10A NCAC 09.1721 · Violation

Name of Operation: ANGEL OF FAITH CHILDCARE CENTER Facility ID: 33000438 Consultant: KESHIA HAYWARD Operation Type: Family CC Home Case Number: Visit Date: 10/25/2024 Number Present: 3 Completed Date: 10/25/2024 Age: From 2 To 3 Total Minutes: 205 Time In: 08:20 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 this program for compliance with applicable child care requirements during an annual compliance visit. V. Staton, Owner/Operator assisted with the visit. The substitute S. Powell was also present assisting with the children. This family child care home currently operates with a four license, earning seven points in the education component, two points in the program standard component and 1 quality point completing a 30-hour business training course on September 7, 2013. The last annual compliance visit was completed on November 9, 2023. Three children were present today ranging from ages two to three years old. Children were observed napping, completing hand washing and toileting routines, eating breakfast, engaged free choice play and interacting with the caregiver. Breakfast consisted of cereal grapes and milk, The following violations were documented today. Violation Number Comment Rule 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. Tree roots were protruding above ground on the playground posing tripping hazards. Three wooden boards with nails were laying on the ground inside in space accessible to children on the play area. .1719(a)(1)&(17) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. A health assessment was not on file one child enrolled on February 2, 2023, and one child enrolled on August 26, 2024. GS 110-91(1); 10A NCAC 09.1721(a)(1) 941 Individuals who provide care for less than 5 hours a week, during planned absences of the operator, did not have proof of negative TB test or screening results completed within the last 12 months prior to the first day providing care. A TB skin test was not on file for a substitute hired on September 12, 2024. The substitute was assisting with providing care to children during the visit. .1729(b) 1891 Individuals providing care to children did not receive 16 hours of orientation prior to beginning caregiving activities. Documentation was not on file to verify the substitute received 16 hours of orientation prior to the hire date of September 12, 2024. .1729( c) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before November 8, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. OWNERSHIP STATUS: Vera Staton is listed as the current owner of this family child care home. Prior to making any changes to the ownership status (ex. forming a corporation), contact me to discuss change of ownership procedures. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 81% as of October 24, 2024. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. HEALTH ASSESSMENTS: Health assessments were not on file for two children enrolled more than thirty days. You stated you inform the parents the health assessments must be completed and submitted. We discussed ensuring health assessment are received prior to or within thirty days of enrollment. It was suggested developing a way to track assessment due dates. Also, you were encouraged to check the dates on children health assessments to ensure they do not exceed twelve months. Intentional planning will assist with communicating with families about items that are required and the times lines for submission. The children file checklists observed could also be used as a tracking tool. TB SKIN TEST: The TB screening form on file was completed and signed by the substitute. You stated the substitute could not find the TB skin test results documentation. You shared a copy of the paperwork was not submitted for the file. Be reminded TB skin test must be completed and on file prior to allowing individuals to work with children. ORIENTATION: Documentation was not on file verifying sixteen hours of orientation was completed with the substitute hire on September 12, 2024. You stated you were certain it had been completed; however, the paperwork could not be found. We talked about making copies for the files and giving to the employee for their record. This will ensure the information can be retrieved when needed. QRIS MODERNIZATION: PATHWAYS to the STARS North Carolina led the nation in 1999 when it launched its Quality Rating and Improvement System (QRIS), a star rating system for early childhood education facilities. QRIS is a systemic approach to assess, improve, and communicate the level of quality. It encourages early care and learning programs to engage in continuous quality improvement, and families may use the star rating to make informed decisions when choosing a child care facility. Listening to and communicating with early childhood professionals, families, communities and businesses is a critical component to ensure a successful QRIS modernization. The Commission began the modernization process by seeking public comment, and the Commission invites and welcomes public comment as we move towards finalizing rules. Some QRIS Modernization changes are still in draft form. To learn more about the Commission’s QRIS work, please note these upcoming opportunities for participation: •December 9, 2024 – Quarterly Commission meeting, with a public comment period for any topic. The Commission may decide to publish proposed QRIS rules, with publication occurring in January 2025. •Public Comment Period for QRIS Rules – After publication in the new year, DCDEE will announce a 60-day public comment period regarding QRIS Modernization, including a public hearing and the opportunity to submit written comments. •Email your feedback to DCDEE_QRIS@dhhs.nc.gov at any time. QRIS UPDATE: GET READY for the 3’s Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. CRIMINAL BACKGROUND CHECK REQUIREMENTS: 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 (800) 829-08591 and someone will assist you. I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. At the conclusion of this visit, the visit summary report was completed, reviewed, and left with you. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@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.

G.S. 110-90 · Violation

Name of Operation: ANGEL OF FAITH CHILDCARE CENTER Facility ID: 33000438 Consultant: KESHIA HAYWARD Operation Type: Family CC Home Case Number: Visit Date: 10/25/2024 Number Present: 3 Completed Date: 10/25/2024 Age: From 2 To 3 Total Minutes: 205 Time In: 08:20 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 this program for compliance with applicable child care requirements during an annual compliance visit. V. Staton, Owner/Operator assisted with the visit. The substitute S. Powell was also present assisting with the children. This family child care home currently operates with a four license, earning seven points in the education component, two points in the program standard component and 1 quality point completing a 30-hour business training course on September 7, 2013. The last annual compliance visit was completed on November 9, 2023. Three children were present today ranging from ages two to three years old. Children were observed napping, completing hand washing and toileting routines, eating breakfast, engaged free choice play and interacting with the caregiver. Breakfast consisted of cereal grapes and milk, The following violations were documented today. Violation Number Comment Rule 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. Tree roots were protruding above ground on the playground posing tripping hazards. Three wooden boards with nails were laying on the ground inside in space accessible to children on the play area. .1719(a)(1)&(17) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. A health assessment was not on file one child enrolled on February 2, 2023, and one child enrolled on August 26, 2024. GS 110-91(1); 10A NCAC 09.1721(a)(1) 941 Individuals who provide care for less than 5 hours a week, during planned absences of the operator, did not have proof of negative TB test or screening results completed within the last 12 months prior to the first day providing care. A TB skin test was not on file for a substitute hired on September 12, 2024. The substitute was assisting with providing care to children during the visit. .1729(b) 1891 Individuals providing care to children did not receive 16 hours of orientation prior to beginning caregiving activities. Documentation was not on file to verify the substitute received 16 hours of orientation prior to the hire date of September 12, 2024. .1729( c) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before November 8, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. OWNERSHIP STATUS: Vera Staton is listed as the current owner of this family child care home. Prior to making any changes to the ownership status (ex. forming a corporation), contact me to discuss change of ownership procedures. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 81% as of October 24, 2024. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. HEALTH ASSESSMENTS: Health assessments were not on file for two children enrolled more than thirty days. You stated you inform the parents the health assessments must be completed and submitted. We discussed ensuring health assessment are received prior to or within thirty days of enrollment. It was suggested developing a way to track assessment due dates. Also, you were encouraged to check the dates on children health assessments to ensure they do not exceed twelve months. Intentional planning will assist with communicating with families about items that are required and the times lines for submission. The children file checklists observed could also be used as a tracking tool. TB SKIN TEST: The TB screening form on file was completed and signed by the substitute. You stated the substitute could not find the TB skin test results documentation. You shared a copy of the paperwork was not submitted for the file. Be reminded TB skin test must be completed and on file prior to allowing individuals to work with children. ORIENTATION: Documentation was not on file verifying sixteen hours of orientation was completed with the substitute hire on September 12, 2024. You stated you were certain it had been completed; however, the paperwork could not be found. We talked about making copies for the files and giving to the employee for their record. This will ensure the information can be retrieved when needed. QRIS MODERNIZATION: PATHWAYS to the STARS North Carolina led the nation in 1999 when it launched its Quality Rating and Improvement System (QRIS), a star rating system for early childhood education facilities. QRIS is a systemic approach to assess, improve, and communicate the level of quality. It encourages early care and learning programs to engage in continuous quality improvement, and families may use the star rating to make informed decisions when choosing a child care facility. Listening to and communicating with early childhood professionals, families, communities and businesses is a critical component to ensure a successful QRIS modernization. The Commission began the modernization process by seeking public comment, and the Commission invites and welcomes public comment as we move towards finalizing rules. Some QRIS Modernization changes are still in draft form. To learn more about the Commission’s QRIS work, please note these upcoming opportunities for participation: •December 9, 2024 – Quarterly Commission meeting, with a public comment period for any topic. The Commission may decide to publish proposed QRIS rules, with publication occurring in January 2025. •Public Comment Period for QRIS Rules – After publication in the new year, DCDEE will announce a 60-day public comment period regarding QRIS Modernization, including a public hearing and the opportunity to submit written comments. •Email your feedback to DCDEE_QRIS@dhhs.nc.gov at any time. QRIS UPDATE: GET READY for the 3’s Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. CRIMINAL BACKGROUND CHECK REQUIREMENTS: 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 (800) 829-08591 and someone will assist you. I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. At the conclusion of this visit, the visit summary report was completed, reviewed, and left with you. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@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

