10A NCAC 09.1721 · Violation

Name of Operation: S. & R. HOME DAY CARE Facility ID: 92000760 Consultant: ANTIONETTE WILLIAMS Operation Type: Family CC Home Case Number: Visit Date: 8/14/2024 Number Present: 5 Completed Date: 8/14/2024 Age: From 1 To 4 Total Minutes: 110 Time In: 12:45 PM Time Out: 02:35 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. An assessment of applicable childcare requirements was conducted. You, Sonya Grantham, Owner/Operator, was present and assisted me today. You have a Five-Star license. Your last annual compliance visit was 10/13/23. Children were resting on mats or having quiet time. You provided supervision and assisted children and met their developmental needs. Capacity, supervision, and permit restrictions complied. I walked through the family childcare home while monitoring childcare requirements indoors and outdoors. Information was documented on the annual compliance checklist. Required postings were monitored. All drills and inspections were monitored and one violation was cited. Program and provider records were monitored and one violation was cited. Children and provider records were monitored and one violation was cited. The facility was monitored for health and safety requirements and one violation was cited. You do not provide transportation. Violation Number Comment Rule 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. An emergency medical care plan was not available for review. .1713 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. A health assessment was not on file for one child. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The last drill, a lockdown, was conducted on 4/17/24 and another drill has not been conducted within three months of the previous lockdown drill. .1719(a )(16) & .1721(e )(7) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. Clorox Bleach Cleaner was stored on the kitchen countertop. .1719(a)(6) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 8/28/2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Antionette Williams PO Box 312 Garner, NC 27529 Antionette.williams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 TECHNICAL ASSISTANCE: Storage of Hazardous Items- Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Items that require locked storage were improperly stored, unlocked, on a countertop in the kitchen. It is extremely important that you take the required time to lock doors, and store hazardous items properly in locked storage. Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Review children’s files often to ensure the program is maintaining accurate licensing records. Organization and completeness of records is important to ensure easy access to information in emergency situations. Emergency Medical Care Plan: Medical emergencies can arise in an instant. Developing a written emergency medical care plan, reviewing it, and having it in plain sight and ready to go is a must. It is important to be well prepared for prompt, safe, specialized care in the event of a medical emergency. Families and caregivers all need to share and collaborate in this responsibility. This way, if and when an emergency occurs, you will have the information they need to effectively initiate care and possibly save a life. An emergency medical care plan is also a valuable resource for the health care provider. Review the emergency medical care plan regularly. UPDATES: Hold harmless has been extended until the new QRIS is implemented (SB 425). This means that you do not need to complete the rated license process unless you voluntarily request to. Providers in Cohort 1 are not required to go any further with a rated license assessment unless you want to, and providers in Cohort 2 do not need to start their preparation year unless you want to. Feel free to contact me with any questions about this visit at 919-819-9383. 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 110-91 · Violation

Name of Operation: S. & R. HOME DAY CARE Facility ID: 92000760 Consultant: ANTIONETTE WILLIAMS Operation Type: Family CC Home Case Number: Visit Date: 8/14/2024 Number Present: 5 Completed Date: 8/14/2024 Age: From 1 To 4 Total Minutes: 110 Time In: 12:45 PM Time Out: 02:35 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. An assessment of applicable childcare requirements was conducted. You, Sonya Grantham, Owner/Operator, was present and assisted me today. You have a Five-Star license. Your last annual compliance visit was 10/13/23. Children were resting on mats or having quiet time. You provided supervision and assisted children and met their developmental needs. Capacity, supervision, and permit restrictions complied. I walked through the family childcare home while monitoring childcare requirements indoors and outdoors. Information was documented on the annual compliance checklist. Required postings were monitored. All drills and inspections were monitored and one violation was cited. Program and provider records were monitored and one violation was cited. Children and provider records were monitored and one violation was cited. The facility was monitored for health and safety requirements and one violation was cited. You do not provide transportation. Violation Number Comment Rule 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. An emergency medical care plan was not available for review. .1713 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. A health assessment was not on file for one child. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The last drill, a lockdown, was conducted on 4/17/24 and another drill has not been conducted within three months of the previous lockdown drill. .1719(a )(16) & .1721(e )(7) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. Clorox Bleach Cleaner was stored on the kitchen countertop. .1719(a)(6) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 8/28/2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Antionette Williams PO Box 312 Garner, NC 27529 Antionette.williams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 TECHNICAL ASSISTANCE: Storage of Hazardous Items- Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Items that require locked storage were improperly stored, unlocked, on a countertop in the kitchen. It is extremely important that you take the required time to lock doors, and store hazardous items properly in locked storage. Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Review children’s files often to ensure the program is maintaining accurate licensing records. Organization and completeness of records is important to ensure easy access to information in emergency situations. Emergency Medical Care Plan: Medical emergencies can arise in an instant. Developing a written emergency medical care plan, reviewing it, and having it in plain sight and ready to go is a must. It is important to be well prepared for prompt, safe, specialized care in the event of a medical emergency. Families and caregivers all need to share and collaborate in this responsibility. This way, if and when an emergency occurs, you will have the information they need to effectively initiate care and possibly save a life. An emergency medical care plan is also a valuable resource for the health care provider. Review the emergency medical care plan regularly. UPDATES: Hold harmless has been extended until the new QRIS is implemented (SB 425). This means that you do not need to complete the rated license process unless you voluntarily request to. Providers in Cohort 1 are not required to go any further with a rated license assessment unless you want to, and providers in Cohort 2 do not need to start their preparation year unless you want to. Feel free to contact me with any questions about this visit at 919-819-9383. 