NC GS 110-90 · Violation

Name of Operation: PEMBROKE HEAD START Facility ID: 7853439 Consultant: DEANNA ABRAHAM Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 17 Completed Date: 4/15/2025 Age: From 4 To 5 Total Minutes: 260 Time In: 09:00 AM Time Out: 01:20 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 was to monitor compliance with applicable child care requirements for an annual compliance visit. Samantha Locklear, center manager assisted me with today’s visit. Your facility currently operates with a five-star license, issued September 28, 2023, earning 7 points in the education component, 5 points in the program standards component (meeting enhanced ratios) and 1 quality point for offering a staff benefits package and parent infrastructure. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Upon my arrival the buses were still on their routes. Children were picked on a delayed schedule due to organizational issues. The center's compliance history was reviewed with the operator. The program’s compliance history was 90 % as of today. The NC Secretary of State website was reviewed today, and SOUTHEASTERN COMMUNITY ACTION PARTNERSHIP, INC is listed as current- active. You stated that you were hired as center manager on February 3, 2025. Linda Goins last day as center manager was on December 31, 2024. • Today I received a Preservice for Administrator form I visited each indoor and outdoor space. Staff/ child ratios were maintained. The children were observed in free play and teacher directed activities. Children were cared for in a nurturing and caring manner. The license restrictions were maintained and found in compliance. The last annual compliance visit was conducted May 21, 2024. The sanitation inspection was completed January 28, 2025, with a “Superior” classification. The last fire inspection was conducted November 28, 202, and your facility was approved for daytime care only. The children were observed eating breakfast. Breakfast consisted of 1% milk, cereal, and pears. The following violations were documented: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Documentation was not on file for one staff member. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Documentation was not on file for one staff member. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff member completed 5 hours of training within their first two weeks of employment. .1101(a)(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff member last completed their training 3/28/2017. .1103(b) 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 violations documented may impact the compliance history score. The violations documented today must be corrected immediately. On or before April 29, 2025, 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 will be conducted. Mail or email the information to: Deanna Abraham, Child Care Consultant PO Box 265 Raeford. NC 28376 Or deanna.abraham@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the 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 was given on the following: I highly suggest printing off the staff and children’s file check lists from the DCDEE website. Use the forms to organize and track the documents according to the order on the checklist. By doing this it will be easier to know what is due and when it is due. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ For great child care trainings visit: https://www.dcdee.moodle.nc.gov/ Contact me at Deanna Abraham, Child Care Consultant, 704-213-6714, deanna.abraham@dhhs.nc.gov or Janet Edwards, licensing Supervisor, 910-709-4160, janet.edwards@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: PEMBROKE HEAD START Facility ID: 7853439 Consultant: DEANNA ABRAHAM Operation Type: Center Case Number: Visit Date: 10/2/2024 Number Present: 31 Completed Date: 10/2/2024 Age: From 3 To 4 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements for an annual compliance visit. Linda Goins, center manager assisted me with today’s visit. Your facility currently operates with a five-star license, issued September 28, 2023, earning 7 points in the education component, 5 points in the program standards component (meeting enhanced ratios) and 1 quality point for offering a staff benefits package and parent infrastructure. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The center's compliance history was reviewed with the operator. The program’s compliance history was 95% as of today. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free play and teacher directed activities. The caregivers were interacting and meeting the developmental needs for each of the children. Twos staff files were monitored for compliance. Rated license requirements were reviewed to ensure compliance was maintained with current program and education components as well as the quality point. Breakfast consisted of blueberry muffin, apple juice and milk. The following violations were documented: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Documentation was not on file for one staff member. