10A NCAC 09 .0803 · Violation

Name of Operation: International Kids Club Brier Creek Facility ID: 92004011 Consultant: ANGELA ALGER-WALKER Operation Type: Center Case Number: Visit Date: 11/13/2024 Number Present: 19 Completed Date: 11/13/2024 Age: From 1 To 3 Total Minutes: 255 Time In: 09:45 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's announced visit has been to conduct the second temporary time period visit. The temporary time period license was issued on 9/16/24 and expires on 3/16/25. Upon arrival, I was greeted by the center administrator, Priscilla Young, and the owner, Olena Stulen. The director was cooking the lunches for today so the owner toured me through the center. We discussed the monitoring items for today's visit. We observed the center playground and conducted observation of the three classrooms open for children during today's visit. I concluded the visit by meeting the with center administrator and the owner to review this report and resource materials. Preschool-aged children were observed freely playing with the available toys, changing diapers, singing songs, listening to stories, washing their hands, eating lunch, and departing. The Children’s Records form and Staff Training Worksheets were completed during this visit. Nineteen children were present during this visit. The center had the following items posted/located in a prominent place in the center for parents and available for me to review: --the center's license --a current and nutritious menu --a Safe Arrival and Departure Procedure --Summary of the NC Child Care Law posted The most recent fire drill was conducted on 10/28/24. The outdoor inspection was completed on 11/12/24. The emergency drill must be conducted before 11/16/24. The director completed the Emergency Preparedness and Response training previously and will revise the Emergency Plan before 12/16/24. The center does not provide aquatic activities, transportation, or services for school-aged children or infants; thus, those requirements were not monitored during this visit. The following violations were observed during this visit: Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. A one-year-old child did not have their hands washed after being diapered in the bathroom. 15A NCAC 18A .2803(c)(2) 428 A current activity plan was not posted for each group of children for reference. Space #2 did not have a current lesson plan available for review during this visit. GS 110-91(12); .0508(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An Auviq Epipen was stored in an unlabeled Ziploc bag in the bathroom of Space #2 without a prescription label or container. The medication did not have written instructions from the prescribing physician. .0803(2)(a) 847 Parent's medication authorization did not include required information. One child in space #2 had a bottle of Benadryl without written permission or instructions from the doctor. The medication label states that children ages 2-5 years should not use it unless directed by a doctor. 10A NCAC 09 .0803(4)(6-9) The violations documented during today's assessment were reviewed with the operator and must be corrected IMMEDIATELY. Evidence of correction must be sent to me no later than November 20, 2024. Compliance verification must be a dated and signed letter that includes statements addressing how and when the violations were corrected. Please include the facility's name and ID number on the letter of compliance. The letter may be emailed to angela.algerwalker@dhhs.nc.gov. If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 COMPLIANCE HISTORY When you receive your Child Care License from the State of NC, you are agreeing to comply at all times with the Law, Rules and Requirements pertaining to and governing Child Care in NC. It is your responsibility to read, learn, and maintain all Child Care Requirements that apply to your licensed facility. It is also your responsibility to ask Division staff questions for clarification of requirements you do not understand and to monitor your staff to ensure that all requirements are maintained at all times. TECHNICAL ASSISTANCE AND CONSULTATION The following items were discussed prior to today' visit. 1) Please refer to the Staff and Training Worksheets to continue to keep all staff members current with their upcoming due dates for CPR/First Aid training, child maltreatment training, and health and safety training requirements. 2) Please refer to the What’s New Section of the DCDEE website for the new rules and other updates. 3) ACTIVITY PLANS - Complete weekly activity plans (dated) that include developmentally appropriate activities for enrolled children. Activity plans for all children must meet the following minimum licensing requirements: *Include activities daily to stimulate the following 5 developmental domains, as listed in your NC Foundations for Early Learning and Development book: (social &emotional development, health & physical development, approaches to play and learning, language development/communication, and cognitive development). *Include a daily gross motor activity which may occur indoors or outdoors. *Reflect at least 4 activities daily (one of which is gross motor), one of which is offered outdoors, weather permitting. The remaining 3 activities should occur in the following areas (art/creative play, children’s books, blocks and block building, manipulatives and family living/dramatic play). *Include both free choice and adult-directed activities, that allow children to choose to participate with the whole group, in a small group or independently. *In addition, activity plans must include each of these 3 enrichment activities on at least a weekly basis: sand or water play; science and nature; and music and rhythm. A sample lesson plan form containing all required components was provided. *Materials and equipment must be available both inside and outside to support the activities on the activity plan and the daily schedule. 