10A NCAC 09 .0803 · Violation

Name of Operation: REFUGE EARLY LEARNING CENTER Facility ID: 92003576 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 62 Completed Date: 4/15/2025 Age: From 0 To 5 Total Minutes: 360 Time In: 11:00 AM 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. This facility currently operates with a Five (5) Star License that was issued on 8-17-23. The last sanitation inspection was completed on 4-5-24 with an “Superior” classification. The last approved fire inspection was conducted on 12-10-24. The NC Secretary of State website was reviewed today and this facility’s corporation’s name, Wisconsin Evangelical Lutheran Synod was listed as “Current-Active.” Today’s visit was conducted with you, Julianna Kiecker, center director. I monitored the five (5) 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 outside on the playgrounds, interacting in activity centers, in circle time where sign language was being instructed to the children, completing toileting and handwashing routines, and engaged with a caregiver at the table making Easter presents for the parents painting crosses on canvases. The program requirements, along with equipment and furnishings were observed. Compliance with staff records was 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. In spaces #3 and #4 permission to administer prescription allergy medication (Auvi-Q and Epinephrine Auto-Injector) expired on 4-11-25. 10A NCAC 09 .0803(1)(a & b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was conducted on 11-20-24 and the next emergency drill was conducted approximately four (4) months later on 3-19-25. .0604(u);.0302(d)(8) The above violations must be corrected immediately and a letter must be sent to me no later than 4-29-25 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 current 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. Emergency Drills: Emergency drills are important because they prepare children and staff for real-life emergencies, familiarize everyone with established procedures, and help children react appropriately when an actual emergency arises. It was recommended to place the month that each drill is required at three (3) month intervals on your emergency drill form, that way you can see the months when recording fire drills monthly. As well, set a reminder on your phone and in your calendar to conduct the emergency drills every three (3) months. • You have completed the Moodle training now please finish connecting/linking the remaining staff members 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. If you have questions regarding the PROVIDER PORTAL contact the Criminal Background Check Unit at (919) 814-6401 or email: DCDEE_ABCMS_Provider@dhhs.nc.gov. For general questions regarding APPLICANTS, applications, or other CBC questions email: DHHS.CBC.Unit@dhhs.nc.gov or call (919) 814-6401. • An updated summary of the law poster was emailed to you today. Please post this most recent version of the summary of the law. • Update your Emergency Medical Care Plan to include actual names of staff members, instead of “certified teachers” to ensure the tasks outlined on the Emergency Medical Care Plan are executed by designated staff members. • It was recommended to include an updated date on your Allergy List. • It took excess time to go through your children’s records due to the amount of paperwork included in each child’s file. It was explained that all of the initial application paperwork did not need to updated annually, only the child’s emergency information is required to be updated annually. As well, there was a blank Child Immunization History form in each child’s file. The files included a printed immunization record, so there is no need for the blank form to be in each child’s file. • Emergency medications were observed in a locked cabinet today. Please keep emergency medications unlocked and placed five (5) feet of the floor for ease of access. • Hold harmless has been extended until the new Quality Rating Improvement System (QRIS) (Star Rated License System) rules are implemented. The Governor signed Senate Bill 425 (now Session Law 2024-34), which includes the Quality Rating Improvement System (QRIS) modifications recommended to the Legislature by the NC Child Care Commission to update QRIS and create additional pathways for licensed child care facilities to earn star rated licenses. The proposed child care rules are proposed to go into effect August 2025. There will be three pathways for the QRIS: Modernization: program assessment, classroom and instructional quality, and national accreditation. The QRIS Modernization gives licensed centers and family child care homes more flexibility to demonstrate quality. The new framework aims to provide providers with the opportunity to shine for what they are confident and good at. If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Check out the QRIS Modernization page for videos, new resources and updates at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. • Today it was explained that with the new QRIS requirements, a pathway gives an automatic five stars to programs accredited by the National