10A NCAC 09 .0802 · Violation

Name of Operation: Moyock Elementary Preschool Facility ID: 27000136 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 9/23/2024 Number Present: 8 Completed Date: 9/23/2024 Age: From 3 To 5 Total Minutes: 295 Time In: 09:05 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s Annual Compliance visit was to monitor compliance with applicable child care requirements. Room 41 is approved for NCPre-K, but there are no NCPre-K children enrolled. Last Annual Compliance visit – Licensed 10/31/24 – This is the facility’s first Annual Compliance visit. 18-month compliance history from 3/20/23 – 9/19/24 = 93% Last Sanitation Inspection – 11/21/23 - Superior Last Fire Inspection – 5/7/24 – Satisfactory; approved for daytime only *Sanitation and fire inspections are required at least annually by the date of the previous inspection. Send fire inspections to me within seven (7) days of the inspection. The Clean Classrooms for Carolina Kids website reflects the following information about your center’s required three-year water testing, lead paint testing, and asbestos testing: Three-year Water Testing – 8/29/23; due again 8/29/2u; due for rest of school 12/31/24 Lead Paint Testing – not completed; due for Pre-K and school 12/31/24 Asbestos Testing – not completed; due for Pre-K and school 12/31/24 Maintain any paperwork received by mail or email in your Program Records file. *Because program is part of a larger DPI school, testing for the school may count as testing for the licensed Pre-K and/or ASEP See below for more information. K. Saunders-Rivera, Administrator, was present, but the NCPre-K staff assisted me with the visit. The facility currently operates with a Five-Star Center License, issued 5/1/24, earning points in the following components: Program (7 PTS) + Education (7 PTS) + Quality Point (1 PT) = 15 Points = 5 Stars *Quality Point met and remains in effect: 75% of lead teachers have a BA/BS or higher in ECE/CD. The next rated license assessment is due by 5/1/26. The Child Care Commission is updating the Quality Rating Improvement System (QRIS). More information will follow. Note that the current program assessment tool is changing from the Early Childhood Environment Rating Scale – Revised (ECERS-R) to the Early Childhood Environment Rating Scale – 3 (ECERS-3). Information and training on the new program assessment tool is available on the NC Rating License Assessment Project website at https://ncrlap.org/ This facility is owned by Currituck County Schools. J. Parkman is a new Assistant Administrator at Moyock Elementary Preschool and will be the new NCPre-K Administrator once his Criminal Background Check is completed. I have provided him with an Administrator Pre-service form to complete and return. He will also need to register for a Works account. Please contact me prior to any information change regarding the ownership of this facility. License information was current. Contact me to make any changes to address, phone, or email or to request changes to the license. I monitored the classrooms and spaces used for child care, cafeteria, and outdoor play area for applicable child care center requirements using the Child Care Center Requirements, effective 1/1/2024 and Item Numbers Listing, effective 3/2024. I monitored one child’s record, two of three staff records and all program records. The facility meets DPI requirements for transportation. Center Observations: Three staff were present with eight children, three through five years of age. Several children were taken out of the classroom for speech services. Children were engaged in free play but worked on a small group activity at the table on the “letter C”. They rolled small truck wheels in paint and decorated their “C’s”. They washed hands and went to the cafeteria for lunch. Lunch was choice of meatball sub or chicken nuggets and whole wheat roll, mashed potatoes, corn, and choice of apples or oranges and milk. The children who brought lunch from home had Nutrition Opt-out forms in their files. After lunch, they played on the fenced playground with small portable climbers, riding toys, sand play and portable gross motor toys. They returned inside and used the bathroom and washed hands. The three children, three years of age, went home. The older children rested on linen-covered mats. I observed and documented the following violation during today’s visit. Violation Number Comment Rule 832 There was no written emergency medical care (EMC) plan. An Emergency Medical Care Plan was posted but was not updated to reflect current staff. 10A NCAC 09 .0802(a) 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. In Room 41, an aerosol can of Febreze was stored on a high shelf out of reach of children but was not locked. .2820(b) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4)(d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and provided a printed copy of it to M. Gomez, ECPre-K Teacher Assistant. I sent an electronic version to K. Saunders-Rivera and R. Palumbo, Pre-K Coordinator. We reviewed the visit summary and violation(s) documented during today’s visit. They have been corrected so no further action is needed. Technical Assistance With Documented Violations: Emergency Medical Care Plan (EMCP) – In a medical emergency, staff need to know what their responsibility is for the health and safety of the children involved. There are staff changes to the EC classroom; however, the posted EMCP did not reflect the staff changes. This was overlooked at the beginning of the year. The Emergency Medical Care Plan lists staff responsibilities during an emergency medical crisis and lists which staff are responsible for various tasks. It needs to be reviewed at least annually and updated if there are staff changes. Then review the updated EMCP with staff so that everyone knows there role in a medical crisis. You updated your EMCP during the visit today. No further action is needed except to review with all staff. Storage of Aerosol Sprays – Aerosol spray cans or cans in which the contents are under pressure can be dangerous because they can explode, burning persons with the chemical inside the spray can and showering them with metal shrapnel from the can itself. In addition, if children find an aerosol spray can, they may model what they see their teachers and parents do and hit the trigger and accidently spray the chemicals in their face or in another child’s face. A can of Febreze aerosol spray was stored out of reach on a high shelf but was not locked. The teacher moved it to the locked cabinet. The other bleach solutions and approved EPA sanitizers and disinfectant may be stored in the cabinet if they are on a shelf that is at least five feet or higher to make them inaccessible to children. Thank you for correcting this. No further action is needed except to safety store aerosols and other potentially hazardous products in the future. General Visit Information: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The most recent versions of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. You can also review the “What’s New” section and download a copy of the Items Number Listing which you can use as a checklist for your program. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies and Child Care Health Consultants provide general training to meet on-going training hours, health and safety training requirements, Environment Rating Scale training and training specific to your center’s needs. They can also work with you to provide on-site technical assistance. *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone (252) 333-1233; website - www.aacfnc.org . *Healthy Behaviors Specialist: P. White – Phone (252) 333-1233; pam@aacfnc.org *Child Care Health Consultant: C. Smith – Phone (252) 340-0212 or cindy@aacfnc.org Consultation: I provided you with a copy of “Preschool Scientific Method” from ExchangeEveryDay – 12/28/09. Incorporate the scientific method into your weekly science activities to support science, math, communication, and approaches to learning. You are influencing future scientists, engineers, astronauts, teachers, doctors, and thinkers. Reminders: Staff Worksheets – We reviewed your staff worksheet. I highlighted items that were delinquent and items that are coming due in the next year. *Staff files need to be available for review even if the staff person is not present. Criminal Background Checks (CBC) – Federal requirements require all staff who work in licensed afterschool or pre-k programs operated by public schools complete a DCDEE Criminal Background Check (CBC) before hire and then every five years. This includes administrators, teachers, teacher assistants, substitutes, one-on-one assistants, therapists if therapy does not take place in the classroom, and bus drivers. *The substitute today was K. Jennings. She does not have a DHHS CBC but was the third teacher in the classroom and not counted in staff/child ratios. *Two speech therapists provided services to three children in a separate classroom. One of the therapists, S. Giordano, has a current DHHS CBC qualification letter. The second one, K. LaFreniere does not; however, she worked with the qualified therapist and was not alone with children. *I encourage you to have everyone who may work in the licensed pre-k classroom or with children enrolled in the pre-k classroom complete a DHHS Criminal Background Check. Health and Safety Training and Five (5) Year Cycle Tracking Requirements – Review Row 17 on Staff Worksheet for staff members needing initial H&S Training. *M. Gomez – completed H&S training *D. Cherry – due 10/31/24 (was not able to review file today; will review at next visit) *J. Hodge – completed H&S training On-going Training Hours – Review Row 18 (# hours to carry over) on the Staff Worksheets to determine how many on-going training hours returning staff will need by 9/23/25 (anniversary of today’s Annual Compliance visit). *will review D. Cherry at next visit. Staff Education and Works – The following staff need to complete Works registration and/or update account. *K. Saunders-Rivera – Complete Works and upload DPI Administrator Form and Principal License. *J. Parkman – When named Pre-K Administrator, complete Works and upload DPI Administrator Form and Principal License. *D. Cherry – Upload B-K License *M. Gomez- When BS-ECE is completed in May 2025, obtain official transcripts and upload to Works *J. Hodge – Finish Works registration. Apply for DPI Teacher and Teacher Assistant positions. Upload DPI Teacher form and official transcripts from university Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test for lead in drinking water, lead paint, and asbestos. Testing is required by 12/31/24 but enrollment should have been completed already. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required and you will receive an exemption letter. (Lead paint was not used in buildings built after 1978. Asbestos was not used in buildings after 1988.) Water testing will only be required once for family child care homes. For more information go to https://www.cleanwaterforuskids.org/en/carolina/. As there is no safe level of lead in water, practice clean water habits for all taps, such as using cold water, properly designating taps used for drinking and cooking, and flushing water regularly. Consider voluntary mitigation faucet fixture replacement and/or certified filter installation for taps at or above 1 ppb lead in water. School Critical Incident Plan and Emergency Drills - Licensed DPI programs are not required to complete a separate Emergency Preparedness Plan if they follow the school’s Critical Incident Plan (or similar type of plan for emergency responses). They are expected to have documentation of monthly fire drills and quarterly emergency drills – shelter-in-place or lock-down). Fire drills must be completed for any month or partial month the Pre-K or ASEP is operating. A quarterly emergency drill must be completed each quarter (July – September; October – December, January – March; April – June). ). If the school does not complete quarterly emergency drills, the Pre-K classrooms need to conduct their own drills. Consider having a “soft” emergency drill in September to discuss the fire and emergency drills and practice going to the safe spaces without the noise and commotion of a school-wide drill. Handwashing – Remind persons who are entering the classroom (visitors, teachers, other staff, custodial staff) that they need to wash their hands after entering the classroom. Post a sign on the door. Mats – Mats are required to have linen, e.g., sheet, blanket, towel, for children to sleep on. Children should not sleep directly on the mat. Have extras in case parents forget to send them back after being washed on the weekend. All linen and personal items from home needs to be washed weekly, Medication – I observed two medications. Both were accompanied by a completed medication permission form and medical action plans. Additional Comments: I shared information on the following topics and emailed the information to you after the visit: 1. Criminal Background Check Updates and Reminders 2. Environment Rating Scales – Get Ready for the 3’s 3. QRIS Update 4. Moodle Support Info 5. Provider Access to the Background Check Management System 6. NCID – Keep it active! Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today, and I encourage you to share with staff and use the information as a teaching tool. If you have any questions, do not hesitate to call or email me at the contact information listed above. 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.

