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Home › NC › Raleigh › Primary Beginnings Child Development Center
2100 North Hills DR, Raleigh NC 27612 · License #92001346 · Child Care Center
Not published by the state. Owners can add hours via profile claim.
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10A NCAC 09 .0803 · Violation
Name of Operation: PRIMARY BEGINNINGS CHILD DEVELOPMENT CENTER Facility ID: 92001346 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 1/13/2026 Number Present: 90 Completed Date: 1/13/2026 Age: From 0 To 5 Total Minutes: 375 Time In: 11:00 AM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment. This facility currently operates with a Five (5) Star License that was issued on 9-20-19. The last sanitation inspection was completed on 12-30-25 with an “Approved” classification. The last approved fire inspection was conducted on 8-12-25. The NC Secretary of State website was reviewed today and the corporation’s name, Primary Beginnings, LLC. was listed as “Current-Active.” Today’s visit was conducted with you, Angela Harding, center director. I monitored the seven (7) classrooms in use for compliance with staff/child ratios, supervision, and staff interaction/discipline. The program was also monitored for health and safety requirements both indoors and outdoors using the annual compliance monitoring checklist. Children completed daily activities with adequate supervision and engagement from the caregivers. The children were engaged with the caregivers as they sat on the carpet building with blocks, in activity centers, participating in music and movement with bean bags, out on the playground running about and counting and reviewing colors. Handwashing and toileting routines were completed as required. The program requirements, along with equipment and furnishings were observed. Compliance with staff records will be documented by you. New staff records, along with children’s records were reviewed today. Medications and permission to administer medications were observed. This facility provides transportation and your bus was monitored for compliance today. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/child ratios were not posted in space #3. .0713(a)(10), (c) & (f)(3); .2818(e) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Located in space #1, permission to administer Aquaphor for one child was not available. 10A NCAC 09 .0803(1)(a & b) 853 Incident logs were not completed and maintained as required. Incident reports have not been logged as required. The entry date of 7-29-24 was the last recorded date observed on the incident report log. .0802(g)(1-6) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member did not have negative TB test results on file prior to employment. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff member's criminal record qualification letter expired on 4-26-24. G.S. 110-90.2(b) & .2703(n)&(o) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member hired on 8-11-25 has not completed Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) The above violations must be corrected immediately and a letter must be sent to me no later than 1-28-26 stating how the items were corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. 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 suggestions that may be beneficial: Staff/Child Ratios Posting: Maintaining staff-to-child ratios is a very important part of a high-quality childcare environment. Ratios apply at all times and in order for staff to be vigilant about maintaining the required staff/child ratios they must be posted in each classroom for visual access. Maintaining staff/child ratios is important for the children’s well-being and for staff members’ well-being. It was suggested to laminate your ratios and keep them posted on the boards in the classroom with the lesson plans and daily schedules. Take a glance daily in each classroom to ensure that the ratios and the other required posted items are still posted. TB Test Results: TB test results are crucial for staff to provide as they protect vulnerable young children from tuberculosis (TB) transmission. Adults with active TB can easily spread the contagious bacteria through coughing. Infants and young children are at higher risk for severe illness from TB, making prevention paramount. Screening identifies infected individuals early, preventing outbreaks, ensuring staff with active disease are treated and non-contagious before working with children, and maintaining a safe environment for children and other staff members. Do not allow anyone to start working until you have negative TB test results on file. You stated that you misplaced the test result for one staff member and it was suggested that as soon as you receive the TB test results, place the results in the file for the staff member to ensure paperwork is not lost. Incident Report Forms: Logging incident reports is important for child safety, legal compliance, building parental trust, and improving center quality, by creating a transparent record of accidents and injuries helping identify patterns, preventing future issues, and ensuring accountability for staff members involved. Once an incident report form has been completed, it should be logged immediately on the incident log that is kept in the 3-ring binder. Logging incident reports immediately ensures you do not forget this important required action. Permission to Administer Medication: Any medication on the premises must be accompanied with a prescription label (if applicable), be labeled with the child’s name, be accompanied by a current permission slip that is filled out completely with the parent/guardian’s signature and date. Set a reminder at least twice a month to review/update medications in each classroom. 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 and the caregivers 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 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 in your monthly newsletter to parents that medication must accompany a permission slip and it was suggested all staff complete training on administering medications. Contact your Child Care Health Consultant, Krista Barbour, email: krista.barbour@wake.gov cell 919-795-7304 to schedule training on medications. Qualifying Letter: Criminal background checks being completed every 5 years for caregivers are crucial for protecting children by ensuring staff members do not have a history of convictions related to child abuse, neglect, or other crimes that could endanger a child's safety. These checks safeguard children's physical and emotional well-being by verifying that individuals are qualified and trustworthy to care for them. It was suggested to print the roster from the ABCMS Portal that contains the expiration dates of qualifying letters for you and your staff. You can mark your calendar and set alarms for reminders to have criminal background checks completed a couple of months prior to their expiration dates. Staff members should not be working once the qualifying letter has expired. Child Maltreatment Training: Completing the required Recognizing and Responding to Suspicions of Child Maltreatment training is important because it equips staff members with the knowledge to identify potential signs of abuse or neglect, understand their legal responsibility to report suspected cases, and ultimately creates a safe and nurturing environment for children in their care by proactively preventing maltreatment. It is suggested to have staff members take this training during the first two (2) weeks of employment to comply with the orientation requirements regarding maltreatment. Recognizing and Responding to Suspicions of Child Maltreatment training can be accessed on the Positive Childhood Alliance NC website, https://preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/, it is free of charge and counts toward Health and Safety Training requirements to be completed every five (5) years. • Please complete your staff/training worksheets asap and email them to me. You explained that all staff are completing their required training hours before 1-31-26. • It was suggested to contact your Environmental Health Specialist to conduct a re-inspection asap to remove the “Approved” sanitation classification from you inspection in December. • When monitoring medications today, it was observed that an Auvi-Q inhaler will expire at the end of this month. Please notify the parent so they can bring a new inhaler and sign a new permission slip. Also remember that asthma and allergy medication permission slips are only good for 6 months. Today the permission slip for the Auvi-Q was dated for one year. • During today’s visit it was observed that your Emergency Preparedness and Response (EPR) Plan will need to be updated before 1-24-26 and that it is still in the “DRAFT” form. When trying to assist you with removing the “DRAFT,” an error message kept appearing when trying to access your EPR Plan in the risk management portal. Please contact Amia Eaton, Training Specialist at 919-814-6300 for assistance. • You stated that you are having difficulty linking a couple of staff into the ABCMS Portal. Please link these staff members asap. Contact Serena Luke at 919-814-0175 in the Criminal Record Check Department for assistance. • It was recommended to post the updated November 2025 version of the Summary of the NC Law & Rules for Child Care Centers that was emailed to you today. • When reviewing files today, your staff and children’s files contained duplicate paperwork. When time allows, reorganize your files using the children’s file checklist and staff files checklist. It would be helpful for ease of review to put the Primary Beginnings paperwork behind the required paperwork. • Quality Rating and Improvement System (QRIS), is North Carolina’s new star rating system for early childhood education facilities. QRIS is a systemic approach to assess, improve, and communicate the level of quality in child care. It encourages programs to engage in continuous quality improvement and families may use the star rating to make informed decisions when choosing a child care facility. Today it was explained that you need to review the new QRIS requirements, which includes three pathways to choose for the rated license process. As