Winchester Head Start Program

10A NCAC 09 .0604 · Violation

Name of Operation: WINCHESTER HEAD START PROGRAM Facility ID: 9054245 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 11/8/2024 Number Present: 117 Completed Date: 11/8/2024 Age: From 1 To 5 Total Minutes: 252 Time In: 09:07 AM Time Out: 01:19 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced annual compliance visit. Upon arrival I was greeted by the Home Visit Assistant and I shared the reason for the visit she contacted Ms. Walsh. Ms. Walsh accompanied me throughout the walk-through of the facility and the outdoor learning environments. Your program currently operates with a Five (5) Star Center License. The license was posted, with restrictions to first (1st) shift care, meets enhanced space and meets enhanced ratios. Ownership: The facility owner is Union County Community Action with SoSID #:1053140 and is current and active. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. I used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, and program records. All Early Head Start, Head Start classrooms, the outdoor learning environments, and kitchen were observed. Program Records: We reviewed all the required records and were in compliance. Inspections: All inspections were monitored, and inspection dates are listed below. •Fire drill was conducted on 10/9/2024. •Emergency drill was conducted on 9/26/2024. •Fire inspection was completed on 12/19/2023. •Playground inspection was completed on 10/31/2024 •Sanitation inspection was conducted on 5/29/24 and received a Superior classification. •EPR manual was updated and reviewed at least annually or when changes occur. •Incident logs and sheets were completed and up to date. Indoor Learning Environment: I observed children in the indoor learning environment and the following items were posted in the classrooms that were monitored: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/departure procedures, summary of law and menus. Children were in the early head start classrooms the children were participating in transitions from breakfast to outside learning. The children in the classrooms that serves ages two (2) and three (3) year folds were transitioning from outdoor learning to teacher led circle time, then on to free choice activities. The children in the rooms serving the three (3) and four (4) year old aged children were participating in child directed free choice center activities. They were participating in activities that incorporated the weekly themes and lesson plan such as art activities and dramatic play. The children in the rooms that serve children ages four (4) and five (5) were participating in teacher led circle time, after transitioning from outdoor learning. All classrooms presented examples of age appropriate activities, teacher interactions and plethora of supplies for each child to use. Outdoor Learning Environment: The outdoor learning environments were monitored and in compliance. There was enough soft surface materials under critical height structures, but it is becoming impacted and needs to be raked. The City of Monroe maintains yard maintenance and since the last interaction with the facilities team, the playground was in much better condition and was getting more frequent visits to observe what is needed on the playground. Staff Records: The staff-training worksheet was completed prior to the visit. There were four (4) new staff files to review today, and four (4) existing staff file. Please refer to the staff/training worksheet to review which files were monitored. Children’s Records: There are one hundred and forty-one (141) children enrolled in this center. There were one hundred and seventeen (117) in attendance today. Fourteen (14) children’s files were reviewed today, please refer to the children’s worksheet to review which files was monitored. Medication: All emergency and other medications were reviewed today and were in compliance. Nutrition: The facility was in compliance during today’s visit with Child Care Meal Patterns Requirements. Allergy lists were present in each room and the kitchen as well as the menu. Lunch consisted of BBQ pulled chicken with a whole grain roll, green beans, pineapple with milk and milk alternatives. Weapons: Your facility reported that they were in compliance during today’s visit with Child Care Requirements regarding firearms. Transportation: The facility reported the do provide transportation. The registration was up to date with an expiration July, 2025 and the insurance was also up to date was current with an expiration date of June 30th, 2025. The facility currently transports seven (7) children and uses a thirteen (13) passenger mini bus. It was unclear if the driver needs a CDL to transport children. While more than enough seatbelts, and apparatus for the smaller children’s comfort were in compliance, if more children are transported an inventory and check of the seat belts would be best practice. One (1) violation was observed, and it was corrected during the visit. The violations are as follows: Violation Number Comment Rule 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. In spaces EHSd, 3/4L, and PS 4 there were electrical outlets were not covered with safety plugs. 10A NCAC 09 .0604(c) 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty four (84%) prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License: •Hold Harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort #1 (number one) are not required to go any further with a rated license assessment unless they want to, and providers in Cohort #2 (number two) do not need to start their preparation year unless they want to. Upon request, a childcare facility may be awarded a star-rated license based on accreditation from a national childhood education accreditation organization provided the facility maintains its accreditation and remains in good standing. •Use this time for staff to update their information in the WORKS database. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. Have all staff update their education including certifications. Technical Assistance •Resource Center (SSRC) is funded by and in partnership with the Alliance for Children and is hosted by South Piedmont Community College. The SSRC offers a variety of materials to support children ages 0-5 in their learning and development. The SSRC is a lending library of more than 5,000 resources with a delivery service. If you are interested you can reach the SSRC via email at smartstartresourcecenter@gmail.com or by phone at 704-290-5894. •Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Family child care homes are required to test water for lead once. •G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. o The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. o Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. •Current and passing fire inspections are required to be sent to the Childcare Consultant with in seven (7) days. •Please also submit sanitation documentation to the Childcare Consultant. •There is a standing stage like structure in the outdoor learning environment that has some boards that are warping, these should be looked at and fixed if necessary. 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 and violations with you, I encouraged to ask any questions and you did not have any. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter 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

G.S. 110-90 · Violation

