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Home › NC › Mills River › Pisgah Cradle
Mills River NC 28759 · License #45000357 · Family Child Care Home
Not published by the state. Owners can add hours via profile claim.
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10A NCAC 09 .1725 · Violation
Name of Operation: PISGAH CRADLE Facility ID: 45000357 Consultant: DAWN MCCRARY Operation Type: Family CC Home Case Number: Visit Date: 11/6/2024 Number Present: 2 Completed Date: 11/6/2024 Age: From 1 To 3 Total Minutes: 185 Time In: 09:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and signed by Megan Leight, Owner, during the visit. A signed copy of the visit summary was left on-site for you. This facility operates with a three (3) star child care license issued 8/30/19. The facility earned five (5) points for staff education; two (2) points for program standards and one (1) quality point. The restrictions are: Daytime care only; Maximum of 5 preschool children at any time; Children in care on ground level only; No more than three children less than 1 year of age. Serves no more than 2 infants under age one; meets enhanced space. Megan Leight, Owner/Operator, was available to answer questions. Ms. Leight is not required, as a sole proprietorship, to be registered with the North Carolina Secretary of State. Upon arrival, I introduced my presence to Ms. Leight. There are six (6) children enrolled. Two (2) children were present during today’s visit. The children were observed having free choice play in the indoor learning environment. They were observed building with various sizes of lego blocks. Ms. Leight interacted with the children to enhance their play. The children cleaned up and transitioned to outdoor play. The outdoor area offers space for vigorous play, climbing, sand and water, dramatic play and a shaded area. The indoor space has adequate materials for hands-on, interesting play to meet all developmental domains. The children’s files were monitored for child care requirements. Ms. Leight’s file was monitored for child care requirements. The environment indoors and outdoors was safe, in good condition and sanitary. The lunch served today was peanut butter sandwiches, black beans, apples and milk. All interactions were positive and nurturing. Supervision was adequate. There are no new child care providers at this facility. The Operator’s and any other residents of the home’s CBC qualifying letters were on file and valid. Ms. Leight’s CPR and FA training is valid until 8/5/25. The last annual compliance visit was: 11/7/23. The last fire drill was practiced on 10/18/24. The smoke detector is in good operating order. The fire extinguisher is located at the entrance to the food prep area. The last shelter-in-place and lockdown drill was practiced 10/6/24. The Emergency Medical Care plan was posted and is current. The last outdoor safety checklist was completed: 10/18/24. The FCCH and Centers Located in A Residence Verification of Required Information for Operator and Additional Caregivers form was completed and signed by Ms. Leight, Owner/Operator, during the visit. The FCCH and Centers Located in a Residence Operator’s Statements of Responsibility document was completed during the visit. This facility does not provide transportation. I used the Division of Child Development and Early Education Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 801 Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. The last bacteriological well water analysis was 9/9/21. 10A NCAC 09 .1725(a)(1) Technical assistance was provided as follows: Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. The last bacteriological well water analysis was 9/9/21. This is a violation of a requirement in 10A NCAC 09 .1725(a)(1). Plan to have a well-water analysis immediately and track on a calendar for the next analysis due date. Achieving Compliance: 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. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/20/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828.556.3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.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
Generated from this facility's specific inspection record
Data synced from North Carolina's child care licensing agency on Jul 9, 2026 · Report an error
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .1102 · Violation
Name of Operation: PISGAH CRADLE Facility ID: 45000357 Consultant: DAWN MCCRARY Operation Type: Family CC Home Case Number: Visit Date: 11/6/2024 Number Present: 2 Completed Date: 11/6/2024 Age: From 1 To 3 Total Minutes: 185 Time In: 09:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and signed by Megan Leight, Owner, during the visit. A signed copy of the visit summary was left on-site for you. This facility operates with a three (3) star child care license issued 8/30/19. The facility earned five (5) points for staff education; two (2) points for program standards and one (1) quality point. The restrictions are: Daytime care only; Maximum of 5 preschool children at any time; Children in care on ground level only; No more than three children less than 1 year of age. Serves no more than 2 infants under age one; meets enhanced space. Megan Leight, Owner/Operator, was available to answer questions. Ms. Leight is not required, as a sole proprietorship, to be registered with the North Carolina Secretary of State. Upon arrival, I introduced my presence to Ms. Leight. There are six (6) children enrolled. Two (2) children were present during today’s visit. The children were observed having free choice play in the indoor learning environment. They were observed building with various sizes of lego blocks. Ms. Leight interacted with the children to enhance their play. The children cleaned up and transitioned to outdoor play. The outdoor area offers space for vigorous play, climbing, sand and water, dramatic play and a shaded area. The indoor space has adequate materials for hands-on, interesting play to meet all developmental domains. The children’s files were monitored for child care requirements. Ms. Leight’s file was monitored for child care requirements. The environment indoors and outdoors was safe, in good condition and sanitary. The lunch served today was peanut butter sandwiches, black beans, apples and milk. All interactions were positive and nurturing. Supervision was adequate. There are no new child care providers at this facility. The Operator’s and any other residents of the home’s CBC qualifying letters were on file and valid. Ms. Leight’s CPR and FA training is valid until 8/5/25. The last annual compliance visit was: 11/7/23. The last fire drill was practiced on 10/18/24. The smoke detector is in good operating order. The fire extinguisher is located at the entrance to the food prep area. The last shelter-in-place and lockdown drill was practiced 10/6/24. The Emergency Medical Care plan was posted and is current. The last outdoor safety checklist was completed: 10/18/24. The FCCH and Centers Located in A Residence Verification of Required Information for Operator and Additional Caregivers form was completed and signed by Ms. Leight, Owner/Operator, during the visit. The FCCH and Centers Located in a Residence Operator’s Statements of Responsibility document was completed during the visit. This facility does not provide transportation. I used the Division of Child Development and Early Education Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 801 Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. The last bacteriological well water analysis was 9/9/21. 10A NCAC 09 .1725(a)(1) Technical assistance was provided as follows: Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. The last bacteriological well water analysis was 9/9/21. This is a violation of a requirement in 10A NCAC 09 .1725(a)(1). Plan to have a well-water analysis immediately and track on a calendar for the next analysis due date. Achieving Compliance: 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. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/20/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828.556.3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.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.
10A NCAC 09 .1703 · Violation
Name of Operation: PISGAH CRADLE Facility ID: 45000357 Consultant: DAWN MCCRARY Operation Type: Family CC Home Case Number: Visit Date: 11/6/2024 Number Present: 2 Completed Date: 11/6/2024 Age: From 1 To 3 Total Minutes: 185 Time In: 09:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and signed by Megan Leight, Owner, during the visit. A signed copy of the visit summary was left on-site for you. This facility operates with a three (3) star child care license issued 8/30/19. The facility earned five (5) points for staff education; two (2) points for program standards and one (1) quality point. The restrictions are: Daytime care only; Maximum of 5 preschool children at any time; Children in care on ground level only; No more than three children less than 1 year of age. Serves no more than 2 infants under age one; meets enhanced space. Megan Leight, Owner/Operator, was available to answer questions. Ms. Leight is not required, as a sole proprietorship, to be registered with the North Carolina Secretary of State. Upon arrival, I introduced my presence to Ms. Leight. There are six (6) children enrolled. Two (2) children were present during today’s visit. The children were observed having free choice play in the indoor learning environment. They were observed building with various sizes of lego blocks. Ms. Leight interacted with the children to enhance their play. The children cleaned up and transitioned to outdoor play. The outdoor area offers space for vigorous play, climbing, sand and water, dramatic play and a shaded area. The indoor space has adequate materials for hands-on, interesting play to meet all developmental domains. The children’s files were monitored for child care requirements. Ms. Leight’s file was monitored for child care requirements. The environment indoors and outdoors was safe, in good condition and sanitary. The lunch served today was peanut butter sandwiches, black beans, apples and milk. All interactions were positive and nurturing. Supervision was adequate. There are no new child care providers at this facility. The Operator’s and any other residents of the home’s CBC qualifying letters were on file and valid. Ms. Leight’s CPR and FA training is valid until 8/5/25. The last annual compliance visit was: 11/7/23. The last fire drill was practiced on 10/18/24. The smoke detector is in good operating order. The fire extinguisher is located at the entrance to the food prep area. The last shelter-in-place and lockdown drill was practiced 10/6/24. The Emergency Medical Care plan was posted and is current. The last outdoor safety checklist was completed: 10/18/24. The FCCH and Centers Located in A Residence Verification of Required Information for Operator and Additional Caregivers form was completed and signed by Ms. Leight, Owner/Operator, during the visit. The FCCH and Centers Located in a Residence Operator’s Statements of Responsibility document was completed during the visit. This facility does not provide transportation. I used the Division of Child Development and Early Education Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 801 Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. The last bacteriological well water analysis was 9/9/21. 10A NCAC 09 .1725(a)(1) Technical assistance was provided as follows: Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. The last bacteriological well water analysis was 9/9/21. This is a violation of a requirement in 10A NCAC 09 .1725(a)(1). Plan to have a well-water analysis immediately and track on a calendar for the next analysis due date. Achieving Compliance: 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. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/20/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828.556.3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.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.