well it was explained that your staff’s education must be updated in the WORKS system asap. Visit the DCDEE website https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated- License/QRIS-Modernization to learn more. You stated that you were interested in applying for Pathway 2, Classroom and Instructional Quality. It was strongly recommended to complete an outreach assessment through the North Carolina Rated License Assessment Project (NCRLAP) to see any areas of improvement since staff have not completed the new ITERS-3 and ECERS-3. An outreach assessment from NCRLAP is a free, supportive evaluation of a childcare program's quality that provides a realistic preview of the official assessment process without impacting the program's Star Rating. It helps you understand your strengths and areas for improvement by familiarizing you with the Environment Rating Scale (ERS) assessments and their requirements. Think of it as a friendly, no-pressure practice run that helps you pinpoint your program’s strengths and areas for improvement. Visit the outreach page at https://ncrlap.org/Resources/pages/OutreachAssessments/ and call NCRLAP toll free at (866)-362-7527 to schedule your free outreach assessment. • NCRLAP is excited to introduce 3s in 3, a new series designed to share practical information about the Environment Rating Scales in short, easy-to-digest segments. View the episodes here, https://vimeo.com/968104919/fda9299e2f?share=copy4919?share=copy. • Free Adult Mental Health First Aid Training is being offered by UNC School of Social Work and the NCDHHS Division of Child Development and Early Education. Be prepared to support those around you by getting certified in Mental Health First Aid. Mental Health First Aid teaches the skills needed to recognize and respond to signs and symptoms of mental health and substance use challenges, as well as how to provide someone with initial support until they are connected with appropriate professional help. In the free course, you learn risk factors and warning signs for mental health and addiction concerns, strategies to help someone in both crisis and non-crisis situations, and where to turn for help. Register here, https://ncmhfa.unc.edu/adult-mhfa-for-child-development-and-early-educators/. • The American Institutes for Research (AIR) is working with DCDEE to understand child care providers’ thoughts about the relationship between child care subsidy rates and quality ratings, and what supports providers need to participate in the subsidy program. Staff from AIR would particularly like to talk with one- and two-star providers, and three- and four-star providers who do not currently participate in the subsidy program. If you are interested in participating in a focus group, please click below to tell us about your program. Focus groups will last approximately 45 minutes and will be held during the first two weeks of January at various times. You may also use the same link to complete a brief survey to offer your feedback, even if you cannot participate in a focus group. If you have any questions about this study or the focus group opportunity, please contact Karen Manship at kmanship@air.org. The link to participate is https://airtable.com/app94jKcIoXqJtUVM/shrK7Owkb3O8sBxk5. • The NC Institute for Child Development Professionals (NCICDP) began offering on-demand online trainings for Early Childhood professionals. Some sessions are developed originally as online trainings and others are live webinar events that were recorded and then adapted to an online on-demand format. Currently the NCICDP is offering these two trainings, Salary Scale Toolkit Level 1 Training and Professional Burnout in ECE: You Can’t Give to Others What You Don’t Have. Visit the online trainings at https://www.ncicdp.org/on-demand-trainings/. If there are any issues or questions about the Institute trainings, please reach out to Ashley Allen at ashleya@ncicdp.org and/or Erin Speer Smith at erins@ncicdp.org. • Another training opportunity is through Early Learning Instruction for Teachers (eLift). Choose from over 100 courses available on-demand, live/virtual, and in-person with flexible payment options, including individual memberships, group memberships, and single courses from $5! Early Learning Academies, Training for High School CTE programs, Pre-Apprenticeships, and Apprenticeship NC are also available. For more information, visit the Southwestern Child Development Commission Website or email darby.karen@swcdcinc.org or elift@swcdcinc.org. • FYI the Playground Safety Training is now titled “Outdoor Play & Learning. You may receive training credit for both trainings. • Did you know that if you do not login on to any of the DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. It is strongly suggested to set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. • Sign up to receive updates via email of the weekly publication of the Raise NC Newsletter, on the Division’s website, https://ncchildcare.ncdhhs.gov/ at the bottom of the home page. • 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 2201 Mail Service Center Raleigh, NC 27699-2200 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
Generated from this facility's specific inspection record
Data synced from North Carolina's child care licensing agency on Jul 9, 2026 · Report an error
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-90 · Violation
Name of Operation: PRIMARY BEGINNINGS CHILD DEVELOPMENT CENTER Facility ID: 92001346 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 1/13/2026 Number Present: 90 Completed Date: 1/13/2026 Age: From 0 To 5 Total Minutes: 375 Time In: 11:00 AM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment. This facility currently operates with a Five (5) Star License that was issued on 9-20-19. The last sanitation inspection was completed on 12-30-25 with an “Approved” classification. The last approved fire inspection was conducted on 8-12-25. The NC Secretary of State website was reviewed today and the corporation’s name, Primary Beginnings, LLC. was listed as “Current-Active.” Today’s visit was conducted with you, Angela Harding, center director. I monitored the seven (7) classrooms in use for compliance with staff/child ratios, supervision, and staff interaction/discipline. The program was also monitored for health and safety requirements both indoors and outdoors using the annual compliance monitoring checklist. Children completed daily activities with adequate supervision and engagement from the caregivers. The children were engaged with the caregivers as they sat on the carpet building with blocks, in activity centers, participating in music and movement with bean bags, out on the playground running about and counting and reviewing colors. Handwashing and toileting routines were completed as required. The program requirements, along with equipment and furnishings were observed. Compliance with staff records will be documented by you. New staff records, along with children’s records were reviewed today. Medications and permission to administer medications were observed. This facility provides transportation and your bus was monitored for compliance today. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/child ratios were not posted in space #3. .0713(a)(10), (c) & (f)(3); .2818(e) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Located in space #1, permission to administer Aquaphor for one child was not available. 10A NCAC 09 .0803(1)(a & b) 853 Incident logs were not completed and maintained as required. Incident reports have not been logged as required. The entry date of 7-29-24 was the last recorded date observed on the incident report log. .0802(g)(1-6) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member did not have negative TB test results on file prior to employment. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff member's criminal record qualification letter expired on 4-26-24. G.S. 110-90.2(b) & .2703(n)&(o) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member hired on 8-11-25 has not completed Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) The above violations must be corrected immediately and a letter must be sent to me no later than 1-28-26 stating how the items were corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. 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 suggestions that may be beneficial: Staff/Child Ratios Posting: Maintaining staff-to-child ratios is a very important part of a high-quality childcare environment. Ratios apply at all times and in order for staff to be vigilant about maintaining the required staff/child ratios they must be posted in each classroom for visual access. Maintaining staff/child ratios is important for the children’s well-being and for staff members’ well-being. It was suggested to laminate your ratios and keep them posted on the boards in the classroom with the lesson plans and daily schedules. Take a glance daily in each classroom to ensure that the ratios and the other required posted items are still posted. TB Test Results: TB test results are crucial for staff to provide as they protect vulnerable young children from tuberculosis (TB) transmission. Adults with active TB can easily spread the contagious bacteria through coughing. Infants and young children are at higher risk for severe illness from TB, making prevention paramount. Screening identifies infected individuals early, preventing outbreaks, ensuring staff with active disease are treated and non-contagious before working with children, and maintaining a safe environment for children and other staff members. Do not allow anyone to start working until you have negative TB test results on file. You stated that you misplaced the test result for one staff member and it was suggested that as soon as you receive the TB test results, place the results in the file for the staff member to ensure paperwork is not lost. Incident Report Forms: Logging incident reports is important for child safety, legal compliance, building parental trust, and improving center quality, by creating a transparent record of accidents and injuries helping identify patterns, preventing future issues, and ensuring accountability for staff members involved. Once an incident report form has been completed, it should be logged immediately on the incident log that is kept in the 3-ring binder. Logging incident reports immediately ensures you do not forget this important required action. Permission to Administer Medication: Any medication on the premises must be accompanied with a prescription label (if applicable), be labeled with the child’s name, be accompanied by a current permission slip that is filled out completely with the parent/guardian’s signature and date. Set a reminder at least twice a month to review/update medications in each classroom. 