Name of Operation: WINCHESTER HEAD START PROGRAM Facility ID: 9054245 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 11/8/2024 Number Present: 117 Completed Date: 11/8/2024 Age: From 1 To 5 Total Minutes: 252 Time In: 09:07 AM Time Out: 01:19 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced annual compliance visit. Upon arrival I was greeted by the Home Visit Assistant and I shared the reason for the visit she contacted Ms. Walsh. Ms. Walsh accompanied me throughout the walk-through of the facility and the outdoor learning environments. Your program currently operates with a Five (5) Star Center License. The license was posted, with restrictions to first (1st) shift care, meets enhanced space and meets enhanced ratios. Ownership: The facility owner is Union County Community Action with SoSID #:1053140 and is current and active. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. I used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, and program records. All Early Head Start, Head Start classrooms, the outdoor learning environments, and kitchen were observed. Program Records: We reviewed all the required records and were in compliance. Inspections: All inspections were monitored, and inspection dates are listed below. •Fire drill was conducted on 10/9/2024. •Emergency drill was conducted on 9/26/2024. •Fire inspection was completed on 12/19/2023. •Playground inspection was completed on 10/31/2024 •Sanitation inspection was conducted on 5/29/24 and received a Superior classification. •EPR manual was updated and reviewed at least annually or when changes occur. •Incident logs and sheets were completed and up to date. Indoor Learning Environment: I observed children in the indoor learning environment and the following items were posted in the classrooms that were monitored: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/departure procedures, summary of law and menus. Children were in the early head start classrooms the children were participating in transitions from breakfast to outside learning. The children in the classrooms that serves ages two (2) and three (3) year folds were transitioning from outdoor learning to teacher led circle time, then on to free choice activities. The children in the rooms serving the three (3) and four (4) year old aged children were participating in child directed free choice center activities. They were participating in activities that incorporated the weekly themes and lesson plan such as art activities and dramatic play. The children in the rooms that serve children ages four (4) and five (5) were participating in teacher led circle time, after transitioning from outdoor learning. All classrooms presented examples of age appropriate activities, teacher interactions and plethora of supplies for each child to use. Outdoor Learning Environment: The outdoor learning environments were monitored and in compliance. There was enough soft surface materials under critical height structures, but it is becoming impacted and needs to be raked. The City of Monroe maintains yard maintenance and since the last interaction with the facilities team, the playground was in much better condition and was getting more frequent visits to observe what is needed on the playground. Staff Records: The staff-training worksheet was completed prior to the visit. There were four (4) new staff files to review today, and four (4) existing staff file. Please refer to the staff/training worksheet to review which files were monitored. Children’s Records: There are one hundred and forty-one (141) children enrolled in this center. There were one hundred and seventeen (117) in attendance today. Fourteen (14) children’s files were reviewed today, please refer to the children’s worksheet to review which files was monitored. Medication: All emergency and other medications were reviewed today and were in compliance. Nutrition: The facility was in compliance during today’s visit with Child Care Meal Patterns Requirements. Allergy lists were present in each room and the kitchen as well as the menu. Lunch consisted of BBQ pulled chicken with a whole grain roll, green beans, pineapple with milk and milk alternatives. Weapons: Your facility reported that they were in compliance during today’s visit with Child Care Requirements regarding firearms. Transportation: The facility reported the do provide transportation. The registration was up to date with an expiration July, 2025 and the insurance was also up to date was current with an expiration date of June 30th, 2025. The facility currently transports seven (7) children and uses a thirteen (13) passenger mini bus. It was unclear if the driver needs a CDL to transport children. While more than enough seatbelts, and apparatus for the smaller children’s comfort were in compliance, if more children are transported an inventory and check of the seat belts would be best practice. One (1) violation was observed, and it was corrected during the visit. The violations are as follows: Violation Number Comment Rule 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. In spaces EHSd, 3/4L, and PS 4 there were electrical outlets were not covered with safety plugs. 10A NCAC 09 .0604(c) 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty four (84%) prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License: •Hold Harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort #1 (number one) are not required to go any further with a rated license assessment unless they want to, and providers in Cohort #2 (number two) do not need to start their preparation year unless they want to. Upon request, a childcare facility may be awarded a star-rated license based on accreditation from a national childhood education accreditation organization provided the facility maintains its accreditation and remains in good standing. •Use this time for staff to update their information in the WORKS database. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. Have all staff update their education including certifications. Technical Assistance •Resource Center (SSRC) is funded by and in partnership with the Alliance for Children and is hosted by South Piedmont Community College. The SSRC offers a variety of materials to support children ages 0-5 in their learning and development. The SSRC is a lending library of more than 5,000 resources with a delivery service. If you are interested you can reach the SSRC via email at smartstartresourcecenter@gmail.com or by phone at 704-290-5894. •Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Family child care homes are required to test water for lead once. •G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. o The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. o Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. •Current and passing fire inspections are required to be sent to the Childcare Consultant with in seven (7) days. •Please also submit sanitation documentation to the Childcare Consultant. •There is a standing stage like structure in the outdoor learning environment that has some boards that are warping, these should be looked at and fixed if necessary. 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 and violations with you, I encouraged to ask any questions and you did not have any. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter 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

NC GS 110-90 · Violation

Name of Operation: WINCHESTER HEAD START PROGRAM Facility ID: 9054245 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 11/8/2024 Number Present: 117 Completed Date: 11/8/2024 Age: From 1 To 5 Total Minutes: 252 Time In: 09:07 AM Time Out: 01:19 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced annual compliance visit. Upon arrival I was greeted by the Home Visit Assistant and I shared the reason for the visit she contacted Ms. Walsh. Ms. Walsh accompanied me throughout the walk-through of the facility and the outdoor learning environments. Your program currently operates with a Five (5) Star Center License. The license was posted, with restrictions to first (1st) shift care, meets enhanced space and meets enhanced ratios. Ownership: The facility owner is Union County Community Action with SoSID #:1053140 and is current and active. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. I used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, and program records. All Early Head Start, Head Start classrooms, the outdoor learning environments, and kitchen were observed. Program Records: We reviewed all the required records and were in compliance. Inspections: All inspections were monitored, and inspection dates are listed below. •Fire drill was conducted on 10/9/2024. •Emergency drill was conducted on 9/26/2024. •Fire inspection was completed on 12/19/2023. •Playground inspection was completed on 10/31/2024 •Sanitation inspection was conducted on 5/29/24 and received a Superior classification. •EPR manual was updated and reviewed at least annually or when changes occur. •Incident logs and sheets were completed and up to date. Indoor Learning Environment: I observed children in the indoor learning environment and the following items were posted in the classrooms that were monitored: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/departure procedures, summary of law and menus. Children were in the early head start classrooms the children were participating in transitions from breakfast to outside learning. The children in the classrooms that serves ages two (2) and three (3) year folds were transitioning from outdoor learning to teacher led circle time, then on to free choice activities. The children in the rooms