NC GS 110-90 · Violation

Name of Operation: LITTLE MAKERS ACADEMY Facility ID: 92003467 Consultant: ANTIONETTE WILLIAMS Operation Type: Center Case Number: Visit Date: 2/27/2025 Number Present: 47 Completed Date: 2/27/2025 Age: From 0 To 4 Total Minutes: 165 Time In: 10:00 AM Time Out: 12:05 PM Time In: 12:20 PM Time Out: 01:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. A full assessment of child care requirements was conducted. Your program currently operates with a Four-star license. The facility was monitored for approved curriculum. Today’s visit was conducted with you, Krystan Remaley, New Center Director and Ms. Hurma Gedeon, Human Resource Director. You visited each indoor and outdoor child care space with me. Staff/child ratios, supervision, capacity, group size, and staff interaction/discipline complied. Children throughout the facility were transitioning to rest time, finishing eating lunch, resting on their cots, and completing routine tasks at the time of my walk through. Infants were having floor play time, sleeping in the crib, playing with toys, learning to sit up, moving freely in the indoor space, and interacting with staff and each other. Staff assisted the children with transitions, routines, clean-up, and toileting. Staff talked with children and infants about their activities, helped children when needed, and met their developmental needs. Throughout the facility, children displayed artwork, teacher display, and materials were related to the current and recent lesson plans. The facility was monitored for health and safety requirements indoors. Program requirements, along with equipment and furnishings, were monitored. All inspections and drills were current. A sampling of children’s and existing staff records, and all new staff records were monitored and information documented on the children’s records form and the staff and training worksheet. One violation related to children’s records was documented. A checklist was also used to monitor compliance. The last annual compliance visit was conducted on 4/23/2024. The facility does not provide transportation. Violation Number Comment Rule 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The emergency medical care information for one child was not updated at least annually. .0802(c) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 13,2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is 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: Antionette Williams 2201 Mail Service Center Raleigh, NC 27699-2200 Antionette.williams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 LEAD AND ASBESTOS REQUIRED TESTING: Today I explained the deadline for completing the testing is May 2025, regarding Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in child care. Visit cleanwaterforuskids.org/Carolina to sign up and get more information. Funding may be available to assist programs needing abatement. HOW TO LINK QUALIFYING LETTERS IN THE ABCMS SYSTEM: Please link you and your staff member(s) asap. Center directors can now access the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. This access will allow providers to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. The course is titled ABCMS Child Care Provider Portal Training - under the Early Childhood Professional Development Tab, then under the Criminal Background (CBC) tab. If you have questions regarding the PROVIDER PORTAL contact the Criminal Background Check Unit at (919) 814-6401 or email: DCDEE_ABCMS_Provider@dhhs.nc.gov. For general questions regarding APPLICANTS, applications, or other CBC questions email: DHHS.CBC.Unit@dhhs.nc.gov or call (919) 814-6401. QRIS Modernization Proposed Rule Amendments and Adoptions: The North Carolina Child Care Commission is proposing new rules and rule amendments in response to Session Laws 2023-40 and 2024-34 regarding the modernization of the state’s quality rating improvement system (QRIS). QRIS is the star-rating licensing system that applies to all licensed N.C. child care centers and family child care homes. Be sure to visit the What’s New section of DCDEE website to review the proposed rules and listen to a webinar regarding the proposed changes. Check your email for information for DHHS regarding a public hearing for the proposed rules. This visit summary was emailed to you after today’s visit. Feel free to contact me with questions at 919-819-9383 or antionette.williams@dhhs.nc.gov. Note that my mailing address will change effective 3/1/2025. Send all mail to: Antionette Williams 2201 Mail Service Center Raleigh, NC 27699-2200 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 .0902 · Violation

Name of Operation: LITTLE MAKERS ACADEMY Facility ID: 92003467 Consultant: ANTIONETTE WILLIAMS Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 48 Completed Date: 11/14/2024 Age: From 0 To 4 Total Minutes: 165 Time In: 11:45 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for a routine unannounced assessment. The last annual compliance visit was conducted on 4/23/24. You, Krystan Remaley, a Center Administrator, assisted me today. Your program currently operates with a Four-Star license. You accompanied me as I walked through the facility today. I observed in specific classrooms for an extended time. Throughout the child care I observed children’s art work related to current and past activity plans hanging in the classrooms, displayed on classroom walls, and on walls in the hallway. In one classroom, children made flags from another country as part of the activity plan. The facility had multicultural displays, displays about family, and door displays that reflected recent activities. Staff talked with me about the activities and how