4) Hand washing: Hand hygiene is the most important way to reduce the spread of infection. Many studies have shown that improperly cleansed hands are the primary carriers of infections. Deficiencies in hand hygiene have contributed to many outbreaks of diarrhea among children and caregivers/teachers in child care centers. For hand washing to be effective, there must be access to warm running water, soap, and individual drying towels. Thorough handwashing with soap and water can protect you and others from a range of infectious diseases. Staff and children are required to wash their hands after each diaper change. During today’s visit, one child did not wash their hands after being diapered. 5) Medication- Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. Administering medication requires skill, knowledge and careful attention to detail. All medicines require clear, accurate instruction and medical confirmation of the need for the medication to be given while the child is in the facility. Prescription medication must be labeled and brought to the child care facility by the parent/guardian in the original container (with a label that includes the child’s name, date filled, prescribing clinician’s name, pharmacy name and phone number, dosage/instructions, and relevant warnings. Prescribed medications should be in the original container (with a label that includes the child’s name, date filled, prescribing clinician’s name, pharmacy name and phone number, dosage/instructions, and relevant warnings). Written orders from the prescribing health professional should specify medical need, medication, dosage, and length of time to give medication. All medication must include an authorization form signed and dated by the parent giving permission to administer the medication. Periodically, conduct a review of all medications and medication authorization forms to ensure that they are current and contain the required information for compliance. 6) ORIENTATION TRAINING FOR STAFF: Staff qualifications and training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. Each staff person must complete the required 16 hours of orientation training within the first 6 weeks of employment. Six of the hours are required to be completed within the first two weeks of employment. You can conduct orientation training as a group with new staff instead of one on one. Ensure you and applicable staff members reflect the date, hours, and signature on the orientation training form. We referenced adding any addition information to the bottom of the orientation form that is reviewed with the employees. One staff member hired on 11/4/24 must complete the first six hours of new hire orientation training before 11/18/24 and the remaining hours by 12/16/24. RATED LICENSE APPLICATION INFORMATION Once you have achieved a full six (6) months of operation, your program will be eligible for a Voluntary Enhanced Rated License. The award of this Rated License will occur at the end of the 6-month Temporary License Time Period. The following information will need to be completed to begin the program's Rated License Assessment: 1) Complete and return the "Application for Assessment for a Rated License". Please return this form before 11/16/24 to start the process in a timely manner. You may answer "Yes" to any question that you are already meeting or plan to meet by the end of your Temporary License Time Period. 2) Please go to the NCRLAP website, www.ncrlap.org, to learn more about the third edition of the Environmental Rating Scale booklets and the process. 3) Please ensure that all new staff member’s education information is current in the W.O.R.K.S. database. Each staff member must register in the WORKS system as soon as they are hired at this location. Education evaluations can take some time to process so beginning the process early will help to ensure we have the accurate information needed when it is time to complete the rated license assessment before the end of the temporary time period. You may also want to consider having staff members complete the Early Educator Certification process (www.ncicdp.org) to assist in getting higher education evaluations completed if their degree is not in early childhood education. 4) Begin thinking about which Quality Point Option you will select. We reviewed a list of the Quality Options you can meet at your center. There are both Educational Options and Programmatic Options. Regardless of the total number of Quality Options that are in place, the center can only be awarded one additional point towards your Rated License Assessment. Once you select a Quality Option, it must remain in effect at the center until a new Quality Option has been assessed. Resources: Be sure to visit the following websites for helpful information, trainings, and materials 1. www.ncchildcare.dhhs.gov DCDEE’s website for WORKS, Moodle, Criminal Background Checks, provider updates, forms, and information. 2. https://ncrlap.org/Resources/Pages/Training/ North Carolina Rated License Assessment Program website offers free training and resources on program quality and the Environment Rating Scales. 3. www.buildingbrightfuturesnc.org The Building Bright Futures NC Early Childhood Apprenticeship Program provides participants in this initiative with year-round financial support for wages, training, and professional development, and access to a network of industry professionals and enrichment opportunities to advance knowledge in the field. CONTACT INFORMATION: If you have any questions or need further assistance, I can be reached via email at angela.algerwalker@dhhs.nc.gov. CONTACT INFORMATION: If you have any questions or need further assistance, I can be reached via email at angela.algerwalker@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: ratio. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: International Kids Club Brier Creek Facility ID: 92004011 Consultant: ANGELA ALGER-WALKER Operation Type: Center Case Number: Visit Date: 11/13/2024 Number Present: 19 Completed Date: 11/13/2024 Age: From 1 To 3 Total Minutes: 255 Time In: 09:45 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's announced visit has been to conduct the second temporary time period visit. The temporary time period license was issued on 9/16/24 and expires on 3/16/25. Upon arrival, I was greeted by the center administrator, Priscilla Young, and the owner, Olena Stulen. The director was cooking the lunches for today so the owner toured me through the center. We discussed the monitoring items for today's visit. We observed the center playground and conducted observation of the three classrooms open for children during today's visit. I concluded the visit by meeting the with center administrator and the owner to review this report and resource materials. Preschool-aged children were observed freely playing with the available toys, changing diapers, singing songs, listening to stories, washing their hands, eating lunch, and departing. The Children’s Records form and Staff Training Worksheets were completed during this visit. Nineteen children were present during this visit. The center had the following items posted/located in a prominent place in the center for parents and available for me to review: --the center's license --a current and nutritious menu --a Safe Arrival and Departure Procedure --Summary of the NC Child Care Law posted The most recent fire drill was conducted on 10/28/24. The outdoor inspection was completed on 11/12/24. The emergency drill must be conducted before 11/16/24. The director completed the Emergency Preparedness and Response training previously and will revise the Emergency Plan before 12/16/24. The center does not provide aquatic activities, transportation, or services for school-aged children or infants; thus, those requirements were not monitored during this visit. The following violations were observed during this visit: Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. A one-year-old child did not have their hands washed after being diapered in the bathroom. 15A NCAC 18A .2803(c)(2) 428 A current activity plan was not posted for each group of children for reference. Space #2 did not have a current lesson plan available for review during this visit. GS 110-91(12); .0508(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An Auviq Epipen was stored in an unlabeled Ziploc bag in the bathroom of Space #2 without a prescription label or container. The medication did not have written instructions from the prescribing physician. .0803(2)(a) 847 Parent's medication authorization did not include required information. One child in space #2 had a bottle of Benadryl without written permission or instructions from the doctor. The medication label states that children ages 2-5 years should not use it unless directed by a doctor. 10A NCAC 09 .0803(4)(6-9) The violations documented during today's assessment were reviewed with the operator and must be corrected IMMEDIATELY. Evidence of correction must be sent to me no later than November 20, 2024. Compliance verification must be a dated and signed letter that includes statements addressing how and when the violations were corrected. Please include the facility's name and ID number on the letter of compliance. The letter may be emailed to angela.algerwalker@dhhs.nc.gov. If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 COMPLIANCE HISTORY When you receive your Child Care License from the State of NC, you are agreeing to comply at all times with the Law, Rules and Requirements pertaining to and governing Child Care in NC. It is your responsibility to read, learn, and maintain all Child Care Requirements that apply to your licensed facility. It is also your responsibility to ask Division staff questions for clarification of requirements you do not understand and to monitor your staff to ensure that all requirements are maintained at all times. TECHNICAL ASSISTANCE AND CONSULTATION The following items were discussed prior to today' visit. 1) Please refer to the Staff and Training Worksheets to continue to keep all staff members current with their upcoming due dates for CPR/First Aid training, child maltreatment training, and health and safety training requirements. 2) Please refer to the What’s New Section of the DCDEE website for the new rules and other updates. 3) ACTIVITY PLANS - Complete weekly activity plans (dated) that include developmentally appropriate activities for enrolled children. Activity plans for all children must meet the following minimum licensing requirements: *Include activities daily to stimulate the following 5 developmental domains, as listed in your NC Foundations for Early Learning and Development book: (social &emotional development, health & physical development, approaches to play and learning, language development/communication, and cognitive development). *Include a daily gross motor activity which may occur indoors or outdoors. *Reflect at least 4 activities daily (one of which is gross motor), one of which is offered outdoors, weather permitting. The remaining 3 activities should occur in the following areas (art/creative play, children’s books, blocks and block building, manipulatives and family living/dramatic play). *Include both free choice and adult-directed activities, that allow children to choose to participate with the whole group, in a small group or independently. *In addition, activity plans must include each of these 3 enrichment activities on at least a weekly basis: sand or water play; science and nature; and music and rhythm. A sample lesson plan form containing all required components was provided. *Materials and equipment must be available both inside and outside to support the activities on the activity plan and the daily schedule. 