NC GS 110-90 · Violation

Name of Operation: NAGS HEAD ELEMENTARY ASEP Facility ID: 28000169 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 12/4/2023 Number Present: 64 Completed Date: 12/4/2023 Age: From 5 To 10 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 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 out of school care requirements. Last Annual Compliance visit – 2/7/23 Last Sanitation Inspection – 10/13/23 with a Superior Rating; expires 10/13/24 Last Fire Inspection – 5/21/23 with Passed with Comments rating; expires 5/21/24 *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. 18-month compliance history from 6/2/22 – 12/1/23 = 99% C. Walker, Program Coordinator, was present and assisted me with the visit. The facility currently operates with a Five-Star Center License, issued 5/30/2023, earning points in the following components: Program (6 PTS) + Education (7 PTS) + Quality Point (1 PT) = 14 Points = 5 Stars *Quality Point met and remains in effect: In stand-alone school-age programs, 75% of group leaders have 5 years of documented school-age work experience that can be verified by the Division and have been employed by no more than 2 different employers. The next rated license assessment is due by 5/30/26. See below for more information about the Division’s plan to return to rated license assessments. This facility is owned by Dare County Schools. 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 spaces used for out-of-school care including primary space in the cafeteria and auxiliary space in the gym using the Child Care Center Requirements, effective 7/1/2023 and Item Number Listing, effective 8/1/2023. Dare County Schools opt to not meet playground safety standards; however, I observed the outdoor play area for hazards. I monitored seven children’s records, two staff records and all program records. The facility meets all DPI transportation requirements and continues to be approved for transportation but currently does not do off-site activities that involve transportation at this time. Center Observations: Parent information was posted at the entrance. The children arrived from their classrooms and were greeted by their group leaders. They put personal items in their cubbies, washed hands and picked up snack which were tortilla chips and choice of white or chocolate milk. The Kindergarten and First grade group went to the playground. Group leaders supervised them and interacted with them while letting them choose their games and friends. The 2nd and 3rd grade group remained in the cafeteria and worked on homework or played with toys and materials. One group of children played in the dramatic play center while other children built structures with the construction toys while others worked on a craft with the group leader. The 4th and 5th grade group played basketball and soccer in the gym. Groups rotated so that everyone had outdoor time, active play, and indoor play. Group leaders were respectful of the children’s needs, giving them space when needed. I observed and documented the following violations during today’s visit. Violation Number Comment Rule 1314 Emergency information did not name child's health care professional. In two of seven children's files reviewed, the parent did not list the child's preferred health care provider. .0802(c)(2) 1316 Emergency medical care information did not contain information needed for safe medical treatment. In one of seven children's files reviewed, the parent did not complete the health care needs section. .0802 (c)(4) * 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 C. Walker, Administrator. 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 12/18/2023. The compliance verification letter needs to state the facility name and license number and list each violation by Item # and describe in detail when and how each violation has been corrected. If referring to staff or children in your compliance letter, refer to them by initials or position. Send compliance verification letter in an email from the center’s official email address, murraylt@daretolearn.org to my email address, Marjorie.White@dhhs.nc.gov. If sent from another email address, the center’s official address must be Cc’d in the compliance email. You may include the compliance verification as an attachment or in the body of the email. If sufficient information is not received by the due date, a follow-up visit may be conducted. *I will email a sample compliance verification letter to you. *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 or Jennifer.Linhardt@dhhs.nc.gov. Technical Assistance With Documented Violations: Maintaining accurate records on the children in your care helps to ensure their health and safety, informs families of rules you are required to follow and your center’s policies, and provides a transfer of knowledge so that you can provide the best care possible for their children. I reviewed seven children’s files. The following items were not completed on the Child’s Application for DO and VO: *the child’s preferred health care professional – DO and VO *questions in the Health Care Needs section or circle N/A - DO You stated the children just started recently, and the parent may have simply overlooked those questions; however, it is your responsibility to check the applications to ensure all information is completed. You stated that you will review the information with the parent and have her complete the missing information. You will also review the other children’s files to verify that all information is included. General Visit Information: Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated 7/1/23) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. 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 are available to assist you with technical assistance and training on a multitude of topics including but not limited to: Environment Rating Scales, healthy behaviors and classroom management, developmentally appropriate practice, activity plans, NC Foundations for Early Learning (developmental domains), etc. 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. *Children & Youth Partnership for Dare County: Phone - (252) 441-0614; website - www.darekids.org. *Child Care Health Consultant – S. Rosser - Office: (252) 557-4208 or stacy_rosser@unc.edu *The North Carolina CCR&R School Age Initiative can offer training on a wide variety of school-age topics and technical assistance with the SACERS-U. Call Angela Pate at (252) 640-0122 or email at pate.angela@swcdcinc.org. Or go to www.swcdcinc.org, click on the School-age Initiative tab and complete Request Form for technical assistance or check out available trainings. Reminders: Children’s Records – Use a Children’s File Checklist to verify all required enrollment documents are received, and review documents to verify all required information is completed, and forms are signed and dated. Review Health Care Needs section on Child’s Application for Enrollment to verify that parent provides a response to all questions. 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 or five-year renewal. 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 12/4/24 (anniversary of today’s Annual Compliance visit). wash their hands before feeding infants and toddlers or serving food to children. Medication – I observed one child’s emergency medication, medical action plan, and completed medication permission form. Staff have not administered the medication. Additional Comments: I shared information on the following topics and emailed the information to you after the visit: 1. Clean Classrooms for Carolina Kids – required testing for lead in water, lead paint, asbestos 2. Resources from Health and Safety Resource Center! 3. Child Care Immunization Report – due 11/1/23 4. Environmental Health Rules Update 5. Moodle Support Email and Phone Contact 6. New Rules – July 2023 – enhanced outdoor space, cooperative arrangements, multi-age grouping 7. New Challenging Behaviors Helpline! 8. NC Rated License Assessment Project (NCRLAP) Resources 9. NCID – Keep it active! Transition Back To Rated License Assessments And Cohorts To transition back to rated license assessments, the Division has created a two-year Cohort Model. All facilities are assigned to one of three cohorts based on their current rated license assessment due date. Each cohort will have a year for preparation and a year for assessment. (However, you are encouraged to begin preparations now so that you are ready when your cohort group is due!) Your out-of-school program is due for a three-year rated license reassessment 5/30/26 and has been assigned to Cohort 3. I will share more information when your cohort year is closer. The Cohort 3 Rated License Preparation Year is from 7/1/2025 – 6/30/2026. The Cohort 3 Rated License Assessment Year is from 7/1/2026 – 6/30/2027. 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