the children responded to the activities. Children throughout the facility were resting or having quiet time on their cots. Staff sat with children to assist them with rest time, walked around the room while providing supervision, and talked assisted children with quiet activities. In the room for infants, children were having floor play time, drinking from a bottle, and being fed. Some children were resting and when they woke, were removed from their crib, and placed on the floor for floor time. Violations related to documentation of monitoring sleeping infants and bottle feeding were cited. Supervision, group size, permit capacity, staff/child ratios and space capacity complied. Four new staff’s files were monitored. Other staff’s qualifying letter and special training complied. One violation related to first aid certifications was cited. Children’s records were not monitored. Program records complied. Fire and sanitation inspections were current. Emergency medical care plan was accessible. ADDITIONAL REQUIREMENTS: General health requirements complied. Medications were stored properly. The facility continues to meet requirements for adequate and approved space. The NC Secretary of State website was reviewed and the Owner of this facility is listed as current- active. Violation Number Comment Rule 531 Bottles were propped. One infant was feeding from a propped bottle. 10A NCAC 09 .0902(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Staff did not document visually checking on three sleeping infants today. .0606(g) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Three staff did not complete pediatric first aid certification and only completed the adult first aid. .1102(c) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 11/28/2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Antionette Williams PO Box 312 Garner, NC 27529 Antionette.williams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The hand written visit summary left with the facility documented a violation related to CPR would be cited. After further review of the staff certification, I observed the CPR did include the certification for the required ages of children served. The violation was not cited. TECHNICAL ASSISTANCE: Sleep Charts – Monitoring sleeping infants sleep position at least every fifteen minutes is critical in ensuring the safety of infants while they are sleeping. Today we discussed that staff stated they had just put down a child to rest in their crib and they may have documented the date wrong. The last date for that infant showing they were monitored for sleep position was listed as 11/18, which may have been the wrong date. Two other infants who were napping did not have documentation of being monitored today and documentation was last completed for them on 11/13. We discussed when documentation should occur. Infant Feeding – Holding an infant while being bottle fed when they are unable to feed themselves or learning to feed themselves helps ensure the child does not choke and offers adequate supervision if they need to be readjusted while feeding. It also offers a bonding experience between the infant and the caregiver. Today you explained you recently talked with staff about propping bottles for infants who were learning to hold their bottles. You also explained you talked with staff about that being a choking hazard and you thought the issue was resolved. Today I observed one infant propped on a pillow on the floor while trying to hold a bottle. You stated you will talk with the staff again. First Aid – Today we observed the first aid certification was for adult first aid and not pediatric first aid. The staff will need to complete pediatric first aid and receive an updated first aid certification card. Clean Classrooms for Carolina Kids: I reviewed the information for your facility and the summary notes you have completed the asbestos screening portion. Information indicates in-progress for the lead in water registration. It shows results for lead in water testing from 2023. You may need to reach out to find out if they require additional information from you. It also indicates the lead in paint has no results yet. CONSULTATION: ABCMS (new staff) - 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 of employment. The process of notifying the Division has changed and is now captured in Automated Background Check Management System (ABCMS). This change has been in effect since February 2024. You will need to link you and your staff. Center directors/owners can now access the ABCMS, the DCDEE’s criminal background check system. This access will allow providers to: -See the real-time background check status of staff members. -Run a printable report of the staff roster to assist with compliance visits. -See new background check applicants and add to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. The course is titled ABCMS Child Care Provider Portal Training - under the Early Childhood Professional Development Tab, then under the Criminal Background (CBC) tab. The visit summary was emailed to you after today’s visit. Feel free to contact me with questions at 919-819-9383 or antionette.williams@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: LITTLE MAKERS ACADEMY Facility ID: 92003467 Consultant: ANTIONETTE WILLIAMS Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 48 Completed Date: 11/14/2024 Age: From 0 To 4 Total Minutes: 165 Time In: 11:45 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for a routine unannounced assessment. The last annual compliance visit was conducted on 4/23/24. You, Krystan Remaley, a Center Administrator, assisted me today. Your program currently operates with a Four-Star license. You