10A NCAC 09 .1725 · Violation
Name of Operation: PISGAH CRADLE Facility ID: 45000357 Consultant: DAWN MCCRARY Operation Type: Family CC Home Case Number: Visit Date: 11/6/2024 Number Present: 2 Completed Date: 11/6/2024 Age: From 1 To 3 Total Minutes: 185 Time In: 09:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and signed by Megan Leight, Owner, during the visit. A signed copy of the visit summary was left on-site for you. This facility operates with a three (3) star child care license issued 8/30/19. The facility earned five (5) points for staff education; two (2) points for program standards and one (1) quality point. The restrictions are: Daytime care only; Maximum of 5 preschool children at any time; Children in care on ground level only; No more than three children less than 1 year of age. Serves no more than 2 infants under age one; meets enhanced space. Megan Leight, Owner/Operator, was available to answer questions. Ms. Leight is not required, as a sole proprietorship, to be registered with the North Carolina Secretary of State. Upon arrival, I introduced my presence to Ms. Leight. There are six (6) children enrolled. Two (2) children were present during today’s visit. The children were observed having free choice play in the indoor learning environment. They were observed building with various sizes of lego blocks. Ms. Leight interacted with the children to enhance their play. The children cleaned up and transitioned to outdoor play. The outdoor area offers space for vigorous play, climbing, sand and water, dramatic play and a shaded area. The indoor space has adequate materials for hands-on, interesting play to meet all developmental domains. The children’s files were monitored for child care requirements. Ms. Leight’s file was monitored for child care requirements. The environment indoors and outdoors was safe, in good condition and sanitary. The lunch served today was peanut butter sandwiches, black beans, apples and milk. All interactions were positive and nurturing. Supervision was adequate. There are no new child care providers at this facility. The Operator’s and any other residents of the home’s CBC qualifying letters were on file and valid. Ms. Leight’s CPR and FA training is valid until 8/5/25. The last annual compliance visit was: 11/7/23. The last fire drill was practiced on 10/18/24. The smoke detector is in good operating order. The fire extinguisher is located at the entrance to the food prep area. The last shelter-in-place and lockdown drill was practiced 10/6/24. The Emergency Medical Care plan was posted and is current. The last outdoor safety checklist was completed: 10/18/24. The FCCH and Centers Located in A Residence Verification of Required Information for Operator and Additional Caregivers form was completed and signed by Ms. Leight, Owner/Operator, during the visit. The FCCH and Centers Located in a Residence Operator’s Statements of Responsibility document was completed during the visit. This facility does not provide transportation. I used the Division of Child Development and Early Education Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 801 Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. The last bacteriological well water analysis was 9/9/21. 10A NCAC 09 .1725(a)(1) Technical assistance was provided as follows: Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. The last bacteriological well water analysis was 9/9/21. This is a violation of a requirement in 10A NCAC 09 .1725(a)(1). Plan to have a well-water analysis immediately and track on a calendar for the next analysis due date. Achieving Compliance: 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. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/20/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828.556.3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.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.
10A NCAC 09 .2830 · Violation
Name of Operation: PISGAH CRADLE Facility ID: 45000357 Consultant: DAWN MCCRARY Operation Type: Family CC Home Case Number: Visit Date: 11/6/2024 Number Present: 2 Completed Date: 11/6/2024 Age: From 1 To 3 Total Minutes: 185 Time In: 09:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and signed by Megan Leight, Owner, during the visit. A signed copy of the visit summary was left on-site for you. This facility operates with a three (3) star child care license issued 8/30/19. The facility earned five (5) points for staff education; two (2) points for program standards and one (1) quality point. The restrictions are: Daytime care only; Maximum of 5 preschool children at any time; Children in care on ground level only; No more than three children less than 1 year of age. Serves no more than 2 infants under age one; meets enhanced space. Megan Leight, Owner/Operator, was available to answer questions. Ms. Leight is not required, as a sole proprietorship, to be registered with the North Carolina Secretary of State. Upon arrival, I introduced my presence to Ms. Leight. There are six (6) children enrolled. Two (2) children were present during today’s visit. The children were observed having free choice play in the indoor learning environment. They were observed building with various sizes of lego blocks. Ms. Leight interacted with the children to enhance their play. The children cleaned up and transitioned to outdoor play. The outdoor area offers space for vigorous play, climbing, sand and water, dramatic play and a shaded area. The indoor space has adequate materials for hands-on, interesting play to meet all developmental domains. The children’s files were monitored for child care requirements. Ms. Leight’s file was monitored for child care requirements. The environment indoors and outdoors was safe, in good condition and sanitary. The lunch served today was peanut butter sandwiches, black beans, apples and milk. All interactions were positive and nurturing. Supervision was adequate. There are no new child care providers at this facility. The Operator’s and any other residents of the home’s CBC qualifying letters were on file and valid. Ms. Leight’s CPR and FA training is valid until 8/5/25. The last annual compliance visit was: 11/7/23. The last fire drill was practiced on 10/18/24. The smoke detector is in good operating order. The fire extinguisher is located at the entrance to the food prep area. The last shelter-in-place and lockdown drill was practiced 10/6/24. The Emergency Medical Care plan was posted and is current. The last outdoor safety checklist was completed: 10/18/24. The FCCH and Centers Located in A Residence Verification of Required Information for Operator and Additional Caregivers form was completed and signed by Ms. Leight, Owner/Operator, during the visit. The FCCH and Centers Located in a Residence Operator’s Statements of Responsibility document was completed during the visit. This facility does not provide transportation. I used the Division of Child Development and Early Education Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 801 Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. The last bacteriological well water analysis was 9/9/21. 10A NCAC 09 .1725(a)(1) Technical assistance was provided as follows: Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. The last bacteriological well water analysis was 9/9/21. This is a violation of a requirement in 10A NCAC 09 .1725(a)(1). Plan to have a well-water analysis immediately and track on a calendar for the next analysis due date. Achieving Compliance: 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. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/20/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828.556.3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.