GS 110-91 · Violation

Name of Operation: ANGEL OF FAITH CHILDCARE CENTER Facility ID: 33000438 Consultant: KESHIA HAYWARD Operation Type: Family CC Home Case Number: Visit Date: 10/25/2024 Number Present: 3 Completed Date: 10/25/2024 Age: From 2 To 3 Total Minutes: 205 Time In: 08:20 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 this program for compliance with applicable child care requirements during an annual compliance visit. V. Staton, Owner/Operator assisted with the visit. The substitute S. Powell was also present assisting with the children. This family child care home currently operates with a four license, earning seven points in the education component, two points in the program standard component and 1 quality point completing a 30-hour business training course on September 7, 2013. The last annual compliance visit was completed on November 9, 2023. Three children were present today ranging from ages two to three years old. Children were observed napping, completing hand washing and toileting routines, eating breakfast, engaged free choice play and interacting with the caregiver. Breakfast consisted of cereal grapes and milk, The following violations were documented today. Violation Number Comment Rule 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. Tree roots were protruding above ground on the playground posing tripping hazards. Three wooden boards with nails were laying on the ground inside in space accessible to children on the play area. .1719(a)(1)&(17) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. A health assessment was not on file one child enrolled on February 2, 2023, and one child enrolled on August 26, 2024. GS 110-91(1); 10A NCAC 09.1721(a)(1) 941 Individuals who provide care for less than 5 hours a week, during planned absences of the operator, did not have proof of negative TB test or screening results completed within the last 12 months prior to the first day providing care. A TB skin test was not on file for a substitute hired on September 12, 2024. The substitute was assisting with providing care to children during the visit. .1729(b) 1891 Individuals providing care to children did not receive 16 hours of orientation prior to beginning caregiving activities. Documentation was not on file to verify the substitute received 16 hours of orientation prior to the hire date of September 12, 2024. .1729( c) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before November 8, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. OWNERSHIP STATUS: Vera Staton is listed as the current owner of this family child care home. Prior to making any changes to the ownership status (ex. forming a corporation), contact me to discuss change of ownership procedures. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 81% as of October 24, 2024. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. HEALTH ASSESSMENTS: Health assessments were not on file for two children enrolled more than thirty days. You stated you inform the parents the health assessments must be completed and submitted. We discussed ensuring health assessment are received prior to or within thirty days of enrollment. It was suggested developing a way to track assessment due dates. Also, you were encouraged to check the dates on children health assessments to ensure they do not exceed twelve months. Intentional planning will assist with communicating with families about items that are required and the times lines for submission. The children file checklists observed could also be used as a tracking tool. TB SKIN TEST: The TB screening form on file was completed and signed by the substitute. You stated the substitute could not find the TB skin test results documentation. You shared a copy of the paperwork was not submitted for the file. Be reminded TB skin test must be completed and on file prior to allowing individuals to work with children. ORIENTATION: Documentation was not on file verifying sixteen hours of orientation was completed with the substitute hire on September 12, 2024. You stated you were certain it had been completed; however, the paperwork could not be found. We talked about making copies for the files and giving to the employee for their record. This will ensure the information can be retrieved when needed. QRIS MODERNIZATION: PATHWAYS to the STARS North Carolina led the nation in 1999 when it launched its Quality Rating and Improvement System (QRIS), a star rating system for early childhood education facilities. QRIS is a systemic approach to assess, improve, and communicate the level of quality. It encourages early care and learning programs to engage in continuous quality improvement, and families may use the star rating to make informed decisions when choosing a child care facility. Listening to and communicating with early childhood professionals, families, communities and businesses is a critical component to ensure a successful QRIS modernization. The Commission began the modernization process by seeking public comment, and the Commission invites and welcomes public comment as we move towards finalizing rules. Some QRIS Modernization changes are still in draft form. To learn more about the Commission’s QRIS work, please note these upcoming opportunities for participation: •December 9, 2024 – Quarterly Commission meeting, with a public comment period for any topic. The Commission may decide to publish proposed QRIS rules, with publication occurring in January 2025. •Public Comment Period for QRIS Rules – After publication in the new year, DCDEE will announce a 60-day public comment period regarding QRIS Modernization, including a public hearing and the opportunity to submit written comments. •Email your feedback to DCDEE_QRIS@dhhs.nc.gov at any time. QRIS UPDATE: GET READY for the 3’s Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. CRIMINAL BACKGROUND CHECK REQUIREMENTS: 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 (800) 829-08591 and someone will assist you. I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. At the conclusion of this visit, the visit summary report was completed, reviewed, and left with you. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@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

10A NCAC 09 . 1707 · Violation

Name of Operation: ANGEL OF FAITH CHILDCARE CENTER Facility ID: 33000438 Consultant: KESHIA HAYWARD Operation Type: Family CC Home Case Number: 1123-184L Visit Date: 12/1/2023 Number Present: 5 Completed Date: 12/1/2023 Age: From 1 To 5 Total Minutes: 115 Time In: 03:10 PM Time Out: 05:05 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of my unannounced visit today was to monitor compliance with applicable child care requirements and verify compliance the capacity and adequate supervision violations documented during the complaint visit conducted on November 28, 2023. D. Staton, Additional Caregiver assisted with the visit upon arrival. You arrived shortly after the visit started. Five (5) children ranging from ages zero to five years old were in care. Children were observed lying down for nap, interacting with caregivers, completing toileting, diapering, and hand washing routines and engaged in free choice play with developmentally appropriate materials. With your permission, I completed a walk-through of the entire home including all spaces designated for child care. Limited monitoring of the child care requirements was completed today. The following child care requirements were monitored: Capacity, supervision, safe indoor/outdoor environment, permit restrictions, and adequate approved space. The following violation was documented today: Violation Number Comment Rule 307 Heating appliances were not installed and maintained according to NC Building Code. A portable electric heating unit was observed in use in space designated for child care. 10A NCAC 09 . 1707(5) The violation documented must be corrected immediately. Please send a compliance letter describing how the violation was corrected. The compliance letter must be received on or before December 15, 2023. The compliance letter can be mailed or emailed to Keshia Hayward, PO Box 1504 Greenville NC 27834 or keshia.hayward@dhhs.nc.gov. COMPLIANCE HISTORY SCORE: The center’s compliance history score was reviewed with the operator. The center’s compliance history score was 77% percent as of November 30, 2023. VISIT OBSERVATIONS: Upon arrival you were not present. Mr. Staton, additional caregiver stated you had gone to pick up children from school. When asked, Mr. Staton stated he preferred I not conduct the walk-through in the main dwelling of the home until you returned because he had food on the stove cooking in the kitchen. He added the food was put on the stove prior to you leaving. Mr. Staton attempted to reach you via telephone; however, your phone was left at home. You called prior to returning and were notified I was there to conduct a visit. Mr. Staton told you I wanted to complete a walk-through inside the main dwelling of the home to verify capacity. I heard you advise Mr. Staton to let me complete the walk-through. As I entered the home, I observed a male in the kitchen was there as the walk-through was completed. I did not observe any additional children in the home. When asked, you stated you would arrive in ten minutes; however, you arrived at 4:10pm with one child. You stated you had to drop children off at their grandparents’ homes because their parents were working until after 4:00pm and it would have caused an overlap in care. CAPACITY: Based on my observation, your program was maintaining compliance with child care requirements regarding capacity and supervision today. We discussed the importance of ensuring capacity is always maintained and children are adequately supervised. I shared that exceeding the program’s licensed capacity and providing care to too many children could negatively impact the overall experiences that children have as well as diminish the quality of care provided by the operator. Exceeding the required license capacity can decrease the amount time for individualized attention children receive from their caregiver. Having a provider supervise only a small number of children also helps ensure the safety and welfare of a child throughout the day, with children being less likely to get injured or sick. Providers also benefit from caring for smaller groups because it allows them to focus on the needs of a small group of children much more efficiently than a large group. CAPACITY PLAN OF ACTION: You stated you had a meeting with parents on the Wednesday after the complaint visit was conducted, to discuss a plan for preventing the overlap in care and ensure the program maintains compliance with capacity. You stated an agreement was made between you and parents for children to be transported to the homes of their grandparents if parents worked hours past 4:00pm. I reminded you the license capacity is eight children on each shift for your program with no more than five preschool age children. I added capacity cannot be exceeded at any time. I encouraged you to continue evaluating and implementing strategies that will help you maintain awareness of enrollment schedules for overlapping care and maintain compliance with capacity requirements. ELECTRICAL HEATERS: An electrical portable heater was observed in use in a space designated for child care. You stated you was aware electric heaters could not be used in child care; however, you did not know it was on at the time. I informed you the portable heater should be removed from the child care area immediately. I explained the dangers of using portable heaters especially in child care. To prevent burns and potential fires, electric portable heaters must not be accessible to children. Children can start fires by inserting flammable material near electric heating elements. Curtains, paper, and furniture