accompanied me as I walked through the facility today. I observed in specific classrooms for an extended time. Throughout the child care I observed children’s art work related to current and past activity plans hanging in the classrooms, displayed on classroom walls, and on walls in the hallway. In one classroom, children made flags from another country as part of the activity plan. The facility had multicultural displays, displays about family, and door displays that reflected recent activities. Staff talked with me about the activities and how the children responded to the activities. Children throughout the facility were resting or having quiet time on their cots. Staff sat with children to assist them with rest time, walked around the room while providing supervision, and talked assisted children with quiet activities. In the room for infants, children were having floor play time, drinking from a bottle, and being fed. Some children were resting and when they woke, were removed from their crib, and placed on the floor for floor time. Violations related to documentation of monitoring sleeping infants and bottle feeding were cited. Supervision, group size, permit capacity, staff/child ratios and space capacity complied. Four new staff’s files were monitored. Other staff’s qualifying letter and special training complied. One violation related to first aid certifications was cited. Children’s records were not monitored. Program records complied. Fire and sanitation inspections were current. Emergency medical care plan was accessible. ADDITIONAL REQUIREMENTS: General health requirements complied. Medications were stored properly. The facility continues to meet requirements for adequate and approved space. The NC Secretary of State website was reviewed and the Owner of this facility is listed as current- active. Violation Number Comment Rule 531 Bottles were propped. One infant was feeding from a propped bottle. 10A NCAC 09 .0902(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Staff did not document visually checking on three sleeping infants today. .0606(g) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Three staff did not complete pediatric first aid certification and only completed the adult first aid. .1102(c) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 11/28/2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Antionette Williams PO Box 312 Garner, NC 27529 Antionette.williams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The hand written visit summary left with the facility documented a violation related to CPR would be cited. After further review of the staff certification, I observed the CPR did include the certification for the required ages of children served. The violation was not cited. TECHNICAL ASSISTANCE: Sleep Charts – Monitoring sleeping infants sleep position at least every fifteen minutes is critical in ensuring the safety of infants while they are sleeping. Today we discussed that staff stated they had just put down a child to rest in their crib and they may have documented the date wrong. The last date for that infant showing they were monitored for sleep position was listed as 11/18, which may have been the wrong date. Two other infants who were napping did not have documentation of being monitored today and documentation was last completed for them on 11/13. We discussed when documentation should occur. Infant Feeding – Holding an infant while being bottle fed when they are unable to feed themselves or learning to feed themselves helps ensure the child does not choke and offers adequate supervision if they need to be readjusted while feeding. It also offers a bonding experience between the infant and the caregiver. Today you explained you recently talked with staff about propping bottles for infants who were learning to hold their bottles. You also explained you talked with staff about that being a choking hazard and you thought the issue was resolved. Today I observed one infant propped on a pillow on the floor while trying to hold a bottle. You stated you will talk with the staff again. First Aid – Today we observed the first aid certification was for adult first aid and not pediatric first aid. The staff will need to complete pediatric first aid and receive an updated first aid certification card. Clean Classrooms for Carolina Kids: I reviewed the information for your facility and the summary notes you have completed the asbestos screening portion. Information indicates in-progress for the lead in water registration. It shows results for lead in water testing from 2023. You may need to reach out to find out if they require additional information from you. It also indicates the lead in paint has no results yet. CONSULTATION: ABCMS (new staff) - 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 of employment. The process of notifying the Division has changed and is now captured in Automated Background Check Management System (ABCMS). This change has been in effect since February 2024. You will need to link you and your staff. Center directors/owners can now access the ABCMS, the DCDEE’s criminal background check system. This access will allow providers to: -See the real-time background check status of staff members. -Run a printable report of the staff roster to assist with compliance visits. -See new background check applicants and add to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. The course is titled ABCMS Child Care Provider Portal Training - under the Early Childhood Professional Development Tab, then under the Criminal Background (CBC) tab. The visit summary was emailed to you after today’s visit. Feel free to contact me with questions at 919-819-9383 or antionette.williams@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