Association for the Education of Young Children (NAEYC). Your facility is currently accredited by the NAEYC and it was explained that you can apply to renew your five stars. • April 5-11, 2025 was the Week of the Young Child®, a chance to focus public attention on the needs of young children and their families and to recognize the early childhood programs and services that meet those needs. Get free materials on how early care and learning benefits N.C. in the Raise North Carolina Toolkit https://www.ncdhhs.gov/about/department-initiatives/raise-nc/toolkit. Explore and download the free suite of easy-to-use educational and promotional materials, including flyers, social media posts, graphics, videos, talking points and more to share with families and visitors. • Today it was explained that with the new QRIS requirements, a pathway gives an automatic five stars to programs accredited by the National Association for the Education of Young Children (NAEYC). Your facility is currently accredited by the NAEYC and it was explained that you can apply to renew your five stars. • 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 email 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. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell PO BOX 865, Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: REFUGE EARLY LEARNING CENTER Facility ID: 92003576 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 62 Completed Date: 4/15/2025 Age: From 0 To 5 Total Minutes: 360 Time In: 11:00 AM 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. This facility currently operates with a Five (5) Star License that was issued on 8-17-23. The last sanitation inspection was completed on 4-5-24 with an “Superior” classification. The last approved fire inspection was conducted on 12-10-24. The NC Secretary of State website was reviewed today and this facility’s corporation’s name, Wisconsin Evangelical Lutheran Synod was listed as “Current-Active.” Today’s visit was conducted with you, Julianna Kiecker, center director. I monitored the five (5) 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 outside on the playgrounds, interacting in activity centers, in circle time where sign language was being instructed to the children, completing toileting and handwashing routines, and engaged with a caregiver at the table making Easter presents for the parents painting crosses on canvases. The program requirements, along with equipment and furnishings were observed. Compliance with staff records was 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. In spaces #3 and #4 permission to administer prescription allergy medication (Auvi-Q and Epinephrine Auto-Injector) expired on 4-11-25. 10A NCAC 09 .0803(1)(a & b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was conducted on 11-20-24 and the next emergency drill was conducted approximately four (4) months later on 3-19-25. .0604(u);.0302(d)(8) The above violations must be corrected immediately and a letter must be sent to me no later than 4-29-25 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 current 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. Emergency Drills: Emergency drills are important because they prepare children and staff for real-life emergencies, familiarize everyone with established procedures, and help children react appropriately when an actual emergency arises. It was recommended to place the month that each drill is required at three (3) month intervals on your emergency drill form, that way you can see the months when recording fire drills monthly. As well, set a reminder on your phone and in your calendar to conduct the emergency drills every three (3) months. • You have completed the Moodle training now please finish connecting/linking the remaining staff members 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. If you have questions regarding the PROVIDER PORTAL contact the Criminal Background Check Unit at (919) 814-6401 or email: DCDEE_ABCMS_Provider@dhhs.nc.gov. For general questions regarding APPLICANTS, applications, or other CBC questions email: DHHS.CBC.Unit@dhhs.nc.gov or call (919) 814-6401. • An updated summary of the law poster was emailed to you today. Please post this most recent version of the summary of the law. • Update your Emergency Medical Care Plan to include actual names of staff members, instead of “certified teachers” to ensure the tasks outlined on the Emergency Medical Care Plan are executed by designated staff members. • It was recommended to include an updated date on your Allergy List. • It took excess time to go through your children’s records due to the amount of paperwork included in each child’s file. It was explained that all of the initial application paperwork did not need to updated annually, only the child’s emergency information is required to be updated annually. As well, there was a blank Child Immunization History form in each child’s file. The files included a printed immunization record, so there is no need for the blank form to be in each child’s file. • Emergency medications were observed in a locked cabinet today. Please keep emergency medications unlocked and