can also cause fires near electrical heaters. Use of electric portable heaters can also affects the health of children. They often cause very dry air; this can irritate your sinuses, dry lips and skin and cause other irritating conditions like nosebleeds and rashes as well as dry eyes, making it harder to see clearly after a long day. It is your responsibility to ensure you provide a safe and healthy environment for the children in care. UNANNOUNCED FOLLOW-UP VISIT: Unannounced follow-up visit will be conducted to monitor compliance with applicable child care requirements. ADMINISTRATIVE ACTION: I notified you an administrative action will be recommended for your program. If an action is issued, you will be notified by the Divisions of Child Development and Early Education. I recommended you review Child Care Rule 10A NCAC 09 .2201 regarding administrative action. VISIT SUMMARY DOCUMENTATION: We reviewed and discussed the visit summary report from the complaint visit conducted on November 28, 2023. During the conversation, I informed you the number of children documented as present on the hand-written visit summary report was incorrect. I explained after further review of documentation, it was determined thirteen children ranging from zero to six years old were observed during the visit. I shared on November 28, 2023, five children ranging from ages zero to six years old were observed in the added space designated for child care and eight children ranging from ages one to five years old were observed inside the bedroom located in the main dwelling of the home totaling thirteen children. I clarified once the transition between arrival and departure of shifts ended, and children were combined eleven children were left in care which is what was initially documented. I told you the correct number of children accounted for on the date of the visit was documented in the computer-generated visit summary report being reviewed. You stated you understood the change made regarding the number of children present on November 28, 2023. After review of the visit summary report and signatures obtained, a copy was given to you for your records. MEETING CHILDREN'S NEEDS: While waiting for you to arrive, it smelled like a child had used the bathroom. When asked, Mr. Staton stated he did not change children’s diapers; therefore, the child had to wait until you returned to be cleaned. Also, during this time one of the children was talking to Mr. Staton and his response to the child was “I do not know what you are saying.” “I don’t speak baby talk”. I recommended you provide training, guidance and role modeling of caregiving routines for your additional caregivers to ensure the needs of the children can be met when you are not present. I explained the child waited in the soiled diaper for approximately 20 minutes until you returned to complete the change. I further explained when caregivers cannot effectively communicate with children it impacts their ability to respond and assist appropriately. You stated Mr. Staton typically does not change diapers but would if needed. You added you would work with Mr. Staton in those areas. COMPLAINCE LETTERS: I reminded you the compliance letter for violation documented regarding capacity on November 28, 2023, was due immediately. We also talked about the deadline for the extension and submission of that compliance letter on or before December 5, 2023. CONTACT INFORMATION: If you have questions regarding today’s visit, you may contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@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 .2201 · Violation

Name of Operation: ANGEL OF FAITH CHILDCARE CENTER Facility ID: 33000438 Consultant: KESHIA HAYWARD Operation Type: Family CC Home Case Number: 1123-184L Visit Date: 12/1/2023 Number Present: 5 Completed Date: 12/1/2023 Age: From 1 To 5 Total Minutes: 115 Time In: 03:10 PM Time Out: 05:05 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of my unannounced visit today was to monitor compliance with applicable child care requirements and verify compliance the capacity and adequate supervision violations documented during the complaint visit conducted on November 28, 2023. D. Staton, Additional Caregiver assisted with the visit upon arrival. You arrived shortly after the visit started. Five (5) children ranging from ages zero to five years old were in care. Children were observed lying down for nap, interacting with caregivers, completing toileting, diapering, and hand washing routines and engaged in free choice play with developmentally appropriate materials. With your permission, I completed a walk-through of the entire home including all spaces designated for child care. Limited monitoring of the child care requirements was completed today. The following child care requirements were monitored: Capacity, supervision, safe indoor/outdoor environment, permit restrictions, and adequate approved space. The following violation was documented today: Violation Number Comment Rule 307 Heating appliances were not installed and maintained according to NC Building Code. A portable electric heating unit was observed in use in space designated for child care. 10A NCAC 09 . 1707(5) The violation documented must be corrected immediately. Please send a compliance letter describing how the violation was corrected. The compliance letter must be received on or before December 15, 2023. The compliance letter can be mailed or emailed to Keshia Hayward, PO Box 1504 Greenville NC 27834 or keshia.hayward@dhhs.nc.gov. COMPLIANCE HISTORY SCORE: The center’s compliance history score was reviewed with the operator. The center’s compliance history score was 77% percent as of November 30, 2023. VISIT OBSERVATIONS: Upon arrival you were not present. Mr. Staton, additional caregiver stated you had gone to pick up children from school. When asked, Mr. Staton stated he preferred I not conduct the walk-through in the main dwelling of the home until you returned because he had food on the stove cooking in the kitchen. He added the food was put on the stove prior to you leaving. Mr. Staton attempted to reach you via telephone; however, your phone was left at home. You called prior to returning and were notified I was there to conduct a visit. Mr. Staton told you I wanted to complete a walk-through inside the main dwelling of the home to verify capacity. I heard you advise Mr. Staton to let me complete the walk-through. As I entered the home, I observed a male in the kitchen was there as the walk-through was completed. I did not observe any additional children in the home. When asked, you stated you would arrive in ten minutes; however, you arrived at 4:10pm with one child. You stated you had to drop children off at their grandparents’ homes because their parents were working until after 4:00pm and it would have caused an overlap in care. CAPACITY: Based on my observation, your program was maintaining compliance with child care requirements regarding capacity and supervision today. We discussed the importance of ensuring capacity is always maintained and children are adequately supervised. I shared that exceeding the program’s licensed capacity and providing care to too many children could negatively impact the overall experiences that children have as well as diminish the quality of care provided by the operator. Exceeding the required license capacity can decrease the amount time for individualized attention children receive from their caregiver. Having a provider supervise only a small number of children also helps ensure the safety and welfare of a child throughout the day, with children being less likely to get injured or sick. Providers also benefit from caring for smaller groups because it allows them to focus on the needs of a small group of children much more efficiently than a large group. CAPACITY PLAN OF ACTION: You stated you had a meeting with parents on the Wednesday after the complaint visit was conducted, to discuss a plan for preventing the overlap in care and ensure the program maintains compliance with capacity. You stated an agreement was made between you and parents for children to be transported to the homes of their grandparents if parents worked hours past 4:00pm. I reminded you the license capacity is eight children on each shift for your program with no more than five preschool age children. I added capacity cannot be exceeded at any time. I encouraged you to continue evaluating and implementing strategies that will help you maintain awareness of enrollment schedules for overlapping care and maintain compliance with capacity requirements. ELECTRICAL HEATERS: An electrical portable heater was observed in use in a space designated for child care. You stated you was aware electric heaters could not be used in child care; however, you did not know it was on at the time. I informed you the portable heater should be removed from the child care area immediately. I explained the dangers of using portable heaters especially in child care. To prevent burns and potential fires, electric portable heaters must not be accessible to children. Children can start fires by inserting flammable material near electric heating elements. Curtains, paper, and furniture can also cause fires near electrical heaters. Use of electric portable heaters can also affects the health of children. They often cause very dry air; this can irritate your sinuses, dry lips and skin and cause other irritating conditions like nosebleeds and rashes as well as dry eyes, making it harder to see clearly after a long day. It is your responsibility to ensure you provide a safe and healthy environment for the children in care. UNANNOUNCED FOLLOW-UP VISIT: Unannounced follow-up visit will be conducted to monitor compliance with applicable child care requirements. ADMINISTRATIVE ACTION: I notified you an administrative action will be recommended for your program. If an action is issued, you will be notified by the Divisions of Child Development and Early Education. I recommended you review Child Care Rule 10A NCAC 09 .2201 regarding administrative action. VISIT SUMMARY DOCUMENTATION: We reviewed and discussed the visit summary report from the complaint visit conducted on November 28, 2023. During the conversation, I informed you the number of children documented as present on the hand-written visit summary report was incorrect. I explained after further review of documentation, it was determined thirteen children ranging from zero to six years old were observed during the visit. I shared on November 28, 2023, five children ranging from ages zero to six years old were observed in the added space designated for child care and eight children ranging from ages one to five years old were observed inside the bedroom located in the main dwelling of the home totaling thirteen children. I clarified once the transition between arrival and departure of shifts ended, and children were combined eleven children were left in care which is what was initially documented. I told you the correct number of children accounted for on the date of the visit was documented in the computer-generated visit summary report being reviewed. You stated you understood the change made regarding the number of children present on November 28, 2023. After review of the visit summary report and signatures obtained, a copy was given to you for your records. MEETING CHILDREN'S NEEDS: While waiting for you to arrive, it smelled like a child had used the bathroom. When asked, Mr. Staton stated he did not change children’s diapers; therefore, the child had to wait until you returned to be cleaned. Also, during this time one of the children was talking to Mr. Staton and his response to the child was “I do not know what you are saying.” “I don’t speak baby talk”. I recommended you provide training, guidance and role modeling of caregiving routines for your additional caregivers to ensure the needs of the children can be met when you are not present. I explained the child waited in the soiled diaper for approximately 20 minutes until you returned to complete the change. I further explained when caregivers cannot effectively communicate with children it impacts their ability to respond and assist appropriately. You stated Mr. Staton typically does not change diapers but would if needed. You added you would work with Mr. Staton in those areas. COMPLAINCE LETTERS: I reminded you the compliance letter for violation documented regarding capacity on November 28, 2023, was due immediately. We also talked about the deadline for the extension and submission of that compliance letter on or before December 5, 2023. CONTACT INFORMATION: If you have questions regarding today’s visit, you may contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@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

