GS 110-102 · Violation

Name of Operation: Creme de la Creme School of Morrisville Facility ID: 92004038 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 3/30/2026 Number Present: 34 Completed Date: 3/30/2026 Age: From 0 To 9 Total Minutes: 285 Time In: 09:45 AM Time Out: 02:30 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 assess applicable child-care requirements during an unannounced annual compliance visit. The director, Jillian Thornton, assisted me with today’s visit. We conducted a walk-through of the indoor and outdoor learning environments. I observed groups of children engaged in free play or group time activities in their classrooms and outdoors. I also observed diapering in one of the classrooms. RATED LICENSE STATUS The program operates with a 1 star-rated license issued on 9/18/25. INSPECTIONS The last sanitation inspection was conducted on 7/10/25. The last fire inspection was conducted recently but there were items that needed correction and the inspector is scheduled to return next week. Please send me a copy of the Fire Inspection Report when it is completed. The last documented fire drill was conducted on 3/18/26. The last documented shelter-in-place or lockdown drill was conducted on 1/28/26. The last documented playground inspection was conducted on 3/3/26. During this visit a full assessment of Child Care Requirements was conducted. The facility was assessed using items noted on the Annual Compliance for Centers checklist. The status of the owner, CDLC Early Learning, LLC is listed as current and active on the NC Secretary of State’s website. Staff on-going training was assessed from 4/1/25 – 3/31/26. The following violations were observed and recorded during today’s visit. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. This item was missing from the five children's files reviewed today. GS 110-102 404 All staff did not wash their hands thoroughly after diapering each child. There were lapses in handwashing during diapering. 15A NCAC 18A .2803(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. One child's bottle did not include a current date. 15A NCAC 18A .2804(d) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. During diapering the pad was not cleaned with soapy water and sprayed with a disinfectant that was left on the pad for a designated amount of time. 15A NCAC 18A .2819(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Three staff member's medical report was older than 12 months. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Three staff member's tb test was older than 12 months. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One new staff member did not the first two weeks orientation documented in their file. .1101(a) 1821 The EPR Plan did not include the date of the last revision of the plan. An EPR plan was not developed for this program. .0607(d)(8) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Numerous employees signed this document after they had been working in classrooms. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Some staff members did not complete this training within their first 90 days of employment. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Numerous staff did not complete training in all the required topics within their first year. .1102(a) The above violations must be corrected immediately. By 4/13/26 please email me a signed letter of compliance. Before the letter is sent, all violations should be corrected; please contact me if additional time is needed to correct a specific violation. Include the following in your letter: facility ID number, list the item number describing how and when the violations were corrected and tell me how you plan to maintain compliance in the future with each item. If you prefer to mail your letter, you may send it to 2201 Mail Service Center Raleigh, NC 27699-2201 If the compliance action letter is not received by the due date another visit to the center may be made and additional violations may be added. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history was 100%. According to NC General Statute 110-90 (4) (d) all facilities must maintain a compliance history of at least seventy-five percent (75%) for the past 18 months. TECHNICAL ASSISTANCE The signed statement that parents had received a Summary of Child Care Laws was missing from all the children’s files reviewed today. This document helps parents understand basic child care rules and the process for reporting concerns. A copy of these rules should be included in enrollment packets and given to parents on or before their first day attending the center. There is a children’s file checklist available on the DCDEE website in the Provider’s Documents tab that will assist you in maintaining all required documents and reminds you on when these documents are due. The center director completed EPR training in September 2024, but the EPR plan has not been completed. This plan provides first responders with vital information that will be used in the event on an emergency or natural disaster in your area. Once the plan is completed, you should also prepare a ready to go file and kit as a part of your emergency preparations. One child’s bottles were labeled with the child’s name, but they were not dated. Sanitation rules requires that all bottles brought to the center to be dated. Please remind parents to date their bottles. If the parent does not date the bottles then the teachers should date them before they are stored in the classroom refrigerator. There were a few lapses in the diapering procedure observed today. After the child was cleaned, the teacher did not remove her gloves or use a baby wipe to clean the child’s hands and her hands, before touching the clean diaper. In addition, after the diaper was changed the teacher sprayed a disinfectant on the diapering pad but immediately wiped it off. The surface was not first cleaned with soapy water, wiped clean and then apply a disinfectant which must remain on the surface for a