a new Summary of the Law on the DCDEE website. Go to Provider tab > forms and documents > the scroll down to Summary of the Law. • There is a new Staff & Training worksheet on the DCDEE website. Go to Provider tab > forms and documents > then scroll down to Staff and Training worksheet. I sent an email 11/28/23 reagarding weather and wind chill information. Please review this email as it relates to children and the benefits of outside play, even in winter. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 817-2689 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times