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Documentation was not on file for one staff member. .1102(d) 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before October 16, 2024, 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 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 will be conducted. Email or mail the information to: deanna.abraham@dhhs.nc.gov or Deanna Abraham/ Child Care Consultant PO Box 265 Raeford, NC 28376 If you email the compliance letter, it must be sent from the email address registered with the 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 I observed the following: I observed the children eating breakfast and during hygiene routines. The children played in centers and free play activities. Technical assistance was given: Today I am leaving a Natural Learning parent engagement flyer for October from the Natural Learning Initiative. This flyer provides some easy activities that can be done at your center incorporating the natural elements. This might be a good resource for you to explore with your children and families. Creating a natural learning environment in a daycare center can significantly enhance children's development and well-being. Here are some practical ways to implement ideas from the Natural Learning Initiative (NLI): **Natural Play Areas** - Sand and Water Play: Incorporate sandboxes and water play areas. These elements encourage sensory exploration and imaginative play. - Garden: Create vegetable and flower gardens where children can plant, water, and observe the growth of plants. This teaches them about nature and responsibility. **Outdoor Classrooms** - Learning Stations: Set up outdoor learning stations with natural materials like logs, stones, and leaves. These can be used for storytelling, science experiments, and art projects. - Nature Trails: Develop simple nature trails around the daycare. Include signs with information about local flora and fauna to make walks educational. **Natural Materials Indoors** - Natural Elements: Use natural materials such as wood, bamboo, and stone in indoor play areas. This can include wooden toys, natural fiber rugs, and plants. - Loose Parts Play: Provide natural loose parts like pinecones, shells, and sticks for children to use in creative play and construction activities. **Engaging with Wildlife** - Bird Feeders and Houses: Install bird feeders and houses to attract local birds. Children can observe and learn about different bird species. - Insect Hotels: Create insect hotels to attract beneficial insects like bees and ladybugs. This can be a fun project for children to build and maintain. **Water Features** - Ponds and Streams: If space allows, create small ponds or streams. These features can be used to teach children about aquatic life and ecosystems. - Rain Gardens: Implement rain gardens to manage stormwater and provide a habitat for wildlife. This also teaches children about water conservation. **Natural Play Structures** - Climbing Structures: Use natural materials like logs and boulders to create climbing structures. These promote physical activity and motor skill development. - Natural Tunnels and Huts: Build tunnels and huts using branches and vines. These can serve as imaginative play spaces and quiet areas for children to relax. **Seasonal Activities** - Nature Crafts: Organize craft activities using natural materials collected by the children, such as leaf rubbings, pinecone decorations, and flower pressing. - Seasonal Planting: Plan seasonal planting activities where children can plant bulbs in the fall and seeds in the spring, observing the changes throughout the year. By integrating these elements, a daycare center can create a rich, engaging, and educational environment that aligns with the principles of the Natural Learning Initiative. This approach not only supports children's development but also fosters a lifelong appreciation for nature. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Contact me at Deanna Abraham, Child Care Consultant, 704-213-6714, deanna.abraham@dhhs.nc.gov or Janet Edwards, licensing Supervisor, 910-709-4160, janet.edwards@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0901 · Violation

Name of Operation: PEMBROKE HEAD START Facility ID: 7853439 Consultant: DEANNA ABRAHAM Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 33 Completed Date: 5/21/2024 Age: From 3 To 4 Total Minutes: 208 Time In: 09:47 AM Time Out: 01:15 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 was to monitor compliance with applicable child care requirements for an annual compliance visit. Linda Goins, center manager assisted me with today’s visit. Your facility currently operates with a five-star license, issued September 28, 2023, earning 7 points in the education component, 5 points in the program standards component (meeting enhanced ratios) and 1 quality point for offering a staff benefits package and parent infrastructure. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The center's compliance history was reviewed with the operator. The program’s compliance history was 93 % as of today. The NC Secretary of State website was reviewed today, and SOUTHEASTERN COMMUNITY ACTION PARTNERSHIP, INC is listed as current- active. I visited each indoor and outdoor space. Staff/ child ratios were maintained. The children were observed in free play and teacher directed activities. Children were cared for in a nurturing and caring manner. The license restrictions were maintained and found in compliance. The last annual compliance with rated license visit was conducted September 29, 2023. The sanitation inspection was completed August 30, 2023, with a “Superior” classification. The last fire inspection was conducted November 12, 2023, and your facility was approved for daytime care only. The children were observed eating breakfast. Breakfast consisted of 1% milk, blueberry muffin, and peaches. The following violations were documented: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The children were served blue berry muffins, peaches and milk for breakfast. The menu indicated grits, peaches and milk to be served for today's breakfast. 10A NCAC 09 .0901(b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. A photo was not on file for each child transported on bus #401. 10A NCAC 09 .1003(d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health information for one staff member was not kept separate from that staff member's personnel file. .0701(d) 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 violations documented may impact the compliance history score. The violations documented today must be corrected immediately. On or before June 4, 2024, 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 will be conducted. Mail or email the information to: Deanna Abraham, Child Care Consultant PO Box 265 Raeford. NC 28376 Or deanna.abraham@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the 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 was given on the following: I recommend adding a check for chipping or peeling paint on your monthly outside learning environment check list. Make sure to do extensive searches in spaces where wasps may build their nests. I highly suggest tilling the sand under the playground equipment at least once a month. I also recommend painting or completing paint touch ups to all the rooms annually over the summer before school resumes in the fall. Make sure all necessary documents are posted prior to the first day of school. Special attention should be given to the play equipment on the playground over the summer to ensure safety and compliance. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ For great child care trainings visit: https://www.dcdee.moodle.nc.gov/ Contact me at Deanna Abraham, Child Care Consultant, 704-213-6714, deanna.abraham@dhhs.nc.gov or Janet Edwards, licensing Supervisor, 910-709-4160, janet.edwards@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1003 · Violation

Name of Operation: PEMBROKE HEAD START Facility ID: 7853439 Consultant: DEANNA ABRAHAM Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 33 Completed Date: 5/21/2024 Age: From 3 To 4 Total Minutes: 208 Time In: 09:47 AM Time Out: 01:15 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 was to monitor compliance with applicable child care requirements for an annual compliance visit. Linda Goins, center manager assisted me with today’s visit. Your facility currently operates with a five-star license, issued September 28, 2023, earning 7 points in the education component, 5 points in the program standards component (meeting enhanced ratios) and 1 quality point for offering a staff benefits package and parent infrastructure. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The center's compliance history was reviewed with the operator. The program’s compliance history was 93 % as of today. The NC Secretary of State website was reviewed today, and SOUTHEASTERN COMMUNITY ACTION PARTNERSHIP, INC is listed as current- active. I visited each indoor and outdoor space. Staff/ child ratios were maintained. The children were observed in free play and teacher directed activities. Children were cared for in a nurturing and caring manner. The license restrictions were maintained and found in compliance. The last annual compliance with rated license visit was conducted September 29, 2023. The sanitation inspection was completed August 30, 2023, with a “Superior” classification. The last fire inspection was conducted November 12, 2023, and your facility was approved for daytime care only. The children were observed eating breakfast. Breakfast consisted of 1% milk, blueberry muffin, and peaches. The following violations were documented: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The children were served blue berry muffins, peaches and milk for breakfast. The menu indicated grits, peaches and milk to be served for today's breakfast. 10A NCAC 09 .0901(b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. A photo was not on file for each child transported on bus #401. 