10A NCAC 09 .0802 · Violation

Name of Operation: LIVELY PEBBLES DAY CARE Facility ID: 17000038 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 7/17/2024 Number Present: 36 Completed Date: 7/17/2024 Age: From 1 To 11 Total Minutes: 195 Time In: 09:15 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to conduct the Annual Compliance monitoring. The last Annual Compliance visit was conducted on July 21, 2023. This program operates with a GS-110 Notice of Compliance. The license was issued on August 25, 2011. When I arrived to the facility, I was greeted by the administrator Lori Lee. I stated the purpose of my visit and she assisted me on a walkthrough of the facility. Attendance was taken and observations made. The children were observed participating in indoor free play, routines, outdoor free play, preparing for lunch, and resting. The last fire inspection was conducted on January 24, 2024 and was approved for daytime care only. The last sanitation inspection was conducted on April 25, 2024. The facility achieved a superior classification. A full assessment of childcare requirements was conducted this date. And monitored supervision Snapchat ratio, permit restrictions, program records, a sampling of children's records, and staff files. I further monitor transportation. The following violations were observed, cited , and technical assistance and resources links was offered. Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. While mulch is present on the playground around the equipment the depth us surfacing does not meet the 6 inches required in rule. .0605(j) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The last documented review of the Emergency Medical Plan was completed May 2023. 10A NCAC 09 .0802(a) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. There are two vehicles used for transport. Neither vehicle has a first-aid kit present on the vehicles. I did observed a fire extinguisher on the vehicle identified as Van-A. However, it was not mounted. A fire extinguisher was not observed on the vehicle identified as Van-B. 10A NCAC 09 .1003(c) 1314 Emergency information did not name Child's health care professional. Documentation of Hospital preference was not documented in two of the children's records. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Documentation of medical assessment was not documented in two of the children's records. GS 110-91(1);.0302(d)(2); .0304(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The last documented review of the EPR Plan was completed May 2023. .0607(f) The above violations must be corrected immediately. A corrective action letter must be drafted describing how and when the violations were corrected. Please include the name and identification number of your facility, as well as your electronic signature. The letter must be received by my office on/or before July 30, 2024 . You may e-mail the letter to me at anita.c.graham@dhhs.nc.gov. It may also be mailed to the following address: PO Box 665, Pleasant Garden, NC, 27313. If the letter is not received by my office on/or before July 30, 2024, a return visit to your program may be necessary to ensure the violations has been corrected. Additional violations may be documented, if the violations have not been corrected or addressed. You were provided an opportunity to ask questions regarding childcare requirements. We discussed each of the violations cited the state. You inquired about the capacity of the classroom used by infants. In classroom #1 the space capacity allows for 18 children. However, since the plan for use is for children 0-12 months the maximum group size is ten children at 25sqft per child, for children 12-24 months, maximum group size will be twelve children at 25sqft. per child. TECHNICAL ASSISTANCE: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a)Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; 10A NCAC 09 .1003 SAFE PROCEDURES (c) A First Aid kit and fire extinguisher shall be located in each vehicle used to transport children. The First Aid kit and fire extinguisher shall be mounted or secured if kept in the passenger compartment. RESOURCE LINKS: https://nrckids.org/CFOC https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Chapter_9_Child_Care_Rules_effective_1-1-2024.pdf?ver=Yh7EA3Q_V_dBhSwZ6rcTVg%3d%3d Thank you for your assistance during today's visit. If you have any questions or concerns, please do not hesitate to contact me. My phone number is 336 894 06/09 . Or via e-mail anita.c.graham@dhhs.nc.gov. you may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1003 · Violation

Name of Operation: LIVELY PEBBLES DAY CARE Facility ID: 17000038 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 7/17/2024 Number Present: 36 Completed Date: 7/17/2024 Age: From 1 To 11 Total Minutes: 195 Time In: 09:15 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to conduct the Annual Compliance monitoring. The last Annual Compliance visit was conducted on July 21, 2023. This program operates with a GS-110 Notice of Compliance. The license was issued on August 25, 2011. When I arrived to the facility, I was greeted by the administrator Lori Lee. I stated the purpose of my visit and she assisted me on a walkthrough of the facility. Attendance was taken and observations made. The children were observed participating in indoor free play, routines, outdoor free play, preparing for lunch, and resting. The last fire inspection was conducted on January 24, 2024 and was approved for daytime care only. The last sanitation inspection was conducted on April 25, 2024. The facility achieved a superior classification. A full assessment of childcare requirements was conducted this date. And monitored supervision Snapchat ratio, permit restrictions, program records, a sampling of children's records, and staff files. I further monitor transportation. The following violations were observed, cited , and technical assistance and resources links was offered. Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. While mulch is present on the playground around the equipment the depth us surfacing does not meet the 6 inches required in rule. .0605(j) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The last documented review of the Emergency Medical Plan was completed May 2023. 10A NCAC 09 .0802(a) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. There are two vehicles used for transport. Neither vehicle has a first-aid kit present on the vehicles. I did observed a fire extinguisher on the vehicle identified as Van-A. However, it was not mounted. A fire extinguisher was not observed on the vehicle identified as Van-B. 10A NCAC 09 .1003(c) 1314 Emergency information did not name Child's health care professional. Documentation of Hospital preference was not documented in two of the children's records. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Documentation of medical assessment was not documented in two of the children's records. GS 110-91(1);.0302(d)(2); .0304(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The last documented review of the EPR Plan was completed May 2023. .0607(f) The above violations must be corrected immediately. A corrective action letter must be drafted describing how and when the violations were corrected. Please include the name and identification number of your facility, as well as your electronic signature. The letter must be received by my office on/or before July 30, 2024 . You may e-mail the letter to me at anita.c.graham@dhhs.nc.gov. It may also be mailed to the following address: PO Box 665, Pleasant Garden, NC, 27313. If the letter is not received by my office on/or before July 30, 2024, a return visit to your program may be necessary to ensure the violations has been corrected. Additional violations may be documented, if the violations have not been corrected or addressed. You were provided an opportunity to ask questions regarding childcare requirements. We discussed each of the violations cited the state. You inquired about the capacity of the classroom used by infants. In classroom #1 the space capacity allows for 18 children. However, since the plan for use is for children 0-12 months the maximum group size is ten children at 25sqft per child, for children 12-24 months, maximum group size will be twelve children at 25sqft. per child. TECHNICAL ASSISTANCE: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a)Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; 10A NCAC 09 .1003 SAFE PROCEDURES (c) A First Aid kit and fire extinguisher shall be located in each vehicle used to transport children. The First Aid kit and fire extinguisher shall be mounted or secured if kept in the passenger compartment. RESOURCE LINKS: https://nrckids.org/CFOC https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Chapter_9_Child_Care_Rules_effective_1-1-2024.pdf?ver=Yh7EA3Q_V_dBhSwZ6rcTVg%3d%3d Thank you for your assistance during today's visit. If you have any questions or concerns, please do not hesitate to contact me. My phone number is 336 894 06/09 . Or via e-mail anita.c.graham@dhhs.nc.gov. you may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1714 · Violation

Name of Operation: LIVELY PEBBLES DAY CARE Facility ID: 17000038 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 7/17/2024 Number Present: 36 Completed Date: 7/17/2024 Age: From 1 To 11 Total Minutes: 195 Time In: 09:15 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to conduct the Annual Compliance monitoring. The last Annual Compliance visit was conducted on July 21, 2023. This program operates with a GS-110 Notice of Compliance. The license was issued on August 25, 2011. When I arrived to the facility, I was greeted by the administrator Lori Lee. I stated the purpose of my visit and she assisted me on a walkthrough of the facility. Attendance was taken and observations made. The children were observed participating in indoor free play, routines, outdoor free play, preparing for lunch, and resting. The last fire inspection was conducted on January 24, 2024 and was approved for daytime care only. The last sanitation inspection was conducted on April 25, 2024. The facility achieved a superior classification. A full assessment of childcare requirements was conducted this date. And monitored supervision Snapchat ratio, permit restrictions, program records, a sampling of children's records, and staff files. I further monitor transportation. The following violations were observed, cited , and technical assistance and resources links was offered. Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. While mulch is present on the playground around the equipment the depth us surfacing does not meet the 6 inches required in rule. .0605(j) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The last documented review of the Emergency Medical Plan was completed May 2023. 10A NCAC 09 .0802(a) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. There are two vehicles used for transport. Neither vehicle has a first-aid kit present on the vehicles. I did observed a fire extinguisher on the vehicle identified as Van-A. However, it was not mounted. A fire extinguisher was not observed on the vehicle identified as Van-B. 10A NCAC 09 .1003(c) 1314 Emergency information did not name Child's health care professional. Documentation of Hospital preference was not documented in two of the children's records. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Documentation of medical assessment was not documented in two of the children's records. GS 110-91(1);.0302(d)(2); .0304(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The last documented review of the EPR Plan was completed May 2023. .0607(f) The above violations must be corrected immediately. A corrective action letter must be drafted describing how and when the violations were corrected. Please include the name and identification number of your facility, as well as your electronic signature. The letter must be received by my office on/or before July 30, 2024 . You may e-mail the letter to me at anita.c.graham@dhhs.nc.gov. It may also be mailed to the following address: PO Box 665, Pleasant Garden, NC, 27313. If the letter is not received by my office on/or before July 30, 2024, a return visit to your program may be necessary to ensure the violations has been corrected. Additional violations may be documented, if the violations have not been corrected or addressed. You were provided an opportunity to ask questions regarding childcare requirements. We discussed each of the violations cited the state. You inquired about the capacity of the classroom used by infants. In classroom #1 the space capacity allows for 18 children. However, since the plan for use is for children 0-12 months the maximum group size is ten children at 25sqft per child, for children 12-24 months, maximum group size will be twelve children at 25sqft. per child. TECHNICAL ASSISTANCE: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a)Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; 10A NCAC 09 .1003 SAFE PROCEDURES (c) A First Aid kit and fire extinguisher shall be located in each vehicle used to transport children. The First Aid kit and fire extinguisher shall be mounted or secured if kept in the passenger compartment. RESOURCE LINKS: https://nrckids.org/CFOC https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Chapter_9_Child_Care_Rules_effective_1-1-2024.pdf?ver=Yh7EA3Q_V_dBhSwZ6rcTVg%3d%3d Thank you for your assistance during today's visit. If you have any questions or concerns, please do not hesitate to contact me. My phone number is 336 894 06/09 . Or via e-mail anita.c.graham@dhhs.nc.gov. you may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: LIVELY PEBBLES DAY CARE Facility ID: 17000038 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 7/17/2024 Number Present: 36 Completed Date: 7/17/2024 Age: From 1 To 11 Total Minutes: 195 Time In: 09:15 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to conduct the Annual Compliance monitoring. The last Annual Compliance visit was conducted on July 21, 2023. This program operates with a GS-110 Notice of Compliance. The license was issued on August 25, 2011. When I arrived to the facility, I was greeted by the administrator Lori Lee. I stated the purpose of my visit and she assisted me on a walkthrough of the facility. Attendance was taken and observations made. The children were observed participating in indoor free play, routines, outdoor free play, preparing for lunch, and resting. The last fire inspection was conducted on January 24, 2024 and was approved for daytime care only. The last sanitation inspection was conducted on April 25, 2024. The facility achieved a superior classification. A full assessment of childcare requirements was conducted this date. And monitored supervision Snapchat ratio, permit restrictions, program records, a sampling of children's records, and staff files. I further monitor transportation. The following violations were observed, cited , and technical assistance and resources links was offered. Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. While mulch is present on the playground around the equipment the depth us surfacing does not meet the 6 inches required in rule. .0605(j) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The last documented review of the Emergency Medical Plan was completed May 2023. 10A NCAC 09 .0802(a) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. There are two vehicles used for transport. Neither vehicle has a first-aid kit present on the vehicles. I did observed a fire extinguisher on the vehicle identified as Van-A. However, it was not mounted. A fire extinguisher was not observed on the vehicle identified as Van-B. 10A NCAC 09 .1003(c) 1314 Emergency information did not name Child's health care professional. Documentation of Hospital preference was not documented in two of the children's records. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Documentation of medical assessment was not documented in two of the children's records. GS 110-91(1);.0302(d)(2); .0304(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The last documented review of the EPR Plan was completed May 2023. .0607(f) The above violations must be corrected immediately. A corrective action letter must be drafted describing how and when the violations were corrected. Please include the name and identification number of your facility, as well as your electronic signature. The letter must be received by my office on/or before July 30, 2024 . You may e-mail the letter to me at anita.c.graham@dhhs.nc.gov. It may also be mailed to the following address: PO Box 665, Pleasant Garden, NC, 27313. If the letter is not received by my office on/or before July 30, 2024, a return visit to your program may be necessary to ensure the violations has been corrected. Additional violations may be documented, if the violations have not been corrected or addressed. You were provided an opportunity to ask questions regarding childcare requirements. We discussed each of the violations cited the state. You inquired about the capacity of the classroom used by infants. In classroom #1 the space capacity allows for 18 children. However, since the plan for use is for children 0-12 months the maximum group size is ten children at 25sqft per child, for children 12-24 months, maximum group size will be twelve children at 25sqft. per child. TECHNICAL ASSISTANCE: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a)Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; 10A NCAC 09 .1003 SAFE PROCEDURES (c) A First Aid kit and fire extinguisher shall be located in each vehicle used to transport children. The First Aid kit and fire extinguisher shall be mounted or secured if kept in the passenger compartment. RESOURCE LINKS: https://nrckids.org/CFOC https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Chapter_9_Child_Care_Rules_effective_1-1-2024.pdf?ver=Yh7EA3Q_V_dBhSwZ6rcTVg%3d%3d Thank you for your assistance during today's visit. If you have any questions or concerns, please do not hesitate to contact me. My phone number is 336 894 06/09 . Or via e-mail anita.c.graham@dhhs.nc.gov. you may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.