NC GS 110-90 · Violation

Name of Operation: LITTLE MAKERS ACADEMY Facility ID: 92003467 Consultant: ANTIONETTE WILLIAMS Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 48 Completed Date: 11/14/2024 Age: From 0 To 4 Total Minutes: 165 Time In: 11:45 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for a routine unannounced assessment. The last annual compliance visit was conducted on 4/23/24. You, Krystan Remaley, a Center Administrator, assisted me today. Your program currently operates with a Four-Star license. You accompanied me as I walked through the facility today. I observed in specific classrooms for an extended time. Throughout the child care I observed children’s art work related to current and past activity plans hanging in the classrooms, displayed on classroom walls, and on walls in the hallway. In one classroom, children made flags from another country as part of the activity plan. The facility had multicultural displays, displays about family, and door displays that reflected recent activities. Staff talked with me about the activities and how the children responded to the activities. Children throughout the facility were resting or having quiet time on their cots. Staff sat with children to assist them with rest time, walked around the room while providing supervision, and talked assisted children with quiet activities. In the room for infants, children were having floor play time, drinking from a bottle, and being fed. Some children were resting and when they woke, were removed from their crib, and placed on the floor for floor time. Violations related to documentation of monitoring sleeping infants and bottle feeding were cited. Supervision, group size, permit capacity, staff/child ratios and space capacity complied. Four new staff’s files were monitored. Other staff’s qualifying letter and special training complied. One violation related to first aid certifications was cited. Children’s records were not monitored. Program records complied. Fire and sanitation inspections were current. Emergency medical care plan was accessible. ADDITIONAL REQUIREMENTS: General health requirements complied. Medications were stored properly. The facility continues to meet requirements for adequate and approved space. The NC Secretary of State website was reviewed and the Owner of this facility is listed as current- active. Violation Number Comment Rule 531 Bottles were propped. One infant was feeding from a propped bottle. 10A NCAC 09 .0902(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Staff did not document visually checking on three sleeping infants today. .0606(g) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Three staff did not complete pediatric first aid certification and only completed the adult first aid. .1102(c) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 11/28/2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Antionette Williams PO Box 312 Garner, NC 27529 Antionette.williams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The hand written visit summary left with the facility documented a violation related to CPR would be cited. After further review of the staff certification, I observed the CPR did include the certification for the required ages of children served. The violation was not cited. TECHNICAL ASSISTANCE: Sleep Charts – Monitoring sleeping infants sleep position at least every fifteen minutes is critical in ensuring the safety of infants while they are sleeping. Today we discussed that staff stated they had just put down a child to rest in their crib and they may have documented the date wrong. The last date for that infant showing they were monitored for sleep position was listed as 11/18, which may have been the wrong date. Two other infants who were napping did not have documentation of being monitored today and documentation was last completed for them on 11/13. We discussed when documentation should occur. Infant Feeding – Holding an infant while being bottle fed when they are unable to feed themselves or learning to feed themselves helps ensure the child does not choke and offers adequate supervision if they need to be readjusted while feeding. It also offers a bonding experience between the infant and the caregiver. Today you explained you recently talked with staff about propping bottles for infants who were learning to hold their bottles. You also explained you talked with staff about that being a choking hazard and you thought the issue was resolved. Today I observed one infant propped on a pillow on the floor while trying to hold a bottle. You stated you will talk with the staff again. First Aid – Today we observed the first aid certification was for adult first aid and not pediatric first aid. The staff will need to complete pediatric first aid and receive an updated first aid certification card. Clean Classrooms for Carolina Kids: I reviewed the information for your facility and the summary notes you have completed the asbestos screening portion. Information indicates in-progress for the lead in water registration. It shows results for lead in water testing from 2023. You may need to reach out to find out if they require additional information from you. It also indicates the lead in paint has no results yet. CONSULTATION: ABCMS (new staff) - 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 of employment. The process of notifying the Division has changed and is now captured in Automated Background Check Management System (ABCMS). This change has been in effect since February 2024. You will need to link you and your staff. Center directors/owners can now access the ABCMS, the DCDEE’s criminal background check system. This access will allow providers to: -See the real-time background check status of staff members. -Run a printable report of the staff roster to assist with compliance visits. -See new background check applicants and add to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. The course is titled ABCMS Child Care Provider Portal Training - under the Early Childhood Professional Development Tab, then under the Criminal Background (CBC) tab. The visit summary was emailed to you after today’s visit. Feel free to contact me with questions at 919-819-9383 or antionette.williams@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