G.S. 110-90 · Violation

Name of Operation: ANGEL OF FAITH CHILDCARE CENTER Facility ID: 33000438 Consultant: KESHIA HAYWARD Operation Type: Family CC Home Case Number: 1123-184L Visit Date: 11/28/2023 Number Present: 13 Completed Date: 11/28/2023 Age: From 0 To 6 Total Minutes: 170 Time In: 03:40 PM Time Out: 06:30 PM Time In: Time Out: List to Use: Family CC Home 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. Vera Staton, Owner/Operator arrived shortly after I attempted to start the visit, permitted entrance into the home and assisted. Based on my observation, thirteen children were observed in care ranging from ages zero to six years old in two separate spaces of the home. Children were engaged in free choice play, watching television, sitting in a bedroom on the floor without activity, interacting with caregivers, completing toileting and hand washing routines and eating snacks. The snack consisted of Cheezit crackers and milk. The following requirements were monitored today: Capacity, supervision, nutrition, discipline, sanitation, health, parental access, program and staff records, posting of license, safe indoor environment, and license restrictions. The program’s compliance history score was reviewed with the operator. The compliance history score was 85% as of November 27, 2023. The following violations were observed and documented: Violation Number Comment Rule 101 Number of children exceeded number allowed. Thirteen (13) children ranging from ages zero to five years old were observed in care. GS 110-91(7)(b) & 110-86(3)(b) 102 Number of preschool children exceeded five children, including the provider's own preschool children. Eleven children ranging from ages zero to five years old(preschool) were observed in care upon arrival. GS 110-91(7)(b) 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. Five (5) children ranging from ages zero to five years old were observed watching television upon entrance into the facility. .1718(c) 720 Adequate supervision was not provided for children in the Family Child Care Home. Adequate supervision was not provided for eight (8) preschool children observed alone in a bedroom. .1711(a) 918 Prior to employment, a Criminal Background Check was not completed. A criminal background check was not completed for (Shaniqua Powell) the additional caregiver observed providing care to children upon arrival. G.S. 110-90.2; .2703(a) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Departure times were not documented by the operator or parents for children picked up during the visit. .1721(e)(6) 941 Individuals who provide care for less than 5 hours a week, during planned absences of the operator, did not have proof of negative TB test or screening results completed within the last 12 months prior to the first day providing care. A negative TB test or screening completed by a physician was not on file for Shaniqua Powell and Beatrice Higgs) two additional caregivers observed providing care to children during the visit. .1729(b) 1831 A valid qualification letter was not on file and available for review at the facility. Valid qualification letters were not on file for two additional caregivers (Shaniqua Powell and Beatrice Higgs) who were observed providing care to children during the visit. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 1891 Individuals providing care to children did not receive 16 hours of orientation prior to beginning caregiving activities. Documentation was not on file verifying two additional .1729( c) 2011 Individual who provides care for 5 hours or more a week, did not complete ITS-SIDS training prior to caring for infants. Documentation verifying completion of IT’S SIDS training was not on file for (Shaniqua Powell) the additional caregiver who was observed providing care for the children alone upon arrival. .1729(a)(8) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before December 11, 2023. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. Upon arrival, I knocked on the door to gain entrance; however, there was no answer immediately. I observed children and one female adult inside the home through the window. After knocking a second time, an individual came and spoke to me through the door. I stated my name, title, showed my identification badge, and informed the person I was at the facility to conduct a visit. I was then told the door would not be opened because she did not know who I was. When asked, the individual confirmed Ms. Staton was not present and she was providing the care for the children. The person stated Ms. Staton had gone to pick-up children from school. During our conversation through the door, the individual told me her name was Shaniqua Powell. Ms. Powell reported there were five children preschool age present at the time we were talking. While speaking to Ms. Powell and attempting to gain access into the facility, a parent arrived with a child for drop off. The parent was also denied entrance. I attempted to reach you (Ms. Staton) via telephone; however, there was no answer. Ms. Powell came back to the door and said you would arrive in ten minutes. She then closed the blinds to all windows and the door in that area. You arrived at approximately 3:46pm. Once you exited the vehicle and greeted me, I informed you I was at the family child care home to conduct a visit. They type of visit was not immediately shared due to the arrival of parents at the same time. When we entered the facility, I informed you of the purpose and type of visit being conducted. I notified you I would start by obtaining information regarding the number of children present, their ages and then we would discuss the allegations of the report. I further shared this would allow you time to communicate with parents who arrived for drop off and pick-up. Five (5) children were observed in space added to the home and approved for the use of child care. You stated the ages of the children observed ranged from zero to five years old. While documenting information regarding children ages, one child left with a parent and the school-age child waiting was added to the group. As parents were coming in to pick up and drop off children, I overheard you softly instructing Ms. Powell to go inside the main dwelling of the home. At that time, I informed you a walk-through of the entire home was required to ensure no other children were present and capacity was met. I requested to go inside the main dwelling of home with Ms. Powell so she could assist with the walkthrough and I would not be in that area alone. With your permission, I entered the inside of the main dwelling along with Ms. Powell. Upon entering the main dwelling of the home, Ms. Powell shared she was instructed not to open the door and did not want to get into trouble. I explained to Ms. Powell the Division has authority to access and inspect licensed child care programs for the purpose of monitoring compliance and conducting investigations when reports are received. While talking with Ms. Powell, I observed four cots in the sitting area with the fire place. As we were engaged in conversation, I heard children's voices. Prior to asking Ms. Powell if other children were in the home, a child opened one of the bedroom doors. When I looked inside the bedroom eight (8) additional children were observed. Ms. Powell stated those children's ages ranged from one to five years old. In the process trying to capture a total number and accurate ages of children present, all children were combined and transitioned to the added section of the home. Also, parents were arriving, picking up their child/children and leaving. Once everything had settled and all children were still in one location, eleven children were accounted for ranging from ages one to six years old. The following number and ages of children were observed today. -One child (infant) under age one -Two children (1year old) -Two children (2 years old) -Three children (3years old) -Two children (4years old) -One children (5years old - preschool) -One five year old (school-age) -One child (six years old) The allegations are as follows: There are concerns regarding nutrition, sanitation, and health. There are concerns regarding capacity and discipline. There is a concern parents are not given unlimited access to the family child care home during operating hours. During the interview, you stated you were not aware of any allegations shared except for the one regarding capacity. DISICPLINE AND CAPACITY: You stated you knew you were over capacity. You added you have been dealing with the issue of being over capacity for three to four months. You reported between the transition of first and second shift, care to children have been overlapping, causing you to be out of compliance with capacity. You said you will be sending out notifications to parents regarding picking their child/children up at their scheduled times to avoid continual noncompliance with capacity. In addition, you would also be charging parents late fees when children are not picked up on time as required. You are licensed for three shifts. We discussed the licensed capacity for each shift and operating hours. According to you, first shift is operated from 7:00am to 3:00pm, second shift is 3:00pm to 11:00pm and third shift is 11:00pm to 7:00am. I advised you to review your enrollment and scheduled times for children to help develop a plan that will assist with maintaining capacity. If required adjustments should be made to schedules and times to ensure care for children do not overlap and capacity is never exceeded. We discussed the importance of maintaining capacity to ensure the health and safety of children as well creating opportunities to provide individualized care to children when needed. I reminded you based on your license capacity, no more than eight children can be cared at one time. I further stated no more than five preschool age children care be cared for at one time. You stated your program has a discipline policy that is reviewed with parents at enrollment. Parents sign the discipline policy and copies are placed in the children’s files. According to you, time out is the method of discipline used to redirect unwarranted behavior. You added the additional caregivers are allowed to implement the time out policy when providing care to children. You reported you have never implemented inappropriate discipline methods with children and no child/children has ever been popped by any adult providing care. You expressed the children would tell you if someone did something inappropriate happens to discipline them. As indicated by you, no one has ever expressed any concerns about inappropriate discipline. Based on information provided, records reviewed and my observation, the allegation regarding discipline is unsubstantiated; however, the allegation regarding capacity was substantiated. NUTRITION: You stated children are served nutritious meals every day. You added children enrolled during first shift are served breakfast, lunch, and a pm snack. Children enrolled during second shift are served evening snacks and dinner. You reported children enrolled during third shift are not really fed because they are usually in bed but if a child/children say they are hungry they will be given food. In addition to feeding children when they are hungry, infants are fed according to their scheduled routine. You shared measurements provided from the food nutrition program are used to determine how much food is served to children. You said children are fed more than enough and no