serving the three (3) and four (4) year old aged children were participating in child directed free choice center activities. They were participating in activities that incorporated the weekly themes and lesson plan such as art activities and dramatic play. The children in the rooms that serve children ages four (4) and five (5) were participating in teacher led circle time, after transitioning from outdoor learning. All classrooms presented examples of age appropriate activities, teacher interactions and plethora of supplies for each child to use. Outdoor Learning Environment: The outdoor learning environments were monitored and in compliance. There was enough soft surface materials under critical height structures, but it is becoming impacted and needs to be raked. The City of Monroe maintains yard maintenance and since the last interaction with the facilities team, the playground was in much better condition and was getting more frequent visits to observe what is needed on the playground. Staff Records: The staff-training worksheet was completed prior to the visit. There were four (4) new staff files to review today, and four (4) existing staff file. Please refer to the staff/training worksheet to review which files were monitored. Children’s Records: There are one hundred and forty-one (141) children enrolled in this center. There were one hundred and seventeen (117) in attendance today. Fourteen (14) children’s files were reviewed today, please refer to the children’s worksheet to review which files was monitored. Medication: All emergency and other medications were reviewed today and were in compliance. Nutrition: The facility was in compliance during today’s visit with Child Care Meal Patterns Requirements. Allergy lists were present in each room and the kitchen as well as the menu. Lunch consisted of BBQ pulled chicken with a whole grain roll, green beans, pineapple with milk and milk alternatives. Weapons: Your facility reported that they were in compliance during today’s visit with Child Care Requirements regarding firearms. Transportation: The facility reported the do provide transportation. The registration was up to date with an expiration July, 2025 and the insurance was also up to date was current with an expiration date of June 30th, 2025. The facility currently transports seven (7) children and uses a thirteen (13) passenger mini bus. It was unclear if the driver needs a CDL to transport children. While more than enough seatbelts, and apparatus for the smaller children’s comfort were in compliance, if more children are transported an inventory and check of the seat belts would be best practice. One (1) violation was observed, and it was corrected during the visit. The violations are as follows: Violation Number Comment Rule 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. In spaces EHSd, 3/4L, and PS 4 there were electrical outlets were not covered with safety plugs. 10A NCAC 09 .0604(c) 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty four (84%) prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License: •Hold Harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort #1 (number one) are not required to go any further with a rated license assessment unless they want to, and providers in Cohort #2 (number two) do not need to start their preparation year unless they want to. Upon request, a childcare facility may be awarded a star-rated license based on accreditation from a national childhood education accreditation organization provided the facility maintains its accreditation and remains in good standing. •Use this time for staff to update their information in the WORKS database. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. Have all staff update their education including certifications. Technical Assistance •Resource Center (SSRC) is funded by and in partnership with the Alliance for Children and is hosted by South Piedmont Community College. The SSRC offers a variety of materials to support children ages 0-5 in their learning and development. The SSRC is a lending library of more than 5,000 resources with a delivery service. If you are interested you can reach the SSRC via email at smartstartresourcecenter@gmail.com or by phone at 704-290-5894. •Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Family child care homes are required to test water for lead once. •G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. o The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. o Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. •Current and passing fire inspections are required to be sent to the Childcare Consultant with in seven (7) days. •Please also submit sanitation documentation to the Childcare Consultant. •There is a standing stage like structure in the outdoor learning environment that has some boards that are warping, these should be looked at and fixed if necessary. 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 and violations with you, I encouraged to ask any questions and you did not have any. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter 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 .0604 · Violation

Name of Operation: WINCHESTER HEAD START PROGRAM Facility ID: 9054245 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 4/17/2024 Number Present: 106 Completed Date: 4/17/2024 Age: From 2 To 5 Total Minutes: 254 Time In: 09:00 AM Time Out: 01:14 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 an unannounced routine visit. Upon arrival I was greeted by Ms. R. Marsh and I shared the reason for the visit. Ms. Marsh assisted me with today’s visit. Your program currently operates with a Five (5) Star license. The license was posted, with restrictions to: first shift (1st), meets enhanced ratios and meets enhanced space. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty one (81%) percent as of today’s visit. Ownership: The facility owner is Union County Community Action Inc which is current and active. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The following items were monitored: Licensing Posted, Permit Restrictions, Staff/Child Ratio, Supervision, Specialized Trainings, Storage of Hazardous Substances and Storage of Medication, Program Records, and General Safety. The following items above were found in compliance and are listed below. •Last fire drill was conducted on 3/7/24. •Last Shelter in Place/Lockdown Drill was conducted 3/24/24. •Last Playground Inspection was conducted March of 2024. •Last Sanitation visit occurred on 11/28/23 with a Superior rating. •The Incident log was current and updated. •Please remember that the Emergency Preparedness Response plan should be reviewed at least annually or when changes occur. •Last Fire Inspection was completed on 12/19/23. The children were observed in the classrooms that serve Early Head Start aged children participating in teacher directed circle learning time, and self-help routines. The children in the classrooms serving three (3) and four (4) age year old children were participating in independent learning environments including art activities, dramatic play, small puzzles, and teacher guided interactive activities. The children in the rooms that serve ages four (4) and five (5) year old's were observed participating in outdoor learning activities such as climbing, running, and interactive play with each other and the teachers. Outdoor Learning Environment: This area is maintained by the City of Monroe and appears to not be maintained properly. While observing the environment it became apparent that the grass needed to be mowed and weeds managed to maintain compliance. I asked Ms. Marsh to reach out to the City for assistance, she stated they have repeatedly and no one has responded. Ms. Marsh and I discussed options, and we will both be following up with the City of Monroe. Nutrition: The menu consisted of chicken salad, whole grain crackers, mixed vegetables, oranges and milk. There were substitution options for children as needed. The menu and allergies were current and posted. Program Records: We reviewed all the required records, and all were in compliance. When a child is absent from the program the Case Manager reaches out to the family to ensure the health and safety of the family and child and to plan a return time based on the concern. Staff Records: The staff-training worksheets were completed during the visit and there were four (4) new staff files to monitor. The Staff files were very well organized and in compliance. Medication: All emergency medication was monitored and group number one (#1), group number seven (#7) and in group number three (#3) two children in each space did not have the required medication permission slips and dates allowing the facility to administer the medication. Weapons: Today you reported that your facility was in compliance with childcare requirements regarding firearms. Transportation: Transportation was not monitored during today’s visit. Two (2) violations were observed today. One (1) violation was corrected during the visit. The violations are as follows: Violation Number Comment Rule 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. In group number thirteen (#13) there was an electrical outlet floor level that was not covered with a safety plug. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In space number one (#1), space number seven (#7) and space number twelve (#12)four (4) children did not have updated date for administering emergency medication and permission forms for emergency medication out of date. In space number twelve (#12) the correct documents were not on file or able to be reviewed as the documentation was incorrect. 10A NCAC 09 .0803(4)(6-9) On or before 4/30/24, 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. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 OR Traci.Meyer@dhhs.nc.gov 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License •Your facility is in cohort number one (#1) with the star rated license preparation year from July 1st, 2023, to June 30th 2024 and the assessment year from July 1st ,2024 to June 30th, 2025. Please reach out when you are ready to order the rated license assessment. In the meantime, take the time to update all staff members’ education in NC WORKS and visit NCRLAP for information to assist with the process. •When you are ready to order your ERS assessment please reach out so it can be scheduled. •Take a look at materials in each room, making sure an adequate amount of supplies and learning tools are available. Three (3) children should have enough supplies and learning toys to participate in three (3) separate activities at one time in the same Learning Center. •Consider adding more “soft” surfaces to the cozy/quiet areas. Technical Assistance •There is a new Summary of the Law on the DCDEE website that should be posted on the information board. •Please remember to update children’s information forms at least annually or when information changes. •Reach out to your local CCRI and Partnership for Children for assistance with the Rated License process. •Ms. Marsh and I discussed ways for the Outdoor Learning Environment to be better maintained and will be reaching out to the City of Monroe for assistance. •We discussed making sure the mulch doesn’t become compacted and ways to incorporate “raking” the mulch into a learning activity. •As a reminder plastic bags may not be in rooms that serve children under three (3). •The Smart Start Resource Center (SSRC) is funded by and in partnership with the Alliance for Children and is hosted by South Piedmont Community College. The SSRC offers a variety of materials to support children ages 0-5 in their learning and development. The SSRC is a lending library of more than 5,000 resources with a delivery service. If you are interested you can reach the SSRC via email at smartstartresourcecenter@gmail.com or by phone at 704-290-5894. •Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Family child care homes are required to test water for lead once. o DCDEE encourages you to utilize the Clean Classrooms for Children’s program. You can take the pre-enrollment webinars which is available at www.cleanwaterforUSkids.org/carolina then enroll – At www.cleanwaterforUSkids.org/carolina completing the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. Keep mindful that once you evaluate potential hazards and receive results if there are recommendations and/or water mitigation support is needed they will provide direction in how to mitigate and ways to fund said mitigation. We jointly reviewed the visit summary and documentation of my findings and violations with you, I encouraged you to ask any questions and you stated that you had none. 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 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: WINCHESTER HEAD START PROGRAM Facility ID: 9054245 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 4/17/2024 Number Present: 106 Completed Date: 4/17/2024 Age: From 2 To 5 Total Minutes: 254 Time In: 09:00 AM Time Out: 01:14 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 an unannounced routine visit. Upon arrival I was greeted by Ms. R. Marsh and I shared the reason for the visit. Ms. Marsh assisted me with today’s visit. Your program currently operates with a Five (5) Star license. The license was posted, with restrictions to: first shift (1st), meets enhanced ratios and meets enhanced space. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty one (81%) percent as of today’s visit. Ownership: The facility owner is Union County Community Action Inc which is current and active. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The following items were monitored: Licensing Posted, Permit Restrictions, Staff/Child Ratio, Supervision, Specialized Trainings, Storage of Hazardous Substances and Storage of Medication, Program Records, and General Safety. The following items above were found in compliance and are listed below. •Last fire drill was conducted on 3/7/24. •Last Shelter in Place/Lockdown Drill was conducted 3/24/24. •Last Playground Inspection was conducted March of 2024. •Last Sanitation visit occurred on 11/28/23 with a Superior rating. •The Incident log was current and updated. •Please remember that the Emergency Preparedness Response plan should be reviewed at least annually or when changes occur. •Last Fire Inspection was completed on 12/19/23. The children were observed in the classrooms that serve Early Head Start aged children participating in teacher directed circle learning time, and self-help routines. The children in the classrooms serving three (3) and four (4) age year old children were participating in independent learning environments including art activities, dramatic play, small puzzles, and teacher guided interactive activities. The children in the rooms that serve ages four (4) and five (5) year old's were observed participating in outdoor learning activities such as climbing, running, and interactive play with each other and the teachers. Outdoor Learning Environment: This area is maintained by the City of Monroe and appears to not be maintained properly. While observing the environment it became apparent that the grass needed to be mowed and weeds managed to maintain compliance. I asked Ms. Marsh to reach out to the City for assistance, she stated they have repeatedly and no one has responded. Ms. Marsh and I discussed options, and we will both be following up with the City of Monroe. Nutrition: The menu consisted of chicken salad, whole grain crackers, mixed vegetables, oranges and milk. There were substitution options for children as needed. The menu and allergies were current and posted. Program Records: We reviewed all the required records, and all were in compliance. When a child is absent from the program the Case Manager reaches out to the family to ensure the health and safety of the family and child and to plan a return time based on the concern. Staff Records: The staff-training worksheets were completed during the visit and there were four (4) new staff files to monitor. The Staff files were very well organized and in compliance. Medication: All emergency medication was monitored and group number one (#1), group number seven (#7) and in group number three (#3) two children in each space did not have the required medication permission slips and dates allowing the facility to administer the medication. Weapons: Today you reported that your facility was in compliance with childcare requirements regarding firearms. Transportation: Transportation was not monitored during today’s visit. Two (2) violations were observed today. One (1) violation was corrected during the visit. The violations are as follows: Violation Number Comment Rule 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. In group number thirteen (#13) there was an electrical outlet floor level that was not covered with a safety plug. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In space number one (#1), space number seven (#7) and space number twelve (#12)four (4) children did not have updated date for administering emergency medication and permission forms for emergency medication out of date. In space number twelve (#12) the correct documents were not on file or able to be reviewed as the documentation was incorrect. 