Deborah Rouse Day Care Home

10A NCAC 09 .1720 · Violation

Name of Operation: DEBORAH ROUSE DAY CARE HOME Facility ID: 25000022 Consultant: BRITTANY JONES Operation Type: Family CC Home Case Number: Visit Date: 9/11/2025 Number Present: 2 Completed Date: 9/11/2025 Age: From 3 To 8 Total Minutes: 165 Time In: 09:00 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. D. Rouse, Operator, assisted me with the visit. Your program currently operates with a four-star license, issued 11/27/2023, earning 7 points in the education component, 2 points in the program standards component and 1 quality point for having obtained an Infant/Toddler Certificate. The last annual compliance visit was conducted 10/7/24. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety eight percent as of 9/9/25. The NC Secretary of State website was reviewed on 9/9/25 and per your statements and the website, this facility is not currently owned or operated by a corporation. Please contact me prior to any changes regarding the ownership of this facility. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited the indoor and outdoor spaces with me. Upon arrival, the operator was sitting at the table with the children in attendance while they read and colored pictures. The children transitioned to the outdoor center and ran and played on the see saw. The outdoor space was observed to have a basketball hoop, riding toys, and balls were observed for the children to engage in gross motor activities. A large, shaded area under the deck has sand tables and toys available for the children. The following violations was observed. Violation Number Comment Rule 1406 Authorization for up to 6 months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions was not in writing and did not contain information required by rule 10 NCAC 09 .1720(c)(6)(A-I). Written permission for an Albuterol inhaler expired 2/23/25. 10A NCAC 09 .1720(b)(4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 9/25/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Violations: Medication: Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. A medical action plan is required for children that need emergency medication, the form needs to be completed by the parent or a health care professional. All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. Medication permission forms are valid for a defined length of time and must be updated, if needed. Written permission for an Albuterol inhaler expired 2/23/25. You stated that you thought that the authorization was valid for a year. We reviewed the permission form together and discussed that it is valid for six months for emergency medication. We discussed that it would be helpful to put a reminder in your digital calendar for 5 months from now. Put a reminder in your digital calendar to receive a reminder before six months has lapsed to have the written permission updated. Additional Comments: July '25 Rule Changes: Summary, Training Available- The Division of Child Development and Early Education (DCDEE) is excited to share information about the July 2025 child care rule changes. The Child Care Commission adopted rules to support QRIS modernization. The new section, .3200, provides the standards for earning a two-though five-star-rated license. There are three pathways: program assessment, classroom and instructional quality, and accreditation and head start. To support the QRIS changes, additional rules were amended within the following sections: definitions, developmental day services, and NC Pre-Kindergarten services. Consultants will assist as you begin to review the changes, but please note some of the rule changes may not impact your facility. DCDEE has provided a summary of the changes, but for specific details regarding these changes, please ensure you are using the updated July 1, 2025 rule book, and view information in the DCDEE Moodle(Enroll if you haven’t yet).You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov/ncidsspr/. Rule training modules can be found in the same course as the previous Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. For assistance with Moodle, contact DCDEE_MOODLE_SUPPORT@dhhs.nc.gov. NCID - Did you know that if you do not login on any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. Pro Tip: Set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. Please use and share. Craven Smart Start is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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: DEBORAH ROUSE DAY CARE HOME Facility ID: 25000022 Consultant: BRITTANY JONES Operation Type: Family CC Home Case Number: Visit Date: 9/11/2025 Number Present: 2 Completed Date: 9/11/2025 Age: From 3 To 8 Total Minutes: 165 Time In: 09:00 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. D. Rouse, Operator, assisted me with the visit. Your program currently operates with a four-star license, issued 11/27/2023, earning 7 points in the education component, 2 points in the program standards component and 1 quality point for having obtained an Infant/Toddler Certificate. The last annual compliance visit was conducted 10/7/24. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety eight percent as of 9/9/25. The NC Secretary of State website was reviewed on 9/9/25 and per your statements and the website, this facility is not currently owned or operated by a corporation. Please contact me prior to any changes regarding the ownership of this facility. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited the indoor and outdoor spaces with me. Upon arrival, the operator was sitting at the table with the children in attendance while they read and colored pictures. The children transitioned to the outdoor center and ran and played on the see saw. The outdoor space was observed to have a basketball hoop, riding toys, and balls were observed for the children to engage in gross motor activities. A large, shaded area under the deck has sand tables and toys available for the children. The following violations was observed. Violation Number Comment Rule 1406 Authorization for up to 6 months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions was not in writing and did not contain information required by rule 10 NCAC 09 .1720(c)(6)(A-I). Written permission for an Albuterol inhaler expired 2/23/25. 