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: PISGAH CRADLE Facility ID: 45000357 Consultant: DAWN MCCRARY Operation Type: Family CC Home Case Number: Visit Date: 11/6/2024 Number Present: 2 Completed Date: 11/6/2024 Age: From 1 To 3 Total Minutes: 185 Time In: 09:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and signed by Megan Leight, Owner, during the visit. A signed copy of the visit summary was left on-site for you. This facility operates with a three (3) star child care license issued 8/30/19. The facility earned five (5) points for staff education; two (2) points for program standards and one (1) quality point. The restrictions are: Daytime care only; Maximum of 5 preschool children at any time; Children in care on ground level only; No more than three children less than 1 year of age. Serves no more than 2 infants under age one; meets enhanced space. Megan Leight, Owner/Operator, was available to answer questions. Ms. Leight is not required, as a sole proprietorship, to be registered with the North Carolina Secretary of State. Upon arrival, I introduced my presence to Ms. Leight. There are six (6) children enrolled. Two (2) children were present during today’s visit. The children were observed having free choice play in the indoor learning environment. They were observed building with various sizes of lego blocks. Ms. Leight interacted with the children to enhance their play. The children cleaned up and transitioned to outdoor play. The outdoor area offers space for vigorous play, climbing, sand and water, dramatic play and a shaded area. The indoor space has adequate materials for hands-on, interesting play to meet all developmental domains. The children’s files were monitored for child care requirements. Ms. Leight’s file was monitored for child care requirements. The environment indoors and outdoors was safe, in good condition and sanitary. The lunch served today was peanut butter sandwiches, black beans, apples and milk. All interactions were positive and nurturing. Supervision was adequate. There are no new child care providers at this facility. The Operator’s and any other residents of the home’s CBC qualifying letters were on file and valid. Ms. Leight’s CPR and FA training is valid until 8/5/25. The last annual compliance visit was: 11/7/23. The last fire drill was practiced on 10/18/24. The smoke detector is in good operating order. The fire extinguisher is located at the entrance to the food prep area. The last shelter-in-place and lockdown drill was practiced 10/6/24. The Emergency Medical Care plan was posted and is current. The last outdoor safety checklist was completed: 10/18/24. The FCCH and Centers Located in A Residence Verification of Required Information for Operator and Additional Caregivers form was completed and signed by Ms. Leight, Owner/Operator, during the visit. The FCCH and Centers Located in a Residence Operator’s Statements of Responsibility document was completed during the visit. This facility does not provide transportation. I used the Division of Child Development and Early Education Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 801 Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. The last bacteriological well water analysis was 9/9/21. 10A NCAC 09 .1725(a)(1) Technical assistance was provided as follows: Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. The last bacteriological well water analysis was 9/9/21. This is a violation of a requirement in 10A NCAC 09 .1725(a)(1). Plan to have a well-water analysis immediately and track on a calendar for the next analysis due date. Achieving Compliance: 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. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/20/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828.556.3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.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.
10A NCAC 09 .1102 · Violation
Name of Operation: PISGAH CRADLE Facility ID: 45000357 Consultant: DAWN MCCRARY Operation Type: Family CC Home Case Number: Visit Date: 6/19/2024 Number Present: 6 Completed Date: 6/19/2024 Age: From 0 To 11 Total Minutes: 150 Time In: 11:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant, and also signed by you, Owner/Operator, Megan Leight, during the visit. A signed copy of the visit summary was left on site with you. This facility operates with a three (3) star child care license issued 8/30/19. The facility earned five (5) points for staff education; two (2) points for program standards and one (1) quality point. The restrictions are: Daytime care only; Maximum of 5 preschool children at any time; Children in care on ground level only; No more than three children less than 1 year of age. Serves no more than 2 infants under age one; meets enhanced space. Megan Leight, Owner/Operator, was available to answer questions. Ms. Leight is not required, as a sole proprietorship, to be registered with the North Carolina Secretary of State. Upon arrival, I introduced my presence to Ms. Leight. The children were observed having free choice play in the outdoor learning environment. The children were observed climbing, having water play and freely moving about. The indoor learning area has many opportunities for participating in all areas of development with interesting and appropriate materials. The outdoor learning environment has adequate room for gross motor play and portable materials to enhance play. All interactions were positive and appropriate. Supervision was adequate. The approved space was used for care of the children. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted/ Permit Restrictions All required program postings were posted conspicuously in the classroom area. The ABCMS system was checked for all caregivers and residents. All qualification letters were valid. Ms. Leight has current CPR, First Aid, ITS SIDS, and other required trainings. No medications were on site. The program does not provide transportation. I used the Division of Child Development and Early Education Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. The following violation was documented during today’s visit. Violation Number Comment Rule 709 Equipment and toys were not in good repair and developmentally appropriate. Algae and mold are apparent on all outdoor play equipment and bench. 10 A NCAC 09.1720(a)(7) 1986 Breast milk, formula, and other bottled beverages sent from home were not fully prepared, dated, and labeled with individual child's names. Bottles, stored in the refrigerator were not labeled and dated. .1706(l) Technical assistance provided: 1986- Breast milk, formula, and other bottled beverages sent from home were not fully prepared, dated, and labeled with individual child's names. 10A NCAC 09 .1706 NUTRITION STANDARDS l) Breast milk, formula, and other bottled beverages sent from home shall be fully prepared, dated, and labeled with individual child names. All beverages shall be returned to the child's parent or discarded at the end of each day. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Bottles, stored in the refrigerator were not labeled and dated. Plan to ensure each bottle, open baby food and sippy cups are labeled and dated at drop off. 709- Equipment and toys were not in good repair and developmentally appropriate. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (21) ensure the equipment and toys are in good repair and are developmentally appropriate for the children in care. Due to the amount of rain received recently, algae and mold are apparent on all outdoor play equipment and bench. Plan to clean to equipment and have a maintenance plan to keep the equipment free of algae and mold. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/3/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation Provided as follows: Your ITS-SIDS training expires 9/27/24. Plan to register for the training to prevent a lapse. We discussed that you plan to complete the three month self-study for the ERS. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrry@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.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.
