Hillcrest Pre-K

NC GS 110-90 · Violation

Name of Operation: HILLCREST PRE-K Facility ID: 12000294 Consultant: GAIL DULA Operation Type: Center Case Number: Visit Date: 1/15/2025 Number Present: 32 Completed Date: 1/15/2025 Age: From 3 To 5 Total Minutes: 140 Time In: 09:35 AM Time Out: 11:55 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, I reviewed the purpose of the visit with Lead Teachers, Ms. Moses and Ms. Shaw. The Lead teachers assisted with the visit. Your program operates with a license issued on June 26, 2024. The follows restrictions were in compliance: daytime care, meets enhanced ratios, meets enhanced space and enhanced ratios minus 1 in each group. Two classrooms were monitored today. I observed children during indoor free play activities, bathroom/handwashing routines, teacher directed activities, and snack. Supervision and staff/child ratios in compliance. Staff had positive interaction with the children. One new staff file and one existing staff file was reviewed using the DPI verification form with no violations. A sampling of four children’s files were reviewed using the DPI verification form with no violations. The last monthly fire drill was practiced on 12/10/24 The last monthly playground inspection was completed on 12/19/24. The most recent lead water testing results were completed on 3/24/24. Lead testing must be completed every three years The most recent sanitation inspection for your facility was conducted on 5/17/24. A superior sanitation classification was issued with 8 demerits. The most recent fire inspection for your facility was conducted on 11/6/24. The facility was approved for day time care. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. NC Pre K requirements were in compliance. One violation was observed today: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. An aerosol spray can of all purpose cleaner was on top of a cabinet in space # 3 .2820(b) The above violation was corrected during the visit. Compliance History As discussed, violations cited today and/or during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Your program must maintain a compliance score of at least 75%. The center's compliance history was at 90% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: #840- An aerosol spray can of all purpose cleaner was on top of a cabinet in space # 3. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. The aerosol spray was placed in locked storage during the visit. I reminded you to check your classroom thoroughly each morning to ensure all hazardous products are stored properly. Remind cleaning staff to place all hazardous supplies back in locked storage after use. Consultation: 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. 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. Consultation or other topics discussed today: Lead & Asbestos Testing: Facilities are required to enroll in The Clean Classrooms for Carolina Kids Program for lead water testing, lead paint testing, and asbestos testing. Lead water testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ Testing for lead paint and asbestos requires programs to enroll at www.cleanwaterforuskids.org/carolina. Facilities should have completed the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. Your program was enrolled in both sections including lead based paint and asbestos on 12/9/24. The school has a new principal. I discussed the Legal Designee form and DPI verification forms with Ms. Bagwell. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://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. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed you and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Gail Dula Child Care Consultant P.O. Box 1598 Morganton NC 28655 (828)782-0858 gail.dula@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: HILLCREST PRE-K Facility ID: 12000294 Consultant: GAIL DULA Operation Type: Center Case Number: Visit Date: 9/17/2024 Number Present: 23 Completed Date: 9/17/2024 Age: From 4 To 4 Total Minutes: 65 Time In: 10:15 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. The purpose of the visit was reviewed with Lead Teachers, Tonya Moses and Melissa Shaw. The lead teachers assisted me with the visit. Your program currently operates with a five star license effective June 26, 2024. The permit visit was restrictions are as follows: Daytime care only, meets enhanced ratios, meets enhanced space, enhanced ratios reduced by 1 in each group. Two classrooms were monitored during the visit. The p[playground was not monitored due to active precipitation. Children in attendance today were observed during teacher directed activities, bathroom/handwashing, snack and free play activities. Caregivers had positive interaction with the children. There was no new staff. The last monthly fire drill was practiced on August 30, 2024. The last monthly playground inspection was completed on August 22,2024. The most recent sanitation inspection for your facility was conducted on May 17, 2024. A superior sanitation classification was issued with zero (0) demerits. The most recent fire inspection for your facility was conducted on October 13, 2023. The most recent lead water testing results were completed on March 25, 2024. Lead testing must be completed every three years. Please complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/. None of the enrolled children had medication. One violation was observed during today’s visit. Due to a connectivity issue a handwritten summary was signed during the visit. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. Environmental health conducted an inspection on May 17, 2024. The previous inspection was conducted on March 30, 2023. 10A NCAC 09 .0304(b) The above violation had been corrected before the visit. An inspection was conducted on May 17, 2024. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Your compliance history score was 98% prior to today’s visit. Technical Assistance: #104 Center has not passed required sanitation inspection and received an approved or superior rating. .0304(b). Environmental Health conducted an inspection on May 17, 2024. The previous inspection was conducted on March 30, 2023. Consultation or other topics discussed today: -the last Fire inspection was conducted on October 13, 2023. I new inspection must be completed no later than October 12, 2024. -Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring -Lead Testing: Child Care Rule .0601(f)- Safe Environments Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. -access to Medication in childcare training; https://www.dcdee.moodle.nc.gov/course/view.php?id -The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://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. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me 828-782-0858 or Gail Dula Child Care Consultant P O Box 1598 Morganton NC 28655 Gail.dula@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0304 · Violation