10A NCAC 09 .1720(b)(4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 9/25/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Violations: Medication: Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. A medical action plan is required for children that need emergency medication, the form needs to be completed by the parent or a health care professional. All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. Medication permission forms are valid for a defined length of time and must be updated, if needed. Written permission for an Albuterol inhaler expired 2/23/25. You stated that you thought that the authorization was valid for a year. We reviewed the permission form together and discussed that it is valid for six months for emergency medication. We discussed that it would be helpful to put a reminder in your digital calendar for 5 months from now. Put a reminder in your digital calendar to receive a reminder before six months has lapsed to have the written permission updated. Additional Comments: July '25 Rule Changes: Summary, Training Available- The Division of Child Development and Early Education (DCDEE) is excited to share information about the July 2025 child care rule changes. The Child Care Commission adopted rules to support QRIS modernization. The new section, .3200, provides the standards for earning a two-though five-star-rated license. There are three pathways: program assessment, classroom and instructional quality, and accreditation and head start. To support the QRIS changes, additional rules were amended within the following sections: definitions, developmental day services, and NC Pre-Kindergarten services. Consultants will assist as you begin to review the changes, but please note some of the rule changes may not impact your facility. DCDEE has provided a summary of the changes, but for specific details regarding these changes, please ensure you are using the updated July 1, 2025 rule book, and view information in the DCDEE Moodle(Enroll if you haven’t yet).You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov/ncidsspr/. Rule training modules can be found in the same course as the previous Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. For assistance with Moodle, contact DCDEE_MOODLE_SUPPORT@dhhs.nc.gov. NCID - Did you know that if you do not login on any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. Pro Tip: Set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. Please use and share. Craven Smart Start is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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 .1720 · Violation

Name of Operation: DEBORAH ROUSE DAY CARE HOME Facility ID: 25000022 Consultant: BRITTANY JONES Operation Type: Family CC Home Case Number: Visit Date: 10/7/2024 Number Present: 0 Completed Date: 10/7/2024 Age: From 0 To 0 Total Minutes: 135 Time In: 08:45 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The operator assisted me with the visit. Your program currently operates with a four-star license, issued 11/27/2023, earning 7 points in the education component, 2 points in the program standards component and 1 quality point for having obtained an Infant/Toddler Certificate. The last annual compliance visit was conducted 11/9/23. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety eight percent as of 10/1/24. The NC Secretary of State website was reviewed on 10/1/24 and per your statements and the website, this facility is not currently owned or operated by a corporation. Please contact me prior to any changes regarding the ownership of this facility. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited the indoor and outdoor spaces with me. No children were present during the visit. The children will arrive after the half day preschool program and schools they attend. The learning environment was observed to have a variety of toys and activities available. In the outdoor space, a basketball hoop, riding toys, and balls were observed for the children to engage in gross motor activities. A large shaded area under the deck has sand tables and toys available for the children. The following violations were documented. Violation Number Comment Rule 1401 Prescribed medications were not stored in their original containers in which they are dispensed with the pharmacy label. An Albuterol inhaler was not stored in a prescription labeled box. 10A NCAC 09 .1720(c)(1)&(2) 1897 Application did not have an 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 child enrolled did not have a medical action plan on file for asthma. .1721 (a )(4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 6/8/23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Violations: Medical Action Plan: Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. A medical action plan is required for children that need emergency medication, the form needs to be completed by the parent or a health care professional. A child enrolled did not have a medical action plan on file for asthma. We discussed the importance of understanding the symptoms the child shows and the instructions to administer the Albuterol inhaler that is on site for the child. The Albuterol inhaler was not stored in a prescription labeled box. You stated that you will ask the parent for a box this afternoon and have them fill out the medical action plan. Ensure that when you accept emergency medication that you have the medical action plan in addition to the permission form. Additional Comments: Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. Please use and share. CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Craven Smart Start is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: DEBORAH ROUSE DAY CARE HOME Facility ID: 25000022 Consultant: BRITTANY JONES Operation Type: Family CC Home Case Number: Visit Date: 10/7/2024 Number Present: 0 Completed Date: 10/7/2024 Age: From 0 To 0 Total Minutes: 135 Time In: 08:45 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The operator assisted me with the visit. Your program currently operates with a four-star license, issued 11/27/2023, earning 7 points in the education component, 2 points in the program standards component and 1 quality point for having obtained an Infant/Toddler Certificate. The last annual compliance visit was conducted 11/9/23. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety eight percent as of 10/1/24. The NC Secretary of State website was reviewed on 10/1/24 and per your statements and the website, this facility is not currently owned or operated by a corporation. Please contact me prior to any changes regarding the ownership of this facility. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited the indoor and outdoor spaces with me. No children were present during the visit. The children will arrive after the half day preschool program and schools they attend. The learning environment was observed to have a variety of toys and activities available. In the outdoor space, a basketball hoop, riding toys, and balls were observed for the children to engage in gross motor activities. A large shaded area under the deck has sand tables and toys available for the children. The following violations were documented. Violation Number Comment Rule 1401 Prescribed medications were not stored in their original containers in which they are dispensed with the pharmacy label. An Albuterol inhaler was not stored in a prescription labeled box. 10A NCAC 09 .1720(c)(1)&(2) 1897 Application did not have an 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 child enrolled did not have a medical action plan on file for asthma. .1721 (a )(4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 6/8/23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Violations: Medical Action Plan: Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. A medical action plan is required for children that need emergency medication, the form needs to be completed by the parent or a health care professional. A child enrolled did not have a medical action plan on file for asthma. We discussed the importance of understanding the symptoms the child shows and the instructions to administer the Albuterol inhaler that is on site for the child. The Albuterol inhaler was not stored in a prescription labeled box. You stated that you will ask the parent for a box this afternoon and have them fill out the medical action plan. Ensure that when you accept emergency medication that you have the medical action plan in addition to the permission form. Additional Comments: Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. Please use and share. CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Craven Smart Start is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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: DEBORAH ROUSE DAY CARE HOME Facility ID: 25000022 Consultant: BRITTANY JONES Operation Type: Family CC Home Case Number: Visit Date: 10/7/2024 Number Present: 0 Completed Date: 10/7/2024 Age: From 0 To 0 Total Minutes: 135 Time In: 08:45 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The operator assisted me with the visit. Your program currently operates with a four-star license, issued 11/27/2023, earning 7 points in the education component, 2 points in the program standards component and 1 quality point for having obtained an Infant/Toddler Certificate. The last annual compliance visit was conducted 11/9/23. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety eight percent as of 10/1/24. The NC Secretary of State website was reviewed on 10/1/24 and per your statements and the website, this facility is not currently owned or operated by a corporation. Please contact me prior to any changes regarding the ownership of this facility. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited the indoor and outdoor spaces with me. No children were present during the visit. The children will arrive after the half day preschool program and schools they attend. The learning environment was observed to have a variety of toys and activities available. In the outdoor space, a basketball hoop, riding toys, and balls were observed for the children to engage in gross motor activities. A large shaded area under the deck has sand tables and toys available for the children. The following violations were documented. Violation Number Comment Rule 1401 Prescribed medications were not stored in their original containers in which they are dispensed with the pharmacy label. An Albuterol inhaler was not stored in a prescription labeled box. 10A NCAC 09 .1720(c)(1)&(2) 1897 Application did not have an 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 child enrolled did not have a medical action plan on file for asthma. .1721 (a )(4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 6/8/23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Violations: Medical Action Plan: Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. A medical action plan is required for children that need emergency medication, the form needs to be completed by the parent or a health care professional. A child enrolled did not have a medical action plan on file for asthma. We discussed the importance of understanding the symptoms the child shows and the instructions to administer the Albuterol inhaler that is on site for the child. The Albuterol inhaler was not stored in a prescription labeled box. You stated that you will ask the parent for a box this afternoon and have them fill out the medical action plan. Ensure that when you accept emergency medication that you have the medical action plan in addition to the permission form. Additional Comments: Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. Please use and share. CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Craven Smart Start is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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