10A NCAC 09 .1703 · Violation
Name of Operation: PISGAH CRADLE Facility ID: 45000357 Consultant: DAWN MCCRARY Operation Type: Family CC Home Case Number: Visit Date: 6/19/2024 Number Present: 6 Completed Date: 6/19/2024 Age: From 0 To 11 Total Minutes: 150 Time In: 11:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant, and also signed by you, Owner/Operator, Megan Leight, during the visit. A signed copy of the visit summary was left on site with you. This facility operates with a three (3) star child care license issued 8/30/19. The facility earned five (5) points for staff education; two (2) points for program standards and one (1) quality point. The restrictions are: Daytime care only; Maximum of 5 preschool children at any time; Children in care on ground level only; No more than three children less than 1 year of age. Serves no more than 2 infants under age one; meets enhanced space. Megan Leight, Owner/Operator, was available to answer questions. Ms. Leight is not required, as a sole proprietorship, to be registered with the North Carolina Secretary of State. Upon arrival, I introduced my presence to Ms. Leight. The children were observed having free choice play in the outdoor learning environment. The children were observed climbing, having water play and freely moving about. The indoor learning area has many opportunities for participating in all areas of development with interesting and appropriate materials. The outdoor learning environment has adequate room for gross motor play and portable materials to enhance play. All interactions were positive and appropriate. Supervision was adequate. The approved space was used for care of the children. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted/ Permit Restrictions All required program postings were posted conspicuously in the classroom area. The ABCMS system was checked for all caregivers and residents. All qualification letters were valid. Ms. Leight has current CPR, First Aid, ITS SIDS, and other required trainings. No medications were on site. The program does not provide transportation. I used the Division of Child Development and Early Education Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. The following violation was documented during today’s visit. Violation Number Comment Rule 709 Equipment and toys were not in good repair and developmentally appropriate. Algae and mold are apparent on all outdoor play equipment and bench. 10 A NCAC 09.1720(a)(7) 1986 Breast milk, formula, and other bottled beverages sent from home were not fully prepared, dated, and labeled with individual child's names. Bottles, stored in the refrigerator were not labeled and dated. .1706(l) Technical assistance provided: 1986- Breast milk, formula, and other bottled beverages sent from home were not fully prepared, dated, and labeled with individual child's names. 10A NCAC 09 .1706 NUTRITION STANDARDS l) Breast milk, formula, and other bottled beverages sent from home shall be fully prepared, dated, and labeled with individual child names. All beverages shall be returned to the child's parent or discarded at the end of each day. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Bottles, stored in the refrigerator were not labeled and dated. Plan to ensure each bottle, open baby food and sippy cups are labeled and dated at drop off. 709- Equipment and toys were not in good repair and developmentally appropriate. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (21) ensure the equipment and toys are in good repair and are developmentally appropriate for the children in care. Due to the amount of rain received recently, algae and mold are apparent on all outdoor play equipment and bench. Plan to clean to equipment and have a maintenance plan to keep the equipment free of algae and mold. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/3/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation Provided as follows: Your ITS-SIDS training expires 9/27/24. Plan to register for the training to prevent a lapse. We discussed that you plan to complete the three month self-study for the ERS. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrry@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.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
10A NCAC 09 .1706 · Violation
Name of Operation: PISGAH CRADLE Facility ID: 45000357 Consultant: DAWN MCCRARY Operation Type: Family CC Home Case Number: Visit Date: 6/19/2024 Number Present: 6 Completed Date: 6/19/2024 Age: From 0 To 11 Total Minutes: 150 Time In: 11:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant, and also signed by you, Owner/Operator, Megan Leight, during the visit. A signed copy of the visit summary was left on site with you. This facility operates with a three (3) star child care license issued 8/30/19. The facility earned five (5) points for staff education; two (2) points for program standards and one (1) quality point. The restrictions are: Daytime care only; Maximum of 5 preschool children at any time; Children in care on ground level only; No more than three children less than 1 year of age. Serves no more than 2 infants under age one; meets enhanced space. Megan Leight, Owner/Operator, was available to answer questions. Ms. Leight is not required, as a sole proprietorship, to be registered with the North Carolina Secretary of State. Upon arrival, I introduced my presence to Ms. Leight. The children were observed having free choice play in the outdoor learning environment. The children were observed climbing, having water play and freely moving about. The indoor learning area has many opportunities for participating in all areas of development with interesting and appropriate materials. The outdoor learning environment has adequate room for gross motor play and portable materials to enhance play. All interactions were positive and appropriate. Supervision was adequate. The approved space was used for care of the children. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted/ Permit Restrictions All required program postings were posted conspicuously in the classroom area. The ABCMS system was checked for all caregivers and residents. All qualification letters were valid. Ms. Leight has current CPR, First Aid, ITS SIDS, and other required trainings. No medications were on site. The program does not provide transportation. I used the Division of Child Development and Early Education Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. The following violation was documented during today’s visit. Violation Number Comment Rule 709 Equipment and toys were not in good repair and developmentally appropriate. Algae and mold are apparent on all outdoor play equipment and bench. 10 A NCAC 09.1720(a)(7) 1986 Breast milk, formula, and other bottled beverages sent from home were not fully prepared, dated, and labeled with individual child's names. Bottles, stored in the refrigerator were not labeled and dated. .1706(l) Technical assistance provided: 1986- Breast milk, formula, and other bottled beverages sent from home were not fully prepared, dated, and labeled with individual child's names. 10A NCAC 09 .1706 NUTRITION STANDARDS l) Breast milk, formula, and other bottled beverages sent from home shall be fully prepared, dated, and labeled with individual child names. All beverages shall be returned to the child's parent or discarded at the end of each day. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Bottles, stored in the refrigerator were not labeled and dated. Plan to ensure each bottle, open baby food and sippy cups are labeled and dated at drop off. 709- Equipment and toys were not in good repair and developmentally appropriate. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (21) ensure the equipment and toys are in good repair and are developmentally appropriate for the children in care. Due to the amount of rain received recently, algae and mold are apparent on all outdoor play equipment and bench. Plan to clean to equipment and have a maintenance plan to keep the equipment free of algae and mold. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/3/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation Provided as follows: Your ITS-SIDS training expires 9/27/24. Plan to register for the training to prevent a lapse. We discussed that you plan to complete the three month self-study for the ERS. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrry@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.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
10A NCAC 09 .1719 · Violation
Name of Operation: PISGAH CRADLE Facility ID: 45000357 Consultant: DAWN MCCRARY Operation Type: Family CC Home Case Number: Visit Date: 6/19/2024 Number Present: 6 Completed Date: 6/19/2024 Age: From 0 To 11 Total Minutes: 150 Time In: 11:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant, and also signed by you, Owner/Operator, Megan Leight, during the visit. A signed copy of the visit summary was left on site with you. This facility operates with a three (3) star child care license issued 8/30/19. The facility earned five (5) points for staff education; two (2) points for program standards and one (1) quality point. The restrictions are: Daytime care only; Maximum of 5 preschool children at any time; Children in care on ground level only; No more than three children less than 1 year of age. Serves no more than 2 infants under age one; meets enhanced space. Megan Leight, Owner/Operator, was available to answer questions. Ms. Leight is not required, as a sole proprietorship, to be registered with the North Carolina Secretary of State. Upon arrival, I introduced my presence to Ms. Leight. The children were observed having free choice play in the outdoor learning environment. The children were observed climbing, having water play and freely moving about. The indoor learning area has many opportunities for participating in all areas of development with interesting and appropriate materials. The outdoor learning environment has adequate room for gross motor play and portable materials to enhance play. All interactions were positive and appropriate. Supervision was adequate. The approved space was used for care of the children. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted/ Permit Restrictions All required program postings were posted conspicuously in the classroom area. The ABCMS system was checked for all caregivers and residents. All qualification letters were valid. Ms. Leight has current CPR, First Aid, ITS SIDS, and other required trainings. No medications were on site. The program does not provide transportation. I used the Division of Child Development and Early Education Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. The following violation was documented during today’s visit. Violation Number Comment Rule 709 Equipment and toys were not in good repair and developmentally appropriate. Algae and mold are apparent on all outdoor play equipment and bench. 10 A NCAC 09.1720(a)(7) 1986 Breast milk, formula, and other bottled beverages sent from home were not fully prepared, dated, and labeled with individual child's names. Bottles, stored in the refrigerator were not labeled and dated. .1706(l) Technical assistance provided: 1986- Breast milk, formula, and other bottled beverages sent from home were not fully prepared, dated, and labeled with individual child's names. 10A NCAC 09 .1706 NUTRITION STANDARDS l) Breast milk, formula, and other bottled beverages sent from home shall be fully prepared, dated, and labeled with individual child names. All beverages shall be returned to the child's parent or discarded at the end of each day. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Bottles, stored in the refrigerator were not labeled and dated. Plan to ensure each bottle, open baby food and sippy cups are labeled and dated at drop off. 709- Equipment and toys were not in good repair and developmentally appropriate. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (21) ensure the equipment and toys are in good repair and are developmentally appropriate for the children in care. Due to the amount of rain received recently, algae and mold are apparent on all outdoor play equipment and bench. Plan to clean to equipment and have a maintenance plan to keep the equipment free of algae and mold. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/3/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation Provided as follows: Your ITS-SIDS training expires 9/27/24. Plan to register for the training to prevent a lapse. We discussed that you plan to complete the three month self-study for the ERS. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrry@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.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
10A NCAC 09 .2830 · Violation
Name of Operation: PISGAH CRADLE Facility ID: 45000357 Consultant: DAWN MCCRARY Operation Type: Family CC Home Case Number: Visit Date: 6/19/2024 Number Present: 6 Completed Date: 6/19/2024 Age: From 0 To 11 Total Minutes: 150 Time In: 11:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant, and also signed by you, Owner/Operator, Megan Leight, during the visit. A signed copy of the visit summary was left on site with you. This facility operates with a three (3) star child care license issued 8/30/19. The facility earned five (5) points for staff education; two (2) points for program standards and one (1) quality point. The restrictions are: Daytime care only; Maximum of 5 preschool children at any time; Children in care on ground level only; No more than three children less than 1 year of age. Serves no more than 2 infants under age one; meets enhanced space. Megan Leight, Owner/Operator, was available to answer questions. Ms. Leight is not required, as a sole proprietorship, to be registered with the North Carolina Secretary of State. Upon arrival, I introduced my presence to Ms. Leight. The children were observed having free choice play in the outdoor learning environment. The children were observed climbing, having water play and freely moving about. The indoor learning area has many opportunities for participating in all areas of development with interesting and appropriate materials. The outdoor learning environment has adequate room for gross motor play and portable materials to enhance play. All interactions were positive and appropriate. Supervision was adequate. The approved space was used for care of the children. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted/ Permit Restrictions All required program postings were posted conspicuously in the classroom area. The ABCMS system was checked for all caregivers and residents. All qualification letters were valid. Ms. Leight has current CPR, First Aid, ITS SIDS, and other required trainings. No medications were on site. The program does not provide transportation. I used the Division of Child Development and Early Education Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. The following violation was documented during today’s visit. Violation Number Comment Rule 709 Equipment and toys were not in good repair and developmentally appropriate. Algae and mold are apparent on all outdoor play equipment and bench. 10 A NCAC 09.1720(a)(7) 1986 Breast milk, formula, and other bottled beverages sent from home were not fully prepared, dated, and labeled with individual child's names. Bottles, stored in the refrigerator were not labeled and dated. .1706(l) Technical assistance provided: 1986- Breast milk, formula, and other bottled beverages sent from home were not fully prepared, dated, and labeled with individual child's names. 10A NCAC 09 .1706 NUTRITION STANDARDS l) Breast milk, formula, and other bottled beverages sent from home shall be fully prepared, dated, and labeled with individual child names. All beverages shall be returned to the child's parent or discarded at the end of each day. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Bottles, stored in the refrigerator were not labeled and dated. Plan to ensure each bottle, open baby food and sippy cups are labeled and dated at drop off. 709- Equipment and toys were not in good repair and developmentally appropriate. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (21) ensure the equipment and toys are in good repair and are developmentally appropriate for the children in care. Due to the amount of rain received recently, algae and mold are apparent on all outdoor play equipment and bench. Plan to clean to equipment and have a maintenance plan to keep the equipment free of algae and mold. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/3/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation Provided as follows: Your ITS-SIDS training expires 9/27/24. Plan to register for the training to prevent a lapse. We discussed that you plan to complete the three month self-study for the ERS. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrry@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.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
G.S. 110-90 · Violation
Name of Operation: PISGAH CRADLE Facility ID: 45000357 Consultant: DAWN MCCRARY Operation Type: Family CC Home Case Number: Visit Date: 6/19/2024 Number Present: 6 Completed Date: 6/19/2024 Age: From 0 To 11 Total Minutes: 150 Time In: 11:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant, and also signed by you, Owner/Operator, Megan Leight, during the visit. A signed copy of the visit summary was left on site with you. This facility operates with a three (3) star child care license issued 8/30/19. The facility earned five (5) points for staff education; two (2) points for program standards and one (1) quality point. The restrictions are: Daytime care only; Maximum of 5 preschool children at any time; Children in care on ground level only; No more than three children less than 1 year of age. Serves no more than 2 infants under age one; meets enhanced space. Megan Leight, Owner/Operator, was available to answer questions. Ms. Leight is not required, as a sole proprietorship, to be registered with the North Carolina Secretary of State. Upon arrival, I introduced my presence to Ms. Leight. The children were observed having free choice play in the outdoor learning environment. The children were observed climbing, having water play and freely moving about. The indoor learning area has many opportunities for participating in all areas of development with interesting and appropriate materials. The outdoor learning environment has adequate room for gross motor play and portable materials to enhance play. All interactions were positive and appropriate. Supervision was adequate. The approved space was used for care of the children. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted/ Permit Restrictions All required program postings were posted conspicuously in the classroom area. The ABCMS system was checked for all caregivers and residents. All qualification letters were valid. Ms. Leight has current CPR, First Aid, ITS SIDS, and other required trainings. No medications were on site. The program does not provide transportation. I used the Division of Child Development and Early Education Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. The following violation was documented during today’s visit. Violation Number Comment Rule 709 Equipment and toys were not in good repair and developmentally appropriate. Algae and mold are apparent on all outdoor play equipment and bench. 10 A NCAC 09.1720(a)(7) 1986 Breast milk, formula, and other bottled beverages sent from home were not fully prepared, dated, and labeled with individual child's names. Bottles, stored in the refrigerator were not labeled and dated. .1706(l) Technical assistance provided: 1986- Breast milk, formula, and other bottled beverages sent from home were not fully prepared, dated, and labeled with individual child's names. 10A NCAC 09 .1706 NUTRITION STANDARDS l) Breast milk, formula, and other bottled beverages sent from home shall be fully prepared, dated, and labeled with individual child names. All beverages shall be returned to the child's parent or discarded at the end of each day. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Bottles, stored in the refrigerator were not labeled and dated. Plan to ensure each bottle, open baby food and sippy cups are labeled and dated at drop off. 709- Equipment and toys were not in good repair and developmentally appropriate. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (21) ensure the equipment and toys are in good repair and are developmentally appropriate for the children in care. Due to the amount of rain received recently, algae and mold are apparent on all outdoor play equipment and bench. Plan to clean to equipment and have a maintenance plan to keep the equipment free of algae and mold. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/3/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation Provided as follows: Your ITS-SIDS training expires 9/27/24. Plan to register for the training to prevent a lapse. We discussed that you plan to complete the three month self-study for the ERS. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrry@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.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
