10A NCAC 09 .1720 · Violation

Name of Operation: MELINDA SANDERS HOME DAY CARE Facility ID: 9207556 Consultant: BRIDGGETTE CAMPBELL Operation Type: Family CC Home Case Number: Visit Date: 3/4/2025 Number Present: 3 Completed Date: 3/4/2025 Age: From 1 To 4 Total Minutes: 100 Time In: 03:20 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Family CC Home 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. This facility currently operates with a One (1) Star License issued on 1-28-16. The last annual compliance visit was conducted on 8-22-24. Today’s visit was conducted with you, Melinda Sanders, owner/operator. Upon arrival to the residence, I was greeted by you. I did a walk-through of the home with you, visiting the room where child care occurs and the kitchen that is occupied by children. Compliance with capacity, supervision, discipline, attendance, program requirements, storage of hazardous substances, CPR & First Aid, permit restrictions, the required postings, and your staff record documentation was monitored as a partial assessment of applicable child care requirements. Medications were observed on the premises. During the visit, the children were observed on the front porch where they were playing with age appropriate toys. A partial assessment of child care requirements was monitored during today’s visit. The following violation of child care requirements was cited and must be corrected immediately. Violation Number Comment Rule 903 When medication is administered, authorization for the operator to administer the specific medication according to the parent's or health care professional's instructions was not on file and available. There was no written permission to administer Parent's Choice Diaper Ointment and Aquaphor for two (2) children. 10A NCAC 09 .1720(c)(1&2) & .1721(a)(4) The following were discussed with you during today’s visit: • 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. • Technical Assistance was provided with the following suggestion that may be beneficial: Medication Authorization: You corrected the violation, returning the medications to the parents today. Any medication in the residence must be labeled with the child’s name, be accompanied by a current permission slip, filled out completely with the parent/guardian’s signature and date. Set a reminder to review/update medications. You must remember the “five rights” of medication use: the right child, the right medication, the right time, the right dose, and the right route—all of which are generally regarded as a standard for safe medication practices. You must know what medication the parent/guardian authorized to be administered and how the parent/guardian wants medication given. If documentation is required after the medication is administered, then documentation with the required information must be completed and kept the documentation on file for six months. Having clear, detailed procedures for obtaining administered medication protects children from mistakes that can affect their health. It was suggested to reiterate to parents that medication must accompany a permission slip, and it was suggested that you complete training on administering medications. Contact your Child Care Health Consultant, Maria Nelson (919) 291-2499 maria.nelson@wake.gov to schedule training on medications. • A suggestion was made to remove your red file folder labeled “Children’s Records” from your black accordion folder that is taken with you when transporting children. This accordion folder contains other folders with the required paperwork needed for licensing. You explained that this black accordion folder is placed in the vehicle when children are transported. If there is an emergency, you want your red folder with the children’s emergency information easily visible. You can keep the accordion folder with the other information at the residence. As well, an even better solution would be to just make a copy of each child’s application and attach their photos to the application which contains their emergency information. Add your emergency information also in case you are unconscious. This paperwork can be kept in a folder that is visible in the front seat of your vehicle and can be labeled, “Emergency Information.” • A suggestion was made to save the most recent child care requirements in Chapter 9 effective November 1, 2024, to your desktop computer for easy access. As well as, bookmark the Division of Child Development and Early Education on your computer for access to valuable resources like, the criminal background check link, forms and documents, what’s new, etc. • You explained that you were having difficulty logging into Moodle to complete the ABCMS training. Call the NCID Help Desk at 800-722-3946 to assist you with logging in to Moodle. • Please connect/link you and your husband in the criminal record check portal asap. Family child care home providers can now access the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. A handout titled Creating Connecting Applications in the Automated Background Check Management System (ABCMS) was provided today that provides instructions for connecting/linking you and your staff. 