concerns have been expressed about meals provided for children. You stated menus are completed monthly and posted on the parent boards in the child care facility for parents to view. You concluded by saying parents can receive a menu when requested; however, no one has ever asked for a menu. You provided a notebook with menus from August to December for me to review. You added menus are implemented on a rotating schedule. You also reported your program has an open-door policy and parents can see what their children are served at any time. The meals listed on the menus reviewed appeared to meet the USDA guidelines. SANITATION AND HEALTH: We discussed sanitation and health requirements. You stated you have no issues with sanitation because your house was clean. You stated diaper checks and changes are conducted every two hours or more often as needed. You continued by saying children in your program have never been sent home with soiled diapers. You added no children have ever had a rash or been raw due to soiled diapers. You stated diapers are purchased and kept at the facility to use when they are not provided, or children run out. As stated by you, one parent expressed concerns about her child’s diaper being wet the night before but other than that no one has said anything regarding diaper changing. You stated you explained to the parent the child had just waken up and the diaper would be changed before leaving. You shared hand washing routines are completed when required upon arrival, after toileting, before meals, when returning from the outside and when they wake up from nap. Hand washing signs were observed in the bathroom used by children. I observed hand washing signs posted in the bathroom used by children. Based on the above information of concerns regarding nutrition, sanitation, and health this allegation was unsubstantiated. PARENTAL ACCESS TO FAMILY CHILD CARE HOME: You stated parents are given unlimited access to your child care program. You added parents enter the home when they drop-off and pick up their children. According to you parents can request to visit the center at any time including second and third shift care. You shared if a parent became violent then they would be denied access for the protection and safety of the children. You stated there have been no requests to visit the program for the purpose of evaluating or observing children. You continued by saying your program has an open-door policy that’s shared with parents during enrollment. I shared my observation with you regarding one parent being denied access to the home while you were out. You stated the caregiver was instructed not to open the door because no children were supposed to be arriving during that timeframe and that was one of the children you went out to pick up; however, if you knew the child was being brought to care by the parent you would have made arrangements for her to access the facility to drop him off. I also observed parents entering the home dropping off and picking up their children. Parents were seen going to the spaces designated for child care and other areas of the home including, the primary living area to get items belonging to their children and speak with you. It was suggested putting a plan in place to help additional caregivers identify children and their parents of children enrolled. This will help determine who to allow access to the facility when you are out. Be reminded parents should have unlimited access to the child care program to conduct observation and evaluate the program as needed; however, they must notify the program operator when they are on the premises. Based on the information provided and my observation, the allegation regarding concerns of parents not having unlimited access to the family child care home during operation hours was not substantiated. Strong relationships between families and child care staff can contribute to positive outcomes for children and families. When programs limit access, the areas that parents and guardians can see may not reflect the care that children get. Positive, mutually respectful, and collaborative relationships can enhance family engagement in early care and education programs, as well as family well-being. These relationships can have a positive effect on a child’s success in your program, including improvements in social skills and behavioral problems, and a child’s ability to adapt to situations. Child care professionals should strive to build and maintain relationships with their families starting from enrollment. You could offer various types of parent involvement opportunities such as eating lunch with their child, volunteering to read stories, participate on field trips if offered, or complete assist finding age appropriate activities for the activity plan. ADEQUATE SUPERVISION: We talked about adequate supervision of children in care. I informed you caregivers in family child care homes able to see and hear children at all times and render immediate assistance to comply with the child care requirement for adequate supervision. I explained the eight children inside the bedroom, located in the primary section of the home with the door closed and no adult could not be seen or heard. I further explained if an emergency had occurred, you or the additional caregiver would not have known to render immediate assistance. When children are placed in spaces where they can’t be monitored, it not only compromises supervision but also creates an unsafe environment for them. You are responsible for always maintaining a safe environment for children in care. Intentionally placing children in rooms with no adult supervision and guidance can create unsafe situations and can pose risk to harm. CRIMINAL BACKGROUND CHECK: You stated Shaniqua Powell additional caregiver who was observed providing care to children alone, had not received a valid qualification letter from the Division. You added Ms. Powell had a background check completed through her primary employer that was like the Division’s background check. I reminded you that any individual working in a licensed child care program providing care to children must complete a criminal background check through the Division and receive a valid qualification letter prior to employment. You responded that you thought the background check she had from her other job was ok. When asked, you stated a file was being prepared for Ms. Powell; therefore, you only had the basic documentation. Based on my review of the staff file, all the required items were not present and available for review. I discussed the missing documents (TB skin test administered by health care provider, shaken baby syndrome and abusive head trauma policy, IT’S SIDS certification, sixteen hours of orientation prior to working with children, and the emergency medical care plan and emergency preparedness plan review. After Ms. Powell left, you called another individual to come in and assist you with the children. You stated Beatrice Higgs has been volunteering and helping you out for a while. According to you, Ms. Higgs completed the criminal background check process and was told when she called the criminal background unit, she was qualified; however, a qualification letter had not been sent. I explained Ms. Higgs would need to go into the email address used when the application was completed, access the link provided and print a copy of the qualification letter to be given for her file. Based on my review of the criminal background system, Ms. Higgs was qualified on December 30, 2022. STAFF FILES: I suggest utilizing the staff file checklist for additional caregivers and substitutes prior to hiring to ensure all required documentation is completed and on file within the expected timeframe. I explained the importance of providing orientation and ensuring additional caregivers have the necessary training needed prior to working with children. It provides them with the basic knowledge and skills needed to ensure positive and nurturing care is provided to children. Also, it prepares the staff with information on how to react in emergency situations if needed. PROVIDING CARE FOR GRANDCHILDREN: During the visit, we discussed the subject regarding providing care to grandchildren during operation of the child care program. I shared when your grandchildren are present at your facility during operating hours without their parents, they are in your care; therefore, counted in the attendance for your child care program. You stated you thought when approval was granted to provide care to children in the added-on section of the home, the primary dwelling area was no longer a part of the license. I reminded you the entire dwelling is licensed for child care not just the component added. I reviewed information included in the annual compliance visit summary conducted on December 1, 2022, and the routine unannounced visit summary from April 12, 2023, that was reviewed and signed by you. You stated you did not recall the information shared on April 12, 2023; however, your understanding from the information provided on December 1, 2022, was that your husband could care for the children if they were separated, and he remained on the premises. I further explained because your grandchildren were in care at the facility, they were included in your enrollment on November 9, 2023, which placed your program out of compliance with capacity requirement. In addition, a violation would be added to the visit summary report of that visit. You must submit a compliance verifying how the violation was corrected and your plans for maintaining compliance in the future. ADMINISTRATIVE ACTION: I informed you based an administrative action would be recommended for your facility based on the allegation of capacity being substantiated of capacity, violations for capacity documented on two consecutive visits. I shared if an administrative action is issued, you would be notified from the Division of Child Development and Early Education. PROVIDER’S CONCERN: During the visit you ask me if the Division was trying to close your program down. I shared it is the Division’s duty and mission to ensure the health and safety of children in child care programs, promote quality child care by implementing evidenced-based standards and to increase access to quality child care to families and children across North Carolina. I further explained ensure the health and safety of children in child care the Division licenses, monitors and provides technical assistance to child care programs. I notified you this information could be found on the Division website. I explained anytime a report is received regarding noncompliance of child care requirements, laws or abuse and neglect, a representative of the Division will conduct a visit to discuss and gather additional information regarding the allegation which is why the visit was currently being conducted. You thanked me for explaining the information to you because you were concerned about that. REQUEST FOR ADDITIONAL INFORMATION/DOCUMENTATION: During the visit, we discussed how the children were supervised and monitored on third shift while sleeping at night. I explained the information was being discussed because to help determine that safety and supervision requirements were being met since the added-on space where care is provided to children was on the opposite end of the home from your bedroom. You stated during second and third shift care, you sleep on the couch in the space designated for child care. You continued by saying you would not allow the children to sleep in that area without monitoring them. I requested that you create and submit to me a floor plan of the entire dwelling with identified spaces where care is provided to children. You should note the areas for eating, toileting, child care and any other locations utilized for child care. Also, I ask that you submit written plan describing in detail, how children are always adequately supervised. The plan should include but not be limited to nap time, during transitions, when the operator complete other routine tasks, and during outdoor play. The plan should be submitted to me along with the compliance