Shiloh Valley Primary After School

10A NCAC 09 .0604 · Violation

Name of Operation: SHILOH VALLEY PRIMARY AFTER SCHOOL Facility ID: 90000357 Consultant: ABIGAIL AVALOS Operation Type: Center Case Number: Visit Date: 10/4/2024 Number Present: 37 Completed Date: 10/4/2024 Age: From 5 To 8 Total Minutes: 110 Time In: 02:50 PM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival I was greeted by a group leader, I shared the reason for the visit then I met with Ms. Jill Jordan, Program Coordinator. Ms. Jordan accompanied me throughout the walk-through of the facility and the outdoor learning environment. Permit Information: Your program currently operates with a Five Star Center License effective 11/15/23. The license was posted, and the following restrictions were in compliance: - 1st Shift - School Age Only - Meets Enhanced Ratios - Meets Enhanced Space - Prohibit Children from being in the Kitchen for any purpose. I reviewed with you today that your facility follows “Voluntary Enhanced Ratios”. I monitored the following items: supervision, staff/child ratio, new staff files, health, safety, and program records. The following spaces are being used: - Gym - Activity centers in the gym - Cafeteria - Restrooms - Media Center - Playground Inspections: The program's last fire inspection on file with DCDEE was completed on 9/21/23. During the visit I obtained a more current fire inspection dated for 9/19/24. As a reminder your fire inspection needs to be completed annually and prior to the previous year; the form for the fire inspector to use is located on our website under the provider tab and provider documents. Once the inspection is complete, please send me a copy of the report within seven (7) days. The last sanitation inspection on file with DCDEE was conducted on 4/25/24. The program received four (4) demerits and received a superior classification. The last playground inspection was completed on 9/12/24. Indoor Learning Environment: I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children were participating in transitions, outdoor play, gross motor play and free play. In the gym, I observed two (2) uncovered outlets; this was corrected during the visit. Outdoor Learning Environment: The outdoor learning environment was monitored, I observed the playground in need of mulch to meet the adequate depth. It was reported that work orders have been placed by yourself and the principal; however, mulch has not been delivered. Program Records: The last fire drill was conducted on 9/24/24 and the last emergency drill was conducted on 8/27/24. Staff Records: The staff-training worksheet was completed before the visit. There was one (1) new staff file to review all items were in compliance. Medication: Medication was monitored and in compliance. Nutrition: The facility was in compliance with child care meal pattern requirements. This center only serves afternoon snack. Weapons: It was reported that the facility was in compliance with child care requirements regarding firearms. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection completed on 9/19.24 was not sent within seven (7) days. 10A NCAC 09 .0304(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. I observed two (2) outlets uncovered in the gym. 10A NCAC 09 .0604(c) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch did not meet the adequate depth. .0605(k)(1-4) Corrective Action Plan: The violations not corrected during the visit must be corrected immediately. On or before 10/18/24, 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 considered 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 may be completed. Please ensure that all these components are in your compliance letter: • Name of your facility • Your facility ID number • Date the visit made • Date that you are submitting the compliance letter • Provide each cited violation number • Describe when and how each violation was corrected • Describe how you will prevent the reoccurrence of each violation (you need to specify how you will prevent the violation from re-occurring) • Sign with your signature Please email the information to: abigail.avalos@dhhs.nc.gov Compliance History: The program’s compliance history was ninety-nine percent (99%) prior to today’s visit. Action Required: 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816 require all child care facilities (homes and centers) to test for lead in drinking water, identify lead based paint hazards, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina Additional information can be found in the Raise North Carolina Newsletter sent via email on 12/7/23 from DCDEE. As of today, your facility has completed the lead in water section and the section on lead-based paint. Enrollment has started for asbestos. Rated License: Hold harmless has been extended until the new QRIS (Quality Rating and Improvement System) is implemented, this is also known as SB 425 (Senate Bill 425). Providers in Cohort #1 are not required to go any further with a rated license assessment unless requested, and providers in Cohort #2 do not need to start their preparation year unless a rated license assessment is requested. Resources and Reminders: Please ensure that you and all staff are completing their on-going training hours as required and to complete all annual training/forms as listed in the child care requirements some of those include: - Staff Development Plan - Annual Evaluations for Staff - Medical Forms (Health Questionnaire/Emergency Info) - Policy Reviews (EPR, EMC, and any other policies that are amended) Please ensure to update your Emergency Preparedness Plan (EPR) to reflect all current information regarding your enrollment, contact numbers and any updates to your emergency plans. This will be reviewed at your annual compliance visit. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings with you, Ms. Jordan. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-249-6440 or via email at abigail.avalos@dhhs.nc.gov. Thank you for your assistance during today’s visit. Abigail Avalos, M.Ed. Child Care Consultant Division of Child Development and Early Education 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 .0304 · Violation