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 and the caregivers 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 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 in your monthly newsletter to parents that medication must accompany a permission slip and it was suggested all staff complete training on administering medications. Contact your Child Care Health Consultant, Krista Barbour, email: krista.barbour@wake.gov cell 919-795-7304 to schedule training on medications. Qualifying Letter: Criminal background checks being completed every 5 years for caregivers are crucial for protecting children by ensuring staff members do not have a history of convictions related to child abuse, neglect, or other crimes that could endanger a child's safety. These checks safeguard children's physical and emotional well-being by verifying that individuals are qualified and trustworthy to care for them. It was suggested to print the roster from the ABCMS Portal that contains the expiration dates of qualifying letters for you and your staff. You can mark your calendar and set alarms for reminders to have criminal background checks completed a couple of months prior to their expiration dates. Staff members should not be working once the qualifying letter has expired. Child Maltreatment Training: Completing the required Recognizing and Responding to Suspicions of Child Maltreatment training is important because it equips staff members with the knowledge to identify potential signs of abuse or neglect, understand their legal responsibility to report suspected cases, and ultimately creates a safe and nurturing environment for children in their care by proactively preventing maltreatment. It is suggested to have staff members take this training during the first two (2) weeks of employment to comply with the orientation requirements regarding maltreatment. Recognizing and Responding to Suspicions of Child Maltreatment training can be accessed on the Positive Childhood Alliance NC website, https://preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/, it is free of charge and counts toward Health and Safety Training requirements to be completed every five (5) years. • Please complete your staff/training worksheets asap and email them to me. You explained that all staff are completing their required training hours before 1-31-26. • It was suggested to contact your Environmental Health Specialist to conduct a re-inspection asap to remove the “Approved” sanitation classification from you inspection in December. • When monitoring medications today, it was observed that an Auvi-Q inhaler will expire at the end of this month. Please notify the parent so they can bring a new inhaler and sign a new permission slip. Also remember that asthma and allergy medication permission slips are only good for 6 months. Today the permission slip for the Auvi-Q was dated for one year. • During today’s visit it was observed that your Emergency Preparedness and Response (EPR) Plan will need to be updated before 1-24-26 and that it is still in the “DRAFT” form. When trying to assist you with removing the “DRAFT,” an error message kept appearing when trying to access your EPR Plan in the risk management portal. Please contact Amia Eaton, Training Specialist at 919-814-6300 for assistance. • You stated that you are having difficulty linking a couple of staff into the ABCMS Portal. Please link these staff members asap. Contact Serena Luke at 919-814-0175 in the Criminal Record Check Department for assistance. • It was recommended to post the updated November 2025 version of the Summary of the NC Law & Rules for Child Care Centers that was emailed to you today. • When reviewing files today, your staff and children’s files contained duplicate paperwork. When time allows, reorganize your files using the children’s file checklist and staff files checklist. It would be helpful for ease of review to put the Primary Beginnings paperwork behind the required paperwork. • Quality Rating and Improvement System (QRIS), is North Carolina’s new star rating system for early childhood education facilities. QRIS is a systemic approach to assess, improve, and communicate the level of quality in child care. It encourages programs to engage in continuous quality improvement and families may use the star rating to make informed decisions when choosing a child care facility. Today it was explained that you need to review the new QRIS requirements, which includes three pathways to choose for the rated license process. As well it was explained that your staff’s education must be updated in the WORKS system asap. Visit the DCDEE website https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated- License/QRIS-Modernization to learn more. You stated that you were interested in applying for Pathway 2, Classroom and Instructional Quality. It was strongly recommended to complete an outreach assessment through the North Carolina Rated License Assessment Project (NCRLAP) to see any areas of improvement since staff have not completed the new ITERS-3 and ECERS-3. An outreach assessment from NCRLAP is a free, supportive evaluation of a childcare program's quality that provides a realistic preview of the official assessment process without impacting the program's Star Rating. It helps you understand your strengths and areas for improvement by familiarizing you with the Environment Rating Scale (ERS) assessments and their requirements. Think of it as a friendly, no-pressure practice run that helps you pinpoint your program’s strengths and areas for improvement. Visit the outreach page at https://ncrlap.org/Resources/pages/OutreachAssessments/ and call NCRLAP toll free at (866)-362-7527 to schedule your free outreach assessment. • NCRLAP is excited to introduce 3s in 3, a new series designed to share practical information about the Environment Rating Scales in short, easy-to-digest segments. View the episodes here, https://vimeo.com/968104919/fda9299e2f?share=copy4919?share=copy. • Free Adult Mental Health First Aid Training is being offered by UNC School of Social Work and the NCDHHS Division of Child Development and Early Education. Be prepared to support those around you by getting certified in Mental Health First Aid. Mental Health First Aid teaches the skills needed to recognize and respond to signs and symptoms of mental health and substance use challenges, as well as how to provide someone with initial support until they are connected with appropriate professional help. In the free course, you learn risk factors and warning signs for mental health and addiction concerns, strategies to help someone in both crisis and non-crisis situations, and where to turn for help. Register here, https://ncmhfa.unc.edu/adult-mhfa-for-child-development-and-early-educators/. • The American Institutes for Research (AIR) is working with DCDEE to understand child care providers’ thoughts about the relationship between child care subsidy rates and quality ratings, and what supports providers need to participate in the subsidy program. Staff from AIR would particularly like to talk with one- and two-star providers, and three- and four-star providers who do not currently participate in the subsidy program. If you are interested in participating in a focus group, please click below to tell us about your program. Focus groups will last approximately 45 minutes and will be held during the first two weeks of January at various times. You may also use the same link to complete a brief survey to offer your feedback, even if you cannot participate in a focus group. If you have any questions about this study or the focus group opportunity, please contact Karen Manship at kmanship@air.org. The link to participate is https://airtable.com/app94jKcIoXqJtUVM/shrK7Owkb3O8sBxk5. • The NC Institute for Child Development Professionals (NCICDP) began offering on-demand online trainings for Early Childhood professionals. Some sessions are developed originally as online trainings and others are live webinar events that were recorded and then adapted to an online on-demand format. Currently the NCICDP is offering these two trainings, Salary Scale Toolkit Level 1 Training and Professional Burnout in ECE: You Can’t Give to Others What You Don’t Have. Visit the online trainings at https://www.ncicdp.org/on-demand-trainings/. If there are any issues or questions about the Institute trainings, please reach out to Ashley Allen at ashleya@ncicdp.org and/or Erin Speer Smith at erins@ncicdp.org. • Another training opportunity is through Early Learning Instruction for Teachers (eLift). Choose from over 100 courses available on-demand, live/virtual, and in-person with flexible payment options, including individual memberships, group memberships, and single courses from $5! Early Learning Academies, Training for High School CTE programs, Pre-Apprenticeships, and Apprenticeship NC are also available. For more information, visit the Southwestern Child Development Commission Website or email darby.karen@swcdcinc.org or elift@swcdcinc.org. • FYI the Playground Safety Training is now titled “Outdoor Play & Learning. You may receive training credit for both trainings. • Did you know that if you do not login on to any of the DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. It is strongly suggested to set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. • Sign up to receive updates via email of the weekly publication of the Raise NC Newsletter, on the Division’s website, https://ncchildcare.ncdhhs.gov/ at the bottom of the home page. • 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 2201 Mail Service Center Raleigh, NC 27699-2200 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: PRIMARY BEGINNINGS CHILD DEVELOPMENT CENTER Facility ID: 92001346 