letter. VISIT SUMMARY REPORT: Due to loss of internet, a hand-written visit summary report was completed, reviewed with you and a copy was left at the e nd of the visit. I informed visit would be conducted to review the computer generated visit summary report when it was completed. If you have question about the visit, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov.You may also contact Licensing Supervisor Susan Fuller at 252-373-9809 or email susan.fuller@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: ANGEL OF FAITH CHILDCARE CENTER Facility ID: 33000438 Consultant: KESHIA HAYWARD Operation Type: Family CC Home Case Number: 1123-184L Visit Date: 11/28/2023 Number Present: 13 Completed Date: 11/28/2023 Age: From 0 To 6 Total Minutes: 170 Time In: 03:40 PM Time Out: 06:30 PM Time In: Time Out: List to Use: Family CC Home 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. Vera Staton, Owner/Operator arrived shortly after I attempted to start the visit, permitted entrance into the home and assisted. Based on my observation, thirteen children were observed in care ranging from ages zero to six years old in two separate spaces of the home. Children were engaged in free choice play, watching television, sitting in a bedroom on the floor without activity, interacting with caregivers, completing toileting and hand washing routines and eating snacks. The snack consisted of Cheezit crackers and milk. The following requirements were monitored today: Capacity, supervision, nutrition, discipline, sanitation, health, parental access, program and staff records, posting of license, safe indoor environment, and license restrictions. The program’s compliance history score was reviewed with the operator. The compliance history score was 85% as of November 27, 2023. The following violations were observed and documented: Violation Number Comment Rule 101 Number of children exceeded number allowed. Thirteen (13) children ranging from ages zero to five years old were observed in care. GS 110-91(7)(b) & 110-86(3)(b) 102 Number of preschool children exceeded five children, including the provider's own preschool children. Eleven children ranging from ages zero to five years old(preschool) were observed in care upon arrival. GS 110-91(7)(b) 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. Five (5) children ranging from ages zero to five years old were observed watching television upon entrance into the facility. .1718(c) 720 Adequate supervision was not provided for children in the Family Child Care Home. Adequate supervision was not provided for eight (8) preschool children observed alone in a bedroom. .1711(a) 918 Prior to employment, a Criminal Background Check was not completed. A criminal background check was not completed for (Shaniqua Powell) the additional caregiver observed providing care to children upon arrival. G.S. 110-90.2; .2703(a) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Departure times were not documented by the operator or parents for children picked up during the visit. .1721(e)(6) 941 Individuals who provide care for less than 5 hours a week, during planned absences of the operator, did not have proof of negative TB test or screening results completed within the last 12 months prior to the first day providing care. A negative TB test or screening completed by a physician was not on file for Shaniqua Powell and Beatrice Higgs) two additional caregivers observed providing care to children during the visit. .1729(b) 1831 A valid qualification letter was not on file and available for review at the facility. Valid qualification letters were not on file for two additional caregivers (Shaniqua Powell and Beatrice Higgs) who were observed providing care to children during the visit. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 1891 Individuals providing care to children did not receive 16 hours of orientation prior to beginning caregiving activities. Documentation was not on file verifying two additional .1729( c) 2011 Individual who provides care for 5 hours or more a week, did not complete ITS-SIDS training prior to caring for infants. Documentation verifying completion of IT’S SIDS training was not on file for (Shaniqua Powell) the additional caregiver who was observed providing care for the children alone upon arrival. .1729(a)(8) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before December 11, 2023. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. Upon arrival, I knocked on the door to gain entrance; however, there was no answer immediately. I observed children and one female adult inside the home through the window. After knocking a second time, an individual came and spoke to me through the door. I stated my name, title, showed my identification badge, and informed the person I was at the facility to conduct a visit. I was then told the door would not be opened because she did not know who I was. When asked, the individual confirmed Ms. Staton was not present and she was providing the care for the children. The person stated Ms. Staton had gone to pick-up children from school. During our conversation through the door, the individual told me her name was Shaniqua Powell. Ms. Powell reported there were five children preschool age present at the time we were talking. While speaking to Ms. Powell and attempting to gain access into the facility, a parent arrived with a child for drop off. The parent was also denied entrance. I attempted to reach you (Ms. Staton) via telephone; however, there was no answer. Ms. Powell came back to the door and said you would arrive in ten minutes. She then closed the blinds to all windows and the door in that area. You arrived at approximately 3:46pm. Once you exited the vehicle and greeted me, I informed you I was at the family child care home to conduct a visit. They type of visit was not immediately shared due to the arrival of parents at the same time. When we entered the facility, I informed you of the purpose and type of visit being conducted. I notified you I would start by obtaining information regarding the number of children present, their ages and then we would discuss the allegations of the report. I further shared this would allow you time to communicate with parents who arrived for drop off and pick-up. Five (5) children were observed in space added to the home and approved for the use of child care. You stated the ages of the children observed ranged from zero to five years old. While documenting information regarding children ages, one child left with a parent and the school-age child waiting was added to the group. As parents were coming in to pick up and drop off children, I overheard you softly instructing Ms. Powell to go inside the main dwelling of the home. At that time, I informed you a walk-through of the entire home was required to ensure no other children were present and capacity was met. I requested to go inside the main dwelling of home with Ms. Powell so she could assist with the walkthrough and I would not be in that area alone. With your permission, I entered the inside of the main dwelling along with Ms. Powell. Upon entering the main dwelling of the home, Ms. Powell shared she was instructed not to open the door and did not want to get into trouble. I explained to Ms. Powell the Division has authority to access and inspect licensed child care programs for the purpose of monitoring compliance and conducting investigations when reports are received. While talking with Ms. Powell, I observed four cots in the sitting area with the fire place. As we were engaged in conversation, I heard children's voices. Prior to asking Ms. Powell if other children were in the home, a child opened one of the bedroom doors. When I looked inside the bedroom eight (8) additional children were observed. Ms. Powell stated those children's ages ranged from one to five years old. In the process trying to capture a total number and accurate ages of children present, all children were combined and transitioned to the added section of the home. Also, parents were arriving, picking up their child/children and leaving. Once everything had settled and all children were still in one location, eleven children were accounted for ranging from ages one to six years old. The following number and ages of children were observed today. -One child (infant) under age one -Two children (1year old) -Two children (2 years old) -Three children (3years old) -Two children (4years old) -One children (5years old - preschool) -One five year old (school-age) -One child (six years old) The allegations are as follows: There are concerns regarding nutrition, sanitation, and health. There are concerns regarding capacity and discipline. There is a concern parents are not given unlimited access to the family child care home during operating hours. During the interview, you stated you were not aware of any allegations shared except for the one regarding capacity. DISICPLINE AND CAPACITY: You stated you knew you were over capacity. You added you have been dealing with the issue of being over capacity for three to four months. You reported between the transition of first and second shift, care to children have been overlapping, causing you to be out of compliance with capacity. You said you will be sending out notifications to parents regarding picking their child/children up at their scheduled times to avoid continual noncompliance with capacity. In addition, you would also be charging parents late fees when children are not picked up on time as required. You are licensed for three shifts. We discussed the licensed capacity for each shift and operating hours. According to you, first shift is operated from 7:00am to 3:00pm, second shift is 3:00pm to 11:00pm and third shift is 11:00pm to 7:00am. I advised you to review your enrollment and scheduled times for children to help develop a plan that will assist with maintaining capacity. If required adjustments should be made to schedules and times to ensure care for children do not overlap and capacity is never exceeded. We discussed the importance of maintaining capacity to ensure the health and safety of children as well creating opportunities to provide individualized care to children when needed. I reminded you based on your license capacity, no more than eight children can be cared at one time. I further stated no more than five preschool age children care be cared for at one time. You stated your program has a discipline policy that is reviewed with parents at enrollment. Parents sign the discipline policy and copies are placed in the children’s files. According to you, time out is the method of discipline used to redirect unwarranted behavior. You added the additional caregivers are allowed to implement the time out policy when providing care to children. You reported you have never implemented inappropriate discipline methods with children and no child/children has ever been popped by any adult providing care. You expressed the children would tell you if someone did something inappropriate happens to discipline them. As indicated by you, no one has ever expressed any concerns about inappropriate discipline. Based on information provided, records reviewed and my observation, the allegation regarding discipline is unsubstantiated; however, the allegation regarding capacity was substantiated. NUTRITION: You stated children are served nutritious meals every day. You added children enrolled during first shift are served breakfast, lunch, and a pm snack. Children enrolled during second shift are served evening snacks and dinner. You reported children enrolled during third shift are not really fed because they are usually in bed but if a child/children say they are hungry they will be given food. In addition to feeding children when they are hungry, infants are fed according to their scheduled routine. You shared measurements provided from the food nutrition program are used to determine how much food is served to children. You said children are fed more than enough and no concerns have been expressed about meals provided for children. You stated menus are completed monthly and posted on the parent boards in the child care facility for