Name of Operation: SHILOH VALLEY PRIMARY AFTER SCHOOL Facility ID: 90000357 Consultant: ABIGAIL AVALOS Operation Type: Center Case Number: Visit Date: 10/4/2024 Number Present: 37 Completed Date: 10/4/2024 Age: From 5 To 8 Total Minutes: 110 Time In: 02:50 PM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival I was greeted by a group leader, I shared the reason for the visit then I met with Ms. Jill Jordan, Program Coordinator. Ms. Jordan accompanied me throughout the walk-through of the facility and the outdoor learning environment. Permit Information: Your program currently operates with a Five Star Center License effective 11/15/23. The license was posted, and the following restrictions were in compliance: - 1st Shift - School Age Only - Meets Enhanced Ratios - Meets Enhanced Space - Prohibit Children from being in the Kitchen for any purpose. I reviewed with you today that your facility follows “Voluntary Enhanced Ratios”. I monitored the following items: supervision, staff/child ratio, new staff files, health, safety, and program records. The following spaces are being used: - Gym - Activity centers in the gym - Cafeteria - Restrooms - Media Center - Playground Inspections: The program's last fire inspection on file with DCDEE was completed on 9/21/23. During the visit I obtained a more current fire inspection dated for 9/19/24. As a reminder your fire inspection needs to be completed annually and prior to the previous year; the form for the fire inspector to use is located on our website under the provider tab and provider documents. Once the inspection is complete, please send me a copy of the report within seven (7) days. The last sanitation inspection on file with DCDEE was conducted on 4/25/24. The program received four (4) demerits and received a superior classification. The last playground inspection was completed on 9/12/24. Indoor Learning Environment: I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children were participating in transitions, outdoor play, gross motor play and free play. In the gym, I observed two (2) uncovered outlets; this was corrected during the visit. Outdoor Learning Environment: The outdoor learning environment was monitored, I observed the playground in need of mulch to meet the adequate depth. It was reported that work orders have been placed by yourself and the principal; however, mulch has not been delivered. Program Records: The last fire drill was conducted on 9/24/24 and the last emergency drill was conducted on 8/27/24. Staff Records: The staff-training worksheet was completed before the visit. There was one (1) new staff file to review all items were in compliance. Medication: Medication was monitored and in compliance. Nutrition: The facility was in compliance with child care meal pattern requirements. This center only serves afternoon snack. Weapons: It was reported that the facility was in compliance with child care requirements regarding firearms. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection completed on 9/19.24 was not sent within seven (7) days. 10A NCAC 09 .0304(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. I observed two (2) outlets uncovered in the gym. 10A NCAC 09 .0604(c) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch did not meet the adequate depth. .0605(k)(1-4) Corrective Action Plan: The violations not corrected during the visit must be corrected immediately. On or before 10/18/24, 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 considered 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 may be completed. Please ensure that all these components are in your compliance letter: • Name of your facility • Your facility ID number • Date the visit made • Date that you are submitting the compliance letter • Provide each cited violation number • Describe when and how each violation was corrected • Describe how you will prevent the reoccurrence of each violation (you need to specify how you will prevent the violation from re-occurring) • Sign with your signature Please email the information to: abigail.avalos@dhhs.nc.gov Compliance History: The program’s compliance history was ninety-nine percent (99%) prior to today’s visit. Action Required: 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816 require all child care facilities (homes and centers) to test for lead in drinking water, identify lead based paint hazards, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina Additional information can be found in the Raise North Carolina Newsletter sent via email on 12/7/23 from DCDEE. As of today, your facility has completed the lead in water section and the section on lead-based paint. Enrollment has started for asbestos. Rated License: Hold harmless has been extended until the new QRIS (Quality Rating and Improvement System) is implemented, this is also known as SB 425 (Senate Bill 425). Providers in Cohort #1 are not required to go any further with a rated license assessment unless requested, and providers in Cohort #2 do not need to start their preparation year unless a rated license assessment is requested. Resources and Reminders: Please ensure that you and all staff are completing their on-going training hours as required and to complete all annual training/forms as listed in the child care requirements some of those include: - Staff Development Plan - Annual Evaluations for Staff - Medical Forms (Health Questionnaire/Emergency Info) - Policy Reviews (EPR, EMC, and any other policies that are amended) Please ensure to update your Emergency Preparedness Plan (EPR) to reflect all current information regarding your enrollment, contact numbers and any updates to your emergency plans. This will be reviewed at your annual compliance visit. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings with you, Ms. Jordan. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-249-6440 or via email at abigail.avalos@dhhs.nc.gov. Thank you for your assistance during today’s visit. Abigail Avalos, M.Ed. Child Care Consultant Division of Child Development and Early Education 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