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: S. & R. HOME DAY CARE Facility ID: 92000760 Consultant: ANTIONETTE WILLIAMS Operation Type: Family CC Home Case Number: Visit Date: 8/14/2024 Number Present: 5 Completed Date: 8/14/2024 Age: From 1 To 4 Total Minutes: 110 Time In: 12:45 PM Time Out: 02:35 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. An assessment of applicable childcare requirements was conducted. You, Sonya Grantham, Owner/Operator, was present and assisted me today. You have a Five-Star license. Your last annual compliance visit was 10/13/23. Children were resting on mats or having quiet time. You provided supervision and assisted children and met their developmental needs. Capacity, supervision, and permit restrictions complied. I walked through the family childcare home while monitoring childcare requirements indoors and outdoors. Information was documented on the annual compliance checklist. Required postings were monitored. All drills and inspections were monitored and one violation was cited. Program and provider records were monitored and one violation was cited. Children and provider records were monitored and one violation was cited. The facility was monitored for health and safety requirements and one violation was cited. You do not provide transportation. Violation Number Comment Rule 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. An emergency medical care plan was not available for review. .1713 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. A health assessment was not on file for one child. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The last drill, a lockdown, was conducted on 4/17/24 and another drill has not been conducted within three months of the previous lockdown drill. .1719(a )(16) & .1721(e )(7) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. Clorox Bleach Cleaner was stored on the kitchen countertop. .1719(a)(6) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 8/28/2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Antionette Williams PO Box 312 Garner, NC 27529 Antionette.williams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 TECHNICAL ASSISTANCE: Storage of Hazardous Items- Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Items that require locked storage were improperly stored, unlocked, on a countertop in the kitchen. It is extremely important that you take the required time to lock doors, and store hazardous items properly in locked storage. Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Review children’s files often to ensure the program is maintaining accurate licensing records. Organization and completeness of records is important to ensure easy access to information in emergency situations. Emergency Medical Care Plan: Medical emergencies can arise in an instant. Developing a written emergency medical care plan, reviewing it, and having it in plain sight and ready to go is a must. It is important to be well prepared for prompt, safe, specialized care in the event of a medical emergency. Families and caregivers all need to share and collaborate in this responsibility. This way, if and when an emergency occurs, you will have the information they need to effectively initiate care and possibly save a life. An emergency medical care plan is also a valuable resource for the health care provider. Review the emergency medical care plan regularly. UPDATES: Hold harmless has been extended until the new QRIS is implemented (SB 425). This means that you do not need to complete the rated license process unless you voluntarily request to. Providers in Cohort 1 are not required to go any further with a rated license assessment unless you want to, and providers in Cohort 2 do not need to start their preparation year unless you want to. Feel free to contact me with any questions about this visit at 919-819-9383. 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: S. & R. HOME DAY CARE Facility ID: 92000760 Consultant: ANTIONETTE WILLIAMS Operation Type: Family CC Home Case Number: Visit Date: 3/28/2024 Number Present: 4 Completed Date: 3/28/2024 Age: From 1 To 4 Total Minutes: 85 Time In: 10:10 AM Time Out: 11:35 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for a routine unannounced assessment. You, Sonya Grantham, Operator, assisted me today. This facility currently operates with a Five-Star Child-Care License. The last annual compliance visit was conducted on 10/13/2024. I walked through the facility today and observed. Four children were present today. Children were completing art activities related to an upcoming holiday. Supervision and capacity complied. You met the developmental needs of each of the children. The license was posted. Storage of hazardous products complied. General safety requirements, and general health met compliance. Program records, fire safety, and sanitation complied. Yours and other household member’s qualifying letter are current. Your CPR/FA training is current. No medications are administered at this time. Violation Number Comment Rule 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. Only one monthly check for hazards on the outdoor play area was conducted since October 2023. 10A NCAC .1721(e)(5)(A-F) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/11/2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Antionette Williams PO Box 312 Garner, NC 27529 Antionette.williams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 CONSULTATION: Today I gave you a sample Emergency Medical Care Plan as an alternative. RATED LICENSE: Your preparation year ends June 30, 2024. We discussed that you do not want to have the ERS completed. You have started your self-assessment. Updates/Resources: Today I discussed information regarding Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in child care. You explained you have completed the lead water test. You have been awaiting results from the asbestos and lead paint. Be sure to visit DCDEE website and access the What’s New section for the newest child care rules that were effective January 1, 2024. You may visit MOODLE and complete training for the new child care requirements effective January 1, 2024. Today I discussed information regarding DCDEE’s free professional development membership offer through Teaching Strategies. Visit quorumlearning.com for more information. At the completion of the visit the visit summary was reviewed and left with you. Contact me at 919-819-9383 or antionette.williams@dhhs.nc.gov if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.