10A NCAC 09 .1003(d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health information for one staff member was not kept separate from that staff member's personnel file. .0701(d) 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 violations documented may impact the compliance history score. The violations documented today must be corrected immediately. On or before June 4, 2024, 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 will be conducted. Mail or email the information to: Deanna Abraham, Child Care Consultant PO Box 265 Raeford. NC 28376 Or deanna.abraham@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the 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 was given on the following: I recommend adding a check for chipping or peeling paint on your monthly outside learning environment check list. Make sure to do extensive searches in spaces where wasps may build their nests. I highly suggest tilling the sand under the playground equipment at least once a month. I also recommend painting or completing paint touch ups to all the rooms annually over the summer before school resumes in the fall. Make sure all necessary documents are posted prior to the first day of school. Special attention should be given to the play equipment on the playground over the summer to ensure safety and compliance. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ For great child care trainings visit: https://www.dcdee.moodle.nc.gov/ Contact me at Deanna Abraham, Child Care Consultant, 704-213-6714, deanna.abraham@dhhs.nc.gov or Janet Edwards, licensing Supervisor, 910-709-4160, janet.edwards@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: PEMBROKE HEAD START Facility ID: 7853439 Consultant: DEANNA ABRAHAM Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 33 Completed Date: 5/21/2024 Age: From 3 To 4 Total Minutes: 208 Time In: 09:47 AM Time Out: 01:15 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 was to monitor compliance with applicable child care requirements for an annual compliance visit. Linda Goins, center manager assisted me with today’s visit. Your facility currently operates with a five-star license, issued September 28, 2023, earning 7 points in the education component, 5 points in the program standards component (meeting enhanced ratios) and 1 quality point for offering a staff benefits package and parent infrastructure. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The center's compliance history was reviewed with the operator. The program’s compliance history was 93 % as of today. The NC Secretary of State website was reviewed today, and SOUTHEASTERN COMMUNITY ACTION PARTNERSHIP, INC is listed as current- active. I visited each indoor and outdoor space. Staff/ child ratios were maintained. The children were observed in free play and teacher directed activities. Children were cared for in a nurturing and caring manner. The license restrictions were maintained and found in compliance. The last annual compliance with rated license visit was conducted September 29, 2023. The sanitation inspection was completed August 30, 2023, with a “Superior” classification. The last fire inspection was conducted November 12, 2023, and your facility was approved for daytime care only. The children were observed eating breakfast. Breakfast consisted of 1% milk, blueberry muffin, and peaches. The following violations were documented: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The children were served blue berry muffins, peaches and milk for breakfast. The menu indicated grits, peaches and milk to be served for today's breakfast. 10A NCAC 09 .0901(b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. A photo was not on file for each child transported on bus #401. 10A NCAC 09 .1003(d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health information for one staff member was not kept separate from that staff member's personnel file. .0701(d) 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 violations documented may impact the compliance history score. The violations documented today must be corrected immediately. On or before June 4, 2024, 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 will be conducted. Mail or email the information to: Deanna Abraham, Child Care Consultant PO Box 265 Raeford. NC 28376 Or deanna.abraham@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the 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 was given on the following: I recommend adding a check for chipping or peeling paint on your monthly outside learning environment check list. Make sure to do extensive searches in spaces where wasps may build their nests. I highly suggest tilling the sand under the playground equipment at least once a month. I also recommend painting or completing paint touch ups to all the rooms annually over the summer before school resumes in the fall. Make sure all necessary documents are posted prior to the first day of school. Special attention should be given to the play equipment on the playground over the summer to ensure safety and compliance. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ For great child care trainings visit: https://www.dcdee.moodle.nc.gov/ Contact me at Deanna Abraham, Child Care Consultant, 704-213-6714, deanna.abraham@dhhs.nc.gov or Janet Edwards, licensing Supervisor, 910-709-4160, janet.edwards@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

GS 110-91 · Violation