10A NCAC 09 .0803(4)(6-9) On or before 4/30/24, 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. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 OR Traci.Meyer@dhhs.nc.gov 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License •Your facility is in cohort number one (#1) with the star rated license preparation year from July 1st, 2023, to June 30th 2024 and the assessment year from July 1st ,2024 to June 30th, 2025. Please reach out when you are ready to order the rated license assessment. In the meantime, take the time to update all staff members’ education in NC WORKS and visit NCRLAP for information to assist with the process. •When you are ready to order your ERS assessment please reach out so it can be scheduled. •Take a look at materials in each room, making sure an adequate amount of supplies and learning tools are available. Three (3) children should have enough supplies and learning toys to participate in three (3) separate activities at one time in the same Learning Center. •Consider adding more “soft” surfaces to the cozy/quiet areas. Technical Assistance •There is a new Summary of the Law on the DCDEE website that should be posted on the information board. •Please remember to update children’s information forms at least annually or when information changes. •Reach out to your local CCRI and Partnership for Children for assistance with the Rated License process. •Ms. Marsh and I discussed ways for the Outdoor Learning Environment to be better maintained and will be reaching out to the City of Monroe for assistance. •We discussed making sure the mulch doesn’t become compacted and ways to incorporate “raking” the mulch into a learning activity. •As a reminder plastic bags may not be in rooms that serve children under three (3). •The Smart Start Resource Center (SSRC) is funded by and in partnership with the Alliance for Children and is hosted by South Piedmont Community College. The SSRC offers a variety of materials to support children ages 0-5 in their learning and development. The SSRC is a lending library of more than 5,000 resources with a delivery service. If you are interested you can reach the SSRC via email at smartstartresourcecenter@gmail.com or by phone at 704-290-5894. •Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Family child care homes are required to test water for lead once. o DCDEE encourages you to utilize the Clean Classrooms for Children’s program. You can take the pre-enrollment webinars which is available at www.cleanwaterforUSkids.org/carolina then enroll – At www.cleanwaterforUSkids.org/carolina completing the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. Keep mindful that once you evaluate potential hazards and receive results if there are recommendations and/or water mitigation support is needed they will provide direction in how to mitigate and ways to fund said mitigation. We jointly reviewed the visit summary and documentation of my findings and violations with you, I encouraged you to ask any questions and you stated that you had none. 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 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: WINCHESTER HEAD START PROGRAM Facility ID: 9054245 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 4/17/2024 Number Present: 106 Completed Date: 4/17/2024 Age: From 2 To 5 Total Minutes: 254 Time In: 09:00 AM Time Out: 01:14 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 an unannounced routine visit. Upon arrival I was greeted by Ms. R. Marsh and I shared the reason for the visit. Ms. Marsh assisted me with today’s visit. Your program currently operates with a Five (5) Star license. The license was posted, with restrictions to: first shift (1st), meets enhanced ratios and meets enhanced space. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty one (81%) percent as of today’s visit. Ownership: The facility owner is Union County Community Action Inc which is current and active. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The following items were monitored: Licensing Posted, Permit Restrictions, Staff/Child Ratio, Supervision, Specialized Trainings, Storage of Hazardous Substances and Storage of Medication, Program Records, and General Safety. The following items above were found in compliance and are listed below. •Last fire drill was conducted on 3/7/24. •Last Shelter in Place/Lockdown Drill was conducted 3/24/24. •Last Playground Inspection was conducted March of 2024. •Last Sanitation visit occurred on 11/28/23 with a Superior rating. •The Incident log was current and updated. •Please remember that the Emergency Preparedness Response plan should be reviewed at least annually or when changes occur. •Last Fire Inspection was completed on 12/19/23. The children were observed in the classrooms that serve Early Head Start aged children participating in teacher directed circle learning time, and self-help routines. The children in the classrooms serving three (3) and four (4) age year old children were participating in independent learning environments including art activities, dramatic play, small puzzles, and teacher guided interactive activities. The children in the rooms that serve ages four (4) and five (5) year old's were observed participating in outdoor learning activities such as climbing, running, and interactive play with each other and the teachers. Outdoor Learning Environment: This area is maintained by the City of Monroe and appears to not be maintained properly. While observing the environment it became apparent that the grass needed to be mowed and weeds managed to maintain compliance. I asked Ms. Marsh to reach out to the City for assistance, she stated they have repeatedly and no one has responded. Ms. Marsh and I discussed options, and we will both be following up with the City of Monroe. Nutrition: The menu consisted of chicken salad, whole grain crackers, mixed vegetables, oranges and milk. There were substitution options for children as needed. The menu and allergies were current and posted. Program Records: We reviewed all the required records, and all were in compliance. When a child is absent from the program the Case Manager reaches out to the family to ensure the health and safety of the family and child and to plan a return time based on the concern. Staff Records: The staff-training worksheets were completed during the visit and there were four (4) new staff files to monitor. The Staff files were very well organized and in compliance. Medication: All emergency medication was monitored and group number one (#1), group number seven (#7) and in group number three (#3) two children in each space did not have the required medication permission slips and dates allowing the facility to administer the medication. Weapons: Today you reported that your facility was in compliance with childcare requirements regarding firearms. Transportation: Transportation was not monitored during today’s visit. Two (2) violations were observed today. One (1) violation was corrected during the visit. The violations are as follows: Violation Number Comment Rule 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. In group number thirteen (#13) there was an electrical outlet floor level that was not covered with a safety plug. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In space number one (#1), space number seven (#7) and space number twelve (#12)four (4) children did not have updated date for administering emergency medication and permission forms for emergency medication out of date. In space number twelve (#12) the correct documents were not on file or able to be reviewed as the documentation was incorrect. 10A NCAC 09 .0803(4)(6-9) On or before 4/30/24, 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. