G.S. 110-90 · Violation

Name of Operation: IT'S A KIDS WORLD, INC. Facility ID: 76000270 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 6/10/2025 Number Present: 39 Completed Date: 6/10/2025 Age: From 0 To 5 Total Minutes: 145 Time In: 10:00 AM Time Out: 12:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for applicable child care requirements during an Administrative Action Follow Up visit. The facility currently operates with a Three Star License that was issued on August 15, 2027 . The last annual compliance visit was conducted on February 24, 2025. Upon my arrival I was greeted by the owner. The Director, Amanda Rochelle arrived later during the visit and assisted me during the visit. One group of children were observed participating in free play outside on their designated playground, the teachers were observed moving about the playground interacting and supervising the children. One group of children was observed participating in free play in their classroom, the teachers were observed interacting in a positive manner with the children. The infants were observed participating in free play and one was observed sleeping. The last sanitation inspection was completed February 24, 2025 with a “Superior” classification. The last fire inspection was conducted March 19, 2025. During today’s visit, a partial assessment of applicable child care requirements was conducted, including supervision, child staff ration and permit re4strictions. I observed the following violations. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. No fire drills were documented for April and May of 2025. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were not available for review. .0605(q) 1041 Prior to employment a Criminal Background Check was not completed. The teacher G. Hall did have a criminal background check completed. G.S. 110-90.2(b) The violation(s) must be corrected immediately, and a letter must be sent to me no later than June 24, 2025 stating how each item was corrected and how you plan to maintain compliance with the requirement. Please e-mail the letter to me at mona.ndiaye@dhhs.nc.gov . You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. The center was issued a written warning on April 24, 2025. The Director has scheduled the required technical assistance visit for June 19, 2025. The Director may not be able to attend the technical assistance training because she may be out on maternity leave, she stated she will attend if she is able. Technical assistance During today’s visit I spoke with the Owner, Pam Hall and Assistant Director, Tiffany Crozier, they both stated they are short staffed. They also stated they have had issues accessing the criminal background check portal. I contacted the CBC unit during today’s visit and there have been no reported issues with the system. I had no issues contacting the Criminal Records unit by phone today. Please contact 919-814-6401 for assistance with criminal background checks. Whenever you have issues with the CBC system contact them immediately. One teacher did not have a criminal background check on file. No person can work in licensed childcare without a criminal background check from the Division of Child Development and Early Education. The staff person Gracyn Hall cannot return to work until she has a criminal background check and qualifying letter on file. There was no fire drill documented for April or May of 2025. Fire drills must be conducted and documented monthly. Playground Inspections were not onsite. I would strongly recommend not taking program documents off site. The Director has started the staffing pattern that is required as part of the Written Warning, we discussed some things that should be included in the pattern. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . If you have questions or concerns, I can be reached at 336-580-5417 or at mona.ndiaye@dhhs.nc.gov . You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or 336-580-2527 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: IT'S A KIDS WORLD, INC. Facility ID: 76000270 Consultant: MONA NDIAYE Operation Type: Center Case Number: 0225-180L Visit Date: 3/7/2025 Number Present: 22 Completed Date: 3/7/2025 Age: From 0 To 3 Total Minutes: 80 Time In: 08:00 AM Time Out: 09:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with a childcare requirement cited as violations during a complaint visit conducted on February 24, 2025. Upon my arrival I was greeted by the Owner Pam Hall. I observed 15 children ages 1 year to 3 years with three staff in space 5. The one year old children were observed in high chairs and two were being held by staff. The children were also observed watching television. During the complaint visit conducted on February 24, 2025, allegations of staff child ratio and program records were substantiated. The following violations were observed during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. There was 15 children ages 1 to 3 years grouped together in space 5. This is a repeat violation from 2/24/2025. GS 110-91(7);.0713(a-d) 544 Screen time was offered to children under three years of age. Children ages 1 and 2 years were observed watching television in space 5. .0510(f) The above violation must be corrected immediately, and a letter must be sent to me no later than March 14, 2025 stating how each item was corrected and a plan to maintain compliance with the requirement. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by March 14, 2025 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Technical Assistance During the complaint visit on February 24, 2025, I discussed with the Director, Amanda Rochelle, the requirements for staff child ratios and group sizes and some staffing patterns that could prevent group size issues during the early morning hours. The group size for 1 year olds is 12. Screen time cannot be used with children under three years of age. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at mona.ndiaye@dhhs.nc.gov or by phone at 336-580-5417. You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or336-580-2527 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: IT'S A KIDS WORLD, INC. Facility ID: 76000270 Consultant: MONA NDIAYE Operation Type: Center Case Number: 0225-180L Visit Date: 2/24/2025 Number Present: 42 Completed Date: 2/24/2025 Age: From 0 To 3 Total Minutes: 120 Time In: 08:30 AM Time Out: 10:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate a report about possible violations of child care requirements related to staff-child ratios, supervision, record-keeping, and a developmentally appropriate environment. The facility holds a Three-Star License, issued on August 15, 2017. The last annual compliance visit was conducted on March 12, 2024. The Director, Amanda Rochelle, and Owner, Pam Hall, were present and assisted me. I informed them of the reason for my visit. During my visit, I observed children engaged in free play in their classrooms and interacting with their teachers. Allegation 1: There is concern regarding supervision Observation: All classrooms were supervised adequately during my visit. Finding The allegation regarding supervision is unsubstantiated based on today’s observations. Allegation 2: There is concern regarding staff-child ratio Observation: Classrooms were within the required ratios during my visit. However, after reviewing arrival times for children and staff, the center was out of ratio from 7:00 AM to 8:00 AM. Infants (6 infants, 1 teacher) were out of ratio and One-year-olds (18 children, 3 staff), group size was out of compliance. The group size should not exceed 12. Finding The allegation regarding staff child ratio is substantiated based on today’s observations. Allegation 3: There is concern regarding records Observation: Incident reports were not completed when required. Finding: The allegation regarding records is substantiated based on today’s observations. Allegation 4: There is concern regarding Developmentally Appropriate Environment Observation: Classrooms had appropriate materials, activities, interactions, and setup. Finding: The allegation regarding developmentally appropriate environment is unsubstantiated based on today’s observations. Two violations were documented during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Ratios were not in compliance from 7:00am to 8:00 am based on arrival times for the children and the number of staff present during that time frame. GS 110-91(7);.0713(a-d) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. In each classroom, there was a incident log documenting when children were injured however many of the incidents were not documented on incident reports. .0802 (e) ________________________________________ The violations must be corrected immediately. A written corrective action plan must be submitted by March 10, 2025 to mona.ndiaye@dhhs.nc.gov, explaining how each issue was addressed and how compliance will be maintained. Failure to submit this letter or correct the violations may result in a follow-up visit. Additional violations may be documented if issues are not resolved. Technical Assistance Child care licensing rules exist to ensure a safe and healthy environment for children. It is your responsibility to stay compliant with all laws and regulations. You can review them on the DCDEE website under the ‘Services’ tab: https://ncchildcare.ncdhhs.gov/ During this visit, I provided technical assistance on: Incident reports – When they should be completed and how to use the DCDEE incident log. Ratios & scheduling – Ensuring the youngest child’s ratio and group size is maintained at all times, including the first and last hours of the day. Contact Information If you have questions or need assistance, you can reach me at: mona.ndiaye@dhhs.nc.gov | 336-580-5417 For further assistance, you may also contact my supervisor: kaye.adkins@dhhs.nc.gov | 336-580-2527 Thank you for your cooperation during today’s visit. 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: IT'S A KIDS WORLD, INC. Facility ID: 76000270 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 6/21/2024 Number Present: 40 Completed Date: 6/21/2024 Age: From 0 To 4 Total Minutes: 135 Time In: 11:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for applicable child care requirements. The facility currently operates with a Three Star License that was issued on August 15, 2017 . The last annual compliance visit was conducted on March 12, 2024. The Directors were present and assisted me during the visit. Children were observed participating in free play inside their classrooms and participating in short group times and stories. The children were observed eating lunch which consisted of chicken alfredo, pears, green beans and milk. The last sanitation inspection was completed May 23, 2024 with a “Superior” classification. The last fire inspection was conducted February 29, 2024. During today’s visit, a partial assessment of applicable child care requirements was conducted. I observed the following violations. Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. There are swings and a stationary climber that does not have at least 6 inches of mulch in the required areas. .0605(j) 721 All equipment and furnishings were not in good repair. On the playground for preschool aged children, there was a sit and spin toy that two children could use at once, the middle part the children use to spin themselves was broken off. G.S. 110-91(6); .0601(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. There were medications stored in a floor level cabinet that was unlocked int he classroom for toddlers. This is a repeat violation from 3/12/24. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. There was Nystatin creams that did not have prescription labels. This is a repeat violation from 3/12/24. .0803(2)(a) 847 Parent's medication authorization did not include required information. Several medications were incomplete, outdated or missing. This is a repeat violation from 3/12/24. 10A NCAC 09 .0803(4)(6-9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Four new staff did not have completed orientations on file. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff did not have current First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff did not have current CPR training. .1102(d) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two staff did not have a signed shaken baby acknowledgement on file. .0608(d)(1-4) 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. Two new staff did not complete the required training. This is a repeat violation from 3/12/24. .1102(g) The violation(s) must be corrected immediately, and a letter must be sent to me no later than July 9, 2024 stating how each item was corrected and how you plan to maintain compliance with the requirement. Please e-mail the letter to me at mona.ndiaye@dhhs.nc.gov . You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Technical Assistance Medication parental authorizations were either not complete, missing or outdated in all the classrooms. Medication were not labeled with the child’s name. Medication was observed in an unlocked floor level cabinet with the key in the lock in the classroom for toddlers. Violations were cited during the annual compliance visit conducted on March 12, 2024 for medications violations and a corrective action letter was received stating the medication violations had been corrected. Ensure you are using the correct medication forms. There is a form for topical medication and a form for prescription medications. Visit the DCDEE website to get the forms. Several new staff files were not complete. The facility is using a checklist for the staff files however staff was still missing paperwork. The playground for the preschool aged children had less then 6 inches of mulch under the swings and stationary slide. Broken toys should be removed from the the playground. Rated License Please be reminded your facility is in cohort one. Your prep year starts July 1, 2023. Your assessment year will begin July 1, 2024 and end June 30, 2025. If you have any questions please contact me. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . If you have questions or concerns, I can be reached at 336-580-5417 or at mona.ndiaye@dhhs.nc.gov . You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or336-580-2527 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.

G.S. 110-91 · Violation

Name of Operation: IT'S A KIDS WORLD, INC. Facility ID: 76000270 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 6/21/2024 Number Present: 40 Completed Date: 6/21/2024 Age: From 0 To 4 Total Minutes: 135 Time In: 11:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for applicable child care requirements. The facility currently operates with a Three Star License that was issued on August 15, 2017 . The last annual compliance visit was conducted on March 12, 2024. The Directors were present and assisted me during the visit. Children were observed participating in free play inside their classrooms and participating in short group times and stories. The children were observed eating lunch which consisted of chicken alfredo, pears, green beans and milk. The last sanitation inspection was completed May 23, 2024 with a “Superior” classification. The last fire inspection was conducted February 29, 2024. During today’s visit, a partial assessment of applicable child care requirements was conducted. I observed the following violations. Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. There are swings and a stationary climber that does not have at least 6 inches of mulch in the required areas. .0605(j) 721 All equipment and furnishings were not in good repair. On the playground for preschool aged children, there was a sit and spin toy that two children could use at once, the middle part the children use to spin themselves was broken off. G.S. 110-91(6); .0601(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. There were medications stored in a floor level cabinet that was unlocked int he classroom for toddlers. This is a repeat violation from 3/12/24. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. There was Nystatin creams that did not have prescription labels. This is a repeat violation from 3/12/24. .0803(2)(a) 847 Parent's medication authorization did not include required information. Several medications were incomplete, outdated or missing. This is a repeat violation from 3/12/24. 10A NCAC 09 .0803(4)(6-9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Four new staff did not have completed orientations on file. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff did not have current First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff did not have current CPR training. .1102(d) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two staff did not have a signed shaken baby acknowledgement on file. .0608(d)(1-4) 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. Two new staff did not complete the required training. This is a repeat violation from 3/12/24. .1102(g) The violation(s) must be corrected immediately, and a letter must be sent to me no later than July 9, 2024 stating how each item was corrected and how you plan to maintain compliance with the requirement. Please e-mail the letter to me at mona.ndiaye@dhhs.nc.gov . You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Technical Assistance Medication parental authorizations were either not complete, missing or outdated in all the classrooms. Medication were not labeled with the child’s name. Medication was observed in an unlocked floor level cabinet with the key in the lock in the classroom for toddlers. Violations were cited during the annual compliance visit conducted on March 12, 2024 for medications violations and a corrective action letter was received stating the medication violations had been corrected. Ensure you are using the correct medication forms. There is a form for topical medication and a form for prescription medications. Visit the DCDEE website to get the forms. Several new staff files were not complete. The facility is using a checklist for the staff files however staff was still missing paperwork. The playground for the preschool aged children had less then 6 inches of mulch under the swings and stationary slide. Broken toys should be removed from the the playground. Rated License Please be reminded your facility is in cohort one. Your prep year starts July 1, 2023. Your assessment year will begin July 1, 2024 and end June 30, 2025. If you have any questions please contact me. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . If you have questions or concerns, I can be reached at 336-580-5417 or at mona.ndiaye@dhhs.nc.gov . You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or336-580-2527 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: IT'S A KIDS WORLD, INC. Facility ID: 76000270 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 3/12/2024 Number Present: 51 Completed Date: 3/12/2024 Age: From 0 To 3 Total Minutes: 290 Time In: 09:20 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor for child care requirements applicable to a child care center. Tiffany Crozier, were present and assisted me during today’s visit. I completed a walk-through of the facility, attendance was documented, and observations were made. The children were observed participating in free play in their classrooms. The last annual compliance visit was conducted March 30, 2023. The center is operating under a Three Star License that was issued August 15, 2017. The last sanitation inspection was conducted November 8, 2023 the center received an Superior rating. The last fire inspection was conducted February 29, 2024. Fire drills and playground inspections were monitored. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. The following violations were observed during today’s visit. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the classroom for young toddlers, the diaper creams were in a low cabinet that was not locked. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In the classroom for infants there was Nystatin cream that did not have a prescription label. In the classroom for toddlers, there Clotrimazole cream that had no prescription label. .0803(2)(a) 847 Parent's medication authorization did not include required information. There was diaper creams that did not have a parental authorization on file. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. There was Nystatin cream diaper creams, allergy medication, emergency medication and Zarbees cough medicine that was not returned to parents within 72 hours of end of treatment or end of parental authorization. .0803(12) 871 Center staff did not comply with the safe sleep policy. One infant was observed in a crib with a blanket wrapped around his/her body. One infant was observed with a boppy pillow in his/her crib 10A NCAC 09 .0606(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two staff did not complete the required number of on going training. .1103(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. The teacher working in the classroom for infants did not have ITS SIDS training. .1102(f) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for a child with asthma was not annually updated .0801(b) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. One staff hired 4/2023 did not have a medical on file. .0701(d) 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 hired 4/2023 did not completed this required training. .1102(g) The above violation must be corrected immediately, and a letter must be sent to me no later than March 26, 2024 stating how each item was corrected and a plan to maintain compliance with the requirement. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by March 26, 2024 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Consultation/Technical Assistance It is best practice according to your safe sleep policy to label each infants crib with their ability to roll over on their own. I observed a fan in the toddler classroom that was not up five feet or covered with mesh. The fan was not on, whenever the fan is used it must be out of reach of children or covered with a mesh cover. Playground inspections need to kept on site. If a key is in a lock, the cabinet is considered unlocked. The dirty toy bin/container needs to be labeled and easily accessible. Medication information needs to be reviewed due to the amount of violations cited. UPDATES The Division of Child Development has announced their plan to resume the Star Rated License process. Facilities have been divided into 3 Cohorts. Each cohort will have a preparation year and an assessment year. Your facility is in Cohort 1. Your preparation year began July 1, 2023 and will end on June 30, 2024. Your assessment year begins July 1, 2024. The preparation year is an opportunity to focus on your Star Rated License and consider strategies to help maintain or increase your star rating. It could be helpful to consider areas where refresher information might be helpful. These ideas can then be incorporated into ongoing training and/or professional development plans as you prepare for your assessment year when the regular star rated license reassessment process is required. Some preparation year ideas to consider are: 1. Review your previous ECERS-R and ITERS-R assessments. (if applicable) 2. Look for assessment related resources at www.ncrlap.org 3. Seek out webinars and/or in-person trainings related to topics of interest. 