10A NCAC 09 .1720 · Violation

Name of Operation: THE RIGHT DIRECTION DAYCARE Facility ID: 92001531 Consultant: ELIZABETH LESTER Operation Type: Family CC Home Case Number: Visit Date: 6/5/2024 Number Present: 4 Completed Date: 6/5/2024 Age: From 2 To 4 Total Minutes: 82 Time In: 11:18 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to complete your annual compliance visit. Upon arrival, I was greeted by the provider, Sandra White. You assisted me with the visit. I completed a general walk through of the children's space, kitchen area, outdoor space and bathroom. At the time of visit, there were 4 children present. The children were observed playing with materials, interacting with the provider, eating lunch and completing routine tasks. LICENSE STATUS Currently this Family Childcare Home (FCCH) operates with a five-star license issued 9/27/17. This FCCH is in cohort 1. The preparation year is June 30, 2023 and the assessment year is June 30, 2024. INSPECTIONS I reviewed required inspections including fire drills, emergency drills, and outdoor inspections. All inspections were found to be in compliance. DESIGNATED CHILDREN’S SPACE The children’s space is located at the back of the home. In the children’s space, there are a variety of manipulatives, pretend play toys, books and art materials for the children to explore throughout the day. The provider uses a changing mat for children who are still diapering and the bathroom is located in the in the adjacent room near the kitchen and children’s space. Cots are used for nap time. MONITORING During this visit, a full assessment of Child Care Requirements was conducted. A checklist was used to note the requirements monitored today. All spaces were monitored for supervision, staff/child ratios, materials, equipment and required postings. I reviewed the provider’s information and two children’s files. The following violation was observed and documented: Violation Number Comment Rule 1406 Authorization for up to 6 months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions was not in writing and did not contain information required by rule 10 NCAC 09 .1720(c)(6)(A-I). One child file was missing the authorization to administer medication. 10A NCAC 09 .1720(b)(4) Please mail or email your letter of compliance by June 19, 2024. The letter must address each violation 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 day care centers 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 100%. Any violations cited during today's visit may affect this percentage. TECHNICAL ASSISTANCE **We discussed a child’s medication permission form and you stated that you sent in home to be updated and you forgot to follow up with the parents. Also the child’s epi-pen expires in July and I reminded you to renew the medical actin plan and you stated that you will update all the forms. RATED LICENSE **We discussed your prep year assessment, and I encouraged you to have it completed and you stated that you will wait to see what happens with the new QRIS system. I stated that it is a possibility of extending the hold harmless status. I left the request forms with you and asked you to send them before June 30th. AGENCY UPDATES WATER TESTING Currently, there is funding for FCCH to get their water, paint and asbestos tested for lead for free. Please see https://www.cleanwaterforcarolinakids.org/ OR Lisa McCoy Environmental Health Manager at 919-868-9250 for additional information. Water testing will become a requirement in the future. You stated you are in the process of completing the webinars. CONTACT INFORMATION Should you have any questions, please contact Elizabeth Lester 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