Bmj Heavenly Hands Learning Center Llc

NC GS 110-90 · Violation

Name of Operation: BMJ Heavenly Hands Learning Center LLC Facility ID: 47000327 Consultant: LEISA A. BENSON Operation Type: Family CC Home Case Number: Visit Date: 6/6/2024 Number Present: 3 Completed Date: 6/6/2024 Age: From 0 To 3 Total Minutes: 105 Time In: 11:15 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements pertinent to the second temporary time period visit for a FCCH. This program currently operates with a temporary license effective January 11, 2024, to July 11 2024. Applicable childcare requirements were discussed with Mrs. Laquata Thomas, Operator. All indoor and outdoor areas approved for child care were monitored during today’s visit. Three (3) children between the ages of 0 and 3 were present. The children were observed during routine activities such as eating lunch, washing their hands after eating lunch, and naptime. Each child had their own cot with linens. The infant was observed during tummy time. Children were adequately supervised. Program records, operator file, and children files were reviewed during today’s visit. During the visit I observed a variety of toys that were age appropriate for the children enrolled and accessible to the children that were present. For lunch the children were served spaghetti w/meat sauce, milk, bread, corn, and apple sauce. The following were monitored during the visit: supervision; capacity; CPR/FA, ITS SIDS; medicine and hazardous product storage; adequate/approved space; staff records; program records; posted license; and permit restrictions. The FCCH had the FCCERS conducted on May 16, 2024. Their average score for the FCCERS is 3.81 points. Because the average score is below 4.0 this information will not be used to determine the number of points your program will earn in the Program Standards component of your star rated license. The following items that scored a one (1) or two (2) and could be possible violations were discussed with you during today’s visit: Item #9: 2 points Indicator: 3.2: “During the observation three children ate snack and lunch and they were not offered water between these meals”. I observed drinking water available to the children. According to the operator she gives the children water when they ask and after outside play. They always have drinking water available to the children. Item #10: 1 point Indicator: 3.1 “The children and providers used the sink in the bathroom to wash their hands upon arriving to the facility, after returning from the playground, before/after meals, and after toileting/diapering routines. The sink was not disinfected following toileting/diapering routines before it was used for another purpose. A provider also used the sink in the kitchen to wash her hands before/after meals and after diapering routines. This sink was not disinfected following diapering routines before it was used for another purpose. Four diaper routines were observed: Preparations: All four routines were completed correctly. Disposal: In each routine, the provider lifted the lid of the trash can when she disposed of the soiled diapers, rather than using a hands free method. Wipes: The use of diaper wipes to clean the children's and providers' hands did not occur. Clean/Disinfect: Following each routine, the diaper surface was cleaned with soapy water, sprayed with a solution from a bottle labeled "disinfectant" that was wiped away, and then sprayed with solution from a bottle labeled "sanitizer" that was allowed to air dry. However, the surface was not cleaned and then sprayed with disinfectant that was allowed to air dry for at least 2 minutes”. I reviewed diaper changing procedures with the operator. I observed a poster of diaper changing steps posted near the diaper changing table. I also observed the operator correctly change the infant’s diaper. According to the operator she reviewed the diaper changing procedures to ensure that diapers are changed correctly. Indicator: 3.3: “Children's hands were washed as required by this indicator; however, a provider did not wash her hands following 2 observed diaper changes. Following one routine she placed a child in a bouncy seat and touched the safety belt and she gave a child his pacifier following the other routine before washing her hands. This did not meet the 75% requirement”. During today’s visit I observed the operator wash their hands as required. Item #12: 1 point Indicator: 1.1 "Indoors, the edge of the diaper changing table measured 3 inches high in the front and 5 inches high on the ends, above the inserted mat, rather than at least 6 inches. A two year old child was given a Styrofoam cup to drink out of during meals. Styrofoam is considered a choking hazard for children under three years old. Also, there was a small crayon in a container near the television and unifix cubes on the bottom of the shelf used for schoolage materials. These small materials were within reach of the children and are considered choking hazards for children under 3 years old. Lastly, an infant slept in a pack-n-play and the sides of this furnishing were 9 inches above the bottom surface where the child slept, rather than at least 20 inches". During the visit I observed the children drinking from plastic cups. According to the operator she will not use Styrofoam cups. I did not observe small crayons accessible to the children. During the visit I observed children using jumbo crayons. Also, the unifix cubes were stored so they were not accessible to children under the age of 3. Item #17: 2 points “As mentioned in item 12, there was a small crayon in a container near the television, which is a choking hazard for children under 3 years of age”. Refer to Item #12. At the completion of the visit, the Visit Summary was reviewed with Mrs. Thomas, and a computerized copy was given to her. Violation Number Comment Rule 805 All garbage was not stored in water-proof containers with tight fitting covers both indoors and outdoors. The trash cans that were used indoors and outdoors did not have tight fitting lids. .1725(a)(13) The violation/s documented above must be corrected immediately. A signed and dated letter of compliance must be mailed to me by June 20, 2024, stating that all violation/s have been corrected. The letter can be emailed to me at leisa.benson@dhhs.nc.gov. If you state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by June 20, 2024, must contact me with a purposed timeline of the corrections. In some cases, this timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Violations cited during today’s visit, may negatively affect your compliance score. As of today’s, visit your compliance history is 98%. I cannot process your rated license application until all violation/s have been corrected and I have received your compliance letter. Technical Assistance: It was recommended that you use this report to make quality improvements by developing an enhancement plan. This can include brainstorming, training and technical assistance from local or regional resources, purchasing equipment, rearranging rooms, or reviewing and revising policies, procedures, and daily practices. Instead of using negative statements to correct age-typical behaviors. It is best practice to use redirection phrases such as “Let’s try a different way” or “Let’s find a safe fun way to do that”. You can also use positive reinforcement phrases such as “You’re doing a great job” or “Thank you for listening”. You can use explanatory phrases such as “We don’t hit because it hurts others” or “We don’t run inside because it’s dangerous.” It is best practice to sanitize or disinfect sinks between tasks to prevent cross contamination. Reminders: You can visit the DCDEE website (www.ncchildcare.nc.gov) for updated requirements, forms, and other pertinent information. You can reach me at 919-819-9348, or email: leisa.benson@dhhs.nc.gov if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times