designated time to ensure that the area is disinfected. The center does not use bleach for the disinfectant and the director did not know how long the solution should remain on the diapering surface to be effective. This information should be available on the disinfectant bottle or packaging. I reviewed the corporate diapering chart, but it does not meet the sanitation requirements for diapering, so I recommend ordering diapering posters from the NC Child Health and Safety Resource Center. These include the diapering steps that meet NC Sanitation requirements. Also, a child health consultant may be able to provide technical assistance and training in health and sanitation requirements. I left you contact information for the consultant assigned to your area. Several staff medical reports and Tb’s were dated more than 1 year before the employee’s hire date. All tb and medical statements must be no more than one-year -old at the time of hire. These employees will need to obtain a current medical statement and complete a tb test. Numerous staff who have been employed more than 1 year had not completed training in all the required health and safety training topics. Training in these topics must be completed within their first 90 days of employment and every 5 years thereafter. This free training is available through Moodle on the DCDEE website but can be taken through other organizations or individual trainers Most of the center staff have completed Recognizing and Responding to Suspicions of Child Maltreatment training, but many did not complete it within their first 90 days of employment, as required. One staff member, who was employed more than 90 days did not have a copy of the certificate in their file. Several staff members did not have orientation documented in their file One employee had no orientation documented and another was employed 2/23/26 and did not have the orientation which is required within the first 2 weeks of employment documented in their file. Orientation is on of the best ways to ensure an employee’s success in a new program. It is an opportunity to discuss licensing requirements and center expectations for new employees as they begin work. All employees had a signed copy of the Shaken Baby and Abusive Head Trauma policy in their file, however, some of them signed the form several months after they began employment. Child care requirements state that this document should be signed before the staff member has any contact with the children. This serves as a reminder to all staff about brain development and helps avoid the risk of a child experiencing a traumatic brain injury due to the actions of a center employee. REMINDERS You have 2 staff members whose qualification letters expire in the upcoming months. Staff can renew their criminal background check up to 6 months prior to its expiration. CONSULTATION All childcare facilities are required to test their drinking and cooking water for led every three years. Your water was last tested, 5/22/25. You will need to submit water samples again this year. For more information, you should contact Clean Water for Carolina Kids. Contact www.cleanwaterforcarolinakids.org for more information. In addition, childcare facilities are now required to test for lead and asbestos hazards in their buildings. This center is determined to be exempt from testing for lead-based paint and asbestos. Training in all the required health and safety topics must be completed at least every 5 years. It may be time for your staff to complete this training again. Health and Safety training is available, at no charge, on the DCDEE website, in Moodle. There is a link to this training on Moodle. Medication Administration is also a required health and safety training topic. This training is available through Moodle as a separate training. Staff should use their individual NCID username and password to access this training. Staff should use their individual NCID username and password to access this training. Recognizing and Responding to Suspicions of Child Maltreatment must also be completed at least every 5 years. ACCESS TO THE ABCMS SYSTEM: Center directors can now access the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. This access will allow providers to: See the real-time background check status of staff members. Run a printable report of the staff roster to assist with compliance visits. See new background check applicants and add to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. The course is titled ABCMS Child Care Provider Portal Training - under the Early Childhood Professional Development Tab, then under the Criminal Background (CBC) tab. If you have questions regarding the PROVIDER PORTAL contact the Criminal Background Check Unit at (919) 814-6401 or email: DCDEE_ABCMS_Provider@dhhs.nc.gov. For general questions regarding APPLICANTS, applications, or other CBC questions email: DHHS.CBC.Unit@dhhs.nc.gov or call (919) 814-6401. To access your staff criminal records, they must have your program listed as their place of employment in ABCMS. This requirement is indicated as Item #7 on the staff and training worksheet and replaces the Data Change form that was previously required to be submitted to the Criminal Records Unit. It is recommended that staff add your program as their place of employment during the first few days of orientation. This change should be documented and placed in their file. The documentation could be a screenshot after the change is made or documented on the Orientation Form in the Other section. The date the change was made should be indicated in Item #7 on the staff and training worksheet during the staff member’s first year of employment. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website: ncchildcare.ncdhhs.gov frequently to stay updated on rule requirements. If you have any questions or need assistance, please contact me at wanda.fowler@dhhs.nc.gov or by phone at 919 218-0988. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.