Name of Operation: PEMBROKE HEAD START Facility ID: 7853439 Consultant: NAKITA BELLAMY Operation Type: Center Case Number: 0224-160L Visit Date: 2/19/2024 Number Present: 27 Completed Date: 2/19/2024 Age: From 3 To 5 Total Minutes: 180 Time In: 12:00 PM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There is a concern that a child was not adequately supervised. The child was unattended on the bus. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and the outdoor environment were monitored. The license and emergency care plan were posted. Fire drills, medication administration, and storage of hazardous products were also monitored. Incident reports and logs were reviewed. Three new staff files were reviewed. Additionally, I observed the indoor and outdoor space used by the children. Based on the information provided regarding concerns that a child was adequately supervised. The child was unattended on the bus. I interviewed Linda Goins, Administrator. The bus arrived at the center around 9:28 am and the bus driver parked and off boarded the children. The bus monitor assisted children with unbuckling their seat belts. The bus attendance record form was completed by the bus monitor reflected eight children entered the bus as well eight children exited the bus. The attendance form marked the child in question with the time of which the child had been picked up from grandparent house. The attendance form was initial by the driver and monitor stating the form correct, and procedures have been completed. The kitchen manager was standing at the window and heard the child knocking at the window and notice no adult was outside. She opened the door, and the child went to their class. The kitchen manager did go outside to see if an adult was outside. I viewed the video from February 13, 2024, starting at 9:26 am. I viewed the bus arriving on site at 9:27 am. The bus driver got off the bus at 9:28 am and stands at the passenger door to receive the children off the bus, seven children are seen off boarding the bus as well as one bus monitor. The bus driver does not go back on the bus to check to ensure all children are off the bus by the standard policy and procedure of the facility. The bus driver or bus monitor has anything in their hand to reflect a bus attendance record form when walking the children from the bus to their classes. At 9:31 am a child is seen exiting the driver door of the bus and walking to the facility, knocking on the door, and entered the building. Based on information received from interviewed staff, self-report and video, the finding that a child was not adequately supervised and was unattended on the bus was substantiated. Violation Number Comment Rule 303 Children were not adequately supervised at all times. One child was outside the center for approximately one minute as he walked from the bus to center. The maintenance/facilities supervisor and maintenance technician conducted a transportation/supervision training on February 13, 2024 for all staff. .1801(a)(1-5) 1118 Children were left in a vehicle unattended by an adult. One child was left on the bus approximately two minutes unattended by an adult. The maintenance/facilities supervisor and maintenance technician conducted a transportation/supervision training on February 13, 2024 for all staff. GS 110-91 (13); .1003(g) 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 facility conducted a Transportation training on February 13, 2024, 11:00am to 12:00 pm. Phillip McRae, Facilities/Maintenance Supervisor and Lloyd Drayon, Maintenance Technician conducted the training on responsibilities, supervision, and loading and unloading of chidden, driver, and bus monitor. February 16, 2024 Linda Goin, Administrator conducted at staff meeting went transportation and supervision policies and procedures for all staff. A verbal warning was issue to staff all transportation and supervision policies and procedures must be followed at all times. Technical Assistance A redundant (or fail-safe) safety system is a series of two or more specific actions staff implement to ensure children are safe. Examples of a specific action may include: • Bus monitors use a written sign-in sheet to track children's attendance from the time a child is picked up until the child is released to the authorized adult, who also signs the sign-in sheet. o The monitor checks off each child's name when the child boards and exits the bus. o A Head Start staff member initials the sign-in sheet when meeting children at the bus to bring them to their classroom. o On the trip home, each parent, guardian, or authorized individual initials the sign-off sheet when his or her child gets off the bus. • Transportation staff—monitors and drivers—conduct a walkthrough of the bus before and after each use, checking each seat and space beneath. The driver then hangs a “Bus Empty” or “All Clear” sign at the back of the bus to indicate it has been checked and there are no remaining passengers. The sign is removed before the next run begins. • Teachers review bus attendance sheets and check classroom attendance rosters after the children have arrived to make sure all children on the sign-in sheet have joined their group. • Transportation staff use a child-safe token system. The idea is for the bus driver or monitor to leave a token under each child's seat when a child boards and remove the token when the child exits. The staff person then compares the number of tokens collected to the bus sign-in sheet. It is important for you to train all staff, including transportation staff, on active supervision. Active supervision requires