NC GS 110-90 · Violation

Name of Operation: Moyock Elementary Preschool Facility ID: 27000136 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 9/23/2024 Number Present: 8 Completed Date: 9/23/2024 Age: From 3 To 5 Total Minutes: 295 Time In: 09:05 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s Annual Compliance visit was to monitor compliance with applicable child care requirements. Room 41 is approved for NCPre-K, but there are no NCPre-K children enrolled. Last Annual Compliance visit – Licensed 10/31/24 – This is the facility’s first Annual Compliance visit. 18-month compliance history from 3/20/23 – 9/19/24 = 93% Last Sanitation Inspection – 11/21/23 - Superior Last Fire Inspection – 5/7/24 – Satisfactory; approved for daytime only *Sanitation and fire inspections are required at least annually by the date of the previous inspection. Send fire inspections to me within seven (7) days of the inspection. The Clean Classrooms for Carolina Kids website reflects the following information about your center’s required three-year water testing, lead paint testing, and asbestos testing: Three-year Water Testing – 8/29/23; due again 8/29/2u; due for rest of school 12/31/24 Lead Paint Testing – not completed; due for Pre-K and school 12/31/24 Asbestos Testing – not completed; due for Pre-K and school 12/31/24 Maintain any paperwork received by mail or email in your Program Records file. *Because program is part of a larger DPI school, testing for the school may count as testing for the licensed Pre-K and/or ASEP See below for more information. K. Saunders-Rivera, Administrator, was present, but the NCPre-K staff assisted me with the visit. The facility currently operates with a Five-Star Center License, issued 5/1/24, earning points in the following components: Program (7 PTS) + Education (7 PTS) + Quality Point (1 PT) = 15 Points = 5 Stars *Quality Point met and remains in effect: 75% of lead teachers have a BA/BS or higher in ECE/CD. The next rated license assessment is due by 5/1/26. The Child Care Commission is updating the Quality Rating Improvement System (QRIS). More information will follow. Note that the current program assessment tool is changing from the Early Childhood Environment Rating Scale – Revised (ECERS-R) to the Early Childhood Environment Rating Scale – 3 (ECERS-3). Information and training on the new program assessment tool is available on the NC Rating License Assessment Project website at https://ncrlap.org/ This facility is owned by Currituck County Schools. J. Parkman is a new Assistant Administrator at Moyock Elementary Preschool and will be the new NCPre-K Administrator once his Criminal Background Check is completed. I have provided him with an Administrator Pre-service form to complete and return. He will also need to register for a Works account. Please contact me prior to any information change regarding the ownership of this facility. License information was current. Contact me to make any changes to address, phone, or email or to request changes to the license. I monitored the classrooms and spaces used for child care, cafeteria, and outdoor play area for applicable child care center requirements using the Child Care Center Requirements, effective 1/1/2024 and Item Numbers Listing, effective 3/2024. I monitored one child’s record, two of three staff records and all program records. The facility meets DPI requirements for transportation. Center Observations: Three staff were present with eight children, three through five years of age. Several children were taken out of the classroom for speech services. Children were engaged in free play but worked on a small group activity at the table on the “letter C”. They rolled small truck wheels in paint and decorated their “C’s”. They washed hands and went to the cafeteria for lunch. Lunch was choice of meatball sub or chicken nuggets and whole wheat roll, mashed potatoes, corn, and choice of apples or oranges and milk. The children who brought lunch from home had Nutrition Opt-out forms in their files. After lunch, they played on the fenced playground with small portable climbers, riding toys, sand play and portable gross motor toys. They returned inside and used the bathroom and washed hands. The three children, three years of age, went home. The older children rested on linen-covered mats. I observed and documented the following violation during today’s visit. Violation Number Comment Rule 832 There was no written emergency medical care (EMC) plan. An Emergency Medical Care Plan was posted but was not updated to reflect current staff. 10A NCAC 09 .0802(a) 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. In Room 41, an aerosol can of Febreze was stored on a high shelf out of reach of children but was not locked. .2820(b) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4)(d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and provided a printed copy of it to M. Gomez, ECPre-K Teacher Assistant. I sent an electronic version to K. Saunders-Rivera and R. Palumbo, Pre-K Coordinator. We reviewed the visit summary and violation(s) documented during today’s visit. They have been corrected so no further action is needed. Technical Assistance With Documented Violations: Emergency Medical Care Plan (EMCP) – In a medical emergency, staff need to know what their responsibility is for the health and safety of the children involved. There are staff changes to the EC classroom; however, the posted EMCP did not reflect the staff changes. This was overlooked at the beginning of the year. The Emergency Medical Care Plan lists staff responsibilities during an emergency medical crisis and lists which staff are responsible for various tasks. It needs to be reviewed at least annually and updated if there are staff changes. Then review the updated EMCP with staff so that everyone knows there role in a medical crisis. You updated your EMCP during the visit today. No further action is needed except to review with all staff. Storage of Aerosol Sprays – Aerosol spray cans or cans in which the contents are under pressure can be dangerous because they can explode, burning persons with the chemical inside the spray can and showering them with metal shrapnel from the can itself. In addition, if children find an aerosol spray can, they may model what they see their teachers and parents do and hit the trigger and accidently spray the chemicals in their face or in another child’s face. A can of Febreze aerosol spray was stored out of reach on a high shelf but was not locked. The teacher moved it to the locked cabinet. The other bleach solutions and approved EPA sanitizers and disinfectant may be stored in the cabinet if they are on a shelf that is at least five feet or higher to make them inaccessible to children. Thank you for correcting this. No further action is needed except to safety store aerosols and other potentially hazardous products in the future. General Visit Information: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The most recent versions of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. You can also review the “What’s New” section and download a copy of the Items Number Listing which you can use as a checklist for your program. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies and Child Care Health Consultants provide general training to meet on-going training hours, health and safety training requirements, Environment Rating Scale training and training specific to your center’s needs. They can also work with you to provide on-site technical assistance. *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone (252) 333-1233; website - www.aacfnc.org . *Healthy Behaviors Specialist: P. White – Phone (252) 333-1233; pam@aacfnc.org *Child Care Health Consultant: C. Smith – Phone (252) 340-0212 or cindy@aacfnc.org Consultation: I provided you with a copy of “Preschool Scientific Method” from ExchangeEveryDay – 12/28/09. Incorporate the scientific method into your weekly science activities to support science, math, communication, and approaches to learning. You are influencing future scientists, engineers, astronauts, teachers, doctors, and thinkers. Reminders: Staff Worksheets – We reviewed your staff worksheet. I highlighted items that were delinquent and items that are coming due in the next year. *Staff files need to be available for review even if the staff person is not present. Criminal Background Checks (CBC) – Federal requirements require all staff who work in licensed afterschool or pre-k programs operated by public schools complete a DCDEE Criminal Background Check (CBC) before hire and then every five years. This includes administrators, teachers, teacher assistants, substitutes, one-on-one assistants, therapists if therapy does not take place in the classroom, and bus drivers. *The substitute today was K. Jennings. She does not have a DHHS CBC but was the third teacher in the classroom and not counted in staff/child ratios. *Two speech therapists provided services to three children in a separate classroom. One of the therapists, S. Giordano, has a current DHHS CBC qualification letter. The second one, K. LaFreniere does not; however, she worked with the qualified therapist and was not alone with children. *I encourage you to have everyone who may work in the licensed pre-k classroom or with children enrolled in the pre-k classroom complete a DHHS Criminal Background Check. Health and Safety Training and Five (5) Year Cycle Tracking Requirements – Review Row 17 on Staff Worksheet for staff members needing initial H&S Training. *M. Gomez – completed H&S training *D. Cherry – due 10/31/24 (was not able to review file today; will review at next visit) *J. Hodge – completed H&S training On-going Training Hours – Review Row 18 (# hours to carry over) on the Staff Worksheets to determine how many on-going training hours returning staff will need by 9/23/25 (anniversary of today’s Annual Compliance visit). *will review D. Cherry at next visit. Staff Education and Works – The following staff need to complete Works registration and/or update account. *K. Saunders-Rivera – Complete Works and upload DPI Administrator Form and Principal License. *J. Parkman – When named Pre-K Administrator, complete Works and upload DPI Administrator Form and Principal License. *D. Cherry – Upload B-K License *M. Gomez- When BS-ECE is completed in May 2025, obtain official transcripts and upload to Works *J. Hodge – Finish Works registration. Apply for DPI Teacher and Teacher Assistant positions. Upload DPI Teacher form and official transcripts from university Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test for lead in drinking water, lead paint, and asbestos. Testing is required by 12/31/24 but enrollment should have been completed already. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required and you will receive an exemption letter. (Lead paint was not used in buildings built after 1978. Asbestos was not used in buildings after 1988.) Water testing will only be required once for family child care homes. For more information go to https://www.cleanwaterforuskids.org/en/carolina/. As there is no safe level of lead in water, practice clean water habits for all taps, such as using cold water, properly designating taps used for drinking and cooking, and flushing water regularly. Consider voluntary mitigation faucet fixture replacement and/or certified filter installation for taps at or above 1 ppb lead in water. School Critical Incident Plan and Emergency Drills - Licensed DPI programs are not required to complete a separate Emergency Preparedness Plan if they follow the school’s Critical Incident Plan (or similar type of plan for emergency responses). They are expected to have documentation of monthly fire drills and quarterly emergency drills – shelter-in-place or lock-down). Fire drills must be completed for any month or partial month the Pre-K or ASEP is operating. A quarterly emergency drill must be completed each quarter (July – September; October – December, January – March; April – June). ). If the school does not complete quarterly emergency drills, the Pre-K classrooms need to conduct their own drills. Consider having a “soft” emergency drill in September to discuss the fire and emergency drills and practice going to the safe spaces without the noise and commotion of a school-wide drill. Handwashing – Remind persons who are entering the classroom (visitors, teachers, other staff, custodial staff) that they need to wash their hands after entering the classroom. Post a sign on the door. Mats – Mats are required to have linen, e.g., sheet, blanket, towel, for children to sleep on. Children should not sleep directly on the mat. Have extras in case parents forget to send them back after being washed on the weekend. All linen and personal items from home needs to be washed weekly, Medication – I observed two medications. Both were accompanied by a completed medication permission form and medical action plans. Additional Comments: I shared information on the following topics and emailed the information to you after the visit: 1. Criminal Background Check Updates and Reminders 2. Environment Rating Scales – Get Ready for the 3’s 3. QRIS Update 4. Moodle Support Info 5. Provider Access to the Background Check Management System 6. NCID – Keep it active! Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today, and I encourage you to share with staff and use the information as a teaching tool. If you have any questions, do not hesitate to call or email me at the contact information listed above. 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 .0901 · Violation

Name of Operation: Moyock Elementary Preschool Facility ID: 27000136 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 2/7/2024 Number Present: 6 Completed Date: 2/7/2024 Age: From 3 To 5 Total Minutes: 310 Time In: 08:20 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced * The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during the second temporary time period visit (TTP#2). K. Saunders-Rivera, Administrator, was present, but the ECPre-K staff assisted me with the visit. The facility was issued a temporary license on October 31, 2023, with a restriction of daytime care only. The Temporary License is valid for six months, through April 30, 2024. A full rated license will be issued, starting May 1, 2024. During the visit I monitored the primary space in Room 41 and outdoor playground. I monitored 3 children’s records, 2 staff records, and all program records. The center’s compliance history from 8/2/22 – 2/1/24 is 92%. Observations: Two teachers were present with six children, three through five years of age. They had just returned from the playground and were taking off coats and washing hands. They gathered for a short circle time to talk about the calendar, letters and numbers. They transitioned to free play where they had access to a sensory table with rice and beans (lid not open), books, art materials, musical instruments, dramatic play, manipulatives and blocks. Teachers played with children, encouraging conversation and language, singing to them, and assisting them with materials. They handled typical challenging behaviors with substitution and redirection. During free play, an Occupational Therapist took two children next door for therapy. Teachers gave a clean-up warning at the ten and five minute mark before preparing for lunch. Children used the bathroom or were changed, washed hands, and lined up to walk to the cafeteria. Teachers and children sang songs along the way. Five of the six children brought their lunches. Nutrition Opt-out forms are included in all children’s files. One child ate lunch provided by the school and had choice of Asian Dumplings with rice, Chicken A La King with rice, or peanut butter and jelly; choice of at least two of peas, carrots, pears, or apple; and milk. They sat at a child sized table in the alcove. The playground had portable gross motor materials such as riding toys and balls along with a play kitchen, foam blocks, and sand toys. Four of the six children left at noon. The remaining two children rested on linen-covered mats while the teacher played quiet music. Staff-child interactions were warm, nurturing, and stimulating. Teachers appropriately addressed typical challenging behaviors and cared for each child’s unique needs. I observed and documented the following violations during today’s visit. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The school menu for February 2024 was not posted in the classroom. 