parents to view. You concluded by saying parents can receive a menu when requested; however, no one has ever asked for a menu. You provided a notebook with menus from August to December for me to review. You added menus are implemented on a rotating schedule. You also reported your program has an open-door policy and parents can see what their children are served at any time. The meals listed on the menus reviewed appeared to meet the USDA guidelines. SANITATION AND HEALTH: We discussed sanitation and health requirements. You stated you have no issues with sanitation because your house was clean. You stated diaper checks and changes are conducted every two hours or more often as needed. You continued by saying children in your program have never been sent home with soiled diapers. You added no children have ever had a rash or been raw due to soiled diapers. You stated diapers are purchased and kept at the facility to use when they are not provided, or children run out. As stated by you, one parent expressed concerns about her child’s diaper being wet the night before but other than that no one has said anything regarding diaper changing. You stated you explained to the parent the child had just waken up and the diaper would be changed before leaving. You shared hand washing routines are completed when required upon arrival, after toileting, before meals, when returning from the outside and when they wake up from nap. Hand washing signs were observed in the bathroom used by children. I observed hand washing signs posted in the bathroom used by children. Based on the above information of concerns regarding nutrition, sanitation, and health this allegation was unsubstantiated. PARENTAL ACCESS TO FAMILY CHILD CARE HOME: You stated parents are given unlimited access to your child care program. You added parents enter the home when they drop-off and pick up their children. According to you parents can request to visit the center at any time including second and third shift care. You shared if a parent became violent then they would be denied access for the protection and safety of the children. You stated there have been no requests to visit the program for the purpose of evaluating or observing children. You continued by saying your program has an open-door policy that’s shared with parents during enrollment. I shared my observation with you regarding one parent being denied access to the home while you were out. You stated the caregiver was instructed not to open the door because no children were supposed to be arriving during that timeframe and that was one of the children you went out to pick up; however, if you knew the child was being brought to care by the parent you would have made arrangements for her to access the facility to drop him off. I also observed parents entering the home dropping off and picking up their children. Parents were seen going to the spaces designated for child care and other areas of the home including, the primary living area to get items belonging to their children and speak with you. It was suggested putting a plan in place to help additional caregivers identify children and their parents of children enrolled. This will help determine who to allow access to the facility when you are out. Be reminded parents should have unlimited access to the child care program to conduct observation and evaluate the program as needed; however, they must notify the program operator when they are on the premises. Based on the information provided and my observation, the allegation regarding concerns of parents not having unlimited access to the family child care home during operation hours was not substantiated. Strong relationships between families and child care staff can contribute to positive outcomes for children and families. When programs limit access, the areas that parents and guardians can see may not reflect the care that children get. Positive, mutually respectful, and collaborative relationships can enhance family engagement in early care and education programs, as well as family well-being. These relationships can have a positive effect on a child’s success in your program, including improvements in social skills and behavioral problems, and a child’s ability to adapt to situations. Child care professionals should strive to build and maintain relationships with their families starting from enrollment. You could offer various types of parent involvement opportunities such as eating lunch with their child, volunteering to read stories, participate on field trips if offered, or complete assist finding age appropriate activities for the activity plan. ADEQUATE SUPERVISION: We talked about adequate supervision of children in care. I informed you caregivers in family child care homes able to see and hear children at all times and render immediate assistance to comply with the child care requirement for adequate supervision. I explained the eight children inside the bedroom, located in the primary section of the home with the door closed and no adult could not be seen or heard. I further explained if an emergency had occurred, you or the additional caregiver would not have known to render immediate assistance. When children are placed in spaces where they can’t be monitored, it not only compromises supervision but also creates an unsafe environment for them. You are responsible for always maintaining a safe environment for children in care. Intentionally placing children in rooms with no adult supervision and guidance can create unsafe situations and can pose risk to harm. CRIMINAL BACKGROUND CHECK: You stated Shaniqua Powell additional caregiver who was observed providing care to children alone, had not received a valid qualification letter from the Division. You added Ms. Powell had a background check completed through her primary employer that was like the Division’s background check. I reminded you that any individual working in a licensed child care program providing care to children must complete a criminal background check through the Division and receive a valid qualification letter prior to employment. You responded that you thought the background check she had from her other job was ok. When asked, you stated a file was being prepared for Ms. Powell; therefore, you only had the basic documentation. Based on my review of the staff file, all the required items were not present and available for review. I discussed the missing documents (TB skin test administered by health care provider, shaken baby syndrome and abusive head trauma policy, IT’S SIDS certification, sixteen hours of orientation prior to working with children, and the emergency medical care plan and emergency preparedness plan review. After Ms. Powell left, you called another individual to come in and assist you with the children. You stated Beatrice Higgs has been volunteering and helping you out for a while. According to you, Ms. Higgs completed the criminal background check process and was told when she called the criminal background unit, she was qualified; however, a qualification letter had not been sent. I explained Ms. Higgs would need to go into the email address used when the application was completed, access the link provided and print a copy of the qualification letter to be given for her file. Based on my review of the criminal background system, Ms. Higgs was qualified on December 30, 2022. STAFF FILES: I suggest utilizing the staff file checklist for additional caregivers and substitutes prior to hiring to ensure all required documentation is completed and on file within the expected timeframe. I explained the importance of providing orientation and ensuring additional caregivers have the necessary training needed prior to working with children. It provides them with the basic knowledge and skills needed to ensure positive and nurturing care is provided to children. Also, it prepares the staff with information on how to react in emergency situations if needed. PROVIDING CARE FOR GRANDCHILDREN: During the visit, we discussed the subject regarding providing care to grandchildren during operation of the child care program. I shared when your grandchildren are present at your facility during operating hours without their parents, they are in your care; therefore, counted in the attendance for your child care program. You stated you thought when approval was granted to provide care to children in the added-on section of the home, the primary dwelling area was no longer a part of the license. I reminded you the entire dwelling is licensed for child care not just the component added. I reviewed information included in the annual compliance visit summary conducted on December 1, 2022, and the routine unannounced visit summary from April 12, 2023, that was reviewed and signed by you. You stated you did not recall the information shared on April 12, 2023; however, your understanding from the information provided on December 1, 2022, was that your husband could care for the children if they were separated, and he remained on the premises. I further explained because your grandchildren were in care at the facility, they were included in your enrollment on November 9, 2023, which placed your program out of compliance with capacity requirement. In addition, a violation would be added to the visit summary report of that visit. You must submit a compliance verifying how the violation was corrected and your plans for maintaining compliance in the future. ADMINISTRATIVE ACTION: I informed you based an administrative action would be recommended for your facility based on the allegation of capacity being substantiated of capacity, violations for capacity documented on two consecutive visits. I shared if an administrative action is issued, you would be notified from the Division of Child Development and Early Education. PROVIDER’S CONCERN: During the visit you ask me if the Division was trying to close your program down. I shared it is the Division’s duty and mission to ensure the health and safety of children in child care programs, promote quality child care by implementing evidenced-based standards and to increase access to quality child care to families and children across North Carolina. I further explained ensure the health and safety of children in child care the Division licenses, monitors and provides technical assistance to child care programs. I notified you this information could be found on the Division website. I explained anytime a report is received regarding noncompliance of child care requirements, laws or abuse and neglect, a representative of the Division will conduct a visit to discuss and gather additional information regarding the allegation which is why the visit was currently being conducted. You thanked me for explaining the information to you because you were concerned about that. REQUEST FOR ADDITIONAL INFORMATION/DOCUMENTATION: During the visit, we discussed how the children were supervised and monitored on third shift while sleeping at night. I explained the information was being discussed because to help determine that safety and supervision requirements were being met since the added-on space where care is provided to children was on the opposite end of the home from your bedroom. You stated during second and third shift care, you sleep on the couch in the space designated for child care. You continued by saying you would not allow the children to sleep in that area without monitoring them. I requested that you create and submit to me a floor plan of the entire dwelling with identified spaces where care is provided to children. You should note the areas for eating, toileting, child care and any other locations utilized for child care. Also, I ask that you submit written plan describing in detail, how children are always adequately supervised. The plan should include but not be limited to nap time, during transitions, when the operator complete other routine tasks, and during outdoor play. The plan should be submitted to me along with the compliance letter. VISIT SUMMARY REPORT: Due to loss of internet, a hand-written visit summary report was completed, reviewed with you and a copy was left at the e nd of the visit. I informed visit would be conducted to review the computer generated visit summary report when it was completed. If you have question about the visit, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov.You may also contact Licensing Supervisor Susan Fuller at 252-373-9809 or email susan.fuller@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