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 OR Traci.Meyer@dhhs.nc.gov 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License •Your facility is in cohort number one (#1) with the star rated license preparation year from July 1st, 2023, to June 30th 2024 and the assessment year from July 1st ,2024 to June 30th, 2025. Please reach out when you are ready to order the rated license assessment. In the meantime, take the time to update all staff members’ education in NC WORKS and visit NCRLAP for information to assist with the process. •When you are ready to order your ERS assessment please reach out so it can be scheduled. •Take a look at materials in each room, making sure an adequate amount of supplies and learning tools are available. Three (3) children should have enough supplies and learning toys to participate in three (3) separate activities at one time in the same Learning Center. •Consider adding more “soft” surfaces to the cozy/quiet areas. Technical Assistance •There is a new Summary of the Law on the DCDEE website that should be posted on the information board. •Please remember to update children’s information forms at least annually or when information changes. •Reach out to your local CCRI and Partnership for Children for assistance with the Rated License process. •Ms. Marsh and I discussed ways for the Outdoor Learning Environment to be better maintained and will be reaching out to the City of Monroe for assistance. •We discussed making sure the mulch doesn’t become compacted and ways to incorporate “raking” the mulch into a learning activity. •As a reminder plastic bags may not be in rooms that serve children under three (3). •The Smart Start Resource Center (SSRC) is funded by and in partnership with the Alliance for Children and is hosted by South Piedmont Community College. The SSRC offers a variety of materials to support children ages 0-5 in their learning and development. The SSRC is a lending library of more than 5,000 resources with a delivery service. If you are interested you can reach the SSRC via email at smartstartresourcecenter@gmail.com or by phone at 704-290-5894. •Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Family child care homes are required to test water for lead once. o DCDEE encourages you to utilize the Clean Classrooms for Children’s program. You can take the pre-enrollment webinars which is available at www.cleanwaterforUSkids.org/carolina then enroll – At www.cleanwaterforUSkids.org/carolina completing the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. Keep mindful that once you evaluate potential hazards and receive results if there are recommendations and/or water mitigation support is needed they will provide direction in how to mitigate and ways to fund said mitigation. We jointly reviewed the visit summary and documentation of my findings and violations with you, I encouraged you to ask any questions and you stated that you had none. 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 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: WINCHESTER HEAD START PROGRAM Facility ID: 9054245 Consultant: KATHY WILLIS Operation Type: Center Case Number: Visit Date: 11/9/2023 Number Present: 104 Completed Date: 11/9/2023 Age: From 1 To 5 Total Minutes: 265 Time In: 08:20 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my Annual Compliance unannounced visit was to monitor for compliance with applicable childcare requirements. Upon arrival I introduced myself and Tracie Meyer Carpenter, Child Care Consultant, who assisted me on today's visit to the receptionist and we signed in. The Administrator was not on site but the Assistant Administrator came and joined the visit. Ms. Myer Carpenter conducted the observation of the facility while I reviewed the children and staff files. The center currently operates with a Five-Star License, issued on 05/12/17. The restrictions include daytime care only and enhanced space and ratios, capacity of 308 and an age range of 0-12 years old. We used the Child Care Center Item Number Listing (DCD 0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. Ownership: Union County Community Action, Inc. status on the NC Secretary of State website was listed as current/active as of 01/17/66. If any changes to the corporation need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Inspections: All inspections were completed within the required time frames and are documented on the Annual Complaince worksheet attached to today’s visit. The Assistant Administrator companied Ms. Meyer Carpenter on today on the walk-through of the facility and the outdoor learning environment of all playground areas. Indoor Learning Environment: Ten (10) classrooms of the thirteen (13) classrooms were in use. The children were observed participating in various activities: eating breakfast, circle time, language activities, outdoor gross motor play, art and working in their center areas: blocks, art, language, creative dramatics, science, math, manipulatives, and sensory. All staff interacted with the children in a positive manner with the exception of one classroom. Outdoor Learning Environment: The outdoor area had three playgrounds and all areas were monitored. Transportation: The Administrator stated that currently the program provides transportation using only one of their buses. The transportation binder as well as the bus that was used was monitored. We discussed if additional vehicles are to be added that the assigned DCDEE consultant must be contacted so that they can monitor any additional vehicles. In order to be in requirements with state and federal law if your facility is using a vehicle weighing less than 26,001 pounds that is designed for 16 or more passengers, including the driver, the driver must have a class C commercial driver’s license with a passenger endorsement. Official NCDMV: Commercial Driver License (ncdot.gov). The number of children in the vehicle is not relevant; it is based on how many passengers the vehicle is designed for. Child care facilities need a DOT # if they are using a vehicle designed for transporting 9 (including the driver) whether they travel out of state (would need a USDOT#) or within the state (NCDOT#). Here is a link that providers can access to determine if they need a DOT# and can register for one. https://www.fmcsa.dot.gov/registration/do-i-need-usdot-number. With NCDOT# registration there is a fee of $180 is charged every year, per driver, an audit is conducted per DOT, that monitors the following: A special inspection sticker (that goes at the back of each bus), a medical card and clearance for each driver, work history, and driving history. Staff Records: The Staff and Training Worksheets were completed for all staff. All new staff files were reviewed and a random sample of at least ten percent of existing staff files were reviewed. Please see the staff/training worksheet to determine which files. Children Records: A sample of ten percent of files were selected to review. All children with medical care plans files were chosen in order to ensure that the facility has the required records to provide appropriate treatment. Program Records: I reviewed all the required records. We observed the current Notice of Complaince, Summary of the Child Care Law poster (dated January 2021), Monthly Fire Drill Log & Quarterly Shelter-in-place/Lock down drill Log, Safe Pick-up, and Delivery Procedures that are the same as what is in the facility handbook, Emergency Medical Care Plan (with all staff listed who preform listed duties), Emergency Phone Numbers (recommended – by telephone) Weekly menu for meals and snacks posted where it can be seen by parents and food preparation staff, Tobacco Free Environment/Campus restriction poster/sticker posted at main entrance and we reminded you that if there is only ever one staff person left on site the emergency contact person for this situation information must be posted on the parent board. Nutrition: The facility follows the Meal Pattern Guidelines, and the Menu and today’s lunch met those requirements. Weapons: The Assistant Administrator reported that they were in compliance during today’s visit with Child Care Requirements regarding firearms. The following violations were observed today: Violation Number Comment Rule 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. In space #4 that serves toddlers a staff member wiped a child's nose while holding a glove and a tissue and did not sanitize or wash her hands once the task was completed. 15A NCAC 18A .2803(a) 847 Parent's medication authorization did not include required information. In Space #11, the classroom serving preschool aged children, the medical authorization form for one child was not completed and did not have details on dosage, expiration date, or permission date range. 10A NCAC 09 .0803(4)(6-9) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. In Space #4, the classroom serving toddlers, a child was spoken to in a harsh manner with a raised voice saying, "Get back here NOW!", "Get in this line, before I have to tell you again" and "I said watch your mouth". G.S. 110-91(10) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Of the twelve (12) files reviewed there were two (2) staff persons who did not have their First Aid Training with in 90 days of hire. Both now have the training with certification, but could not provide any documentation to support that they had obtained the certification within the required timeframe. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Of the twelve (12) files reviewed there were two (2) staff persons who did not have their CPR Training certifications with in 90 days of hire. Both now have the trainings certification but could not provide any documentation to support that they had obtained the certification within the required timeframe. .1102(d) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space 1a that serves children who are two years old the Medication Administration Log was not attached to the Medication Authorization Permission. This classroom corrected this during the visit. In the Spaces #11, #12, #13 there was no Medication Administration Log attached to the Medication Authorization Permission and this was not corrected during the visit. 10A NCAC 09 .0803 (centers) Person who gives the child the medicine completes this Medication Administration Record. Attach page to the Medication Administration Permission. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1898 Staff did not complete the health and safety training within one year of employment. Of the twelve (12) staff files that were monitored, and one (1) staff did not have the required training within the one-year period. The Health and Safety Training was completed on 07/10/2023 and it was due to be completed by no later than 02/14/23 (see staff and training worksheets). .1102(a) Today the violations, that were not corrected during the visit, must be corrected immediately. Please submit a letter of correction for the violations by no later than November 23, 2023. I asked the Assistant Administrator to ensure that the letter includes the Facility Name, ID number, Date of Visit, Violation number, how you corrected the violation and how you will prevent it from re-occurring. Compliance History: North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. I encouraged all staff to stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. Rated License: We discussed that the facility was in Cohort 1: Prep year 06/27/2023 to 06/30/24 – and your assessment year begins 07/01/2024. We explained that the preparation year is an opportunity to focus on your Star Rated License and consider strategies to help maintain or increase your star rating. Some preparation year ideas to consider related specifically to the program standards component of the Star Rated License are: 1. First and foremost, approach this as a learning process. There will always be things to work on, but make sure to acknowledge areas of strength along the way, communicate with others, ask questions, and be open to new or different ideas. 2. Always remember that you know the children and families and the program’s culture, current situations, priorities, and challenges. When considering the requirements, use your own expertise when deciding how best to focus time and energy. -Administrators Review Requirements •Be familiar with the NC Child Care Law and Rules that apply to your program. •Review the ECERS-R, ITERS-R, SACERS-U, and/or FCCERS-R for your setting. -Gather Resources •Look for assessment related resources at ncrlap.org •Have copies of the rating scales applicable to the age groups your program serves. •Seek out webinars and/or in-person trainings related to topics of interest. •Check out various provider resources and download NC's Foundations for Early Learning and Development at DCDEE's website: ncchildcare.ncdhhs.gov -Create a Plan of Action •Start a self-study process to become more familiar with the ERS or priority areas relevant to your program. •Brainstorm and collaborate with others about questions or current challenges you would like to address. -Reach Out •Share your ideas and needs with others that can help with resources of various types •Get your questions answered by contacting your local CCR&R or Partnership for Children, NCRLAP, or your program's DCDEE consultant depending on the topic areas. •Talk with your consultant about completing a prep year ERS assessment to get more information about current situations at your program. -Use staff meetings to discuss topics related to the Environment Rating Scales or other quality initiatives. For example, if transitions are challenging, ask everyone to share what strategies help, or which transitions take longer and why? -Support and encourage staff during a self-study process. Connect them with resources at ncrlap.org including contact hour earning webinars and Thinking More worksheets for every rating scale. Engage to brainstorm, offer support and clarification, and set goals to help everyone become more familiar and confident with the assessment process. Allocate resources so they can focus on self-study as part of the workday. -Use the resources found on the NCRLAP website, www.ncrlap.org, to assist you in the preparation process. As we were signing out I asked the Administrative Staff if they had any questions or concerns. I shared if I could be of any assistance to please feel free to contact me at (704) 594-0148 or kathy.willis@dhhs.nc.gov. Kathy Twitty Willis M.Ed. Child Care Consultant NCDHHS Division of Child Development and Early Education Regulatory Services Section 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. 110-91 · Violation

Name of Operation: WINCHESTER HEAD START PROGRAM Facility ID: 9054245 Consultant: KATHY WILLIS Operation Type: Center Case Number: Visit Date: 11/9/2023 Number Present: 104 Completed Date: 11/9/2023 Age: From 1 To 5 Total Minutes: 265 Time In: 08:20 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my Annual Compliance unannounced visit was to monitor for compliance with applicable childcare requirements. Upon arrival I introduced myself and Tracie Meyer Carpenter, Child Care Consultant, who assisted me on today's visit to the receptionist and we signed in. The Administrator was not on site but the Assistant Administrator came and joined the visit. Ms. Myer Carpenter conducted the observation of the facility while I reviewed the children and staff files. The center currently operates with a Five-Star License, issued on 05/12/17. The restrictions include daytime care only and enhanced space and ratios, capacity of 308 and an age range of 0-12 years old. We used the Child Care Center Item Number Listing (DCD 0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. Ownership: Union County Community Action, Inc. status on the NC Secretary of State website was listed as current/active as of 01/17/66. If any changes to the corporation need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Inspections: All inspections were completed within the required time frames and are documented on the Annual Complaince worksheet attached to today’s visit. The Assistant Administrator companied Ms. Meyer Carpenter on today on the walk-through of the facility and the outdoor learning environment of all playground areas. Indoor Learning Environment: Ten (10) classrooms of the thirteen (13) classrooms were in use. The children were observed participating in various activities: eating breakfast, circle time, language activities, outdoor gross motor play, art and working in their center areas: blocks, art, language, creative dramatics, science, math, manipulatives, and sensory. All staff interacted with the children in a positive manner with the exception of one classroom. Outdoor Learning Environment: The outdoor area had three playgrounds and all areas were monitored. Transportation: The Administrator stated that currently the program provides transportation using only one of their buses. The transportation binder as well as the bus that was used was monitored. We discussed if additional vehicles are to be added that the assigned DCDEE consultant must be contacted so that they can monitor any additional vehicles. In order to be in requirements with state and federal law if your facility is using a vehicle weighing less than 26,001 pounds that is designed for 16 or more passengers, including the driver, the driver must have a class C commercial driver’s license with a passenger endorsement. Official NCDMV: Commercial Driver License (ncdot.gov). The number of children in the vehicle is not relevant; it is based on how many passengers the vehicle is designed for. Child care facilities need a DOT # if they are using a vehicle designed for transporting 9 (including the