10A NCAC 09 .0901(b) 705 Equipment and furnishings were not sturdy, stable and free of hazards. A large blue storage tub used to store the soft blocks on the playground was cracked in several places, creating sharp edges and pinch points. .0601(c) 1041 Prior to employment a Criminal Background Check was not completed. Two therapists provided services to three children in a separate classroom. Neither therapist had completed a Criminal Background Check. G.S. 110-90.2(b) 1315 Emergency information record did not include chronic illness and any medication taken for the illness. A child's application that was completed in September 2023 was not updated to reflect a chronic medical condition and required medication requiring a medical action plan that was diagnosed in October 2023. .0802(c)(3) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters were not available for two therapists providing services to children enrolled in the licensed pre-k program in a separate classroom. G.S. 110-90.2(b) & (d) & .2703(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was available with a child's medication but was not attached to the child's application. .0801(b) 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. A staff person who started on October 31, 2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment due by January 31, 2024. .1102(g) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4) (d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and provided a printed copy of it to D. Cherry, ECPre-K Teacher. I will follow up with an electronic copy of the visit K. Saunders-Rivera and R. Palumbo, ECPre-K Coordinator. We reviewed the visit summary and violation(s) documented during today’s visit. Correct these immediately. Send evidence of correction to me so that I receive it no later than 2/21/24. Your compliance verification letter needs to state your facility name and license number and list each violation by Item # and describe in detail when and how each violation has been corrected. Also include the following documents/pictures to verify compliance: copy of C. Mickey’s certificate for Recognizing and Responding to Suspicions of Child Maltreatment, copy of Qualifying Letters for L. Dowdy and E. Schauer. Send compliance verification letter in an email from your fcch’s official email address, rpalumbo@currituck.k12.nc.us to my email address, Marjorie.White@dhhs.nc.gov. You may include the compliance verification as an attachment or in the body of the email. I will email a sample compliance verification letter to you. If sufficient information is not received by the due date, a follow-up visit may be conducted. Please be aware that any information submitted by you is legal documentation. If it is determined the information provided in the compliance letter is not true, this may be considered falsification of information. If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199. Technical Assistance with Documented Violation(s): #528: Menu – Posting the current menu provides parents an opportunity to review the menu. This may be important if their child has allergies and they want to see what is being offered and remind the teachers of their child’s allergies or just to know what their child is eating. The February 2024 menu was not posted. The teacher assistant had the menu for posting on her desk along with the menus that she sends home in the children’s folders for the parents to review. She corrected it immediately and posted the menu on the bulletin board and added them to the children’s folders. The menu must be current and planned and posted at least one week in advance. #705: Playground Equipment - Many outdoor materials, including portable and stationary toys and climbers, are made of a thick plastic that holds up well in outdoor environments and offers years of service, but due to sun, weather, and years of use, the plastic eventually starts to crack and splinter, creating possible pinch points and sharp edges that could injure an unsuspecting child. A large blue tub used to store foam blocks on the playground was cracked in multiple places. The teacher said that it had just received the tub from storage and she had noticed that it was cracked and was planning to replace it. #1041 #1757: Criminal Background Check (CBC) – Criminal Background Checks ensure that staff have not committed any crimes which could potentially make them unsafe to be around children and other staff. Because Abuse and Neglect registries are also checked, it helps to ensure that children are protected from physical, mental, and sexual abuse. Performing diligent background screenings also protects the child care facility against future legal challenges. Today, I observed an occupational therapist named Logan Dowdy take three children to the classroom next door for services. I asked her name and checked the ABCMS system where I saw that she had not completed a Criminal Background Check. A second occupational therapist named Eric Schauer stopped by the classroom to share that he and Ms. Dowdy worked together and were meeting with R. Palumbo to obtain the required Criminal Background Check. He stated that he had started the process during Covid but did not complete it. His name was listed in the ABCMS, but it stated that he needed to submit a new application. Federal requirements require all staff who work in licensed afterschool or pre-k programs operated by public schools complete a DCDEE Criminal Background Check (CBC) before hire and then every five years. This includes administrators, teachers, teacher assistants, program coordinators, group leaders, assistant group leaders, substitutes, one-on-one assistants, therapists if therapy does not take place in the classroom, and bus drivers. Until they receive their Criminal Background Checks and qualifying letters, Ms. Dowdy and Mr. Schauer may continue to provide services to children enrolled in the licensed pre-k program in the pre-k classroom; however, they may not be alone with children in a separate classroom until the qualifying letters are received and on file. For your compliance letter, state the date when Ms. Dowdy and Mr. Schauer are qualified and have provided you with their qualification letters. Attach a copy of the qualification letters in your compliance verification email. #1315: Child’s Application – The Child’s Application for Enrollment captures health and emergency information that could be critical to the wellbeing of a child in a medical emergency. It needs to be reviewed and updated at least annually or as health or emergency contact information changes. The Child’s Application/Pre-K Registration Form for ES was completed and signed by the guardian in September 2023 but was not updated when the child was diagnosed with a medical condition requiring a medical action plan and medication. The teacher stated that he did not have the medical condition when he was enrolled, and they did not even think about having the guardian update the information in the Health Care Needs Section of the application. She stated that she sees the guardian at drop-off in the morning and will have them complete the missing information. For your compliance letter, state the date when the health care needs section is updated. #1834: Medical Action Plan – Medical Action Plans include medical information that is crucial in the event of a medical emergency that requires medication such as an Epi-pen or Asthma Inhaler. A copy of a current medical action plan must be attached to the child’s application. In October 2023 a child (ES) had a newly diagnosed medical condition requiring a medical action plan and medication. A copy of the medical action plan and the medication permission form were available with the medication, but the medical action plan was not attached to the child’s application/pre-k registration form in his file. The teacher stated that when the child was diagnosed and the parent brought in the medical action plan with the medication, she did not know to make a copy to attach to the application. She made a copy and included it with the application, correcting the violation today. #1897 – Recognizing and Responding to Suspicions of Child Maltreatment – Recognizing and Responding to Suspicions of Child Maltreatment teaches citizens and professionals the signs and symptoms to look out for with child abuse and neglect, what to do when they suspect it is happening, NC’s reporting law, and what happens after a report is made. C. Mickey was required to complete the training by 1/31/24 but there was not documentation of completion in her staff file. She stated that she has completed numerous on-line trainings but is not sure if she completed the maltreatment training. I will email a list of required trainings/tasks that need to be completed at hire and throughout a new employee’s first year. General Visit Information: As a licensed DPI Pre-K, it is your responsibility to be knowledgeable of the child care laws and rules. The most recent versions of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. You can also review the “What’s New” section and download a copy of the Items Number Listing which you can use as a checklist for your program. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies are available to assist you with technical assistance and training on a multitude of topics not limited to: Early Child Care Environment Rating Scale – ECCERS-R), healthy behaviors, NC Foundations for Early Learning Standards (NCFELDS) . Child Care Health Consultants can provide training and technical assistance on topics related to health and safety such as sanitation, handwashing, diapering, illness policies, etc. *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone – (252) 333-1233; website - www.aacfnc.org . *Child Care Health Consultant – C. Smith - (252) 340-0212 or cindy@aacfnc.org New Center Discussion Points: Moodle Support - The Division offers early childhood professionals a wide range of professional development opportunities through the online learning platform Moodle. DCDEE has established a new email address and phone number for Moodle Support. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. DCDEE Works - To receive credit for education and earn points in Education Standards, register for an individual Works account using the Works On-line Education portal. Go to the DCDEE website. Click on Provider. Scroll down to DCDEE Works. Review the information on Works (DCDEE Works FAQ and Completing DCDEE Works Registration I and II Job Aid) for more information on registration and submitting education. There is a new Works Training Simulator to assist you also. When you are ready, use your NCID to log in and create your Works account. If you have questions or need assistance, contact the Workforce Education Unit at 1-800-859-0829 (In State Only) or 919-814-6350 or leave a question at dcdee.works@dhhs.nc.gov . *The following staff do not have Works accounts and need to register and submit required education documents as soon as possible so that you receive credit for staff education for your rated license: K. Saunders-Rivera, C. Mickey. Rated License Information: We continued our discussion about the rated license process. At the end of your six-month temporary time period, you will be eligible to apply for a star-rated license if you maintain a compliance history score of 75% or higher. You completed an Application for Assessment for a Two Component Star Rated License and the request form for the Environment Rating Scales (ERS) on 12/12/2023. Program Standards – You can earn 1 – 7 points in Program Standards To earn 6 – 7 points in Program Standards, you will need to request and complete the ECERS-R and score a 5.0 or higher. Review the applicable ECERS-R assessment tools, visit www.ncrlap.org and review and download NC Additional Notes and the additional printed resources. Complete training modules available to learn more about specific aspects of the ECERS-R. I encourage you to contact Albemarle Alliance for Children and Families (AACF) to request technical assistance and/or a mock in preparation for the ERS. The higher you score on the ECERS-R, the more points you will earn in Program Standards. * Your four-week ECERS-R window is scheduled for 2/19/2024 – 3/15/2024. Education Standards – You can earn 1 – 7 points in Education Standards *based on information available in DCDEE Works *points determined by the lowest level of education for the categories Administrator Education – 1 Point (will be 7 Points when education posted) Administrator (K. Saunders-Rivera) – Principal License (not posted in Works) w/ 10+y ec/ad exp = 1 point (7 points when education posted) *K. Saunders-Rivera needs to register for Works. Request to be approved as a DPI Administrator. Upload DPI Administrator Education Form and Principal License. This needs to be completed immediately to ensure that it is available for the rated license assessment that will be completed by the first week of April. EC Pre-K Teacher – 7 Points D. Cherry – BS-ECE w/ 4+y ec exp = 7 points *Needs to complete B-K License to qualify for NCPre-K or Developmental Day EC Pre-K Teacher Assistant – 3 Points C. Mickey – HS + some college (not in Works) w/ 3+y ec exp = 3 points *C. Mickey needs to register for Works. Request to be approved as a DPI Teacher/Teacher Assistant. Upload DPI Teacher/Teacher Assistant Education Form and copies of original, official transcripts. This needs to be completed immediately to ensure that it is available for the rated license assessment that will be completed by the first week of April. *Needs to complete AAS-ECE (or be working towards it) to qualify as NCPreK Teacher Assistant. Quality Point – 1 Point Administrator has 10+ years administrative experience. Approved Curriculum – Creative Curriculum Program Standards (1-7 pts) + Education Standards (1-7 pts) + Quality Point (1 pt) = # of Stars 1 – 3 Points = 1 Star 4 – 6 Points = 2 Stars 7 – 9 Points = 3 Stars (required to participate in subsidy) 10 – 12 Points = 4 Stars (must use an approved curriculum for four-year olds) 13 – 15 Points = 5 Stars (must use an approved curriculum for four-year olds) ECERS-R Technical Assistance: Program operating hours – 7:30 am – 2:30 pm = 7 hours Substantial Portion of the Day (SPOD) – Children need to have free access to centers and materials for 1/3 of operating hours = 2 hours 20 minutes (140 minutes) affecting eleven items on the ECERS-R. The posted schedule reflects 135 minutes of center free play time. Some materials are available on the playground, but not enough to mirror indoor centers and the required materials so outdoor time is not going to be included in SPOD. *Follow your schedule. (You did a good job with this today.) *45 minutes of outdoor time required, weather permitting, but provide a variety of gross motor materials indoors for at least 45 minutes if weather does not permit outdoor play. *Transition times, e.g., cleaning up, changing centers, putting on coats, lining up, are deducted from your SPOD. So, if you plan for forty-five minutes of outdoor time from 10:00 – 10:45 AM, but 5 minutes is used from 10:00 – 10:05 AM to put on coats and line up to go outside and 3 minutes is used from 10:42 – 10:45 AM to clean up and come inside, the children only receive 37 minutes of outdoor time. *You have long transition times to and from the cafeteria which reduces the amount of time you can use for SPOD. *Diapers/pull-ups need to be checked/changed every two hours. Use a whiteboard to track this. *Move dollhouses, train tracks, barns from block area to another space in the classroom. These items are a form of dramatic play and are not block materials. Play with them in the block center reduces the amount of space available for block play. I counted 72 unit blocks. To receive credit for a sufficient number of blocks for three children to build 3 large structures, you need 80 blocks per child. *Use the worksheet, ”Thinking More About Activities” available on NCRLAP website to inventory your materials and determine if you need to add additional materials to meet the variety and quantity of required materials. *When the assessor asks, “Do you go outdoors every day?”, know the definition of weather permitting and how to use the Weather Watch Chart to determine if weather conditions allow for outdoor play. Also have indoor gross motor materials that children can use for active play inside if weather conditions do not allow for outdoor play. The assessor will ask to see these. *Ensure safety requirements are met in other spaces children use throughout the day. NC Rated License Assessment Project (NC-RLAP) – The NC-RLAP website is your go-to place for information on the Environment Rating Scales. It has a wealth of printed information, videos, preparation worksheets, and training options to help you prepare for your ECERS-R assessment. NCRLAP is offering virtual training that earns on-going training hours. Go to ncrlap.org/Resources/Training/Register/ to see scale related training as well as additional trainings that cover special topics such as language and interactions, outdoor learning environments, and gross motor play. Resource handouts on a wide range of topics are available. Check out the resource videos on the following topics: Overview of the Assessment Process, Using Materials with Non-Mobile Infants, A Safe Place for Gross Motor Play, Hand washing and Other Basic Health Considerations, Language for Learning. A video tour of the website is also available. For more information go to www.ncrlap.org Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today. If you have any questions, do not hesitate to call or email me at the contact information listed above. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: Moyock Elementary Preschool Facility ID: 27000136 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 2/7/2024 Number Present: 6 Completed Date: 2/7/2024 Age: From 3 To 5 Total Minutes: 310 Time In: 08:20 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced * The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during the second temporary time period visit (TTP#2). K. Saunders-Rivera, Administrator, was present, but the ECPre-K staff assisted me with the visit. The facility was issued a temporary license on October 31, 2023, with a restriction of daytime care only. The Temporary License is valid for six months, through April 30, 2024. A full rated license will be issued, starting May 1, 2024. During the visit I monitored the primary space in Room 41 and outdoor playground. I monitored 3 children’s records, 2 staff records, and all program records. The center’s compliance history from 8/2/22 – 2/1/24 is 92%. Observations: Two teachers were present with six children, three through five years of age. They had just returned from the playground and were taking off coats and washing hands. They gathered for a short circle time to talk about the calendar, letters and numbers. They transitioned to free play where they had access to a sensory table with rice and beans (lid not open), books, art materials, musical instruments, dramatic play, manipulatives and blocks. Teachers played with children, encouraging conversation and language, singing to them, and assisting them with materials. They handled typical challenging behaviors with substitution and redirection. During free play, an Occupational Therapist took two children next door for therapy. Teachers gave a clean-up warning at the ten and five minute mark before preparing for lunch. Children used the bathroom or were changed, washed hands, and lined up to walk to the cafeteria. Teachers and children sang songs along the way. Five of the six children brought their lunches. Nutrition Opt-out forms are included in all children’s files. One child ate lunch provided by the school and had choice of Asian Dumplings with rice, Chicken A La King with rice, or peanut butter and jelly; choice of at least two of peas, carrots, pears, or apple; and milk. They sat at a child sized table in the alcove. The playground had portable gross motor materials such as riding toys and balls along with a play kitchen, foam blocks, and sand toys. Four of the six children left at noon. The remaining two children rested on linen-covered mats while the teacher played quiet music. Staff-child interactions were warm, nurturing, and stimulating. Teachers appropriately addressed typical challenging behaviors and cared for each child’s unique needs. I observed and documented the following violations during today’s visit. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The school menu for February 2024 was not posted in the classroom. 10A NCAC 09 .0901(b) 705 Equipment and furnishings were not sturdy, stable and free of hazards. A large blue storage tub used to store the soft blocks on the playground was cracked in several places, creating sharp edges and pinch points. .0601(c) 1041 Prior to employment a Criminal Background Check was not completed. Two therapists provided services to three children in a separate classroom. Neither therapist had completed a Criminal Background Check. G.S. 110-90.2(b) 1315 Emergency information record did not include chronic illness and any medication taken for the illness. A child's application that was completed in September 2023 was not updated to reflect a chronic medical condition and required medication requiring a medical action plan that was diagnosed in October 2023. .0802(c)(3) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters were not available for two therapists providing services to children enrolled in the licensed pre-k program in a separate classroom. G.S. 110-90.2(b) & (d) & .2703(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was available with a child's medication but was not attached to the child's application. .0801(b) 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. A staff person who started on October 31, 2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment due by January 31, 2024. .1102(g) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4) (d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and provided a printed copy of it to D. Cherry, ECPre-K Teacher. I will follow up with an electronic copy of the visit K. Saunders-Rivera and R. Palumbo, ECPre-K Coordinator. We reviewed the visit summary and violation(s) documented during today’s visit. Correct these immediately. Send evidence of correction to me so that I receive it no later than 2/21/24. Your compliance verification letter needs to state your facility name and license number and list each violation by Item # and describe in detail when and how each violation has been corrected. Also include the following documents/pictures to verify compliance: copy of C. Mickey’s certificate for Recognizing and Responding to Suspicions of Child Maltreatment, copy of Qualifying Letters for L. Dowdy and E. Schauer. Send compliance verification letter in an email from your fcch’s official email address, rpalumbo@currituck.k12.nc.us to my email address, Marjorie.White@dhhs.nc.gov. You may include the compliance verification as an attachment or in the body of the email. I will email a sample compliance verification letter to you. If sufficient information is not received by the due date, a follow-up visit may be conducted. Please be aware that any information submitted by you is legal documentation. If it is determined the information provided in the compliance letter is not true, this may be considered falsification of information. If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199. Technical Assistance with Documented Violation(s): #528: Menu – Posting the current menu provides parents an opportunity to review the menu. This may be important if their child has allergies and they want to see what is being offered and remind the teachers of their child’s allergies or just to know what their child is eating. The February 2024 menu was not posted. The teacher assistant had the menu for posting on her desk along with the menus that she sends home in the children’s folders for the parents to review. She corrected it immediately and posted the menu on the bulletin board and added them to the children’s folders. The menu must be current and planned and posted at least one week in advance. #705: Playground Equipment - Many outdoor materials, including portable and stationary toys and climbers, are made of a thick plastic that holds up well in outdoor environments and offers years of service, but due to sun, weather, and years of use, the plastic eventually starts to crack and splinter, creating possible pinch points and sharp edges that could injure an unsuspecting child. A large blue tub used to store foam blocks on the playground was cracked in multiple places. The teacher said that it had just received the tub from storage and she had noticed that it was cracked and was planning to replace it. #1041 #1757: Criminal Background Check (CBC) – Criminal Background Checks ensure that staff have not committed any crimes which could potentially make them unsafe to be around children and other staff. Because Abuse and Neglect registries are also checked, it helps to ensure that children are protected from physical, mental, and sexual abuse. Performing diligent background screenings also protects the child care facility against future legal challenges. Today, I observed an occupational therapist named Logan Dowdy take three children to the classroom next door for services. I asked her name and checked the ABCMS system where I saw that she had not completed a Criminal Background Check. A second occupational therapist named Eric Schauer stopped by the classroom to share that he and Ms. Dowdy worked together and were meeting with R. Palumbo to obtain the required Criminal Background Check. He stated that he had started the process during Covid but did not complete it. His name was listed in the ABCMS, but it stated that he needed to submit a new application. Federal requirements require all staff who work in licensed afterschool or pre-k programs operated by public schools complete a DCDEE Criminal Background Check (CBC) before hire and then every five years. This includes administrators, teachers, teacher assistants, program coordinators, group leaders, assistant group leaders, substitutes, one-on-one assistants, therapists if therapy does not take place in the classroom, and bus drivers. Until they receive their Criminal Background Checks and qualifying letters, Ms. Dowdy and Mr. Schauer may continue to provide services to children enrolled in the licensed pre-k program in the pre-k classroom; however, they may not be alone with children in a separate classroom until the qualifying letters are received and on file. For your compliance letter, state the date when Ms. Dowdy and Mr. Schauer are qualified and have provided you with their qualification letters. Attach a copy of the qualification letters in your compliance verification email. #1315: Child’s Application – The Child’s Application for Enrollment captures health and emergency information that could be critical to the wellbeing of a child in a medical emergency. It needs to be reviewed and updated at least annually or as health or emergency contact information changes. The Child’s Application/Pre-K Registration Form for ES was completed and signed by the guardian in September 2023 but was not updated when the child was diagnosed with a medical condition requiring a medical action plan and medication. The teacher stated that he did not have the medical condition when he was enrolled, and they did not even think about having the guardian update the information in the Health Care Needs Section of the application. She stated that she sees the guardian at drop-off in the morning and will have them complete the missing information. For your compliance letter, state the date when the health care needs section is updated. #1834: Medical Action Plan – Medical Action Plans include medical information that is crucial in the event of a medical emergency that requires medication such as an Epi-pen or Asthma Inhaler. A copy of a current medical action plan must be attached to the child’s application. In October 2023 a child (ES) had a newly diagnosed medical condition requiring a medical action plan and medication. A copy of the medical action plan and the medication permission form were available with the medication, but the medical action plan was not attached to the child’s application/pre-k registration form in his file. The teacher stated that when the child was diagnosed and the parent brought in the medical action plan with the medication, she did not know to make a copy to attach to the application. She made a copy and included it with the application, correcting the violation today. #1897 – Recognizing and Responding to Suspicions of Child Maltreatment – Recognizing and Responding to Suspicions of Child Maltreatment teaches citizens and professionals the signs and symptoms to look out for with child abuse and neglect, what to do when they suspect it is happening, NC’s reporting law, and what happens after a report is made. C. Mickey was required to complete the training by 1/31/24 but there was not documentation of completion in her staff file. She stated that she has completed numerous on-line trainings but is not sure if she completed the maltreatment training. I will email a list of required trainings/tasks that need to be completed at hire and throughout a new employee’s first year. General Visit Information: As a licensed DPI Pre-K, it is your responsibility to be knowledgeable of the child care laws and rules. The most recent versions of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. You can also review the “What’s New” section and download a copy of the Items Number Listing which you can use as a checklist for your program. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies are available to assist you with technical assistance and training on a multitude of topics not limited to: Early Child Care Environment Rating Scale – ECCERS-R), healthy behaviors, NC Foundations for Early Learning Standards (NCFELDS) . Child Care Health Consultants can provide training and technical assistance on topics related to health and safety such as sanitation, handwashing, diapering, illness policies, etc. *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone – (252) 333-1233; website - www.aacfnc.org . *Child Care Health Consultant – C. Smith - (252) 340-0212 or cindy@aacfnc.org New Center Discussion Points: Moodle Support - The Division offers early childhood professionals a wide range of professional development opportunities through the online learning platform Moodle. DCDEE has established a new email address and phone number for Moodle Support. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. DCDEE Works - To receive credit for education and earn points in Education Standards, register for an individual Works account using the Works On-line Education portal. Go to the DCDEE website. Click on Provider. Scroll down to DCDEE Works. Review the information on Works (DCDEE Works FAQ and Completing DCDEE Works Registration I and II Job Aid) for more information on registration and submitting education. There is a new Works Training Simulator to assist you also. When you are ready, use your NCID to log in and create your Works account. If you have questions or need assistance, contact the Workforce Education Unit at 1-800-859-0829 (In State Only) or 919-814-6350 or leave a question at dcdee.works@dhhs.nc.gov . *The following staff do not have Works accounts and need to register and submit required education documents as soon as possible so that you receive credit for staff education for your rated license: K. Saunders-Rivera, C. Mickey. Rated License Information: We continued our discussion about the rated license process. At the end of your six-month temporary time period, you will be eligible to apply for a star-rated license if you maintain a compliance history score of 75% or higher. You completed an Application for Assessment for a Two Component Star Rated License and the request form for the Environment Rating Scales (ERS) on 12/12/2023. Program Standards – You can earn 1 – 7 points in Program Standards To earn 6 – 7 points in Program Standards, you will need to request and complete the ECERS-R and score a 5.0 or higher. Review the applicable ECERS-R assessment tools, visit www.ncrlap.org and review and download NC Additional Notes and the additional printed resources. Complete training modules available to learn more about specific aspects of the ECERS-R. I encourage you to contact Albemarle Alliance for Children and Families (AACF) to request technical assistance and/or a mock in preparation for the ERS. The higher you score on the ECERS-R, the more points you will earn in Program Standards. * Your four-week ECERS-R window is scheduled for 2/19/2024 – 3/15/2024. Education Standards – You can earn 1 – 7 points in Education Standards *based on information available in DCDEE Works *points determined by the lowest level of education for the categories Administrator Education – 1 Point (will be 7 Points when education posted) Administrator (K. Saunders-Rivera) – Principal License (not posted in Works) w/ 10+y ec/ad exp = 1 point (7 points when education posted) *K. Saunders-Rivera needs to register for Works. Request to be approved as a DPI Administrator. Upload DPI Administrator Education Form and Principal License. This needs to be completed immediately to ensure that it is available for the rated license assessment that will be completed by the first week of April. EC Pre-K Teacher – 7 Points D. Cherry – BS-ECE w/ 4+y ec exp = 7 points *Needs to complete B-K License to qualify for NCPre-K or Developmental Day EC Pre-K Teacher Assistant – 3 Points C. Mickey – HS + some college (not in Works) w/ 3+y ec exp = 3 points *C. Mickey needs to register for Works. Request to be approved as a DPI Teacher/Teacher Assistant. Upload DPI Teacher/Teacher Assistant Education Form and copies of original, official transcripts. This needs to be completed immediately to ensure that it is available for the rated license assessment that will be completed by the first week of April. *Needs to complete AAS-ECE (or be working towards it) to qualify as NCPreK Teacher Assistant. Quality Point – 1 Point Administrator has 10+ years administrative experience. Approved Curriculum – Creative Curriculum Program Standards (1-7 pts) + Education Standards (1-7 pts) + Quality Point (1 pt) = # of Stars 1 – 3 Points = 1 Star 4 – 6 Points = 2 Stars 7 – 9 Points = 3 Stars (required to participate in subsidy) 10 – 12 Points = 4 Stars (must use an approved curriculum for four-year olds) 13 – 15 Points = 5 Stars (must use an approved curriculum for four-year olds) ECERS-R Technical Assistance: Program operating hours – 7:30 am – 2:30 pm = 7 hours Substantial Portion of the Day (SPOD) – Children need to have free access to centers and materials for 1/3 of operating hours = 2 hours 20 minutes (140 minutes) affecting eleven items on the ECERS-R. The posted schedule reflects 135 minutes of center free play time. Some materials are available on the playground, but not enough to mirror indoor centers and the required materials so outdoor time is not going to be included in SPOD. *Follow your schedule. (You did a good job with this today.) *45 minutes of outdoor time required, weather permitting, but provide a variety of gross motor materials indoors for at least 45 minutes if weather does not permit outdoor play. *Transition times, e.g., cleaning up, changing centers, putting on coats, lining up, are deducted from your SPOD. So, if you plan for forty-five minutes of outdoor time from 10:00 – 10:45 AM, but 5 minutes is used from 10:00 – 10:05 AM to put on coats and line up to go outside and 3 minutes is used from 10:42 – 10:45 AM to clean up and come inside, the children only receive 37 minutes of outdoor time. *You have long transition times to and from the cafeteria which reduces the amount of time you can use for SPOD. *Diapers/pull-ups need to be checked/changed every two hours. Use a whiteboard to track this. *Move dollhouses, train tracks, barns from block area to another space in the classroom. These items are a form of dramatic play and are not block materials. Play with them in the block center reduces the amount of space available for block play. I counted 72 unit blocks. To receive credit for a sufficient number of blocks for three children to build 3 large structures, you need 80 blocks per child. *Use the worksheet, ”Thinking More About Activities” available on NCRLAP website to inventory your materials and determine if you need to add additional materials to meet the variety and quantity of required materials. *When the assessor asks, “Do you go outdoors every day?”, know the definition of weather permitting and how to use the Weather Watch Chart to determine if weather conditions allow for outdoor play. Also have indoor gross motor materials that children can use for active play inside if weather conditions do not allow for outdoor play. The assessor will ask to see these. *Ensure safety requirements are met in other spaces children use throughout the day. NC Rated License Assessment Project (NC-RLAP) – The NC-RLAP website is your go-to place for information on the Environment Rating Scales. It has a wealth of printed information, videos, preparation worksheets, and training options to help you prepare for your ECERS-R assessment. NCRLAP is offering virtual training that earns on-going training hours. Go to ncrlap.org/Resources/Training/Register/ to see scale related training as well as additional trainings that cover special topics such as language and interactions, outdoor learning environments, and gross motor play. Resource handouts on a wide range of topics are available. Check out the resource videos on the following topics: Overview of the Assessment Process, Using Materials with Non-Mobile Infants, A Safe Place for Gross Motor Play, Hand washing and Other Basic Health Considerations, Language for Learning. A video tour of the website is also available. For more information go to www.ncrlap.org Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today. If you have any questions, do not hesitate to call or email me at the contact information listed above. 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: Moyock Elementary Preschool Facility ID: 27000136 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 2/7/2024 Number Present: 6 Completed Date: 2/7/2024 Age: From 3 To 5 Total Minutes: 310 Time In: 08:20 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced * The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during the second temporary time period visit (TTP#2). K. Saunders-Rivera, Administrator, was present, but the ECPre-K staff assisted me with the visit. The facility was issued a temporary license on October 31, 2023, with a restriction of daytime care only. The Temporary License is valid for six months, through April 30, 2024. A full rated license will be issued, starting May 1, 2024. During the visit I monitored the primary space in Room 41 and outdoor playground. I monitored 3 children’s records, 2 staff records, and all program records. The center’s compliance history from 8/2/22 – 2/1/24 is 92%. Observations: Two teachers were present with six children, three through five years of age. They had just returned from the playground and were taking off coats and washing hands. They gathered for a short circle time to talk about the calendar, letters and numbers. They transitioned to free play where they had access to a sensory table with rice and beans (lid not open), books, art materials, musical instruments, dramatic play, manipulatives and blocks. Teachers played with children, encouraging conversation and language, singing to them, and assisting them with materials. They handled typical challenging behaviors with substitution and redirection. During free play, an Occupational Therapist took two children next door for therapy. Teachers gave a clean-up warning at the ten and five minute mark before preparing for lunch. Children used the bathroom or were changed, washed hands, and lined up to walk to the cafeteria. Teachers and children sang songs along the way. Five of the six children brought their lunches. Nutrition Opt-out forms are included in all children’s files. One child ate lunch provided by the school and had choice of Asian Dumplings with rice, Chicken A La King with rice, or peanut butter and jelly; choice of at least two of peas, carrots, pears, or apple; and milk. They sat at a child sized table in the alcove. The playground had portable gross motor materials such as riding toys and balls along with a play kitchen, foam blocks, and sand toys. Four of the six children left at noon. The remaining two children rested on linen-covered mats while the teacher played quiet music. Staff-child interactions were warm, nurturing, and stimulating. Teachers appropriately addressed typical challenging behaviors and cared for each child’s unique needs. I observed and documented the following violations during today’s visit. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The school menu for February 2024 was not posted in the classroom. 10A NCAC 09 .0901(b) 705 Equipment and furnishings were not sturdy, stable and free of hazards. A large blue storage tub used to store the soft blocks on the playground was cracked in several places, creating sharp edges and pinch points. .0601(c) 1041 Prior to employment a Criminal Background Check was not completed. Two therapists provided services to three children in a separate classroom. Neither therapist had completed a Criminal Background Check. G.S. 110-90.2(b) 1315 Emergency information record did not include chronic illness and any medication taken for the illness. A child's application that was completed in September 2023 was not updated to reflect a chronic medical condition and required medication requiring a medical action plan that was diagnosed in October 2023. .0802(c)(3) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters were not available for two therapists providing services to children enrolled in the licensed pre-k program in a separate classroom. G.S. 110-90.2(b) & (d) & .2703(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was available with a child's medication but was not attached to the child's application. .0801(b) 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. A staff person who started on October 31, 2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment due by January 31, 2024. .1102(g) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4) (d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and provided a printed copy of it to D. Cherry, ECPre-K Teacher. I will follow up with an electronic copy of the visit K. Saunders-Rivera and R. Palumbo, ECPre-K Coordinator. We reviewed the visit summary and violation(s) documented during today’s visit. Correct these immediately. Send evidence of correction to me so that I receive it no later than 2/21/24. Your compliance verification letter needs to state your facility name and license number and list each violation by Item # and describe in detail when and how each violation has been corrected. Also include the following documents/pictures to verify compliance: copy of C. Mickey’s certificate for Recognizing and Responding to Suspicions of Child Maltreatment, copy of Qualifying Letters for L. Dowdy and E. Schauer. Send compliance verification letter in an email from your fcch’s official email address, rpalumbo@currituck.k12.nc.us to my email address, Marjorie.White@dhhs.nc.gov. You may include the compliance verification as an attachment or in the body of the email. I will email a sample compliance verification letter to you. If sufficient information is not received by the due date, a follow-up visit may be conducted. Please be aware that any information submitted by you is legal documentation. If it is determined the information provided in the compliance letter is not true, this may be considered falsification of information. If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199. Technical Assistance with Documented Violation(s): #528: Menu – Posting the current menu provides parents an opportunity to review the menu. This may be important if their child has allergies and they want to see what is being offered and remind the teachers of their child’s allergies or just to know what their child is eating. The February 2024 menu was not posted. The teacher assistant had the menu for posting on her desk along with the menus that she sends home in the children’s folders for the parents to review. She corrected it immediately and posted the menu on the bulletin board and added them to the children’s folders. The menu must be current and planned and posted at least one week in advance. #705: Playground Equipment - Many outdoor materials, including portable and stationary toys and climbers, are made of a thick plastic that holds up well in outdoor environments and offers years of service, but due to sun, weather, and years of use, the plastic eventually starts to crack and splinter, creating possible pinch points and sharp edges that could injure an unsuspecting child. A large blue tub used to store foam blocks on the playground was cracked in multiple places. The teacher said that it had just received the tub from storage and she had noticed that it was cracked and was planning to replace it. #1041 #1757: Criminal Background Check (CBC) – Criminal Background Checks ensure that staff have not committed any crimes which could potentially make them unsafe to be around children and other staff. Because Abuse and Neglect registries are also checked, it helps to ensure that children are protected from physical, mental, and sexual abuse. Performing diligent background screenings also protects the child care facility against future legal challenges. Today, I observed an occupational therapist named Logan Dowdy take three children to the classroom next door for services. I asked her name and checked the ABCMS system where I saw that she had not completed a Criminal Background Check. A second occupational therapist named Eric Schauer stopped by the classroom to share that he and Ms. Dowdy worked together and were meeting with R. Palumbo to obtain the required Criminal Background Check. He stated that he had started the process during Covid but did not complete it. His name was listed in the ABCMS, but it stated that he needed to submit a new application. Federal requirements require all staff who work in licensed afterschool or pre-k programs operated by public schools complete a DCDEE Criminal Background Check (CBC) before hire and then every five years. This includes administrators, teachers, teacher assistants, program coordinators, group leaders, assistant group leaders, substitutes, one-on-one assistants, therapists if therapy does not take place in the classroom, and bus drivers. Until they receive their Criminal Background Checks and qualifying letters, Ms. Dowdy and Mr. Schauer may continue to provide services to children enrolled in the licensed pre-k program in the pre-k classroom; however, they may not be alone with children in a separate classroom until the qualifying letters are received and on file. For your compliance letter, state the date when Ms. Dowdy and Mr. Schauer are qualified and have provided you with their qualification letters. Attach a copy of the qualification letters in your compliance verification email. #1315: Child’s Application – The Child’s Application for Enrollment captures health and emergency information that could be critical to the wellbeing of a child in a medical emergency. It needs to be reviewed and updated at least annually or as health or emergency contact information changes. The Child’s Application/Pre-K Registration Form for ES was completed and signed by the guardian in September 2023 but was not updated when the child was diagnosed with a medical condition requiring a medical action plan and medication. The teacher stated that he did not have the medical condition when he was enrolled, and they did not even think about having the guardian update the information in the Health Care Needs Section of the application. She stated that she sees the guardian at drop-off in the morning and will have them complete the missing information. For your compliance letter, state the date when the health care needs section is updated. #1834: Medical Action Plan – Medical Action Plans include medical information that is crucial in the event of a medical emergency that requires medication such as an Epi-pen or Asthma Inhaler. A copy of a current medical action plan must be attached to the child’s application. In October 2023 a child (ES) had a newly diagnosed medical condition requiring a medical action plan and medication. A copy of the medical action plan and the medication permission form were available with the medication, but the medical action plan was not attached to the child’s application/pre-k registration form in his file. The teacher stated that when the child was diagnosed and the parent brought in the medical action plan with the medication, she did not know to make a copy to attach to the application. She made a copy and included it with the application, correcting the violation today. #1897 – Recognizing and Responding to Suspicions of Child Maltreatment – Recognizing and Responding to Suspicions of Child Maltreatment teaches citizens and professionals the signs and symptoms to look out for with child abuse and neglect, what to do when they suspect it is happening, NC’s reporting law, and what happens after a report is made. C. Mickey was required to complete the training by 1/31/24 but there was not documentation of completion in her staff file. She stated that she has completed numerous on-line trainings but is not sure if she completed the maltreatment training. I will email a list of required trainings/tasks that need to be completed at hire and throughout a new employee’s first year. General Visit Information: As a licensed DPI Pre-K, it is your responsibility to be knowledgeable of the child care laws and rules. The most recent versions of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. You can also review the “What’s New” section and download a copy of the Items Number Listing which you can use as a checklist for your program. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies are available to assist you with technical assistance and training on a multitude of topics not limited to: Early Child Care Environment Rating Scale – ECCERS-R), healthy behaviors, NC Foundations for Early Learning Standards (NCFELDS) . Child Care Health Consultants can provide training and technical assistance on topics related to health and safety such as sanitation, handwashing, diapering, illness policies, etc. *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone – (252) 333-1233; website - www.aacfnc.org . *Child Care Health Consultant – C. Smith - (252) 340-0212 or cindy@aacfnc.org New Center Discussion Points: Moodle Support - The Division offers early childhood professionals a wide range of professional development opportunities through the online learning platform Moodle. DCDEE has established a new email address and phone number for Moodle Support. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. DCDEE Works - To receive credit for education and earn points in Education Standards, register for an individual Works account using the Works On-line Education portal. Go to the DCDEE website. Click on Provider. Scroll down to DCDEE Works. Review the information on Works (DCDEE Works FAQ and Completing DCDEE Works Registration I and II Job Aid) for more information on registration and submitting education. There is a new Works Training Simulator to assist you also. When you are ready, use your NCID to log in and create your Works account. If you have questions or need assistance, contact the Workforce Education Unit at 1-800-859-0829 (In State Only) or 919-814-6350 or leave a question at dcdee.works@dhhs.nc.gov . *The following staff do not have Works accounts and need to register and submit required education documents as soon as possible so that you receive credit for staff education for your rated license: K. Saunders-Rivera, C. Mickey. Rated License Information: We continued our discussion about the rated license process. At the end of your six-month temporary time period, you will be eligible to apply for a star-rated license if you maintain a compliance history score of 75% or higher. You completed an Application for Assessment for a Two Component Star Rated License and the request form for the Environment Rating Scales (ERS) on 12/12/2023. Program Standards – You can earn 1 – 7 points in Program Standards To earn 6 – 7 points in Program Standards, you will need to request and complete the ECERS-R and score a 5.0 or higher. Review the applicable ECERS-R assessment tools, visit www.ncrlap.org and review and download NC Additional Notes and the additional printed resources. Complete training modules available to learn more about specific aspects of the ECERS-R. I encourage you to contact Albemarle Alliance for Children and Families (AACF) to request technical assistance and/or a mock in preparation for the ERS. The higher you score on the ECERS-R, the more points you will earn in Program Standards. * Your four-week ECERS-R window is scheduled for 2/19/2024 – 3/15/2024. Education Standards – You can earn 1 – 7 points in Education Standards *based on information available in DCDEE Works *points determined by the lowest level of education for the categories Administrator Education – 1 Point (will be 7 Points when education posted) Administrator (K. Saunders-Rivera) – Principal License (not posted in Works) w/ 10+y ec/ad exp = 1 point (7 points when education posted) *K. Saunders-Rivera needs to register for Works. Request to be approved as a DPI Administrator. Upload DPI Administrator Education Form and Principal License. This needs to be completed immediately to ensure that it is available for the rated license assessment that will be completed by the first week of April. EC Pre-K Teacher – 7 Points D. Cherry – BS-ECE w/ 4+y ec exp = 7 points *Needs to complete B-K License to qualify for NCPre-K or Developmental Day EC Pre-K Teacher Assistant – 3 Points C. Mickey – HS + some college (not in Works) w/ 3+y ec exp = 3 points *C. Mickey needs to register for Works. Request to be approved as a DPI Teacher/Teacher Assistant. Upload DPI Teacher/Teacher Assistant Education Form and copies of original, official transcripts. This needs to be completed immediately to ensure that it is available for the rated license assessment that will be completed by the first week of April. *Needs to complete AAS-ECE (or be working towards it) to qualify as NCPreK Teacher Assistant. Quality Point – 1 Point Administrator has 10+ years administrative experience. Approved Curriculum – Creative Curriculum Program Standards (1-7 pts) + Education Standards (1-7 pts) + Quality Point (1 pt) = # of Stars 1 – 3 Points = 1 Star 4 – 6 Points = 2 Stars 7 – 9 Points = 3 Stars (required to participate in subsidy) 10 – 12 Points = 4 Stars (must use an approved curriculum for four-year olds) 13 – 15 Points = 5 Stars (must use an approved curriculum for four-year olds) ECERS-R Technical Assistance: Program operating hours – 7:30 am – 2:30 pm = 7 hours Substantial Portion of the Day (SPOD) – Children need to have free access to centers and materials for 1/3 of operating hours = 2 hours 20 minutes (140 minutes) affecting eleven items on the ECERS-R. The posted schedule reflects 135 minutes of center free play time. Some materials are available on the playground, but not enough to mirror indoor centers and the required materials so outdoor time is not going to be included in SPOD. *Follow your schedule. (You did a good job with this today.) *45 minutes of outdoor time required, weather permitting, but provide a variety of gross motor materials indoors for at least 45 minutes if weather does not permit outdoor play. *Transition times, e.g., cleaning up, changing centers, putting on coats, lining up, are deducted from your SPOD. So, if you plan for forty-five minutes of outdoor time from 10:00 – 10:45 AM, but 5 minutes is used from 10:00 – 10:05 AM to put on coats and line up to go outside and 3 minutes is used from 10:42 – 10:45 AM to clean up and come inside, the children only receive 37 minutes of outdoor time. *You have long transition times to and from the cafeteria which reduces the amount of time you can use for SPOD. *Diapers/pull-ups need to be checked/changed every two hours. Use a whiteboard to track this. *Move dollhouses, train tracks, barns from block area to another space in the classroom. These items are a form of dramatic play and are not block materials. Play with them in the block center reduces the amount of space available for block play. I counted 72 unit blocks. To receive credit for a sufficient number of blocks for three children to build 3 large structures, you need 80 blocks per child. *Use the worksheet, ”Thinking More About Activities” available on NCRLAP website to inventory your materials and determine if you need to add additional materials to meet the variety and quantity of required materials. *When the assessor asks, “Do you go outdoors every day?”, know the definition of weather permitting and how to use the Weather Watch Chart to determine if weather conditions allow for outdoor play. Also have indoor gross motor materials that children can use for active play inside if weather conditions do not allow for outdoor play. The assessor will ask to see these. *Ensure safety requirements are met in other spaces children use throughout the day. NC Rated License Assessment Project (NC-RLAP) – The NC-RLAP website is your go-to place for information on the Environment Rating Scales. It has a wealth of printed information, videos, preparation worksheets, and training options to help you prepare for your ECERS-R assessment. NCRLAP is offering virtual training that earns on-going training hours. Go to ncrlap.org/Resources/Training/Register/ to see scale related training as well as additional trainings that cover special topics such as language and interactions, outdoor learning environments, and gross motor play. Resource handouts on a wide range of topics are available. Check out the resource videos on the following topics: Overview of the Assessment Process, Using Materials with Non-Mobile Infants, A Safe Place for Gross Motor Play, Hand washing and Other Basic Health Considerations, Language for Learning. A video tour of the website is also available. For more information go to www.ncrlap.org Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today. If you have any questions, do not hesitate to call or email me at the contact information listed above. 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: Moyock Elementary Preschool Facility ID: 27000136 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 6 Completed Date: 12/12/2023 Age: From 3 To 5 Total Minutes: 360 Time In: 09:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced * The purpose of today’s visit was to monitor your program for compliance with all applicable child care requirements during the first temporary time period visit (TTP). K. Saunders-Rivera, Administrator, stopped by the classroom, but the ECPre-K staff assisted me with the visit. The facility was issued a temporary license on October 31, 2023, caring for no more than eighteen (18) children on first shift only. Restrictions are daytime care only. The Temporary License is valid for six months, through April 30, 2024. During the temporary time period, you will receive at least three (3) unannounced visits. During the visit I monitored the primary space in Room 41 and outdoor playground. I monitored 3 children’s records, 2 staff records, and all program records. I also updated the website to approve the DPI program for transportation. Observations: Program documents including the Temporary License, daily schedule, current activity plans, and other required documents were posted in the classroom. Two teachers were present with six children, three through five years of age. The class was learning about Winter and Christmas as reflected on the posted activity plans. The classroom was arranged into organized activity centers: books, art, manipulatives, blocks, and dramatic play. Music and science were also available. A sensory table that can be used for sand and water play was filled with straw. A cozy “calm” corner with round, vinyl pillow on top of a rug was arranged in the corner outside the bathroom and provided a safe place for a child to get away from the hustle and bustle of the classroom. Children were gathered for group time and were reviewing colors. Children were allowed to remove themselves from the group time rug and play quietly in the centers. They transitioned to free choice play. The lead teacher worked one on one with children assisting them with a craft where they followed directions to make a Christmas penguin building their fine motor and listening while talking about shapes and colors. The teacher sat with a group of children working with playdough. Other children played in the housekeeping center. Teachers changed diapers, as needed but did not document diaper changes to ensure diaper checks were completed at least every two hours. While they washed hands before lunch, the lead teacher read a story. They put on coats and walked to the cafeteria using a handle rope. The cafeteria staff clean and sanitize the tables before the children arrive, and the school resource officer retrieves their lunch boxes from the food prep refrigerator and has them ready on the tables. Most children brought lunches from home. All had Nutrition Opt-out forms in their files. The school lunch was choice of chicken strips with roll or cheeseburger on bun; choice of sweet potato puffs, broccoli salad, cranberries, or apple; and milk. The teachers assisted children with their lunches and provided close supervision. They left the cafeteria and went to playground. The fence measured four feet high. The wooden barriers maintained the mulch surfacing, but there were no portable or stationary climbing structures. Children could use balls, a small basketball hoop, bowling pins, one tricycle and one Cozy Coupe. Some sand toys were available. The area under the metal shade canopy does not drain or dry well and was muddy. Children returned indoors and washed hands. They finished up with more free play while getting diapers or pull-ups changed. Some children only attend until 12pm and were picked up by parents or rode the bus. One child remained. He did not sleep but rested on his mat before having snack and free play. I observed and documented the following violation during today’s visit. 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. Two outlets near the sink were not protected with outlet covers. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A first aid kit that was stored out of reach of children contained burn cream, antibiotic ointment, non-aspirin pain reliever, antiseptic wipes, and alcohol prep pads. These items are required to be locked. 15A NCAC 18A .2820(d) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4) (d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and provided a printed copy of it to you, D. Cherry, ECPK Teacher and listed Legal Designee. I will also email a copy to K. Saunders-Rivera, Administrator, H. Taylor, Assistant Administrator, and R. Palumbo, Pre-K Coordinator. We reviewed the visit summary and violations documented during today’s visit. You corrected both violations so no further action is required except to keep unused outlets covered and lock all OTC medications. If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199. Technical Assistance with Documented Violations: Storage of Medication - Improper storge of medications results in millions of accidental poisonings in children annually. A first aid kit that was stored out of reach of children contained burn cream, antibiotic ointment, non-aspirin pain reliever, antiseptic wipes, and alcohol prep pads. These items are required to be locked. You removed these items and placed them in locked storage and will discard them after children leave in the afternoon. Store-bought first aid kits usually have these types of OTC medications. Remove these when bringing them into your classrooms. A good supply of band aids with soap and running water are generally all you need for first aid plus tweezers for splinters and some gauze and an ace bandage for more severe lacerations or scrapes. Because you are in a school, the school nurse would probably handle anything more than band-aid boo boos. Outlets - Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. The majority of these injuries involve children under the age of six. Both outlets to the left of the sink in the bathroom were not protected with outlet covers. Even though they are GFCI outlets, they are required to be protected. You covered the outlets and stated that you will request extra outlet covers for the classroom. General Visit Information: As a licensed DPI operator, it is your responsibility to be knowledgeable of the child care laws and rules. The most recent versions of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. You can also review the “What’s New” section and download a copy of the Items Number Listing which you can use as a checklist for your program. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies are available to assist you with technical assistance and training on a multitude of topics not limited to: Early Child Care Environment Rating Scale – ECCERS-R), healthy behaviors, NC Foundations for Early Learning Standards (NCFELDS), etc. *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone – (252) 333-1233; website - www.aacfnc.org . *Child Care Health Consultant – C. Smith - (252) 340-0212 or cindy@aacfnc.org New Center Discussion Points: Health & Safety Training – up to 11 modules to instruct you about health and safety issues in early learning and care programs (not all modules may apply to your facility). Most H&S Training is available on Moodle. DCDEE has established a new email address and phone number for Moodle Support. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. *H&S Training for D. Cherry and C. Mickey is due by 10/31/24. Completion of Recognizing and Responding to Suspicions of Child Maltreatment is due within three months of hire,1/31/24. Please complete the H&S training log and attach certificates. Criminal Background Checks - Federal requirements require all staff who work in licensed afterschool or pre-k programs operated by public schools complete a DCDEE Criminal Background Check (CBC) before hire and then every five years. This includes administrators, teachers, teacher assistants, program coordinators, group leaders, assistant group leaders, substitutes, one-on-one assistants, therapists if therapy does not take place in the classroom, and bus drivers. DCDEE Works -The ECPre-K Teacher has her education posted in Works. K. Saunders-Rivera and C. Mickey need to register for Works, request to be approved for their positions and upload education documentation and DPI Education forms. Please have all staff registered in WORKS no later than January 31, 2024. I provided you with the DPI Education Forms and instructions on how to register for Works. School Critical Incident Plan and Emergency Medical Care Plan (EMCP) - • Licensed DPI programs are not required to complete a separate Emergency Preparedness Plan if they follow the school’s Critical Incident Plan (or similar type of plan for emergency responses). They are expected to have documentation of monthly fire drills and quarterly emergency drills – shelter-in-place or lock-down). Fire drills must be completed for any month or partial month the Pre-K or ASEP is operating. A quarterly emergency drill must be completed each quarter (July – September; October – December, January – March; April – June). • A current Emergency Medical Care Plan is required to be posted in a central location and updated to reflect current staff and assigned duties in a medical emergency. At least one person listed on EMCP must be on site. • Review the Emergency Medical Care Plan School Critical Incident Plan/Response Plan with staff at hire and annually. Attendance - Documentation of arrival and departure times helps to ensure the safety of children and must be current throughout the operating day. Your attendance records must reflect all children who are enrolled in and attend your program (full-time, part-time, drop-in, one-time) whether they are present or not. Maintain attendance records for at least one year. Having accurate attendance is important to have as documentation if there is a question about children’s attendance related to payments, subsidy, or even parental disputes. More importantly it helps to accurately account for children in the event of an emergency where you might have to evacuate the center. I shared a sample attendance log with you that reflects names of children, birthdate or age, arrival and departure times and whether they were car or bus riders. Playground – The fence now measures four-feet on all sides from the ground to the top of the fence. You are still working on the playground and considering the purchase of a small, stationary climbing structure similar to the stationary climber at some of the other pre-k programs in Currituck. Ensure you have enough space for a six-foot fall zone all the way around with at least six inches of mulch surfacing. The area under the metal canopy does not drain well resulting in a large muddy puddle. Consider creating a mud kitchen that can be used when that area is not dried out for creative mud play. If you do not want children to play in the mud, you need to correct the drainage issue under the canopy. Add additional wheeled toys, e.g., tricycles, wagons, wheelbarrows. Children can use the wooden borders for balancing and walking but consider adding some “stepping stones” to encourage jumping or leaping from one stepping stone to the next. Bring some inside centers outside such as a kitchen set with accessories, large plastic blocks for outdoor block building, a small table with materials for writing. Add a storage shed that can be locked to safely store your materials. Remove the large pieces of lumber from outside the fence. Closet Storage – Environmental Health Rules require all items in storage closet to be stored on shelving and not directly on the floor to facilitate cleaning. Obtain additional shelving for the closet for storage of mats and supplies. Mats – The mats observed in the closet are fraying at the corners exposing the foam underneath. This combined with the old tacky tape residue left over from previous use prohibits the mats from being easily cleaned. Diaper Changing Table – The diaper changing table needs to be free of dirt, sand and grime. Sweep out or vacuum the dirt under the diaper cushion and from the small storage bin. This needs to be wiped out at least daily. You need to have a separate detergent solution (soapy water) and disinfecting solution for cleaning and disinfecting the diaper table in the bathroom. Add a shelf to the bathroom for these solutions. The Commander Hooks do not support the weight of these bottles. Keep a detergent solution and sanitizing spray in the classroom for cleaning and sanitizing tables before and after breakfast and snack and as needed. Cafeteria – There were two bottles hanging on hooks in the alcove where the pre-k children eat lunch. One was labeled soapy water and was empty. The other was labeled disinfectant and was almost empty. You need sanitizing solution for cleaning and sanitizing the tables before and after lunch. Disinfectant solution is higher strength and used for bathrooms and diaper tables. Medication Permission Forms – Medication permission forms for emergency medications and chronic medical conditions are valid for six months and must be reauthorized by the parent every six months. If children bring medication in at the beginning of the school year (August), the permission form needs to be updated in February. Specials – Your posted schedule reflects that children participate in special activities such as art, music, technology, and gym in other spaces in the school. These spaces need to meet health and safety requirements when the pre-k children are there: staff/child ratios, storage of hazardous products, covered outlets. Consider having at least some of these activities occur in the classroom so that children can still have access to classroom materials meeting Substantial Portion of the Day for the ECERS-R. Incident Report – If a child is injured while attending child care and the injury requires minor on-site first aid (band-aid, ice pack, tweezers, etc.) or professional medical care (doctor, hospital, EMS, etc.), complete an Incident Report (updated 3/2021) with help from the staff members who witnessed the accident and provided first aid. Review with the parent and have her/him sign. The parent must be offered a copy but may choose to decline a copy by checking and initially the box at the bottom. The original copy is maintained in the child’s file and documented on the Incident Log. If the injury requires professional medical attention, mail a copy of the Incident Report to the child care consultant within seven days. Incident Reports provide a way to keep parents informed of injuries and provide a way for you and your staff to review your own safety and supervision practices to prevent injuries in the future. Environmental Health Rule Updates - Children’s Environmental Health conducted a series of virtual trainings on the recently re-adopted Child Care Sanitation Rules, effective July 1, 2023. If you were not able to participate, check the link to see the training agenda, new rules and other resources at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. Rated License Information: We discussed the rated license process. At the end of your six-month temporary time period, you will be eligible to apply for a star-rated license if you maintain a compliance history score of 75% or higher. I provided an Application for Assessment for a Two Component Star Rated License and the request form for the Environment Rating Scales (ERS) to you today. I will email to R. Palumbo to complete and sign. NCPre-K programs are required to earn a Four or Five Star License and successfully complete the Early Childhood Environment Rating Scale – Revised (ECERS-R) with a score of 5.0 or higher. Program Standards – You can earn 1 – 7 points in Program Standards To earn 6 – 7 points in Program Standards, you will need to request and complete the ECERS-R and score a 5.0 or higher. If you choose to request the ECERS-R, the scales will need to be completed by March 15, 2024 prior to the expiration of the temporary license on April 30, 2024. Review the applicable ECERS-R assessment tools, visit www.ncrlap.org and review and download NC Additional Notes and the additional printed resources. Complete training modules available to learn more about specific aspects of the ECERS-R. I encourage you to contact Albemarle Alliance for Children and Families (AACF) Children & Youth Partnership for Dare County to request technical assistance and/or a mock in preparation for the ERS. The higher you score on the ECERS-R, the more points you will earn in Program Standards. You stated that you would like an ECERS-R window of February 19, 2024 – March 15, 2024. Education Standards – You can earn 1 – 7 points in Education Standards *based on information available in DCDEE Works Administrator Education – 1 Point (will be 7 Points when education posted) Administrator (K. Saunders-Rivera) – Principal License (not posted in Works) w/ 10+y ec/ad exp = 1 point (7 points when education posted) *K. Saunders-Rivera needs to register for Works. Request to be approved as a DPI Administrator. Upload DPI Administrator Education Form and Principal License EC Pre-K Teacher – 7 Points D. Cherry – BS-ECE w/ 4+y ec exp = 7 points *Needs to complete B-K License to qualify for NCPre-K or Developmental Day EC Pre-K Teacher Assistant – 3 Points C. Mickey – HS + some college (not in Works) w/ 3+y ec exp = 3 points *C. Mickey needs to register for Works. Request to be approved as a DPI Teacher/Teacher Assistant. Upload DPI Teacher/Teacher Assistant Education Form and copies of original, official transcripts. *Needs to complete AAS-ECE (or be working towards it) to qualify as NCPreK Teacher Assistant. Quality Point – 1 Point You can earn a quality point by meeting one of the Education or Program options. I shared the list of Quality Points. Approved Curriculum – Creative Curriculum Program Standards (1-7 pts) + Education Standards (1-7 pts) + Quality Point (1 pt) = # of Stars 1 – 3 Points = 1 Star 4 – 6 Points = 2 Stars 7 – 9 Points = 3 Stars (required to participate in subsidy) 10 – 12 Points = 4 Stars (must use an approved curriculum for four-year olds) 13 – 15 Points = 5 Stars (must use an approved curriculum for four-year olds) ECERS-R Technical Assistance Substantial Portion of the Day – Have staff from Albemarle Alliance for Children and Families (AACF) review your daily schedule to ensure you are meeting substantial portion of the day (SPOD - 1/3 of operating hours that children have access to classroom materials and space.) The long walk to and from the cafeteria takes away from this time. Participation in special activities in other classrooms does not allow children to have access to materials. Add indoor centers to playground to extend SPOD *Item 3 – Furnishings for relaxation and comfort – Add more softness to your cozy corner (calming corner). You have a vinyl pillow on a rug. Add a small crib mattress covered with a blanket with floor pillows and smaller throw pillows. This area should reflect a substantial amount of softness where a child or two feels that she/he can get away from the hub bub of the center. *Item 6 – Display - Add more children’s artwork to walls. Add children’s family pictures to encourage discussion about displayed items. *Item 9 – Toileting/diapering – Check diapers/pull-ups at least every two hours. Use a whiteboard with a clock nearby to document each diaper check/change and record time for next 2-hour check. *Item 22 – Blocks - Remove playhouse, playhouse accessories and barn from block center. These are a type of dramatic play materials and should not be used in the block center because they take away space for block play. Also remove puzzles on the low shelf. They belong with the manipulatives. Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today. If you have any questions, do not hesitate to call or email me at the contact information listed above. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: Moyock Elementary Preschool Facility ID: 27000136 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 6 Completed Date: 12/12/2023 Age: From 3 To 5 Total Minutes: 360 Time In: 09:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced * The purpose of today’s visit was to monitor your program for compliance with all applicable child care requirements during the first temporary time period visit (TTP). K. Saunders-Rivera, Administrator, stopped by the classroom, but the ECPre-K staff assisted me with the visit. The facility was issued a temporary license on October 31, 2023, caring for no more than eighteen (18) children on first shift only. Restrictions are daytime care only. The Temporary License is valid for six months, through April 30, 2024. During the temporary time period, you will receive at least three (3) unannounced visits. During the visit I monitored the primary space in Room 41 and outdoor playground. I monitored 3 children’s records, 2 staff records, and all program records. I also updated the website to approve the DPI program for transportation. Observations: Program documents including the Temporary License, daily schedule, current activity plans, and other required documents were posted in the classroom. Two teachers were present with six children, three through five years of age. The class was learning about Winter and Christmas as reflected on the posted activity plans. The classroom was arranged into organized activity centers: books, art, manipulatives, blocks, and dramatic play. Music and science were also available. A sensory table that can be used for sand and water play was filled with straw. A cozy “calm” corner with round, vinyl pillow on top of a rug was arranged in the corner outside the bathroom and provided a safe place for a child to get away from the hustle and bustle of the classroom. Children were gathered for group time and were reviewing colors. Children were allowed to remove themselves from the group time rug and play quietly in the centers. They transitioned to free choice play. The lead teacher worked one on one with children assisting them with a craft where they followed directions to make a Christmas penguin building their fine motor and listening while talking about shapes and colors. The teacher sat with a group of children working with playdough. Other children played in the housekeeping center. Teachers changed diapers, as needed but did not document diaper changes to ensure diaper checks were completed at least every two hours. While they washed hands before lunch, the lead teacher read a story. They put on coats and walked to the cafeteria using a handle rope. The cafeteria staff clean and sanitize the tables before the children arrive, and the school resource officer retrieves their lunch boxes from the food prep refrigerator and has them ready on the tables. Most children brought lunches from home. All had Nutrition Opt-out forms in their files. The school lunch was choice of chicken strips with roll or cheeseburger on bun; choice of sweet potato puffs, broccoli salad, cranberries, or apple; and milk. The teachers assisted children with their lunches and provided close supervision. They left the cafeteria and went to playground. The fence measured four feet high. The wooden barriers maintained the mulch surfacing, but there were no portable or stationary climbing structures. Children could use balls, a small basketball hoop, bowling pins, one tricycle and one Cozy Coupe. Some sand toys were available. The area under the metal shade canopy does not drain or dry well and was muddy. Children returned indoors and washed hands. They finished up with more free play while getting diapers or pull-ups changed. Some children only attend until 12pm and were picked up by parents or rode the bus. One child remained. He did not sleep but rested on his mat before having snack and free play. I observed and documented the following violation during today’s visit. 