staff to focus their attention and intentionally observe children so that no child is left unattended. Staff position themselves so that they can watch, count, and listen to children at all times, especially during transitions when children are arriving at or leaving the center. • Bus monitors should position themselves, so they are able to see children in the front, middle, and back of the bus. • Staff, including bus monitors, use their knowledge of early childhood development and each child's abilities to anticipate what a child may do and to provide assistance when a child needs individualized attention. • Programs develop a system to facilitate communication among transportation staff, teaching staff, and families about individual child needs and behaviors while riding the bus. For addition resources and training guides refer to your Head Start Learning and Knowledge’s website eclkc.ohs.acf.hhs.gov/policy. You can also visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ for latest information on child care rules and regulations. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Nakita Bellamy, Child Care Consultant, (910) 651-0362, Nakita.Bellamy@dhhs.nc.gov or Janet Edwards, Licensing Supervisor, (910) 709-4160, Janet.Edwards@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: PEMBROKE HEAD START Facility ID: 7853439 Consultant: NAKITA BELLAMY Operation Type: Center Case Number: 0224-160L Visit Date: 2/19/2024 Number Present: 27 Completed Date: 2/19/2024 Age: From 3 To 5 Total Minutes: 180 Time In: 12:00 PM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There is a concern that a child was not adequately supervised. The child was unattended on the bus. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and the outdoor environment were monitored. The license and emergency care plan were posted. Fire drills, medication administration, and storage of hazardous products were also monitored. Incident reports and logs were reviewed. Three new staff files were reviewed. Additionally, I observed the indoor and outdoor space used by the children. Based on the information provided regarding concerns that a child was adequately supervised. The child was unattended on the bus. I interviewed Linda Goins, Administrator. The bus arrived at the center around 9:28 am and the bus driver parked and off boarded the children. The bus monitor assisted children with unbuckling their seat belts. The bus attendance record form was completed by the bus monitor reflected eight children entered the bus as well eight children exited the bus. The attendance form marked the child in question with the time of which the child had been picked up from grandparent house. The attendance form was initial by the driver and monitor stating the form correct, and procedures have been completed. The kitchen manager was standing at the window and heard the child knocking at the window and notice no adult was outside. She opened the door, and the child went to their class. The kitchen manager did go outside to see if an adult was outside. I viewed the video from February 13, 2024, starting at 9:26 am. I viewed the bus arriving on site at 9:27 am. The bus driver got off the bus at 9:28 am and stands at the passenger door to receive the children off the bus, seven children are seen off boarding the bus as well as one bus monitor. The bus driver does not go back on the bus to check to ensure all children are off the bus by the standard policy and procedure of the facility. The bus driver or bus monitor has anything in their hand to reflect a bus attendance record form when walking the children from the bus to their classes. At 9:31 am a child is seen exiting the driver door of the bus and walking to the facility, knocking on the door, and entered the building. Based on information received from interviewed staff, self-report and video, the finding that a child was not adequately supervised and was unattended on the bus was substantiated. Violation Number Comment Rule 303 Children were not adequately supervised at all times. One child was outside the center for approximately one minute as he walked from the bus to center. The maintenance/facilities supervisor and maintenance technician conducted a transportation/supervision training on February 13, 2024 for all staff. .1801(a)(1-5) 1118 Children were left in a vehicle unattended by an adult. One child was left on the bus approximately two minutes unattended by an adult. The maintenance/facilities supervisor and maintenance technician conducted a transportation/supervision training on February 13, 2024 for all staff. GS 110-91 (13); .1003(g) 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 facility conducted a Transportation training on February 13, 2024, 11:00am to 12:00 pm. Phillip McRae, Facilities/Maintenance Supervisor and Lloyd Drayon, Maintenance Technician conducted the training on responsibilities, supervision, and loading and unloading of chidden, driver, and bus monitor. February 16, 2024 Linda Goin, Administrator conducted at staff meeting went transportation and supervision policies and procedures for all staff. A verbal warning was issue to staff all transportation and supervision policies and procedures must be followed