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. Again, if you need assistance with your NCID, please reach out to the NCID Help Desk at 919-754-6000 or 800-722-3946, or visit https://it.nc.gov/support/ncid/reset-password-unlock-account. If you need assistance please contact the Child Care Criminal Background Check Unit at (919) 814-6401 or email at DCDEE_ABCMS_Provider@dhhs.nc.gov . • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell PO BOX 865, Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: MELINDA SANDERS HOME DAY CARE Facility ID: 9207556 Consultant: BRIDGGETTE CAMPBELL Operation Type: Family CC Home Case Number: Visit Date: 3/4/2025 Number Present: 3 Completed Date: 3/4/2025 Age: From 1 To 4 Total Minutes: 100 Time In: 03:20 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Family CC Home 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. This facility currently operates with a One (1) Star License issued on 1-28-16. The last annual compliance visit was conducted on 8-22-24. Today’s visit was conducted with you, Melinda Sanders, owner/operator. Upon arrival to the residence, I was greeted by you. I did a walk-through of the home with you, visiting the room where child care occurs and the kitchen that is occupied by children. Compliance with capacity, supervision, discipline, attendance, program requirements, storage of hazardous substances, CPR & First Aid, permit restrictions, the required postings, and your staff record documentation was monitored as a partial assessment of applicable child care requirements. Medications were observed on the premises. During the visit, the children were observed on the front porch where they were playing with age appropriate toys. A partial assessment of child care requirements was monitored during today’s visit. The following violation of child care requirements was cited and must be corrected immediately. Violation Number Comment Rule 903 When medication is administered, authorization for the operator to administer the specific medication according to the parent's or health care professional's instructions was not on file and available. There was no written permission to administer Parent's Choice Diaper Ointment and Aquaphor for two (2) children. 10A NCAC 09 .1720(c)(1&2) & .1721(a)(4) The following were discussed with you during today’s visit: • 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. • Technical Assistance was provided with the following suggestion that may be beneficial: Medication Authorization: You corrected the violation, returning the medications to the parents today. Any medication in the residence must be labeled with the child’s name, be accompanied by a current permission slip, filled out completely with the parent/guardian’s signature and date. Set a reminder to review/update medications. You must remember the “five rights” of medication use: the right child, the right medication, the right time, the right dose, and the right route—all of which are generally regarded as a standard for safe medication practices. You must know what medication the parent/guardian authorized to be administered and how the parent/guardian wants medication given. If documentation is required after the medication is administered, then documentation with the required information must be completed and kept the documentation on file for six months. Having clear, detailed procedures for obtaining administered medication protects children from mistakes that can affect their health. It was suggested to reiterate to parents that medication must accompany a permission slip, and it was suggested that you complete training on administering medications. Contact your Child Care Health Consultant, Maria Nelson (919) 291-2499 maria.nelson@wake.gov to schedule training on medications. • A suggestion was made to remove your red file folder labeled “Children’s Records” from your black accordion folder that is taken with you when transporting children. This accordion folder contains other folders with the required paperwork needed for licensing. You explained that this black accordion folder is placed in the vehicle when children are transported. If there is an emergency, you want your red folder with the children’s emergency information easily visible. You can keep the accordion folder with the other information at the residence. As well, an even better solution would be to just make a copy of each child’s application and attach their photos to the application which contains their emergency information. Add your emergency information also in case you are unconscious. This paperwork can be kept in a folder that is visible in the front seat of your vehicle and can be labeled, “Emergency Information.” • A suggestion was made to save the most recent child care requirements in Chapter 9 effective November 1, 2024, to your desktop computer for easy access. As well as, bookmark the Division of Child Development and Early Education on your computer for access to valuable resources like, the criminal background check link, forms and documents, what’s new, etc. • You explained that you were having difficulty logging into Moodle to complete the ABCMS training. Call the NCID Help Desk at 800-722-3946 to assist you with logging in to Moodle. • Please connect/link you and your husband in the criminal record check portal asap. Family child care home providers can now access the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. A handout titled Creating Connecting Applications in the Automated Background Check Management System (ABCMS) was provided today that provides instructions for connecting/linking you and your staff. 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. Again, if you need assistance with your NCID, please reach out to the NCID Help Desk at 919-754-6000 or 800-722-3946, or visit https://it.nc.gov/support/ncid/reset-password-unlock-account. If you need assistance please contact the Child Care Criminal Background Check Unit at (919) 814-6401 or email at DCDEE_ABCMS_Provider@dhhs.nc.gov . • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell PO BOX 865, Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 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 .0604 · Violation