NC GS 110-90 · Violation

Name of Operation: LITTLE MAKERS ACADEMY Facility ID: 92003467 Consultant: ANTIONETTE WILLIAMS Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 55 Completed Date: 4/23/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 10:45 AM Time Out: 01:20 PM Time In: 01:35 PM Time Out: 02:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. A full assessment of child care requirements was conducted. Your program currently operates with a Five-star license. The facility was monitored for approved curriculum. Today’s visit was conducted with you, Alice Danzie, Center Director. You visited each child care area with me. I monitored classrooms in use for compliance with staff/child ratios, supervision, capacity, group size and staff interaction/discipline. Infants were having floor play time, napping, manipulating various materials, and preparing to be fed. Children throughout the facility were transitioning from playing in activity areas, to preparing for lunch and rest time. I observed diapering procedures for one child. Staff assisted with activities and met the developmental needs of children. The facility was monitored for health and safety requirements. A checklist was also used to monitor compliance. Program requirements, along with equipment and furnishings complied. All inspections and drills were current. A sampling of children’s and staff’s records was monitored and information documented on the children’s records form and staff and training worksheet. Violations related to both children and staff records were documented. The last annual compliance visit was conducted 5/19/2023. You do not provide transportation. Today, the owner/operator is listed as current/active with the NC Secretary of State. Violation Number Comment Rule 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Child's emergency medical care information was not updated at least annually for four children. .0802(c) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A medical action plan for a child who requires Albuterol was not updated at least annually. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication authorization for Albuterol for one child was not completed every six months. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Recognizing and Responding to Suspicions of Child Maltreatment was not completed within five years of completing the previous training for two staff members. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 5/7/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Antionette Williams PO Box 312 Garner, NC 27529 Antionette.williams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 TECHNICAL ASSISTANCE: Recognizing and Responding to Suspicions of Child Maltreatment - Child care staff are expected to be well informed about child abuse and neglect issues and adequately trained to prevent and recognize potential maltreatment. All staff are required to complete the training within 90 days of hire. The training may be accessed via the DCDEE website at www.ncchildcare.nc.gov. Recognizing and Responding to Suspicions of Child Maltreatment is also available on Prevent Child Abuse NC website, www.preventchildabusenc.org, free of charge, and counts toward Health and Safety Training. This training is part of the Health & Safety Training and should be completed again within five years. You explained you did not realize it needed to be completed every five years. Medical Action Plans - Growing up healthy is every child's right and every parent's dream for their children. Significant advances in improving the overall health and development of children with chronic illnesses have been made. Having a medical action plan in place when caring for children with health issues is vital in ensuring their health and safety. These health issues could include allergies, asthma, or other chronic conditions that require specialized health services. The maintenance of these plans and the ability to implement such plans for the treatment of reactions are essential. It is important to remember that a medical action plan must be attached to the child’s application for enrollment, completed by the child's parent or a health care professional and must be updated on an annual basis. Permission to administer emergency medications must be updated every 6 months by the parent. You immediately contacted the parent to have them obtain the action plan. Another parent was contacted to complete the medication authorization. MUST COMPLETE BY MAY 1, 2024: All facilities must be registered and complete pre-enrollment with cleanwaterforuskids.org/Carolina for lead-based paint and asbestos testing. UPDATES/RESOURCES: Today I discussed information regarding DCDEE’s free professional development membership offer through Teaching Strategies. Visit quorumlearning.com for more information. The visit summary was not left with you today due to computer issues. It was emailed after the visit. Contact me at 919-819-9383 or antionette.williams@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.