Name of Operation: HILLCREST PRE-K Facility ID: 12000294 Consultant: GAIL DULA Operation Type: Center Case Number: Visit Date: 9/17/2024 Number Present: 23 Completed Date: 9/17/2024 Age: From 4 To 4 Total Minutes: 65 Time In: 10:15 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. The purpose of the visit was reviewed with Lead Teachers, Tonya Moses and Melissa Shaw. The lead teachers assisted me with the visit. Your program currently operates with a five star license effective June 26, 2024. The permit visit was restrictions are as follows: Daytime care only, meets enhanced ratios, meets enhanced space, enhanced ratios reduced by 1 in each group. Two classrooms were monitored during the visit. The p[playground was not monitored due to active precipitation. Children in attendance today were observed during teacher directed activities, bathroom/handwashing, snack and free play activities. Caregivers had positive interaction with the children. There was no new staff. The last monthly fire drill was practiced on August 30, 2024. The last monthly playground inspection was completed on August 22,2024. The most recent sanitation inspection for your facility was conducted on May 17, 2024. A superior sanitation classification was issued with zero (0) demerits. The most recent fire inspection for your facility was conducted on October 13, 2023. The most recent lead water testing results were completed on March 25, 2024. Lead testing must be completed every three years. Please complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/. None of the enrolled children had medication. One violation was observed during today’s visit. Due to a connectivity issue a handwritten summary was signed during the visit. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. Environmental health conducted an inspection on May 17, 2024. The previous inspection was conducted on March 30, 2023. 10A NCAC 09 .0304(b) The above violation had been corrected before the visit. An inspection was conducted on May 17, 2024. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Your compliance history score was 98% prior to today’s visit. Technical Assistance: #104 Center has not passed required sanitation inspection and received an approved or superior rating. .0304(b). Environmental Health conducted an inspection on May 17, 2024. The previous inspection was conducted on March 30, 2023. Consultation or other topics discussed today: -the last Fire inspection was conducted on October 13, 2023. I new inspection must be completed no later than October 12, 2024. -Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring -Lead Testing: Child Care Rule .0601(f)- Safe Environments Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. -access to Medication in childcare training; https://www.dcdee.moodle.nc.gov/course/view.php?id -The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://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. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me 828-782-0858 or Gail Dula Child Care Consultant P O Box 1598 Morganton NC 28655 Gail.dula@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: HILLCREST PRE-K Facility ID: 12000294 Consultant: GAIL DULA Operation Type: Center Case Number: Visit Date: 9/17/2024 Number Present: 23 Completed Date: 9/17/2024 Age: From 4 To 4 Total Minutes: 65 Time In: 10:15 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. The purpose of the visit was reviewed with Lead Teachers, Tonya Moses and Melissa Shaw. The lead teachers assisted me with the visit. Your program currently operates with a five star license effective June 26, 2024. The permit visit was restrictions are as follows: Daytime care only, meets enhanced ratios, meets enhanced space, enhanced ratios reduced by 1 in each group. Two classrooms were monitored during the visit. The p[playground was not monitored due to active precipitation. Children in attendance today were observed during teacher directed activities, bathroom/handwashing, snack and free play activities. Caregivers had positive interaction with the children. There was no new staff. The last monthly fire drill was practiced on August 30, 2024. The last monthly playground inspection was completed on August 22,2024. The most recent sanitation inspection for your facility was conducted on May 17, 2024. A superior sanitation classification was issued with zero (0) demerits. The most recent fire inspection for your facility was conducted on October 13, 2023. The most recent lead water testing results were completed on March 25, 2024. Lead testing must be completed every three years. Please complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/. None of the enrolled children had medication. One violation was observed during today’s visit. Due to a connectivity issue a handwritten summary was signed during the visit. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. Environmental health conducted an inspection on May 17, 2024. The previous inspection was conducted on March 30, 2023. 10A NCAC 09 .0304(b) The above violation had been corrected before the visit. An inspection was conducted on May 17, 2024. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Your compliance history score was 98% prior to today’s visit. Technical Assistance: #104 Center has not passed required sanitation inspection and received an approved or superior rating. .0304(b). Environmental Health conducted an inspection on May 17, 2024. The previous inspection was conducted on March 30, 2023. Consultation or other topics discussed today: -the last Fire inspection was conducted on October 13, 2023. I new inspection must be completed no later than October 12, 2024. -Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring -Lead Testing: Child Care Rule .0601(f)- Safe Environments Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. -access to Medication in childcare training; https://www.dcdee.moodle.nc.gov/course/view.php?id -The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://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. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me 828-782-0858 or Gail Dula Child Care Consultant P O Box 1598 Morganton NC 28655 Gail.dula@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: HILLCREST PRE-K Facility ID: 12000294 Consultant: GAIL DULA Operation Type: Center Case Number: Visit Date: 1/30/2024 Number Present: 31 Completed Date: 1/30/2024 Age: From 3 To 5 Total Minutes: 165 Time In: 10:00 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements, including Health & Safety training, during an annual compliance visit. Upon arrival, the purpose of today’s visit was reviewed with Lead Teachers, Ms. Moses and Ms. Shaw. Your program currently operates with a five star license effective January 28, 2021. The permit restrictions were in compliance. Two classrooms and the outdoor gross motor area were monitored. Children in care were observed during snack, free play activities, a teacher directed activity, bathroom/handwashing, handwashing, and transition to lunch. Supervision and staff/child ratios were in compliance. Positive interaction was observed. A sanitation inspection was conducted by Environmental Health on March 30, 2023 with 15 demerits noted. The most recent fire inspection for your facility was conducted on October 13, 2023. The facility was approved for day time care. The latest fire drill was conducted on December 22, 2023. Children’s records were reviewed using DPI verification forms with no violations. T Three staff files were reviewed, using the DPI verification form, with no violations. This facility uses the school Critical Response Plan. N C Pre-K requirements were in compliance. Two violations were cited and reviewed regarding medication. Three violations were documented during today’s visit and discussed with Lead Teachers and the school nurse. Violation Number Comment Rule 475 Sand and water play activities were not available weekly to each group. In space #4, a sand activity, a water activity, and a music activity was not listed on the activity plan for the current week. .0510(c)(3) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. 841 In space #4, an unlocked cabinet contained a bottle of Motrin pain reliever and a bottle of Genexa antacid. 15A NCAC 18A .2820(d) 843 A drug or medicine was administered after its expiration date. One child had an Albuterol inhaler. The inhaler expired on 12/23. 10A NCAC 09 .0803(1)(d) The above uncorrected violations must be brought into compliance immediately. You shall submit a written, signed and dated statement or email to me at the address below detailing specifically how the above violation was corrected. The violation must be corrected no later than February 13, 2024. The correction letter must include the facility name and ID#. Failure to correct the violations and send the written statement by the due date listed above, noncompliance, may lead to an administrative action. Technical Assistance: # 475 In space #4 a sand activity, a water activity, and a music activity was not listed on the activity plan. I reminded teachers that these activities are part of their rated license and must be listed and available at least once a week. #841 In space #4 an unlocked cabinet contained a bottle of Motrin pain reliever and a bottle of Genexa antacid. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container and may not be stored above food. Designated emergency medications may be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen may be kept out of reach of children when not in use, but are not required to be in locked storage. Teachers must keep any personal medications they bring into the facility in locked storage as well. I suggested you have staff keep any of their personal medication in the same locked storage areas as the children’s medications to ensure it is stored properly. The cabinet was locked during the visit. #843 One child and an Albuterol inhaler that expired 12/23. Teachers or school nurse should check all medication when they are brought into the facility and regularly thereafter to ensure they have not expired. Expired medication should be sent home immediately. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, should be discarded. Medication should not be accepted if it is already expired. As discussed, violations cited today and/or during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Your program must maintain a compliance score of at least 75%. Consultation or other topics discussed today (the following items reviewed were in compliance today): -we discussed your rated license. Your facility is in cohort 1. A prep year assessment has been ordered and your window is in place. I reminded you to have all staff check their WORKS accounts to ensure that their education has been updated. -Ms. Roberts needs to complete 5 hour of training before 2/8/24. -The Safe Arrival and Departure policy needs to be updated to reflect the facility’s method of documenting children’s arrival and departure. This needs to be specific to this program. -We discussed Action Plans. Be sure these forms and the medication associated with them are up to date. -I reminded you to recheck the incident report to ensure that all required information has been completed. -New staff must complete Heath & Safety training within one year. -We discussed substitutes. Health & Safety training must be completed after the 10th day as substitute work. Shaken Baby policy must be signed on the first day and a copy of the Qualifying letter must be on file on day one. -Training is available on the Moodle website. -For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://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. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, the visit summary was reviewed with you and the summary will be emailed to you. Thank you for your time and assistance during today’s visit. Stay up to date with the Division of Child Development by visiting This web www.ncchildcare.ncdhhs.gov site enables you to view the entire law and Child Care Requirements for North Carolina as well as download required forms. Professional Development opportunities and Moodle trainings are available on the website. Thank you for your time and assistance today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammymcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-782-0858 or at Gail Dula P O Box 1598 Morganton NC 28655 Gail.dula@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times