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 1/13/2026 Number Present: 90 Completed Date: 1/13/2026 Age: From 0 To 5 Total Minutes: 375 Time In: 11:00 AM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment. This facility currently operates with a Five (5) Star License that was issued on 9-20-19. The last sanitation inspection was completed on 12-30-25 with an “Approved” classification. The last approved fire inspection was conducted on 8-12-25. The NC Secretary of State website was reviewed today and the corporation’s name, Primary Beginnings, LLC. was listed as “Current-Active.” Today’s visit was conducted with you, Angela Harding, center director. I monitored the seven (7) classrooms in use for compliance with staff/child ratios, supervision, and staff interaction/discipline. The program was also monitored for health and safety requirements both indoors and outdoors using the annual compliance monitoring checklist. Children completed daily activities with adequate supervision and engagement from the caregivers. The children were engaged with the caregivers as they sat on the carpet building with blocks, in activity centers, participating in music and movement with bean bags, out on the playground running about and counting and reviewing colors. Handwashing and toileting routines were completed as required. The program requirements, along with equipment and furnishings were observed. Compliance with staff records will be documented by you. New staff records, along with children’s records were reviewed today. Medications and permission to administer medications were observed. This facility provides transportation and your bus was monitored for compliance today. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/child ratios were not posted in space #3. .0713(a)(10), (c) & (f)(3); .2818(e) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Located in space #1, permission to administer Aquaphor for one child was not available. 10A NCAC 09 .0803(1)(a & b) 853 Incident logs were not completed and maintained as required. Incident reports have not been logged as required. The entry date of 7-29-24 was the last recorded date observed on the incident report log. .0802(g)(1-6) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member did not have negative TB test results on file prior to employment. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff member's criminal record qualification letter expired on 4-26-24. G.S. 110-90.2(b) & .2703(n)&(o) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member hired on 8-11-25 has not completed Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) The above violations must be corrected immediately and a letter must be sent to me no later than 1-28-26 stating how the items were corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. 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 suggestions that may be beneficial: Staff/Child Ratios Posting: Maintaining staff-to-child ratios is a very important part of a high-quality childcare environment. Ratios apply at all times and in order for staff to be vigilant about maintaining the required staff/child ratios they must be posted in each classroom for visual access. Maintaining staff/child ratios is important for the children’s well-being and for staff members’ well-being. It was suggested to laminate your ratios and keep them posted on the boards in the classroom with the lesson plans and daily schedules. Take a glance daily in each classroom to ensure that the ratios and the other required posted items are still posted. TB Test Results: TB test results are crucial for staff to provide as they protect vulnerable young children from tuberculosis (TB) transmission. Adults with active TB can easily spread the contagious bacteria through coughing. Infants and young children are at higher risk for severe illness from TB, making prevention paramount. Screening identifies infected individuals early, preventing outbreaks, ensuring staff with active disease are treated and non-contagious before working with children, and maintaining a safe environment for children and other staff members. Do not allow anyone to start working until you have negative TB test results on file. You stated that you misplaced the test result for one staff member and it was suggested that as soon as you receive the TB test results, place the results in the file for the staff member to ensure paperwork is not lost. Incident Report Forms: Logging incident reports is important for child safety, legal compliance, building parental trust, and improving center quality, by creating a transparent record of accidents and injuries helping identify patterns, preventing future issues, and ensuring accountability for staff members involved. Once an incident report form has been completed, it should be logged immediately on the incident log that is kept in the 3-ring binder. Logging incident reports immediately ensures you do not forget this important required action. Permission to Administer Medication: Any medication on the premises must be accompanied with a prescription label (if applicable), be labeled with the child’s name, be accompanied by a current permission slip that is filled out completely with the parent/guardian’s signature and date. Set a reminder at least twice a month to review/update medications in each classroom. 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 and the caregivers 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 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 in your monthly newsletter to parents that medication must accompany a permission slip and it was suggested all staff complete training on administering medications. Contact your Child Care Health Consultant, Krista Barbour, email: krista.barbour@wake.gov cell 919-795-7304 to schedule training on medications. Qualifying Letter: Criminal background checks being completed every 5 years for caregivers are crucial for protecting children by ensuring staff members do not have a history of convictions related to child abuse, neglect, or other crimes that could endanger a child's safety. These checks safeguard children's physical and emotional well-being by verifying that individuals are qualified and trustworthy to care for them. It was suggested to print the roster from the ABCMS Portal that contains the expiration dates of qualifying letters for you and your staff. You can mark your calendar and set alarms for reminders to have criminal background checks completed a couple of months prior to their expiration dates. Staff members should not be working once the qualifying letter has expired. Child Maltreatment Training: Completing the required Recognizing and Responding to Suspicions of Child Maltreatment training is important because it equips staff members with the knowledge to identify potential signs of abuse or neglect, understand their legal responsibility to report suspected cases, and ultimately creates a safe and nurturing environment for children in their care by proactively preventing maltreatment. It is suggested to have staff members take this training during the first two (2) weeks of employment to comply with the orientation requirements regarding maltreatment. Recognizing and Responding to Suspicions of Child Maltreatment training can be accessed on the Positive Childhood Alliance NC website, https://preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/, it is free of charge and counts toward Health and Safety Training requirements to be completed every five (5) years. • Please complete your staff/training worksheets asap and email them to me. You explained that all staff are completing their required training hours before 1-31-26. • It was suggested to contact your Environmental Health Specialist to conduct a re-inspection asap to remove the “Approved” sanitation classification from you inspection in December. • When monitoring medications today, it was observed that an Auvi-Q inhaler will expire at the end of this month. Please notify the parent so they can bring a new inhaler and sign a new permission slip. Also remember that asthma and allergy medication permission slips are only good for 6 months. Today the permission slip for the Auvi-Q was dated for one year. • During today’s visit it was observed that your Emergency Preparedness and Response (EPR) Plan will need to be updated before 1-24-26 and that it is still in the “DRAFT” form. When trying to assist you with removing the “DRAFT,” an error message kept appearing when trying to access your EPR Plan in the risk management portal. Please contact Amia Eaton, Training Specialist at 919-814-6300 for assistance. • You stated that you are having difficulty linking a couple of staff into the ABCMS Portal. Please link these staff members asap. Contact Serena Luke at 919-814-0175 in the Criminal Record Check Department for assistance. • It was recommended to post the updated November 2025 version of the Summary of the NC Law & Rules for Child Care Centers that was emailed to you today. • When reviewing files today, your staff and children’s files contained duplicate paperwork. When time allows, reorganize your files using the children’s file checklist and staff files checklist. It would be helpful for ease of review to put the Primary Beginnings paperwork behind the required paperwork. • Quality Rating and Improvement System (QRIS), is North Carolina’s new star rating system for early childhood education facilities. QRIS is a systemic approach to assess, improve, and communicate the level of quality in child care. It encourages programs to engage in continuous quality improvement and families may use the star rating to make informed decisions when choosing a child care facility. Today it was explained that you need to review the new QRIS requirements, which includes three pathways to choose for the rated license process. As well it was explained that your staff’s education must be updated in the WORKS system asap. Visit the DCDEE website https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated- License/QRIS-Modernization to learn more. You stated that you were interested in applying for Pathway 2, Classroom and Instructional Quality. It was strongly recommended to complete an outreach assessment through the North Carolina Rated License Assessment Project (NCRLAP) to see any areas of improvement since staff have not completed the new ITERS-3 and ECERS-3. An outreach assessment from NCRLAP is a free, supportive evaluation of a childcare program's quality that provides a realistic preview of the official assessment process without impacting the program's Star Rating. It helps you understand your strengths and areas for improvement by familiarizing you with the Environment Rating Scale (ERS) assessments and their requirements. Think of it as a friendly, no-pressure practice run that helps you pinpoint your program’s strengths and areas for improvement. Visit the outreach page at https://ncrlap.org/Resources/pages/OutreachAssessments/ and call NCRLAP toll free at (866)-362-7527 to schedule your free outreach assessment. • NCRLAP is excited to introduce 3s in 3, a new series designed to share practical information about the Environment Rating Scales in short, easy-to-digest segments. View the episodes here, https://vimeo.com/968104919/fda9299e2f?share=copy4919?share=copy. • Free Adult Mental Health First Aid Training is being offered by UNC School of Social Work and the NCDHHS Division of Child Development and Early Education. Be prepared to support those around you by getting certified in Mental Health First Aid. Mental Health First Aid teaches the skills needed to recognize and respond to signs and symptoms of mental health and substance use challenges, as well as how to provide someone with initial support until they are connected with appropriate professional help. In the free course, you learn risk factors and warning signs for mental health and addiction concerns, strategies to help someone in both crisis and non-crisis situations, and where to turn for help. Register here, https://ncmhfa.unc.edu/adult-mhfa-for-child-development-and-early-educators/. • The American Institutes for Research (AIR) is working with DCDEE to understand child care providers’ thoughts about the relationship between child care subsidy rates and quality ratings, and what supports providers need to participate in the subsidy program. Staff from AIR would particularly like to talk with one- and two-star providers, and three- and four-star providers who do not currently participate in the subsidy program. If you are interested in participating in a focus group, please click below to tell us about your program. Focus groups will last approximately 45 minutes and will be held during the first two weeks of January at various times. You may also use the same link to complete a brief survey to offer your feedback, even if you cannot participate in a focus group. If you have any questions about this study or the focus group opportunity, please contact Karen Manship at kmanship@air.org. The link to participate is https://airtable.com/app94jKcIoXqJtUVM/shrK7Owkb3O8sBxk5. • The NC Institute for Child Development Professionals (NCICDP) began offering on-demand online trainings for Early Childhood professionals. Some sessions are developed originally as online trainings and others are live webinar events that were recorded and then adapted to an online on-demand format. Currently the NCICDP is offering these two trainings, Salary Scale Toolkit Level 1 Training and Professional Burnout in ECE: You Can’t Give to Others What You Don’t Have. Visit the online trainings at https://www.ncicdp.org/on-demand-trainings/. If there are any issues or questions about the Institute trainings, please reach out to Ashley Allen at ashleya@ncicdp.org and/or Erin Speer Smith at erins@ncicdp.org. • Another training opportunity is through Early Learning Instruction for Teachers (eLift). Choose from over 100 courses available on-demand, live/virtual, and in-person with flexible payment options, including individual memberships, group memberships, and single courses from $5! Early Learning Academies, Training for High School CTE programs, Pre-Apprenticeships, and Apprenticeship NC are also available. For more information, visit the Southwestern Child Development Commission Website or email darby.karen@swcdcinc.org or elift@swcdcinc.org. • FYI the Playground Safety Training is now titled “Outdoor Play & Learning. You may receive training credit for both trainings. • Did you know that if you do not login on to any of the DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. It is strongly suggested to set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. • Sign up to receive updates via email of the weekly publication of the Raise NC Newsletter, on the Division’s website, https://ncchildcare.ncdhhs.gov/ at the bottom of the home page. • 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 2201 Mail Service Center Raleigh, NC 27699-2200 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.
10A NCAC 09 .0803 · Violation
Name of Operation: PRIMARY BEGINNINGS CHILD DEVELOPMENT CENTER Facility ID: 92001346 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 1/23/2025 Number Present: 76 Completed Date: 1/23/2025 Age: From 0 To 8 Total Minutes: 270 Time In: 12:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment, in conjunction with a complaint investigation. This facility currently operates with a Five (5) Star License that was issued on 9-20-19. The last sanitation inspection was completed on 12-31-24 with an “Superior” classification. The last approved fire inspection was conducted on 8-12-24. The NC Secretary of State website was reviewed today and this facility’s corporation’s name, Primary Beginnings, L.L.C. was listed as “Current-Active.” Today’s visit was conducted with you, Angela Bailey, center director. I monitored the seven (7) classrooms in use for compliance with staff/child ratios, supervision, and staff interaction/discipline. The program was also monitored for health and safety requirements both indoors and outdoors using the annual compliance monitoring checklist. Children completed daily activities with adequate supervision and engagement from the caregivers. The children were observed in circle time where a caregiver was reading a book to the children, the children were observed completing toileting and handwashing routines, engaged with manipulatives at the table, outside running about, eating at the table, and resting on cots with linens. The program requirements, along with equipment and furnishings were observed. Compliance with staff records will be documented by you. New staff records, along with children’s records were reviewed today. Medication observed on the premises was monitored. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Permission to administer Aquaphor observed in space #1 expired 12/2023. 10A NCAC 09 .0803(1)(a & b) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. An allergy action plan for medication observed in space #5 was not observed. .0801(b) The above violations must be corrected immediately and a letter must be sent to me no later than 2-6-25 stating how the items were corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. 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 suggestions that may be beneficial: Medication Authorization: Any medication on the premises must be labeled with the child’s name, be accompanied by a permission slip, filled out completely with the parent/guardian’s signature and date. Set a reminder to review/update medications in each classroom. 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 and the caregivers 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 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 in your monthly newsletter to parents that medication must accompany a permission slip and it was suggested all staff 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. Medical Action Plans: Medical action plans are important to be completed by parents because they outline what a child needs to manage their medical condition during the day and what steps to take in emergencies. Medical action plans keep children safe by providing written information about their medical conditions and specific directions for staff to follow and the medical action plan ensure that medical management and risk minimization plans are in place for every child with a diagnosed medical care need or allergy. Remind staff that any allergy, asthma, seizure, or diabetes medication should accompany a completed medical action plan and the action plan must be updated annually. Set reminders often to check medications for the required medical action plans. • Submit your staff/training worksheets asap. You indicated that due to computer issues, you are in the process of re-entering the information into the staff/training worksheets because information was lost. • 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. • Please connect/link you and your staff in the criminal record check portal asap. Center directors 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. 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 . • Your emergency medications were observed locked in a closet. It is strongly recommended that we do not lock up emergency medications. These medications can be stored 5 feet off the floor and a sign indicating “Emergency Medications” can be posted. It was suggested that you place the medications on a shelf/in a bin or hang them on a hook 5 feet off the floor for ease of access during an emergency. • Place batteries in your toys needing batteries. • Your Ready to Go File contained old applications of children no longer enrolled. Please review your paperwork in the Ready to Go File and remove any children and staff emergency information if they are no longer enrolled or employed. • 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, 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: PRIMARY BEGINNINGS CHILD DEVELOPMENT CENTER Facility ID: 92001346 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 1/23/2025 Number Present: 76 Completed Date: 1/23/2025 Age: From 0 To 8 Total Minutes: 270 Time In: 12:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment, in conjunction with a complaint investigation. This facility currently operates with a Five (5) Star License that was issued on 9-20-19. The last sanitation inspection was completed on 12-31-24 with an “Superior” classification. The last approved fire inspection was conducted on 8-12-24. The NC Secretary of State website was reviewed today and this facility’s corporation’s name, Primary Beginnings, L.L.C. was listed as “Current-Active.” Today’s visit was conducted with you, Angela Bailey, center director. I monitored the seven (7) classrooms in use for compliance with staff/child ratios, supervision, and staff interaction/discipline. The program was also monitored for health and safety requirements both indoors and outdoors using the annual compliance monitoring checklist. Children completed daily activities with adequate supervision and engagement from the caregivers. The children were observed in circle time where a caregiver was reading a book to the children, the children were observed completing toileting and handwashing routines, engaged with manipulatives at the table, outside running about, eating at the table, and resting on cots with linens. The program requirements, along with equipment and furnishings were observed. Compliance with staff records will be documented by you. New staff records, along with children’s records were reviewed today. Medication observed on the premises was monitored. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Permission to administer Aquaphor observed in space #1 expired 12/2023. 10A NCAC 09 .0803(1)(a & b) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. An allergy action plan for medication observed in space #5 was not observed. .0801(b) The above violations must be corrected immediately and a letter must be sent to me no later than 2-6-25 stating how the items were corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. 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 suggestions that may be beneficial: Medication Authorization: Any medication on the premises must be labeled with the child’s name, be accompanied by a permission slip, filled out completely with the parent/guardian’s signature and date. Set a reminder to review/update medications in each classroom. 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 and the caregivers 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 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 in your monthly newsletter to parents that medication must accompany a permission slip and it was suggested all staff 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. Medical Action Plans: Medical action plans are important to be completed by parents because they outline what a child needs to manage their medical condition during the day and what steps to take in emergencies. Medical action plans keep children safe by providing written information about their medical conditions and specific directions for staff to follow and the medical action plan ensure that medical management and risk minimization plans are in place for every child with a diagnosed medical care need or allergy. Remind staff that any allergy, asthma, seizure, or diabetes medication should accompany a completed medical action plan and the action plan must be updated annually. Set reminders often to check medications for the required medical action plans. • Submit your staff/training worksheets asap. You indicated that due to computer issues, you are in the process of re-entering the information into the staff/training worksheets because information was lost. • 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. • Please connect/link you and your staff in the criminal record check portal asap. Center directors 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. 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 . • Your emergency medications were observed locked in a closet. It is strongly recommended that we do not lock up emergency medications. These medications can be stored 5 feet off the floor and a sign indicating “Emergency Medications” can be posted. It was suggested that you place the medications on a shelf/in a bin or hang them on a hook 5 feet off the floor for ease of access during an emergency. • Place batteries in your toys needing batteries. • Your Ready to Go File contained old applications of children no longer enrolled. Please review your paperwork in the Ready to Go File and remove any children and staff emergency information if they are no longer enrolled or employed. • 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, 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 .0606 · Violation
Name of Operation: PRIMARY BEGINNINGS CHILD DEVELOPMENT CENTER Facility ID: 92001346 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 9/11/2024 Number Present: 91 Completed Date: 9/11/2024 Age: From 0 To 4 Total Minutes: 280 Time In: 09:45 AM Time Out: 01:05 PM Time In: 03:20 PM Time Out: 04:40 PM 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. This facility currently operates with a Five (5) Star License issued on 9-20-19. The last annual compliance visit was conducted on 2 -7-24. Today’s visit was conducted with you, Angela Bailey, center director. Upon arrival to the facility, I was greeted by you. A walk-through of the facility monitoring the seven (7) classrooms where children were in care was completed. Compliance with staff/child ratios, supervision, discipline, program requirements, storage of hazardous substances, CPR & First Aid, permit restrictions and various staff records documentation was monitored as a partial assessment of applicable child care requirements. A sampling of medications and permission to administer medications was observed. The children were observed on the playground, in activity centers, completing handwashing routines once inside from the playground, and singing and dancing about to music. The caregivers were observed interacting with children at eye level while communicating. A caring and nurturing environment was also observed as the caregivers met the children’s needs. During today’s visit, a partial assessment of applicable child care requirements was conducted. The following violation was cited and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #5, permission to administer Albuterol to one child had expired. 10A NCAC 09 .0803(1)(a & b) The above violation must be corrected immediately and a letter must be sent to me no later than 9-21-24 stating how the item was corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. 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 suggestions that may be beneficial: Medication: We discussed record keeping is one of the most time-consuming tasks associated with operating a childcare program. It is an important part of licensure. As an administrator you must allow time to review all necessary documentation to ensure accuracy. Any medication on the premises must be labeled with the child’s name, be accompanied by a permission slip, filled out completely with the parent/guardian’s signature and date. Set a reminder to review/update medications in each classroom on a routine basis. 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 and the caregivers 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 on file for six months. Having clear, detailed procedures for obtaining administered medication and maintaining required documentation protects children from mistakes that can affect their health. It was suggested to reiterate in your monthly newsletter to parents that medication must accompany a permission slip, and a suggestion was made to place permission slips in a 5-1/2" x 8-1/2" binder in protective sleeves. This way your permission slips don’t get contaminated with diaper cream residue and it will be easy to monitor all permission slip expiration dates in the clear sleeve. • Hold harmless has been extended until the new QRIS (Star Rated License System) rules are implemented (SB 425). Providers in Cohort 1 are not required to continue with a rated license assessment unless preferring to, and providers in Cohort 2 do not need to start their preparation year assessment unless preferring to move forward with an assessment. Prep year scales and assessment year scales are optional and up to your discretion at this time. Your scales window was scheduled for next month and you elected to cancel the environmental rating scales assessments which was received via email. NCRLAP was also notified. • When reviewing staff files today, duplicate paperwork was observed. The paperwork observed had basically the same information, just in a different format. We looked at paperwork that could be eliminated from the staff files. • Record retention was discussed as you have many years of paperwork stored in files that is not required to be maintained for an extended amount of time. Please refer to child care requirements in 10A NCAC 09 .2318 regarding record retention. • Please add additional names to your Emergency Medical Care Plan in case the couple of names currently documented are not on the premises. Remember there should be names of staff that are on the premises from open to close daily, considering vacation, lunch breaks, sick days, etc. • In some classrooms, an alternate material to use for the wooden platform that houses the plexiglass, acting as a divider to keep the sinks from cross contamination was discussed. • Your current sleep charts meet requirements, however we discussed an alternative sleep chart and record tension for sleep charts with less documentation and pages to maintain that will meet the requirements of the safe sleep practices in child care requirements in 10A NCAC 09 .0606. • 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 link you and your staff 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 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. • When looking at your status on the Clean Classrooms for Carolina Kids website, for the “Lead-Based Paint” and “Asbestos” the status reads “enrollment started.” It appears that you have not completed all steps to finalize your responsibilities of the Clean Classrooms for Carolina Kids project. Please leave a message at 888-997-9290 to inquire about the steps to complete. • Update your EPR Plan/Ready to Go File with my contact information and place the newly updated EPR Plan in your Ready to Go File. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. • A lunch break was taken today, and this visit summary was typed off site. I retuned to the facility to review the visit summary with the director. 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.