placed five (5) feet of the floor for ease of access. • Hold harmless has been extended until the new Quality Rating Improvement System (QRIS) (Star Rated License System) rules are implemented. The Governor signed Senate Bill 425 (now Session Law 2024-34), which includes the Quality Rating Improvement System (QRIS) modifications recommended to the Legislature by the NC Child Care Commission to update QRIS and create additional pathways for licensed child care facilities to earn star rated licenses. The proposed child care rules are proposed to go into effect August 2025. There will be three pathways for the QRIS: Modernization: program assessment, classroom and instructional quality, and national accreditation. The QRIS Modernization gives licensed centers and family child care homes more flexibility to demonstrate quality. The new framework aims to provide providers with the opportunity to shine for what they are confident and good at. If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Check out the QRIS Modernization page for videos, new resources and updates at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. • Today it was explained that with the new QRIS requirements, a pathway gives an automatic five stars to programs accredited by the National Association for the Education of Young Children (NAEYC). Your facility is currently accredited by the NAEYC and it was explained that you can apply to renew your five stars. • April 5-11, 2025 was the Week of the Young Child®, a chance to focus public attention on the needs of young children and their families and to recognize the early childhood programs and services that meet those needs. Get free materials on how early care and learning benefits N.C. in the Raise North Carolina Toolkit https://www.ncdhhs.gov/about/department-initiatives/raise-nc/toolkit. Explore and download the free suite of easy-to-use educational and promotional materials, including flyers, social media posts, graphics, videos, talking points and more to share with families and visitors. • Today it was explained that with the new QRIS requirements, a pathway gives an automatic five stars to programs accredited by the National Association for the Education of Young Children (NAEYC). Your facility is currently accredited by the NAEYC and it was explained that you can apply to renew your five stars. • 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 email 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. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell PO BOX 865, Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: REFUGE EARLY LEARNING CENTER Facility ID: 92003576 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 10/25/2024 Number Present: 61 Completed Date: 10/25/2024 Age: From 0 To 5 Total Minutes: 185 Time In: 01:10 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for a routine unannounced assessment. This facility currently operates with a Five (5) Star Rated License issued on 8-17-23. The last annual compliance visit was conducted on 5 -29-24. Today’s visit was conducted with you, Julianna Kiecker, center director. Upon arrival to the facility, I was greeted by you. A walk-through of the facility monitoring the five (5) 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 and toileting routines, in circle time listening and singing to music, and in circle time with a Spanish lesson on emotions. The infants were observed outdoors, crawling about and interacting with the caregivers on the decking and turf. A caring and nurturing environment was observed as the caregivers met the children’s needs and interacted with the children. 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 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented emergency drill was completed on 5/13/24. .0604(u);.0302(d)(8) The above violation must be corrected immediately and a letter must be sent to me no later than 11-8-24 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: Emergency Drills: Emergency lockdown and shelter-in-place drills are crucial at daycares because they allow staff and children to practice responding appropriately in a crisis situation, which can potentially save lives by ensuring everyone knows what to do and where to go in case of a threat, minimizing confusion and panic, and building confidence in their ability to handle an emergency. This is especially important for young children who may not understand what to do during a dangerous situation. Set a reminder to alert you every three months to conduct an emergency drill. As well, you can place the months listed for every three (3) in the date column of the emergency drill form, as this can serve as a reminder to do the emergency drills in these months. • Hold harmless Hold harmless has been extended until the new QRIS (Star Rated License System) rules are implemented (SB 425). • We discussed the new ITERS & ECERS 3 and you expressed wanting to have assessments to show your staff more concreate requirements for the classroom materials. • Please link your staff asap in the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. • 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.