4) Hand washing: Hand hygiene is the most important way to reduce the spread of infection. Many studies have shown that improperly cleansed hands are the primary carriers of infections. Deficiencies in hand hygiene have contributed to many outbreaks of diarrhea among children and caregivers/teachers in child care centers. For hand washing to be effective, there must be access to warm running water, soap, and individual drying towels. Thorough handwashing with soap and water can protect you and others from a range of infectious diseases. Staff and children are required to wash their hands after each diaper change. During today’s visit, one child did not wash their hands after being diapered. 5) Medication- Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. Administering medication requires skill, knowledge and careful attention to detail. All medicines require clear, accurate instruction and medical confirmation of the need for the medication to be given while the child is in the facility. Prescription medication must be labeled and brought to the child care facility by the parent/guardian in the original container (with a label that includes the child’s name, date filled, prescribing clinician’s name, pharmacy name and phone number, dosage/instructions, and relevant warnings. Prescribed medications should be in the original container (with a label that includes the child’s name, date filled, prescribing clinician’s name, pharmacy name and phone number, dosage/instructions, and relevant warnings). Written orders from the prescribing health professional should specify medical need, medication, dosage, and length of time to give medication. All medication must include an authorization form signed and dated by the parent giving permission to administer the medication. Periodically, conduct a review of all medications and medication authorization forms to ensure that they are current and contain the required information for compliance. 6) ORIENTATION TRAINING FOR STAFF: Staff qualifications and training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. Each staff person must complete the required 16 hours of orientation training within the first 6 weeks of employment. Six of the hours are required to be completed within the first two weeks of employment. You can conduct orientation training as a group with new staff instead of one on one. Ensure you and applicable staff members reflect the date, hours, and signature on the orientation training form. We referenced adding any addition information to the bottom of the orientation form that is reviewed with the employees. One staff member hired on 11/4/24 must complete the first six hours of new hire orientation training before 11/18/24 and the remaining hours by 12/16/24. RATED LICENSE APPLICATION INFORMATION Once you have achieved a full six (6) months of operation, your program will be eligible for a Voluntary Enhanced Rated License. The award of this Rated License will occur at the end of the 6-month Temporary License Time Period. The following information will need to be completed to begin the program's Rated License Assessment: 1) Complete and return the "Application for Assessment for a Rated License". Please return this form before 11/16/24 to start the process in a timely manner. You may answer "Yes" to any question that you are already meeting or plan to meet by the end of your Temporary License Time Period. 2) Please go to the NCRLAP website, www.ncrlap.org, to learn more about the third edition of the Environmental Rating Scale booklets and the process. 3) Please ensure that all new staff member’s education information is current in the W.O.R.K.S. database. Each staff member must register in the WORKS system as soon as they are hired at this location. Education evaluations can take some time to process so beginning the process early will help to ensure we have the accurate information needed when it is time to complete the rated license assessment before the end of the temporary time period. You may also want to consider having staff members complete the Early Educator Certification process (www.ncicdp.org) to assist in getting higher education evaluations completed if their degree is not in early childhood education. 4) Begin thinking about which Quality Point Option you will select. We reviewed a list of the Quality Options you can meet at your center. There are both Educational Options and Programmatic Options. Regardless of the total number of Quality Options that are in place, the center can only be awarded one additional point towards your Rated License Assessment. Once you select a Quality Option, it must remain in effect at the center until a new Quality Option has been assessed. Resources: Be sure to visit the following websites for helpful information, trainings, and materials 1. www.ncchildcare.dhhs.gov DCDEE’s website for WORKS, Moodle, Criminal Background Checks, provider updates, forms, and information. 2. https://ncrlap.org/Resources/Pages/Training/ North Carolina Rated License Assessment Program website offers free training and resources on program quality and the Environment Rating Scales. 3. www.buildingbrightfuturesnc.org The Building Bright Futures NC Early Childhood Apprenticeship Program provides participants in this initiative with year-round financial support for wages, training, and professional development, and access to a network of industry professionals and enrichment opportunities to advance knowledge in the field. CONTACT INFORMATION: If you have any questions or need further assistance, I can be reached via email at angela.algerwalker@dhhs.nc.gov. CONTACT INFORMATION: If you have any questions or need further assistance, I can be reached via email at angela.algerwalker@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