10A NCAC 09 .0803 · Violation
Name of Operation: PRIMARY BEGINNINGS CHILD DEVELOPMENT CENTER Facility ID: 92001346 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 9/11/2024 Number Present: 91 Completed Date: 9/11/2024 Age: From 0 To 4 Total Minutes: 280 Time In: 09:45 AM Time Out: 01:05 PM Time In: 03:20 PM Time Out: 04:40 PM 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. This facility currently operates with a Five (5) Star License issued on 9-20-19. The last annual compliance visit was conducted on 2 -7-24. Today’s visit was conducted with you, Angela Bailey, center director. Upon arrival to the facility, I was greeted by you. A walk-through of the facility monitoring the seven (7) classrooms where children were in care was completed. Compliance with staff/child ratios, supervision, discipline, program requirements, storage of hazardous substances, CPR & First Aid, permit restrictions and various staff records documentation was monitored as a partial assessment of applicable child care requirements. A sampling of medications and permission to administer medications was observed. The children were observed on the playground, in activity centers, completing handwashing routines once inside from the playground, and singing and dancing about to music. The caregivers were observed interacting with children at eye level while communicating. A caring and nurturing environment was also observed as the caregivers met the children’s needs. During today’s visit, a partial assessment of applicable child care requirements was conducted. The following violation was cited and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #5, permission to administer Albuterol to one child had expired. 10A NCAC 09 .0803(1)(a & b) The above violation must be corrected immediately and a letter must be sent to me no later than 9-21-24 stating how the item was corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. 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 suggestions that may be beneficial: Medication: We discussed record keeping is one of the most time-consuming tasks associated with operating a childcare program. It is an important part of licensure. As an administrator you must allow time to review all necessary documentation to ensure accuracy. Any medication on the premises must be labeled with the child’s name, be accompanied by a permission slip, filled out completely with the parent/guardian’s signature and date. Set a reminder to review/update medications in each classroom on a routine basis. 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 and the caregivers 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 on file for six months. Having clear, detailed procedures for obtaining administered medication and maintaining required documentation protects children from mistakes that can affect their health. It was suggested to reiterate in your monthly newsletter to parents that medication must accompany a permission slip, and a suggestion was made to place permission slips in a 5-1/2" x 8-1/2" binder in protective sleeves. This way your permission slips don’t get contaminated with diaper cream residue and it will be easy to monitor all permission slip expiration dates in the clear sleeve. • Hold harmless has been extended until the new QRIS (Star Rated License System) rules are implemented (SB 425). Providers in Cohort 1 are not required to continue with a rated license assessment unless preferring to, and providers in Cohort 2 do not need to start their preparation year assessment unless preferring to move forward with an assessment. Prep year scales and assessment year scales are optional and up to your discretion at this time. Your scales window was scheduled for next month and you elected to cancel the environmental rating scales assessments which was received via email. NCRLAP was also notified. • When reviewing staff files today, duplicate paperwork was observed. The paperwork observed had basically the same information, just in a different format. We looked at paperwork that could be eliminated from the staff files. • Record retention was discussed as you have many years of paperwork stored in files that is not required to be maintained for an extended amount of time. Please refer to child care requirements in 10A NCAC 09 .2318 regarding record retention. • Please add additional names to your Emergency Medical Care Plan in case the couple of names currently documented are not on the premises. Remember there should be names of staff that are on the premises from open to close daily, considering vacation, lunch breaks, sick days, etc. • In some classrooms, an alternate material to use for the wooden platform that houses the plexiglass, acting as a divider to keep the sinks from cross contamination was discussed. • Your current sleep charts meet requirements, however we discussed an alternative sleep chart and record tension for sleep charts with less documentation and pages to maintain that will meet the requirements of the safe sleep practices in child care requirements in 10A NCAC 09 .0606. • 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 link you and your staff 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 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. • When looking at your status on the Clean Classrooms for Carolina Kids website, for the “Lead-Based Paint” and “Asbestos” the status reads “enrollment started.” It appears that you have not completed all steps to finalize your responsibilities of the Clean Classrooms for Carolina Kids project. Please leave a message at 888-997-9290 to inquire about the steps to complete. • Update your EPR Plan/Ready to Go File with my contact information and place the newly updated EPR Plan in your Ready to Go File. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. • A lunch break was taken today, and this visit summary was typed off site. I retuned to the facility to review the visit summary with the director. 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 .2318 · Violation
Name of Operation: PRIMARY BEGINNINGS CHILD DEVELOPMENT CENTER Facility ID: 92001346 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 9/11/2024 Number Present: 91 Completed Date: 9/11/2024 Age: From 0 To 4 Total Minutes: 280 Time In: 09:45 AM Time Out: 01:05 PM Time In: 03:20 PM Time Out: 04:40 PM 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. This facility currently operates with a Five (5) Star License issued on 9-20-19. The last annual compliance visit was conducted on 2 -7-24. Today’s visit was conducted with you, Angela Bailey, center director. Upon arrival to the facility, I was greeted by you. A walk-through of the facility monitoring the seven (7) classrooms where children were in care was completed. Compliance with staff/child ratios, supervision, discipline, program requirements, storage of hazardous substances, CPR & First Aid, permit restrictions and various staff records documentation was monitored as a partial assessment of applicable child care requirements. A sampling of medications and permission to administer medications was observed. The children were observed on the playground, in activity centers, completing handwashing routines once inside from the playground, and singing and dancing about to music. The caregivers were observed interacting with children at eye level while communicating. A caring and nurturing environment was also observed as the caregivers met the children’s needs. During today’s visit, a partial assessment of applicable child care requirements was conducted. The following violation was cited and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #5, permission to administer Albuterol to one child had expired. 10A NCAC 09 .0803(1)(a & b) The above violation must be corrected immediately and a letter must be sent to me no later than 9-21-24 stating how the item was corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. 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 suggestions that may be beneficial: Medication: We discussed record keeping is one of the most time-consuming tasks associated with operating a childcare program. It is an important part of licensure. As an administrator you must allow time to review all necessary documentation to ensure accuracy. Any medication on the premises must be labeled with the child’s name, be accompanied by a permission slip, filled out completely with the parent/guardian’s signature and date. Set a reminder to review/update medications in each classroom on a routine basis. 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 and the caregivers 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 on file for six months. Having clear, detailed procedures for obtaining administered medication and maintaining required documentation protects children from mistakes that can affect their health. It was suggested to reiterate in your monthly newsletter to parents that medication must accompany a permission slip, and a suggestion was made to place permission slips in a 5-1/2" x 8-1/2" binder in protective sleeves. This way your permission slips don’t get contaminated with diaper cream residue and it will be easy to monitor all permission slip expiration dates in the clear sleeve. • Hold harmless has been extended until the new QRIS (Star Rated License System) rules are implemented (SB 425). Providers in Cohort 1 are not required to continue with a rated license assessment unless preferring to, and providers in Cohort 2 do not need to start their preparation year assessment unless preferring to move forward with an assessment. Prep year scales and assessment year scales are optional and up to your discretion at this time. Your scales window was scheduled for next month and you elected to cancel the environmental rating scales assessments which was received via email. NCRLAP was also notified. • When reviewing staff files today, duplicate paperwork was observed. The paperwork observed had basically the same information, just in a different format. We looked at paperwork that could be eliminated from the staff files. • Record retention was discussed as you have many years of paperwork stored in files that is not required to be maintained for an extended amount of time. Please refer to child care requirements in 10A NCAC 09 .2318 regarding record retention. • Please add additional names to your Emergency Medical Care Plan in case the couple of names currently documented are not on the premises. Remember there should be names of staff that are on the premises from open to close daily, considering vacation, lunch breaks, sick days, etc. • In some classrooms, an alternate material to use for the wooden platform that houses the plexiglass, acting as a divider to keep the sinks from cross contamination was discussed. • Your current sleep charts meet requirements, however we discussed an alternative sleep chart and record tension for sleep charts with less documentation and pages to maintain that will meet the requirements of the safe sleep practices in child care requirements in 10A NCAC 09 .0606. • 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 link you and your staff 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 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. • When looking at your status on the Clean Classrooms for Carolina Kids website, for the “Lead-Based Paint” and “Asbestos” the status reads “enrollment started.” It appears that you have not completed all steps to finalize your responsibilities of the Clean Classrooms for Carolina Kids project. Please leave a message at 888-997-9290 to inquire about the steps to complete. • Update your EPR Plan/Ready to Go File with my contact information and place the newly updated EPR Plan in your Ready to Go File. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. • A lunch break was taken today, and this visit summary was typed off site. I retuned to the facility to review the visit summary with the director. 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