GS 110-91 · Violation

Name of Operation: ANGEL OF FAITH CHILDCARE CENTER Facility ID: 33000438 Consultant: KESHIA HAYWARD Operation Type: Family CC Home Case Number: Visit Date: 11/9/2023 Number Present: 6 Completed Date: 11/9/2023 Age: From 0 To 7 Total Minutes: 395 Time In: 08:30 AM Time Out: 03:05 PM 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 facility for compliance with applicable child care requirements during an annual compliance visit. V. Staton, Operator assisted with the visit. I visited the indoor and outdoor spaces of your child care facility. Six (6) children were observed in care today ranging from ages seven (7) months to seven (7) years old. Children were engaged in free-choice play using age-appropriate materials, interacting with the caregiver, completing toileting, diapering and hand washing routines, eating breakfast and lunch and napping. Breakfast consisted of blueberry muffins, and milk. Lunch consisted of chicken nuggets, potatoes wedges, pineapples, bread, and milk. Currently this family child care home operates with a Four-Star License, earning seven (7) points in education, two (2) points in program standards and one (1) quality point for completing a business training course of at least 30 clock hours. The program’s compliance history score was reviewed with the operator. The compliance history score for your family child care home was 86% as of November 8, 2023. The following violation(s) were documented: Violation Number Comment Rule 102 Number of preschool children exceeded five children, including the provider's own preschool children. Six (6) preschool children ranging from seven months to five years old were observed in care during today's visit. GS 110-91(7)(b) 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. The operator did not renew First training on or before the expiration date of September 29, 2023. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. The operators did not renew CPR training on or before the expiration date of September 29, 2023. .1703(a)(3) 518 Individuals who provide care for 5 hours or more a week, during planned absences of the operator, had not completed first aid and CPR as described in Rule .1702(b)(2). The additional caregiver who provides care 5 hours or more a week, during planned absences of the operator, had not renewed first aid and CPR on or before the expiration date of September 29, 2023. .1729(a)(3) 606 Each child was not held or placed in an appropriate feeding chair or other age appropriate seating apparatus to be fed. The infant was served a bottle while sitting in a swing rocker. .1706(k) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. A bottle of alcohol and sure scent bamboo and lotus spray were on the operator’s desk, and bottle of soap scum cleaner was on a table at the door in the entrance area of the facility accessible to children. A bottle Betco foaming cleaner was on a shelf below five feet in the space where care is provided to children. .1719(a)(1)&(17) 815 Children's hands were not washed after diapering. An infant’s hands were not washed after diaper changing and prior to feeding. .1725(a)(6)(C) 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. .1713 1804 Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. The safe sleep policy and poster was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. .1724(b) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The last review date documented was January 18, 2022. .1714(e ) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Plastic bags were observed in a small room near the back exit and accessible to children under age three. .1719(a)(18) 1948 Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes. Visual safe sleep checks were not conducted every 15 minutes for a seven-month-old infant observed napping from 8:30am- to 9:36 and 10:03am to 10:33am. .1724(a)(7) 2022 Operator and/or staff members did not complete the required health and safety trainings within the specified time frame. Documentation was not on file to verify the additional caregiver completed health and safety training as required. .1703(b) The violation(s) documented must be corrected immediately. On or before November 23, 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. Mail or email the information to: Keshia Hayward, Child Care Consultant, PO Box 1504 Greenville, NC 27834, or email keshia.hayward@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. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your family child care home are correct. If changes in your facility information occur, please contact me at telephone number 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. LICENSEE: You are listed as the sole proprietor on the child care license. Prior to changing the facility name and/or ownership (i.e. forming a corporation), please contact me to discuss change of ownership procedures. Failure to comply may affect your child care license. ENROLLMENT STATUS: Upon arrival, six children were observed in the area of the home designated for child care. You stated your two grandchildren ages five and ten years old were inside the home with your husband. You stated your husband was caring for the two grandchildren while their mother was working. You added the children are not part of your enrollment; therefore, they are not included in the area with the children in child care. You stated your two grandchildren were not terminated from the program; they just have not been attending child care. Then you stated the children might as well be terminated because they are not listed on your enrollment. You stated the termination date for your grandchildren was November 3, 2023. When asked, you stated the children are listed in your food program; however, no subsidized funding is received. You added because the children haven’t been coming, they were not filed for reimbursement. A walk-through of the other part of the home was conducted to verify the grandchildren were being cared for by your husband and no additional children were in care. I informed you further research regarding the status of enrollments of your grandchildren will be conducted. You will be contacted if additional information is needed. During the visit, two additional children arrived, however, you met the parents at the door and informed them care could not be provided until their original time of 3:00pm. The children were taken back with the parents. I reminded you the capacity of eight children with only five preschool children at one time can not be exceed. I advised you to review your enrollment and ensure scheduled are set to prevent overlapping of care for children enrolled. STAR RATING: Your program is in Cohort 1. We discussed the three month self study. I advised you to start the three month self study to ensure it is completed prior to the reassessment of your license. You could request technical assistance from your local partnership for children. I will contact you to further discuss. CPR/FRIST AID: The First Aid and CPR training certification expired for you and your additional caregiver on September 29, 2023. You stated you thought two additional years were added for first aid and CPR. I explained the two additional years was for criminal background checks not first aid and CPR. You must complete the training and obtain a valid certification immediately. I shared that you and your additional caregiver must maintain CPR and First Aid Training. You must schedule to complete the training immediately and notify me when that you have registered and the dates. You asked if your daughter could come in and provide care for the children until you receive the CPR/ First Aid training. You stated you thought you were told by me that two additional years were added to first aid and CPR. I explained that information was not provided by me. I further explained the two additional years your were referencing was regarding criminal background checks which changed from three to five years. I explained another individual could not come in and provide care for children while waiting for you to receive the training. I will notify you if additional action is required once you contact me with the training dates. SAFE INDOOR/OUTDOOR ENVIRONMENT: We discussed the potentially hazardous items identified during the visit. I informed you the items should be removed and placed in locations inaccessible to children. I advised you to check for these types of potential hazards daily and remove them when identified immediately. I notified you the plastic grocery bags must be removed and stored in a location where children cannot access them. You could close the door to the location of the plastic bags so children cannot access the area. You stated you would allow children to start entering the facility through the second door which leads directly into the child care space. I reminded you are responsible for ensuring a safe environment is always provided for children in care. HEALTH AND SAFETY TRAININGS: Documentation was not on file verifying completion of health and safety training for your additional caregiver. The additional caregiver must complete the training. Copies of certificates must be printed and placed in the file for review during monitoring visits. Also, the training should be logged on the training logs. VISUAL SAFE SLEEP CHECKS: During the visit safe sleep checks were not conducted on a sleeping infant every fifteen minutes as required. You stated you were checking on the infant; however, the times were not documented on the log. I explained the information must be documented when the visual sleep checks are completed. Infants must be visually checked while sleeping and the time of check, position of child and person conducting the check must be recorded. Following the safe sleep policy will ensure the health and safety of children in care. HAND WASHING: The infant’s hand was not washed after diaper changing and prior to feeding. Be reminded children hands should be washed before and after the child is fed, after diapering, and upon arrival. I advised you to utilize the hand washing chart as a guide to assist with reminders for when hands must be washed. WEBINAR: CREATING SPPORTIVE ENVIRONMENTS: A Healthy Social Behaviors Webinar is being offered on Thursday November 16, 2023, from 7:00 pm to 8:00pm. If interested, you can access the training using the following information: https://ccrinc.zoom.us/j/926189206 Meeting ID: 326 189 6206 NEW FREE ONLINE TEACHER PROFESSIONAL DEVELOPMENT MEMBERSHIP! NC child care teachers and staff are eligible for an online professional development membership program for early educators. DCDEE covers the cost! Membership includes 200+ hours including all training required for a CDA. Learning is engaging, interactive and includes relevant content, games, and videos. Courses are available in English and Spanish. To learn more, register now! North Carolina Teacher Professional Development Resources Webinar Nov 30, 2023, at 1:00 PM Eastern Time Space is limited. Register in advance for this webinar: https://teachingstrategies.zoom.us/webinar/register/WN_RjOYSOSBRxur5dhunfZDpA Meeting ID: 987 6848 1576 Passcode: 370896 UPDATED CHILD CARE RULEBOOK: I informed you of the updated child care rulebook dated July 1, 2023 is located on the Division of Child Development and Early Education website. You can obtain training regarding clarification of the updated child care rules in MOODLE on the Division’s website. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. You can also complete training modules located in the MOODLE platform, access provider's documents, and the child care rules and laws. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor Susan Fuller at 252-373-9809 or email susan.fuller@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.