at all times. Technical Assistance A redundant (or fail-safe) safety system is a series of two or more specific actions staff implement to ensure children are safe. Examples of a specific action may include: • Bus monitors use a written sign-in sheet to track children's attendance from the time a child is picked up until the child is released to the authorized adult, who also signs the sign-in sheet. o The monitor checks off each child's name when the child boards and exits the bus. o A Head Start staff member initials the sign-in sheet when meeting children at the bus to bring them to their classroom. o On the trip home, each parent, guardian, or authorized individual initials the sign-off sheet when his or her child gets off the bus. • Transportation staff—monitors and drivers—conduct a walkthrough of the bus before and after each use, checking each seat and space beneath. The driver then hangs a “Bus Empty” or “All Clear” sign at the back of the bus to indicate it has been checked and there are no remaining passengers. The sign is removed before the next run begins. • Teachers review bus attendance sheets and check classroom attendance rosters after the children have arrived to make sure all children on the sign-in sheet have joined their group. • Transportation staff use a child-safe token system. The idea is for the bus driver or monitor to leave a token under each child's seat when a child boards and remove the token when the child exits. The staff person then compares the number of tokens collected to the bus sign-in sheet. It is important for you to train all staff, including transportation staff, on active supervision. Active supervision requires staff to focus their attention and intentionally observe children so that no child is left unattended. Staff position themselves so that they can watch, count, and listen to children at all times, especially during transitions when children are arriving at or leaving the center. • Bus monitors should position themselves, so they are able to see children in the front, middle, and back of the bus. • Staff, including bus monitors, use their knowledge of early childhood development and each child's abilities to anticipate what a child may do and to provide assistance when a child needs individualized attention. • Programs develop a system to facilitate communication among transportation staff, teaching staff, and families about individual child needs and behaviors while riding the bus. For addition resources and training guides refer to your Head Start Learning and Knowledge’s website eclkc.ohs.acf.hhs.gov/policy. You can also visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ for latest information on child care rules and regulations. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Nakita Bellamy, Child Care Consultant, (910) 651-0362, Nakita.Bellamy@dhhs.nc.gov or Janet Edwards, Licensing Supervisor, (910) 709-4160, Janet.Edwards@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 .0514 · Violation

Name of Operation: PEMBROKE HEAD START Facility ID: 7853439 Consultant: DEANNA ABRAHAM Operation Type: Center Case Number: Visit Date: 8/29/2023 Number Present: 30 Completed Date: 8/29/2023 Age: From 3 To 4 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements for an annual compliance visit and to complete a rated license assessment. Linda Goins, center manager assisted me with today’s visit. Your facility currently operates with a four-star license, issued November 23, 2020, earning 7 points in the education component, 2 points in the program standards component (meeting enhanced ratios and space) and 1 quality point for offering a staff benefits package and parent infrastructure. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The last annual compliance with rated license visit was conducted September 1, 2022. The sanitation inspection was completed August 31, 2022, with a “Superior” classification. The last fire inspection was conducted November 3, 2022, and your facility was approved for daytime care only. The children were observed eating breakfast. Breakfast consisted of 1% milk, bread, and apples. The following violation was documented: Violation Number Comment Rule 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member had not reviewed their development plan at least annually. One staff member had not been evaluated at least annually. 10A NCAC 09 .0514(f) 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before September 12, 2023, 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 will be conducted. email or mail the information to: deanna.abraham@dhhs.nc.gov or Deanna Abraham/ Child Care Consultant PO Box 265 Raeford, NC 28376 If you email the compliance letter, it must be sent from the email address registered with the 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 Rated License Information: Your three-year re-assessment was due by June 29, 2021. You requested that your license be reassessed to renew your star rated license. You submitted your application for re-assessment during today’s visit. I received a request for the environmental rating scale assessments September 1, 2022. Your new Star License is based on the following: Education – TBD Points are earned based