10A NCAC 09 .1102 · Violation
Name of Operation: PISGAH CRADLE Facility ID: 45000357 Consultant: DAWN MCCRARY Operation Type: Family CC Home Case Number: Visit Date: 11/7/2023 Number Present: 3 Completed Date: 11/7/2023 Age: From 0 To 2 Total Minutes: 195 Time In: 10:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Due to internet connectivity issues, a handwritten visit summary was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by Owner/Operator, Megan Leight, during the visit. A computerized generated report of today’s visit will be completed and will be electronically emailed to you. This facility operates with a three (3) star child care license issued 8/30/19. The facility earned five (5) points for staff education; two (2) points for program standards and one (1) quality point. The restrictions are: Daytime care only; Maximum of 5 preschool children at any time; Children in care on ground level only; No more than three children less than 1 year of age. Serves no more than 2 infants under age one; meets enhanced space. Megan Leight, Owner/Operator, was available to answer questions. Ms. Leight is not required, as a sole proprietorship, to be registered with the North Carolina Secretary of State. The facility has a one hundred (100) percent compliance history as of 11/6/23. Upon arrival, I introduced my presence to Ms. Leight. There are three (3) children enrolled. The children were observed having free choice play on the outdoor playground. The children transitioned indoors for toileting, handwashing and to the activity centers. The playground has adequate space for vigorous play, sand, water, dramatic play, riding, climbing, balancing and running opportunities. Shade is provided by trees. . The equipment provided, is portable. . The indoor learning environment offers materials such as dramatic play items, puzzles, soft toys, books, art materials, building, science, sensory materials and manipulatives. The children were observed playing freely indoors, playing the piano, and being read to by Ms. Leight. All interactions were nurturing and appropriate. Supervision was adequate. Proper hygiene practices were observed. One (1) child’s file was monitored for child care requirements. Ms. Leight’s file was monitored for child care requirements. There are no new child care providers at this facility. The Operator’s CBC qualifying letter was on file and valid. The last annual compliance visit was: 11/14/22. The last fire drill was practiced 10/19/23. The last shelter-in-place and lockdown drill was practiced 9/14/23. The Emergency Medical Care plan was posted and current. The last outdoor safety checklist was completed 10/19/23. No transportation is provided. No medications are on site. The FCCH and Centers Located in A Residence Verification of Required Information for Operator and Additional Caregivers form was completed during the visit. Ms. Leight provided the completed FCCH and Centers Located in a Residence Operator’s Statements of Responsibility document during the visit. I used the Division of Child Development and Early Education Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. The operator's First Aid training expired 10/9/23. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. The operator's CPR training expired 10/9/21. .1703(a)(3) 907 Written record of up-to-date pet vaccinations as required by NC law and local ordinances, including rabies vaccination for dogs and cats, was not available. Two (2) feline vaccinations expired 9/24/23 and 10/26/23. .1719(b)(1) Technical assistance was provided as follows: 508: Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2). First aid training was not renewed on or before the expiration of the certification 511: Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2). CPR training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (2) Renew First Aid training on or before expiration of the certification appropriate for the ages of children in care; (3) Renew CPR course on or before the expiration of the certification appropriate for the ages of children in care; 907 Written record of up-to-date pet vaccinations as required by NC law and local ordinances, including rabies vaccination for dogs and cats was not available. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (b) When animals are on the premises, the following shall apply: (1) all household pets shall be vaccinated with up-to-date vaccinations as required by North Carolina law and local ordinances. Rabies vaccinations are required for cats and dogs. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/21/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Ensure each child's application is updated when a change occurs and at least annually. Ensure outdoor play equipment is cleaned if affected by weather conditions. FDA Advises Parents and Caregivers Not to Buy or Feed WanaBana Apple Cinnamon Fruit Puree Pouches to Toddlers and Young Children Because of Elevated Lead Levels Product • WanaBana apple cinnamon fruit puree pouches, all lot codes and expiration dates. • WanaBana apple cinnamon fruit puree pouches are sold nationally and are available through multiple retailers including Sam’s Club, Amazon and Dollar Tree. • WanaBana has agreed to voluntarily recall all WanaBana apple cinnamon fruit puree pouches regardless of expiration. Purpose The FDA is advising parents and caregivers not to buy or feed WanaBana apple cinnamon fruit puree pouches to children because the product may contain elevated levels of lead. Parents and caregivers of toddlers and young children who may have consumed WanaBana apple cinnamon fruit puree pouches should contact their child’s healthcare provider about getting a blood test. Environmental Rating Assessment process. Pisgah Cradle is in cohort 2. Your preparation year will be July 2024 to June 2025. Your assessment year will be July 2025 to June 2026. I will reach out to you in July 2024 regarding the Rated License assessment process. Dawn McCrary provided you with the following resources from NCRLAP: Preparation Year: Activities and Ideas for Cohorts 1, 2, and 3 Preparation Year: Environmental Rating Scale (ERS) Assessments What is an Outreach Assessment? If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.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.
10A NCAC 09 .1703 · Violation
Name of Operation: PISGAH CRADLE Facility ID: 45000357 Consultant: DAWN MCCRARY Operation Type: Family CC Home Case Number: Visit Date: 11/7/2023 Number Present: 3 Completed Date: 11/7/2023 Age: From 0 To 2 Total Minutes: 195 Time In: 10:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Due to internet connectivity issues, a handwritten visit summary was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by Owner/Operator, Megan Leight, during the visit. A computerized generated report of today’s visit will be completed and will be electronically emailed to you. This facility operates with a three (3) star child care license issued 8/30/19. The facility earned five (5) points for staff education; two (2) points for program standards and one (1) quality point. The restrictions are: Daytime care only; Maximum of 5 preschool children at any time; Children in care on ground level only; No more than three children less than 1 year of age. Serves no more than 2 infants under age one; meets enhanced space. Megan Leight, Owner/Operator, was available to answer questions. Ms. Leight is not required, as a sole proprietorship, to be registered with the North Carolina Secretary of State. The facility has a one hundred (100) percent compliance history as of 11/6/23. Upon arrival, I introduced my presence to Ms. Leight. There are three (3) children enrolled. The children were observed having free choice play on the outdoor playground. The children transitioned indoors for toileting, handwashing and to the activity centers. The playground has adequate space for vigorous play, sand, water, dramatic play, riding, climbing, balancing and running opportunities. Shade is provided by trees. . The equipment provided, is portable. . The indoor learning environment offers materials such as dramatic play items, puzzles, soft toys, books, art materials, building, science, sensory materials and manipulatives. The children were observed playing freely indoors, playing the piano, and being read to by Ms. Leight. All interactions were nurturing and appropriate. Supervision was adequate. Proper hygiene practices were observed. One (1) child’s file was monitored for child care requirements. Ms. Leight’s file was monitored for child care requirements. There are no new child care providers at this facility. The Operator’s CBC qualifying letter was on file and valid. The last annual compliance visit was: 11/14/22. The last fire drill was practiced 10/19/23. The last shelter-in-place and lockdown drill was practiced 9/14/23. The Emergency Medical Care plan was posted and current. The last outdoor safety checklist was completed 10/19/23. No transportation is provided. No medications are on site. The FCCH and Centers Located in A Residence Verification of Required Information for Operator and Additional Caregivers form was completed during the visit. Ms. Leight provided the completed FCCH and Centers Located in a Residence Operator’s Statements of Responsibility document during the visit. I used the Division of Child Development and Early Education Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. The operator's First Aid training expired 10/9/23. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. The operator's CPR training expired 10/9/21. .1703(a)(3) 907 Written record of up-to-date pet vaccinations as required by NC law and local ordinances, including rabies vaccination for dogs and cats, was not available. Two (2) feline vaccinations expired 9/24/23 and 10/26/23. .1719(b)(1) Technical assistance was provided as follows: 508: Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2). First aid training was not renewed on or before the expiration of the certification 511: Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2). CPR training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (2) Renew First Aid training on or before expiration of the certification appropriate for the ages of children in care; (3) Renew CPR course on or before the expiration of the certification appropriate for the ages of children in care; 907 Written record of up-to-date pet vaccinations as required by NC law and local ordinances, including rabies vaccination for dogs and cats was not available. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (b) When animals are on the premises, the following shall apply: (1) all household pets shall be vaccinated with up-to-date vaccinations as required by North Carolina law and local ordinances. Rabies vaccinations are required for cats and dogs. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/21/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Ensure each child's application is updated when a change occurs and at least annually. Ensure outdoor play equipment is cleaned if affected by weather conditions. FDA Advises Parents and Caregivers Not to Buy or Feed WanaBana Apple Cinnamon Fruit Puree Pouches to Toddlers and Young Children Because of Elevated Lead Levels Product • WanaBana apple cinnamon fruit puree pouches, all lot codes and expiration dates. • WanaBana apple cinnamon fruit puree pouches are sold nationally and are available through multiple retailers including Sam’s Club, Amazon and Dollar Tree. • WanaBana has agreed to voluntarily recall all WanaBana apple cinnamon fruit puree pouches regardless of expiration. Purpose The FDA is advising parents and caregivers not to buy or feed WanaBana apple cinnamon fruit puree pouches to children because the product may contain elevated levels of lead. Parents and caregivers of toddlers and young children who may have consumed WanaBana apple cinnamon fruit puree pouches should contact their child’s healthcare provider about getting a blood test. Environmental Rating Assessment process. Pisgah Cradle is in cohort 2. Your preparation year will be July 2024 to June 2025. Your assessment year will be July 2025 to June 2026. I will reach out to you in July 2024 regarding the Rated License assessment process. Dawn McCrary provided you with the following resources from NCRLAP: Preparation Year: Activities and Ideas for Cohorts 1, 2, and 3 Preparation Year: Environmental Rating Scale (ERS) Assessments What is an Outreach Assessment? If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.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
10A NCAC 09 .1719 · Violation
Name of Operation: PISGAH CRADLE Facility ID: 45000357 Consultant: DAWN MCCRARY Operation Type: Family CC Home Case Number: Visit Date: 11/7/2023 Number Present: 3 Completed Date: 11/7/2023 Age: From 0 To 2 Total Minutes: 195 Time In: 10:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Due to internet connectivity issues, a handwritten visit summary was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by Owner/Operator, Megan Leight, during the visit. A computerized generated report of today’s visit will be completed and will be electronically emailed to you. This facility operates with a three (3) star child care license issued 8/30/19. The facility earned five (5) points for staff education; two (2) points for program standards and one (1) quality point. The restrictions are: Daytime care only; Maximum of 5 preschool children at any time; Children in care on ground level only; No more than three children less than 1 year of age. Serves no more than 2 infants under age one; meets enhanced space. Megan Leight, Owner/Operator, was available to answer questions. Ms. Leight is not required, as a sole proprietorship, to be registered with the North Carolina Secretary of State. The facility has a one hundred (100) percent compliance history as of 11/6/23. Upon arrival, I introduced my presence to Ms. Leight. There are three (3) children enrolled. The children were observed having free choice play on the outdoor playground. The children transitioned indoors for toileting, handwashing and to the activity centers. The playground has adequate space for vigorous play, sand, water, dramatic play, riding, climbing, balancing and running opportunities. Shade is provided by trees. . The equipment provided, is portable. . The indoor learning environment offers materials such as dramatic play items, puzzles, soft toys, books, art materials, building, science, sensory materials and manipulatives. The children were observed playing freely indoors, playing the piano, and being read to by Ms. Leight. All interactions were nurturing and appropriate. Supervision was adequate. Proper hygiene practices were observed. One (1) child’s file was monitored for child care requirements. Ms. Leight’s file was monitored for child care requirements. There are no new child care providers at this facility. The Operator’s CBC qualifying letter was on file and valid. The last annual compliance visit was: 11/14/22. The last fire drill was practiced 10/19/23. The last shelter-in-place and lockdown drill was practiced 9/14/23. The Emergency Medical Care plan was posted and current. The last outdoor safety checklist was completed 10/19/23. No transportation is provided. No medications are on site. The FCCH and Centers Located in A Residence Verification of Required Information for Operator and Additional Caregivers form was completed during the visit. Ms. Leight provided the completed FCCH and Centers Located in a Residence Operator’s Statements of Responsibility document during the visit. I used the Division of Child Development and Early Education Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. The operator's First Aid training expired 10/9/23. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. The operator's CPR training expired 10/9/21. .1703(a)(3) 907 Written record of up-to-date pet vaccinations as required by NC law and local ordinances, including rabies vaccination for dogs and cats, was not available. Two (2) feline vaccinations expired 9/24/23 and 10/26/23. .1719(b)(1) Technical assistance was provided as follows: 508: Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2). First aid training was not renewed on or before the expiration of the certification 511: Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2). CPR training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (2) Renew First Aid training on or before expiration of the certification appropriate for the ages of children in care; (3) Renew CPR course on or before the expiration of the certification appropriate for the ages of children in care; 907 Written record of up-to-date pet vaccinations as required by NC law and local ordinances, including rabies vaccination for dogs and cats was not available. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (b) When animals are on the premises, the following shall apply: (1) all household pets shall be vaccinated with up-to-date vaccinations as required by North Carolina law and local ordinances. Rabies vaccinations are required for cats and dogs. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/21/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Ensure each child's application is updated when a change occurs and at least annually. Ensure outdoor play equipment is cleaned if affected by weather conditions. FDA Advises Parents and Caregivers Not to Buy or Feed WanaBana Apple Cinnamon Fruit Puree Pouches to Toddlers and Young Children Because of Elevated Lead Levels Product • WanaBana apple cinnamon fruit puree pouches, all lot codes and expiration dates. • WanaBana apple cinnamon fruit puree pouches are sold nationally and are available through multiple retailers including Sam’s Club, Amazon and Dollar Tree. • WanaBana has agreed to voluntarily recall all WanaBana apple cinnamon fruit puree pouches regardless of expiration. Purpose The FDA is advising parents and caregivers not to buy or feed WanaBana apple cinnamon fruit puree pouches to children because the product may contain elevated levels of lead. Parents and caregivers of toddlers and young children who may have consumed WanaBana apple cinnamon fruit puree pouches should contact their child’s healthcare provider about getting a blood test. Environmental Rating Assessment process. Pisgah Cradle is in cohort 2. Your preparation year will be July 2024 to June 2025. Your assessment year will be July 2025 to June 2026. I will reach out to you in July 2024 regarding the Rated License assessment process. Dawn McCrary provided you with the following resources from NCRLAP: Preparation Year: Activities and Ideas for Cohorts 1, 2, and 3 Preparation Year: Environmental Rating Scale (ERS) Assessments What is an Outreach Assessment? If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.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
10A NCAC 09 .2830 · Violation
Name of Operation: PISGAH CRADLE Facility ID: 45000357 Consultant: DAWN MCCRARY Operation Type: Family CC Home Case Number: Visit Date: 11/7/2023 Number Present: 3 Completed Date: 11/7/2023 Age: From 0 To 2 Total Minutes: 195 Time In: 10:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Due to internet connectivity issues, a handwritten visit summary was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by Owner/Operator, Megan Leight, during the visit. A computerized generated report of today’s visit will be completed and will be electronically emailed to you. This facility operates with a three (3) star child care license issued 8/30/19. The facility earned five (5) points for staff education; two (2) points for program standards and one (1) quality point. The restrictions are: Daytime care only; Maximum of 5 preschool children at any time; Children in care on ground level only; No more than three children less than 1 year of age. Serves no more than 2 infants under age one; meets enhanced space. Megan Leight, Owner/Operator, was available to answer questions. Ms. Leight is not required, as a sole proprietorship, to be registered with the North Carolina Secretary of State. The facility has a one hundred (100) percent compliance history as of 11/6/23. Upon arrival, I introduced my presence to Ms. Leight. There are three (3) children enrolled. The children were observed having free choice play on the outdoor playground. The children transitioned indoors for toileting, handwashing and to the activity centers. The playground has adequate space for vigorous play, sand, water, dramatic play, riding, climbing, balancing and running opportunities. Shade is provided by trees. . The equipment provided, is portable. . The indoor learning environment offers materials such as dramatic play items, puzzles, soft toys, books, art materials, building, science, sensory materials and manipulatives. The children were observed playing freely indoors, playing the piano, and being read to by Ms. Leight. All interactions were nurturing and appropriate. Supervision was adequate. Proper hygiene practices were observed. One (1) child’s file was monitored for child care requirements. Ms. Leight’s file was monitored for child care requirements. There are no new child care providers at this facility. The Operator’s CBC qualifying letter was on file and valid. The last annual compliance visit was: 11/14/22. The last fire drill was practiced 10/19/23. The last shelter-in-place and lockdown drill was practiced 9/14/23. The Emergency Medical Care plan was posted and current. The last outdoor safety checklist was completed 10/19/23. No transportation is provided. No medications are on site. The FCCH and Centers Located in A Residence Verification of Required Information for Operator and Additional Caregivers form was completed during the visit. Ms. Leight provided the completed FCCH and Centers Located in a Residence Operator’s Statements of Responsibility document during the visit. I used the Division of Child Development and Early Education Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. The operator's First Aid training expired 10/9/23. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. The operator's CPR training expired 10/9/21. .1703(a)(3) 907 Written record of up-to-date pet vaccinations as required by NC law and local ordinances, including rabies vaccination for dogs and cats, was not available. Two (2) feline vaccinations expired 9/24/23 and 10/26/23. .1719(b)(1) Technical assistance was provided as follows: 508: Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2). First aid training was not renewed on or before the expiration of the certification 511: Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2). CPR training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (2) Renew First Aid training on or before expiration of the certification appropriate for the ages of children in care; (3) Renew CPR course on or before the expiration of the certification appropriate for the ages of children in care; 907 Written record of up-to-date pet vaccinations as required by NC law and local ordinances, including rabies vaccination for dogs and cats was not available. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (b) When animals are on the premises, the following shall apply: (1) all household pets shall be vaccinated with up-to-date vaccinations as required by North Carolina law and local ordinances. Rabies vaccinations are required for cats and dogs. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/21/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Ensure each child's application is updated when a change occurs and at least annually. Ensure outdoor play equipment is cleaned if affected by weather conditions. FDA Advises Parents and Caregivers Not to Buy or Feed WanaBana Apple Cinnamon Fruit Puree Pouches to Toddlers and Young Children Because of Elevated Lead Levels Product • WanaBana apple cinnamon fruit puree pouches, all lot codes and expiration dates. • WanaBana apple cinnamon fruit puree pouches are sold nationally and are available through multiple retailers including Sam’s Club, Amazon and Dollar Tree. • WanaBana has agreed to voluntarily recall all WanaBana apple cinnamon fruit puree pouches regardless of expiration. Purpose The FDA is advising parents and caregivers not to buy or feed WanaBana apple cinnamon fruit puree pouches to children because the product may contain elevated levels of lead. Parents and caregivers of toddlers and young children who may have consumed WanaBana apple cinnamon fruit puree pouches should contact their child’s healthcare provider about getting a blood test. Environmental Rating Assessment process. Pisgah Cradle is in cohort 2. Your preparation year will be July 2024 to June 2025. Your assessment year will be July 2025 to June 2026. I will reach out to you in July 2024 regarding the Rated License assessment process. Dawn McCrary provided you with the following resources from NCRLAP: Preparation Year: Activities and Ideas for Cohorts 1, 2, and 3 Preparation Year: Environmental Rating Scale (ERS) Assessments What is an Outreach Assessment? If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.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
G.S. 110-90 · Violation
Name of Operation: PISGAH CRADLE Facility ID: 45000357 Consultant: DAWN MCCRARY Operation Type: Family CC Home Case Number: Visit Date: 11/7/2023 Number Present: 3 Completed Date: 11/7/2023 Age: From 0 To 2 Total Minutes: 195 Time In: 10:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Due to internet connectivity issues, a handwritten visit summary was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by Owner/Operator, Megan Leight, during the visit. A computerized generated report of today’s visit will be completed and will be electronically emailed to you. This facility operates with a three (3) star child care license issued 8/30/19. The facility earned five (5) points for staff education; two (2) points for program standards and one (1) quality point. The restrictions are: Daytime care only; Maximum of 5 preschool children at any time; Children in care on ground level only; No more than three children less than 1 year of age. Serves no more than 2 infants under age one; meets enhanced space. Megan Leight, Owner/Operator, was available to answer questions. Ms. Leight is not required, as a sole proprietorship, to be registered with the North Carolina Secretary of State. The facility has a one hundred (100) percent compliance history as of 11/6/23. Upon arrival, I introduced my presence to Ms. Leight. There are three (3) children enrolled. The children were observed having free choice play on the outdoor playground. The children transitioned indoors for toileting, handwashing and to the activity centers. The playground has adequate space for vigorous play, sand, water, dramatic play, riding, climbing, balancing and running opportunities. Shade is provided by trees. . The equipment provided, is portable. . The indoor learning environment offers materials such as dramatic play items, puzzles, soft toys, books, art materials, building, science, sensory materials and manipulatives. The children were observed playing freely indoors, playing the piano, and being read to by Ms. Leight. All interactions were nurturing and appropriate. Supervision was adequate. Proper hygiene practices were observed. One (1) child’s file was monitored for child care requirements. Ms. Leight’s file was monitored for child care requirements. There are no new child care providers at this facility. The Operator’s CBC qualifying letter was on file and valid. The last annual compliance visit was: 11/14/22. The last fire drill was practiced 10/19/23. The last shelter-in-place and lockdown drill was practiced 9/14/23. The Emergency Medical Care plan was posted and current. The last outdoor safety checklist was completed 10/19/23. No transportation is provided. No medications are on site. The FCCH and Centers Located in A Residence Verification of Required Information for Operator and Additional Caregivers form was completed during the visit. Ms. Leight provided the completed FCCH and Centers Located in a Residence Operator’s Statements of Responsibility document during the visit. I used the Division of Child Development and Early Education Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. The operator's First Aid training expired 10/9/23. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. The operator's CPR training expired 10/9/21. .1703(a)(3) 907 Written record of up-to-date pet vaccinations as required by NC law and local ordinances, including rabies vaccination for dogs and cats, was not available. Two (2) feline vaccinations expired 9/24/23 and 10/26/23. .1719(b)(1) Technical assistance was provided as follows: 508: Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2). First aid training was not renewed on or before the expiration of the certification 511: Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2). CPR training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (2) Renew First Aid training on or before expiration of the certification appropriate for the ages of children in care; (3) Renew CPR course on or before the expiration of the certification appropriate for the ages of children in care; 907 Written record of up-to-date pet vaccinations as required by NC law and local ordinances, including rabies vaccination for dogs and cats was not available. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (b) When animals are on the premises, the following shall apply: (1) all household pets shall be vaccinated with up-to-date vaccinations as required by North Carolina law and local ordinances. Rabies vaccinations are required for cats and dogs. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/21/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Ensure each child's application is updated when a change occurs and at least annually. Ensure outdoor play equipment is cleaned if affected by weather conditions. FDA Advises Parents and Caregivers Not to Buy or Feed WanaBana Apple Cinnamon Fruit Puree Pouches to Toddlers and Young Children Because of Elevated Lead Levels Product • WanaBana apple cinnamon fruit puree pouches, all lot codes and expiration dates. • WanaBana apple cinnamon fruit puree pouches are sold nationally and are available through multiple retailers including Sam’s Club, Amazon and Dollar Tree. • WanaBana has agreed to voluntarily recall all WanaBana apple cinnamon fruit puree pouches regardless of expiration. Purpose The FDA is advising parents and caregivers not to buy or feed WanaBana apple cinnamon fruit puree pouches to children because the product may contain elevated levels of lead. Parents and caregivers of toddlers and young children who may have consumed WanaBana apple cinnamon fruit puree pouches should contact their child’s healthcare provider about getting a blood test. Environmental Rating Assessment process. Pisgah Cradle is in cohort 2. Your preparation year will be July 2024 to June 2025. Your assessment year will be July 2025 to June 2026. I will reach out to you in July 2024 regarding the Rated License assessment process. Dawn McCrary provided you with the following resources from NCRLAP: Preparation Year: Activities and Ideas for Cohorts 1, 2, and 3 Preparation Year: Environmental Rating Scale (ERS) Assessments What is an Outreach Assessment? If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.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
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