driver) whether they travel out of state (would need a USDOT#) or within the state (NCDOT#). Here is a link that providers can access to determine if they need a DOT# and can register for one. https://www.fmcsa.dot.gov/registration/do-i-need-usdot-number. With NCDOT# registration there is a fee of $180 is charged every year, per driver, an audit is conducted per DOT, that monitors the following: A special inspection sticker (that goes at the back of each bus), a medical card and clearance for each driver, work history, and driving history. Staff Records: The Staff and Training Worksheets were completed for all staff. All new staff files were reviewed and a random sample of at least ten percent of existing staff files were reviewed. Please see the staff/training worksheet to determine which files. Children Records: A sample of ten percent of files were selected to review. All children with medical care plans files were chosen in order to ensure that the facility has the required records to provide appropriate treatment. Program Records: I reviewed all the required records. We observed the current Notice of Complaince, Summary of the Child Care Law poster (dated January 2021), Monthly Fire Drill Log & Quarterly Shelter-in-place/Lock down drill Log, Safe Pick-up, and Delivery Procedures that are the same as what is in the facility handbook, Emergency Medical Care Plan (with all staff listed who preform listed duties), Emergency Phone Numbers (recommended – by telephone) Weekly menu for meals and snacks posted where it can be seen by parents and food preparation staff, Tobacco Free Environment/Campus restriction poster/sticker posted at main entrance and we reminded you that if there is only ever one staff person left on site the emergency contact person for this situation information must be posted on the parent board. Nutrition: The facility follows the Meal Pattern Guidelines, and the Menu and today’s lunch met those requirements. Weapons: The Assistant Administrator reported that they were in compliance during today’s visit with Child Care Requirements regarding firearms. The following violations were observed today: Violation Number Comment Rule 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. In space #4 that serves toddlers a staff member wiped a child's nose while holding a glove and a tissue and did not sanitize or wash her hands once the task was completed. 15A NCAC 18A .2803(a) 847 Parent's medication authorization did not include required information. In Space #11, the classroom serving preschool aged children, the medical authorization form for one child was not completed and did not have details on dosage, expiration date, or permission date range. 10A NCAC 09 .0803(4)(6-9) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. In Space #4, the classroom serving toddlers, a child was spoken to in a harsh manner with a raised voice saying, "Get back here NOW!", "Get in this line, before I have to tell you again" and "I said watch your mouth". G.S. 110-91(10) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Of the twelve (12) files reviewed there were two (2) staff persons who did not have their First Aid Training with in 90 days of hire. Both now have the training with certification, but could not provide any documentation to support that they had obtained the certification within the required timeframe. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Of the twelve (12) files reviewed there were two (2) staff persons who did not have their CPR Training certifications with in 90 days of hire. Both now have the trainings certification but could not provide any documentation to support that they had obtained the certification within the required timeframe. .1102(d) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space 1a that serves children who are two years old the Medication Administration Log was not attached to the Medication Authorization Permission. This classroom corrected this during the visit. In the Spaces #11, #12, #13 there was no Medication Administration Log attached to the Medication Authorization Permission and this was not corrected during the visit. 10A NCAC 09 .0803 (centers) Person who gives the child the medicine completes this Medication Administration Record. Attach page to the Medication Administration Permission. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1898 Staff did not complete the health and safety training within one year of employment. Of the twelve (12) staff files that were monitored, and one (1) staff did not have the required training within the one-year period. The Health and Safety Training was completed on 07/10/2023 and it was due to be completed by no later than 02/14/23 (see staff and training worksheets). .1102(a) Today the violations, that were not corrected during the visit, must be corrected immediately. Please submit a letter of correction for the violations by no later than November 23, 2023. I asked the Assistant Administrator to ensure that the letter includes the Facility Name, ID number, Date of Visit, Violation number, how you corrected the violation and how you will prevent it from re-occurring. Compliance History: North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. I encouraged all staff to stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. Rated License: We discussed that the facility was in Cohort 1: Prep year 06/27/2023 to 06/30/24 – and your assessment year begins 07/01/2024. We explained that the preparation year is an opportunity to focus on your Star Rated License and consider strategies to help maintain or increase your star rating. Some preparation year ideas to consider related specifically to the program standards component of the Star Rated License are: 1. First and foremost, approach this as a learning process. There will always be things to work on, but make sure to acknowledge areas of strength along the way, communicate with others, ask questions, and be open to new or different ideas. 2. Always remember that you know the children and families and the program’s culture, current situations, priorities, and challenges. When considering the requirements, use your own expertise when deciding how best to focus time and energy. -Administrators Review Requirements •Be familiar with the NC Child Care Law and Rules that apply to your program. •Review the ECERS-R, ITERS-R, SACERS-U, and/or FCCERS-R for your setting. -Gather Resources •Look for assessment related resources at ncrlap.org •Have copies of the rating scales applicable to the age groups your program serves. •Seek out webinars and/or in-person trainings related to topics of interest. •Check out various provider resources and download NC's Foundations for Early Learning and Development at DCDEE's website: ncchildcare.ncdhhs.gov -Create a Plan of Action •Start a self-study process to become more familiar with the ERS or priority areas relevant to your program. •Brainstorm and collaborate with others about questions or current challenges you would like to address. -Reach Out •Share your ideas and needs with others that can help with resources of various types •Get your questions answered by contacting your local CCR&R or Partnership for Children, NCRLAP, or your program's DCDEE consultant depending on the topic areas. •Talk with your consultant about completing a prep year ERS assessment to get more information about current situations at your program. -Use staff meetings to discuss topics related to the Environment Rating Scales or other quality initiatives. For example, if transitions are challenging, ask everyone to share what strategies help, or which transitions take longer and why? -Support and encourage staff during a self-study process. Connect them with resources at ncrlap.org including contact hour earning webinars and Thinking More worksheets for every rating scale. Engage to brainstorm, offer support and clarification, and set goals to help everyone become more familiar and confident with the assessment process. Allocate resources so they can focus on self-study as part of the workday. -Use the resources found on the NCRLAP website, www.ncrlap.org, to assist you in the preparation process. As we were signing out I asked the Administrative Staff if they had any questions or concerns. I shared if I could be of any assistance to please feel free to contact me at (704) 594-0148 or kathy.willis@dhhs.nc.gov. Kathy Twitty Willis M.Ed. Child Care Consultant NCDHHS Division of Child Development and Early Education Regulatory Services Section 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