GS 110-102 · Violation

Name of Operation: REFUGE EARLY LEARNING CENTER Facility ID: 92003576 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 5/29/2024 Number Present: 59 Completed Date: 5/29/2024 Age: From 0 To 6 Total Minutes: 270 Time In: 01:00 PM Time Out: 05:30 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 6-17-22. The last sanitation inspection was completed on 5-16-24 with an “Superior” classification. The NC Secretary of State website was reviewed today and this facility’s corporation’s name, Wisconsin Evangelical Lutheran Synod was listed as “Current-Active.” Today’s visit was conducted with you, Julianna Kiecker, center director. I monitored the five (5) 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. There was monitoring for compliance with implementing an approved curriculum (Creative Curriculum) as required for all four and five star licensed facilities where four-year-old children are enrolled. The children completed daily activities with adequate supervision. The toddlers were observed interacting with the caregivers as they were playing with various age appropriate toys on the carpet. Appropriate diapering and handwashing routines were observed. The preschoolers were observed outdoors on the playground as they rode trikes, ran about, interacted on the play structure, and played in the mud kitchen. The program requirements, along with equipment and furnishings were observed. Compliance with staff records, along with children’s records were reviewed today. Medications and permission to administer medications were monitored. This facility does not provide transportation. 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 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child's file did not have documentation that the parent received a summary of the NC Child Care Law. GS 110-102 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. The TB Test results for a substitute hired on 2-22-24 was dated 10-22-22. .0701(a) The above violations must be corrected immediately and a letter must be sent to me no later than 5-12-24 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. If I do not receive your letter by 5-12-24 and/or if you do not address the violations, a return visit to your program may be made to monitor for compliance of the violations. Additional violations may be documented if the situation has not been corrected or addressed. The following were discussed with you during today’s visit: • Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. • Technical Assistance was provided with the following suggestion that may be beneficial: Organization and completeness of records is important to ensure easy access to information in emergency situations. We discussed as an administrator, it is your responsibility to review all employment documentation and verify that required documents are received within the specified time frame, using the staff file checklist to ensure all paperwork is on file. The Criminal Background Check Qualifying Letter, TB Test Results and a Staff Medical Report are due PRIOR to employment. Staff should not be allowed to work without these three items on file. Administrative staff must allow time to review all necessary documentation prior to employment of staff to ensure accuracy. The same holds true for children’s files, use the children’s file checklist to ensure paperwork is in each child’s file as required. Remember using checklists to check and date receipt of documents will help you track employment and children’s file documents. • We discussed adding the ages to your attendance on the clipboard to ensure the ages of the children present. • A suggestion was made to spray the basketball goal with Rustoleum. • 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. • 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 questions or concerns, please do not hesitate to 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: REFUGE EARLY LEARNING CENTER Facility ID: 92003576 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 5/29/2024 Number Present: 59 Completed Date: 5/29/2024 Age: From 0 To 6 Total Minutes: 270 Time In: 01:00 PM Time Out: 05:30 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 6-17-22. The last sanitation inspection was completed on 5-16-24 with an “Superior” classification. The NC Secretary of State website was reviewed today and this facility’s corporation’s name, Wisconsin Evangelical Lutheran Synod was listed as “Current-Active.” Today’s visit was conducted with you, Julianna Kiecker, center director. I monitored the five (5) 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. There was monitoring for compliance with implementing an approved curriculum (Creative Curriculum) as required for all four and five star licensed facilities where four-year-old children are enrolled. The children completed daily activities with adequate supervision. The toddlers were observed interacting with the caregivers as they were playing with various age appropriate toys on the carpet. Appropriate diapering and handwashing routines were observed. The preschoolers were observed outdoors on the playground as they rode trikes, ran about, interacted on the play structure, and played in the mud kitchen. The program requirements, along with equipment and furnishings were observed. Compliance with staff records, along with children’s records were reviewed today. Medications and permission to administer medications were monitored. This facility does not provide transportation. 