NC GS 110-90 · Violation
Name of Operation: PRIMARY BEGINNINGS CHILD DEVELOPMENT CENTER Facility ID: 92001346 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 9/11/2024 Number Present: 91 Completed Date: 9/11/2024 Age: From 0 To 4 Total Minutes: 280 Time In: 09:45 AM Time Out: 01:05 PM Time In: 03:20 PM Time Out: 04:40 PM 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. This facility currently operates with a Five (5) Star License issued on 9-20-19. The last annual compliance visit was conducted on 2 -7-24. Today’s visit was conducted with you, Angela Bailey, center director. Upon arrival to the facility, I was greeted by you. A walk-through of the facility monitoring the seven (7) classrooms where children were in care was completed. Compliance with staff/child ratios, supervision, discipline, program requirements, storage of hazardous substances, CPR & First Aid, permit restrictions and various staff records documentation was monitored as a partial assessment of applicable child care requirements. A sampling of medications and permission to administer medications was observed. The children were observed on the playground, in activity centers, completing handwashing routines once inside from the playground, and singing and dancing about to music. The caregivers were observed interacting with children at eye level while communicating. A caring and nurturing environment was also observed as the caregivers met the children’s needs. During today’s visit, a partial assessment of applicable child care requirements was conducted. The following violation was cited and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #5, permission to administer Albuterol to one child had expired. 10A NCAC 09 .0803(1)(a & b) The above violation must be corrected immediately and a letter must be sent to me no later than 9-21-24 stating how the item was corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. 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 suggestions that may be beneficial: Medication: We discussed record keeping is one of the most time-consuming tasks associated with operating a childcare program. It is an important part of licensure. As an administrator you must allow time to review all necessary documentation to ensure accuracy. Any medication on the premises must be labeled with the child’s name, be accompanied by a permission slip, filled out completely with the parent/guardian’s signature and date. Set a reminder to review/update medications in each classroom on a routine basis. 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 and the caregivers 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 on file for six months. Having clear, detailed procedures for obtaining administered medication and maintaining required documentation protects children from mistakes that can affect their health. It was suggested to reiterate in your monthly newsletter to parents that medication must accompany a permission slip, and a suggestion was made to place permission slips in a 5-1/2" x 8-1/2" binder in protective sleeves. This way your permission slips don’t get contaminated with diaper cream residue and it will be easy to monitor all permission slip expiration dates in the clear sleeve. • Hold harmless has been extended until the new QRIS (Star Rated License System) rules are implemented (SB 425). Providers in Cohort 1 are not required to continue with a rated license assessment unless preferring to, and providers in Cohort 2 do not need to start their preparation year assessment unless preferring to move forward with an assessment. Prep year scales and assessment year scales are optional and up to your discretion at this time. Your scales window was scheduled for next month and you elected to cancel the environmental rating scales assessments which was received via email. NCRLAP was also notified. • When reviewing staff files today, duplicate paperwork was observed. The paperwork observed had basically the same information, just in a different format. We looked at paperwork that could be eliminated from the staff files. • Record retention was discussed as you have many years of paperwork stored in files that is not required to be maintained for an extended amount of time. Please refer to child care requirements in 10A NCAC 09 .2318 regarding record retention. • Please add additional names to your Emergency Medical Care Plan in case the couple of names currently documented are not on the premises. Remember there should be names of staff that are on the premises from open to close daily, considering vacation, lunch breaks, sick days, etc. • In some classrooms, an alternate material to use for the wooden platform that houses the plexiglass, acting as a divider to keep the sinks from cross contamination was discussed. • Your current sleep charts meet requirements, however we discussed an alternative sleep chart and record tension for sleep charts with less documentation and pages to maintain that will meet the requirements of the safe sleep practices in child care requirements in 10A NCAC 09 .0606. • 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 link you and your staff 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 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. • When looking at your status on the Clean Classrooms for Carolina Kids website, for the “Lead-Based Paint” and “Asbestos” the status reads “enrollment started.” It appears that you have not completed all steps to finalize your responsibilities of the Clean Classrooms for Carolina Kids project. Please leave a message at 888-997-9290 to inquire about the steps to complete. • Update your EPR Plan/Ready to Go File with my contact information and place the newly updated EPR Plan in your Ready to Go File. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. • A lunch break was taken today, and this visit summary was typed off site. I retuned to the facility to review the visit summary with the director. 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 .0803 · Violation
Name of Operation: PRIMARY BEGINNINGS CHILD DEVELOPMENT CENTER Facility ID: 92001346 Consultant: ELIZABETH LESTER Operation Type: Center Case Number: Visit Date: 2/7/2024 Number Present: 93 Completed Date: 2/7/2024 Age: From 0 To 5 Total Minutes: 155 Time In: 09:35 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. I completed a walk-through with the owner and director, Angela Harding. At the time of visit, there were a total of 93 children present. The children were observed participating in circle, playing with materials in centers, completing routine care tasks and playing outside. I limited my time in the center and classrooms due to illnesses (stomach bug and COVID). LICENSE STATUS Currently this center operates with five star license issued September 20, 2019. This center is in cohort 2 (two). The preparation year started July 1, 2024 and the assessment year will start July 1, 2025. I reviewed the NC Secretary of State's website and observed that the owner is listed as current/active. INSPECTIONS I reviewed all required inspections including fire drills, emergency drills, sanitation, fire and outdoor inspections. Inspections were found to be in compliance. MONITORING During today’s visit, a full assessment was conducted, monitoring all space occupied by the children, including the outdoor play environment. All spaces were monitored for supervision, staff/child ratios, materials, equipment and required postings. A checklist was used to note the requirements I monitored today. I left a copy of the checklist at the end of the visit. ANNUAL IN-SERVICE TRAININGS This provider’s annual in-service calendar dates are March 1st-Febuary 28th. The following violation was observed and documented: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. One child was missing a permission to administer emergency medication. 10A NCAC 09 .0803(4)(6-9) Please mail or email your letter of compliance by February 21, 2024. The letter must address the violations and describe how the violations were corrected. Please send this with the following and use the addresses below: -Facility name -Facility ID number -Each item number Elizabeth Lester PO BOX 40685 Raleigh, NC 27629 Elizabeth.lester@dhhs.nc.gov COMPLIANCE HISTORY According to NC General Statute all Child Care programs must maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Any violations documented during visits to your program may have an impact on the total compliance history score and cause your score to drop below the mandated level. **Prior to today’s visit, the compliance history score for the center was 96%. Any violations cited during today's visit may affect this percentage. TECHNICAL ASSISTANCE **The permission to administer medication is valid for SIX (6) months and the emergency medical plan is valid for twelve (12) months. There was one child missing the medication permission form. You stated that you sent home the form 2 days ago and the family has not returned the form. CONTACT INFORMATION Should you have any questions, please contact me by phone at 919-805-6933 or email at Elizabeth.lester@dhhs.nc.gov. You can also contact my supervisor Michele Remington, Licensing Supervisor at Office: 919-819-9355 or via email at michele.remington@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.
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Category: supervision. Open / not marked corrected.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
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Category: supervision. Open / not marked corrected.