on the lowest level of education for any one position. Ms. Goins stated that she hopes to send me all the required status letters within the next couple of weeks. Program Standards – 2 Points The program currently meets enhanced space and enhanced ratios. The last environmental rating scales assessments were conducted on 10/20/22. Your scores were reviewed with you on 11/09/22, during a routine unannounced visit. Your ECERS-R assessment had a total score of 4.84. Quality Point – 1 point The center offers a staff benefits package and parent infrastructure, therefore your program earned 1 Quality Point. Total – TBD The rated license process will continue after all status letters have been received. Technical assistance was given on the following: It is a good idea to add tilling the surfacing under climbing structure at least twice a month and painting all necessary equipment at least one a year to your playground check list. Today you were also advised to review the new sanitation rules. You were able to locate and print off the new rules during today’s visit. I highly recommend having an ALL-staff file review during the summer either right after the last day school for summer break or right before the new school year begins. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you . Contact me at Deanna Abraham, Child Care Consultant, 704-213-6714, deanna.abraham@dhhs.nc.gov or Janet Edwards, licensing Supervisor, 910-709-4160, janet.edwards@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: PEMBROKE HEAD START Facility ID: 7853439 Consultant: DEANNA ABRAHAM Operation Type: Center Case Number: Visit Date: 8/29/2023 Number Present: 30 Completed Date: 8/29/2023 Age: From 3 To 4 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements for an annual compliance visit and to complete a rated license assessment. Linda Goins, center manager assisted me with today’s visit. Your facility currently operates with a four-star license, issued November 23, 2020, earning 7 points in the education component, 2 points in the program standards component (meeting enhanced ratios and space) and 1 quality point for offering a staff benefits package and parent infrastructure. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The last annual compliance with rated license visit was conducted September 1, 2022. The sanitation inspection was completed August 31, 2022, with a “Superior” classification. The last fire inspection was conducted November 3, 2022, and your facility was approved for daytime care only. The children were observed eating breakfast. Breakfast consisted of 1% milk, bread, and apples. The following violation was documented: Violation Number Comment Rule 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member had not reviewed their development plan at least annually. One staff member had not been evaluated at least annually. 10A NCAC 09 .0514(f) 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before September 12, 2023, 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 will be conducted. email or mail the information to: deanna.abraham@dhhs.nc.gov or Deanna Abraham/ Child Care Consultant PO Box 265 Raeford, NC 28376 If you email the compliance letter, it must be sent from the email address registered with the 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 Rated License Information: Your three-year re-assessment was due by June 29, 2021. You requested that your license be reassessed to renew your star rated license. You submitted your application for re-assessment during today’s visit. I received a request for the environmental rating scale assessments September 1, 2022. Your new Star License is based on the following: Education – TBD Points are earned based on the lowest level of education for any one position. Ms. Goins stated that she hopes to send me all the required status letters within the next couple of weeks. Program Standards – 2 Points The program currently meets enhanced space and enhanced ratios. The last environmental rating scales assessments were conducted on 10/20/22. Your scores were reviewed with you on 11/09/22, during a routine unannounced visit. Your ECERS-R assessment had a total score of 4.84. Quality Point – 1 point The center offers a staff benefits package and parent infrastructure, therefore your program earned 1 Quality Point. Total – TBD The rated license process will continue after all status letters have been received. Technical assistance was given on the following: It is a good idea to add tilling the surfacing under climbing structure at least twice a month and painting all necessary equipment at least one a year to your playground check list. Today you were also advised to review the new sanitation rules. You were able to locate and print off the new rules during today’s visit. I highly recommend having an ALL-staff file review during the summer either right after the last day school for summer break or right before the new school year begins. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you . Contact me at Deanna Abraham, Child Care Consultant, 704-213-6714, deanna.abraham@dhhs.nc.gov or Janet Edwards, licensing Supervisor, 910-709-4160, janet.edwards@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