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 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child's file did not have documentation that the parent received a summary of the NC Child Care Law. GS 110-102 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. The TB Test results for a substitute hired on 2-22-24 was dated 10-22-22. .0701(a) The above violations must be corrected immediately and a letter must be sent to me no later than 5-12-24 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. If I do not receive your letter by 5-12-24 and/or if you do not address the violations, a return visit to your program may be made to monitor for compliance of the violations. Additional violations may be documented if the situation has not been corrected or addressed. The following were discussed with you during today’s visit: • Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. • Technical Assistance was provided with the following suggestion that may be beneficial: Organization and completeness of records is important to ensure easy access to information in emergency situations. We discussed as an administrator, it is your responsibility to review all employment documentation and verify that required documents are received within the specified time frame, using the staff file checklist to ensure all paperwork is on file. The Criminal Background Check Qualifying Letter, TB Test Results and a Staff Medical Report are due PRIOR to employment. Staff should not be allowed to work without these three items on file. Administrative staff must allow time to review all necessary documentation prior to employment of staff to ensure accuracy. The same holds true for children’s files, use the children’s file checklist to ensure paperwork is in each child’s file as required. Remember using checklists to check and date receipt of documents will help you track employment and children’s file documents. • We discussed adding the ages to your attendance on the clipboard to ensure the ages of the children present. • A suggestion was made to spray the basketball goal with Rustoleum. • 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. • 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 questions or concerns, please do not hesitate to 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: REFUGE EARLY LEARNING CENTER Facility ID: 92003576 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 5/2/2024 Number Present: 47 Completed Date: 5/2/2024 Age: From 0 To 5 Total Minutes: 110 Time In: 03:10 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for a routine unannounced assessment. This facility currently operates with a 5 Star License that was issued on 8-17-23. Today’s visit was conducted with you, Bridget Mason-Gray, assistant director. Upon arrival to the facility, I was greeted by you. I did a walk-through of the five (5) classrooms in use, occupied by children. Compliance with capacity, supervision, discipline, attendance, program requirements, storage of hazardous substances, CPR & First Aid, permit restrictions, the required postings, and staff record documentation was monitored as a partial assessment of applicable child care requirements. Medications and permission to administer medications were observed and monitored. During the visit, the children were observed outside on the playground running about, pushing push toys, riding on scooters with helmets, sitting with the caregivers, and interacting on the play structure. Indoors, the children were observed at the table with manipulatives and on the carpet as a caregiver read a book to the children. A partial assessment of child care requirements were monitored and the following violation was cited during today’s visit. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly playground inspections were not completed as required. .0605(q) The above violation must be corrected immediately and a corrective action letter must be sent to me no later than 5-16-24 describing accurately and in detail, how and when the violation was corrected and a plan to prevent future violations. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a corrective action 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 suggestion that may be beneficial: • We discussed record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Having a staff file on each staff member and reviewing these staff files often to ensure the program maintains accurate licensing records is a must. Organization and completeness of records is important to ensure easy access to information in emergency situations. We discussed making sure that you develop a record keeping system for staff and children’s records that promotes organization and efficiency. Administrative staff must allow time to review all necessary documentation to ensure accuracy. It was suggested to set an alarm monthly to conduct your monthly playground inspections. It may be helpful to conduct the monthly playground inspections along with your monthly fire drills on the same day. • Center directors can now access the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. This access will allow providers to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. The course is titled ABCMS Child Care Provider Portal Training - under the Early Childhood Professional Development Tab, then under the Criminal Background (CBC) tab. Please complete the process for your facility as soon as possible. • Register asap for the Clean Classrooms for Carolina Kids program required pre-enrollment webinar https://rtiorg.zoom.us/webinar/register/WN_vmlhG6iRS26BdkV8SZSaDw#/. The Clean Classrooms for Carolina Kids program helps fulfill North Carolina requirements (NC 10A NCAC 41C.1001-1007, NC 154A NCAC 18A.2816) for public schools and child care facilities related to lead in water, lead-based paint, and asbestos. The goal is to identify and eliminate exposure to lead and asbestos hazards where North Carolina children learn and play. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Contact me if you have questions or concerns: 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.