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. Two outlets near the sink were not protected with outlet covers. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A first aid kit that was stored out of reach of children contained burn cream, antibiotic ointment, non-aspirin pain reliever, antiseptic wipes, and alcohol prep pads. These items are required to be locked. 15A NCAC 18A .2820(d) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4) (d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and provided a printed copy of it to you, D. Cherry, ECPK Teacher and listed Legal Designee. I will also email a copy to K. Saunders-Rivera, Administrator, H. Taylor, Assistant Administrator, and R. Palumbo, Pre-K Coordinator. We reviewed the visit summary and violations documented during today’s visit. You corrected both violations so no further action is required except to keep unused outlets covered and lock all OTC medications. If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199. Technical Assistance with Documented Violations: Storage of Medication - Improper storge of medications results in millions of accidental poisonings in children annually. A first aid kit that was stored out of reach of children contained burn cream, antibiotic ointment, non-aspirin pain reliever, antiseptic wipes, and alcohol prep pads. These items are required to be locked. You removed these items and placed them in locked storage and will discard them after children leave in the afternoon. Store-bought first aid kits usually have these types of OTC medications. Remove these when bringing them into your classrooms. A good supply of band aids with soap and running water are generally all you need for first aid plus tweezers for splinters and some gauze and an ace bandage for more severe lacerations or scrapes. Because you are in a school, the school nurse would probably handle anything more than band-aid boo boos. Outlets - Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. The majority of these injuries involve children under the age of six. Both outlets to the left of the sink in the bathroom were not protected with outlet covers. Even though they are GFCI outlets, they are required to be protected. You covered the outlets and stated that you will request extra outlet covers for the classroom. General Visit Information: As a licensed DPI operator, it is your responsibility to be knowledgeable of the child care laws and rules. The most recent versions of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. You can also review the “What’s New” section and download a copy of the Items Number Listing which you can use as a checklist for your program. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies are available to assist you with technical assistance and training on a multitude of topics not limited to: Early Child Care Environment Rating Scale – ECCERS-R), healthy behaviors, NC Foundations for Early Learning Standards (NCFELDS), etc. *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone – (252) 333-1233; website - www.aacfnc.org . *Child Care Health Consultant – C. Smith - (252) 340-0212 or cindy@aacfnc.org New Center Discussion Points: Health & Safety Training – up to 11 modules to instruct you about health and safety issues in early learning and care programs (not all modules may apply to your facility). Most H&S Training is available on Moodle. DCDEE has established a new email address and phone number for Moodle Support. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. *H&S Training for D. Cherry and C. Mickey is due by 10/31/24. Completion of Recognizing and Responding to Suspicions of Child Maltreatment is due within three months of hire,1/31/24. Please complete the H&S training log and attach certificates. Criminal Background Checks - Federal requirements require all staff who work in licensed afterschool or pre-k programs operated by public schools complete a DCDEE Criminal Background Check (CBC) before hire and then every five years. This includes administrators, teachers, teacher assistants, program coordinators, group leaders, assistant group leaders, substitutes, one-on-one assistants, therapists if therapy does not take place in the classroom, and bus drivers. DCDEE Works -The ECPre-K Teacher has her education posted in Works. K. Saunders-Rivera and C. Mickey need to register for Works, request to be approved for their positions and upload education documentation and DPI Education forms. Please have all staff registered in WORKS no later than January 31, 2024. I provided you with the DPI Education Forms and instructions on how to register for Works. School Critical Incident Plan and Emergency Medical Care Plan (EMCP) - • Licensed DPI programs are not required to complete a separate Emergency Preparedness Plan if they follow the school’s Critical Incident Plan (or similar type of plan for emergency responses). They are expected to have documentation of monthly fire drills and quarterly emergency drills – shelter-in-place or lock-down). Fire drills must be completed for any month or partial month the Pre-K or ASEP is operating. A quarterly emergency drill must be completed each quarter (July – September; October – December, January – March; April – June). • A current Emergency Medical Care Plan is required to be posted in a central location and updated to reflect current staff and assigned duties in a medical emergency. At least one person listed on EMCP must be on site. • Review the Emergency Medical Care Plan School Critical Incident Plan/Response Plan with staff at hire and annually. Attendance - Documentation of arrival and departure times helps to ensure the safety of children and must be current throughout the operating day. Your attendance records must reflect all children who are enrolled in and attend your program (full-time, part-time, drop-in, one-time) whether they are present or not. Maintain attendance records for at least one year. Having accurate attendance is important to have as documentation if there is a question about children’s attendance related to payments, subsidy, or even parental disputes. More importantly it helps to accurately account for children in the event of an emergency where you might have to evacuate the center. I shared a sample attendance log with you that reflects names of children, birthdate or age, arrival and departure times and whether they were car or bus riders. Playground – The fence now measures four-feet on all sides from the ground to the top of the fence. You are still working on the playground and considering the purchase of a small, stationary climbing structure similar to the stationary climber at some of the other pre-k programs in Currituck. Ensure you have enough space for a six-foot fall zone all the way around with at least six inches of mulch surfacing. The area under the metal canopy does not drain well resulting in a large muddy puddle. Consider creating a mud kitchen that can be used when that area is not dried out for creative mud play. If you do not want children to play in the mud, you need to correct the drainage issue under the canopy. Add additional wheeled toys, e.g., tricycles, wagons, wheelbarrows. Children can use the wooden borders for balancing and walking but consider adding some “stepping stones” to encourage jumping or leaping from one stepping stone to the next. Bring some inside centers outside such as a kitchen set with accessories, large plastic blocks for outdoor block building, a small table with materials for writing. Add a storage shed that can be locked to safely store your materials. Remove the large pieces of lumber from outside the fence. Closet Storage – Environmental Health Rules require all items in storage closet to be stored on shelving and not directly on the floor to facilitate cleaning. Obtain additional shelving for the closet for storage of mats and supplies. Mats – The mats observed in the closet are fraying at the corners exposing the foam underneath. This combined with the old tacky tape residue left over from previous use prohibits the mats from being easily cleaned. Diaper Changing Table – The diaper changing table needs to be free of dirt, sand and grime. Sweep out or vacuum the dirt under the diaper cushion and from the small storage bin. This needs to be wiped out at least daily. You need to have a separate detergent solution (soapy water) and disinfecting solution for cleaning and disinfecting the diaper table in the bathroom. Add a shelf to the bathroom for these solutions. The Commander Hooks do not support the weight of these bottles. Keep a detergent solution and sanitizing spray in the classroom for cleaning and sanitizing tables before and after breakfast and snack and as needed. Cafeteria – There were two bottles hanging on hooks in the alcove where the pre-k children eat lunch. One was labeled soapy water and was empty. The other was labeled disinfectant and was almost empty. You need sanitizing solution for cleaning and sanitizing the tables before and after lunch. Disinfectant solution is higher strength and used for bathrooms and diaper tables. Medication Permission Forms – Medication permission forms for emergency medications and chronic medical conditions are valid for six months and must be reauthorized by the parent every six months. If children bring medication in at the beginning of the school year (August), the permission form needs to be updated in February. Specials – Your posted schedule reflects that children participate in special activities such as art, music, technology, and gym in other spaces in the school. These spaces need to meet health and safety requirements when the pre-k children are there: staff/child ratios, storage of hazardous products, covered outlets. Consider having at least some of these activities occur in the classroom so that children can still have access to classroom materials meeting Substantial Portion of the Day for the ECERS-R. Incident Report – If a child is injured while attending child care and the injury requires minor on-site first aid (band-aid, ice pack, tweezers, etc.) or professional medical care (doctor, hospital, EMS, etc.), complete an Incident Report (updated 3/2021) with help from the staff members who witnessed the accident and provided first aid. Review with the parent and have her/him sign. The parent must be offered a copy but may choose to decline a copy by checking and initially the box at the bottom. The original copy is maintained in the child’s file and documented on the Incident Log. If the injury requires professional medical attention, mail a copy of the Incident Report to the child care consultant within seven days. Incident Reports provide a way to keep parents informed of injuries and provide a way for you and your staff to review your own safety and supervision practices to prevent injuries in the future. Environmental Health Rule Updates - Children’s Environmental Health conducted a series of virtual trainings on the recently re-adopted Child Care Sanitation Rules, effective July 1, 2023. If you were not able to participate, check the link to see the training agenda, new rules and other resources at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. Rated License Information: We discussed the rated license process. At the end of your six-month temporary time period, you will be eligible to apply for a star-rated license if you maintain a compliance history score of 75% or higher. I provided an Application for Assessment for a Two Component Star Rated License and the request form for the Environment Rating Scales (ERS) to you today. I will email to R. Palumbo to complete and sign. NCPre-K programs are required to earn a Four or Five Star License and successfully complete the Early Childhood Environment Rating Scale – Revised (ECERS-R) with a score of 5.0 or higher. Program Standards – You can earn 1 – 7 points in Program Standards To earn 6 – 7 points in Program Standards, you will need to request and complete the ECERS-R and score a 5.0 or higher. If you choose to request the ECERS-R, the scales will need to be completed by March 15, 2024 prior to the expiration of the temporary license on April 30, 2024. Review the applicable ECERS-R assessment tools, visit www.ncrlap.org and review and download NC Additional Notes and the additional printed resources. Complete training modules available to learn more about specific aspects of the ECERS-R. I encourage you to contact Albemarle Alliance for Children and Families (AACF) Children & Youth Partnership for Dare County to request technical assistance and/or a mock in preparation for the ERS. The higher you score on the ECERS-R, the more points you will earn in Program Standards. You stated that you would like an ECERS-R window of February 19, 2024 – March 15, 2024. Education Standards – You can earn 1 – 7 points in Education Standards *based on information available in DCDEE Works Administrator Education – 1 Point (will be 7 Points when education posted) Administrator (K. Saunders-Rivera) – Principal License (not posted in Works) w/ 10+y ec/ad exp = 1 point (7 points when education posted) *K. Saunders-Rivera needs to register for Works. Request to be approved as a DPI Administrator. Upload DPI Administrator Education Form and Principal License EC Pre-K Teacher – 7 Points D. Cherry – BS-ECE w/ 4+y ec exp = 7 points *Needs to complete B-K License to qualify for NCPre-K or Developmental Day EC Pre-K Teacher Assistant – 3 Points C. Mickey – HS + some college (not in Works) w/ 3+y ec exp = 3 points *C. Mickey needs to register for Works. Request to be approved as a DPI Teacher/Teacher Assistant. Upload DPI Teacher/Teacher Assistant Education Form and copies of original, official transcripts. *Needs to complete AAS-ECE (or be working towards it) to qualify as NCPreK Teacher Assistant. Quality Point – 1 Point You can earn a quality point by meeting one of the Education or Program options. I shared the list of Quality Points. Approved Curriculum – Creative Curriculum Program Standards (1-7 pts) + Education Standards (1-7 pts) + Quality Point (1 pt) = # of Stars 1 – 3 Points = 1 Star 4 – 6 Points = 2 Stars 7 – 9 Points = 3 Stars (required to participate in subsidy) 10 – 12 Points = 4 Stars (must use an approved curriculum for four-year olds) 13 – 15 Points = 5 Stars (must use an approved curriculum for four-year olds) ECERS-R Technical Assistance Substantial Portion of the Day – Have staff from Albemarle Alliance for Children and Families (AACF) review your daily schedule to ensure you are meeting substantial portion of the day (SPOD - 1/3 of operating hours that children have access to classroom materials and space.) The long walk to and from the cafeteria takes away from this time. Participation in special activities in other classrooms does not allow children to have access to materials. Add indoor centers to playground to extend SPOD *Item 3 – Furnishings for relaxation and comfort – Add more softness to your cozy corner (calming corner). You have a vinyl pillow on a rug. Add a small crib mattress covered with a blanket with floor pillows and smaller throw pillows. This area should reflect a substantial amount of softness where a child or two feels that she/he can get away from the hub bub of the center. *Item 6 – Display - Add more children’s artwork to walls. Add children’s family pictures to encourage discussion about displayed items. *Item 9 – Toileting/diapering – Check diapers/pull-ups at least every two hours. Use a whiteboard with a clock nearby to document each diaper check/change and record time for next 2-hour check. *Item 22 – Blocks - Remove playhouse, playhouse accessories and barn from block center. These are a type of dramatic play materials and should not be used in the block center because they take away space for block play. Also remove puzzles on the low shelf. They belong with the manipulatives. Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today. If you have any questions, do not hesitate to call or email me at the contact information listed above. 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