Name of Operation: MELINDA SANDERS HOME DAY CARE Facility ID: 9207556 Consultant: BRIDGGETTE CAMPBELL Operation Type: Family CC Home Case Number: Visit Date: 8/22/2024 Number Present: 4 Completed Date: 8/22/2024 Age: From 1 To 6 Total Minutes: 180 Time In: 01:00 PM Time Out: 04:00 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 unannounced visit was to conduct an annual compliance assessment. This facility currently operates with a One (1) Star License that was issued on 1-28-16. The last annual compliance visit was conducted on 9-12-23. Today’s visit was conducted with you, Melinda Sanders, owner/provider. Upon arrival to the residence, I was greeted by you. The children were observed eating at the table. Once the children finished eating, they engaged in toileting and handwashing routines. In the room used for child care (beside the kitchen), the children were observed having free play with a variety of toys. The children also went outside in the fenced backyard for gross motor play. The residence was monitored to ensure compliance with safe indoor environment requirements and the fenced back yard where the children engage in gross motor play was observed to ensure compliance with safe outdoor environment requirements. The required postings, along with appropriate equipment and furnishings were observed. Emergency drills, outdoor inspections, the activity plan/schedule, daily attendance, and two children’s files were also observed and in compliance. Documentation of program records, as well as the operator verification information was observed and has been documented on the attached form. You stated that currently you are not transporting children but would start back transportation next week once school starts. Your vehicle was monitored for transportation requirements. You added that currently there are no children with medication to administer. During today’s visit, an assessment of applicable child care requirements was conducted. The following violation of child care requirements was cited and must be corrected immediately. Technical assistance on how to maintain compliance was provided today. Violation Number Comment Rule 726 Children were sleeping or napping in a room with a closed door between the child and the supervising staff. The door (with a large plexiglass opening) leading from the kitchen to the room used for child care was closed, as a toddler was observed sleeping in the room, in a pack-n-play. .1711(a)(4)(D) The following were discussed with you today: • Supervision was discussed in detail, along with examples of inadequate supervision. The importance of adequately supervising children at all times, even when children are sleeping by leaving door open was discussed. Adequate supervision shall mean that staff interact with the children while moving about the indoor or outdoor areas and are able to always hear and see the children, except when emergencies necessitate that direct supervision is impossible for brief periods of time. • We discussed that play is an important part of a child’s development. Playing outside in the fresh air can be fun and adventurous. With careful planning and monitoring, play environments can be safe for children. There have been numerous reports of snakes on the playground in outdoor environments. Remember child care rule 10A NCAC 09 .0604 reads that once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment, the temperature of outdoor equipment, in addition look for other hazards and/or snakes. Handouts with information regarding burn safety and protecting children from thermal burns were provided today. • A lot of time was spent with you looking for your required paperwork. A suggestion was made to purchase a 3-inch 3-ring binder and protective sleeves. Use the protective sleeves to store all of the required information that must be made available to your child care consultant, like criminal background check letters, fire drills, outdoor inspections, incident log, children’s records, training certificates, etc. When your consultant comes to visit, you can hand them your binder instead of looking through piles of papers and folders to find information/documentation. • A suggestion was also made to save the most recent child care requirements in Chapter 9 effective January 2024, to your desktop computer for easy access. As well as, bookmark the Division of Child Development and Early Education on your computer for access to valuable resources like, the criminal background check link, forms and documents, what’s new, etc. • Your children’s files were discussed to suggest that required paperwork could be grouped together for ease of review due to there being a lot of papers in each child’s file. • Your refrigerator thermometers observed in both refrigerators need to be replaced. The red line observed was broken and an accurate reading is not possible. • Please connect/link yourself and your husband in the criminal record check portal asap. Center directors/owners 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 themselves and staff members/household members. • Run a printable report of the staff roster to assist with compliance visits. 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. Ensure staff know their NCID Username and Password. If you need assistance, please reach out to the NCID Help Desk at 919-754-6000 or 800-722-3946, or visit https://it.nc.gov/support/ncid/reset-password-unlock-account. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. Specialists are available with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. A flyer with the challenging behaviors hotline information was provided today. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell PO BOX 865, Wendell, NC 27591 (919) 819-9357 bridggette.campbell@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.