4. Start a self-study process to become more familiar with the ERS or priority areas relevant to your program 5. Schedule staff meetings to discuss topics related to the Environment Rating Scales 6. Support and encourage staff during a self-study process. Connect them with resources at ncrlap.org 7. Ensure all staff’s education is current in WORKS by having them log in to access their information at https://dcdee.works.nc.gov/ RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at mona.ndiaye@dhhs.nc.gov or by phone at 336-580-5417. You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or336-580-2527 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: IT'S A KIDS WORLD, INC. Facility ID: 76000270 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 3/12/2024 Number Present: 51 Completed Date: 3/12/2024 Age: From 0 To 3 Total Minutes: 290 Time In: 09:20 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor for child care requirements applicable to a child care center. Tiffany Crozier, were present and assisted me during today’s visit. I completed a walk-through of the facility, attendance was documented, and observations were made. The children were observed participating in free play in their classrooms. The last annual compliance visit was conducted March 30, 2023. The center is operating under a Three Star License that was issued August 15, 2017. The last sanitation inspection was conducted November 8, 2023 the center received an Superior rating. The last fire inspection was conducted February 29, 2024. Fire drills and playground inspections were monitored. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. The following violations were observed during today’s visit. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the classroom for young toddlers, the diaper creams were in a low cabinet that was not locked. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In the classroom for infants there was Nystatin cream that did not have a prescription label. In the classroom for toddlers, there Clotrimazole cream that had no prescription label. .0803(2)(a) 847 Parent's medication authorization did not include required information. There was diaper creams that did not have a parental authorization on file. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. There was Nystatin cream diaper creams, allergy medication, emergency medication and Zarbees cough medicine that was not returned to parents within 72 hours of end of treatment or end of parental authorization. .0803(12) 871 Center staff did not comply with the safe sleep policy. One infant was observed in a crib with a blanket wrapped around his/her body. One infant was observed with a boppy pillow in his/her crib 10A NCAC 09 .0606(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two staff did not complete the required number of on going training. .1103(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. The teacher working in the classroom for infants did not have ITS SIDS training. .1102(f) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for a child with asthma was not annually updated .0801(b) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. One staff hired 4/2023 did not have a medical on file. .0701(d) 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 hired 4/2023 did not completed this required training. .1102(g) The above violation must be corrected immediately, and a letter must be sent to me no later than March 26, 2024 stating how each item was corrected and a plan to maintain compliance with the requirement. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by March 26, 2024 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Consultation/Technical Assistance It is best practice according to your safe sleep policy to label each infants crib with their ability to roll over on their own. I observed a fan in the toddler classroom that was not up five feet or covered with mesh. The fan was not on, whenever the fan is used it must be out of reach of children or covered with a mesh cover. Playground inspections need to kept on site. If a key is in a lock, the cabinet is considered unlocked. The dirty toy bin/container needs to be labeled and easily accessible. Medication information needs to be reviewed due to the amount of violations cited. UPDATES The Division of Child Development has announced their plan to resume the Star Rated License process. Facilities have been divided into 3 Cohorts. Each cohort will have a preparation year and an assessment year. Your facility is in Cohort 1. Your preparation year began July 1, 2023 and will end on June 30, 2024. Your assessment year begins July 1, 2024. The preparation year is an opportunity to focus on your Star Rated License and consider strategies to help maintain or increase your star rating. It could be helpful to consider areas where refresher information might be helpful. These ideas can then be incorporated into ongoing training and/or professional development plans as you prepare for your assessment year when the regular star rated license reassessment process is required. Some preparation year ideas to consider are: 1. Review your previous ECERS-R and ITERS-R assessments. (if applicable) 2. Look for assessment related resources at www.ncrlap.org 3. Seek out webinars and/or in-person trainings related to topics of interest. 4. Start a self-study process to become more familiar with the ERS or priority areas relevant to your program 5. Schedule staff meetings to discuss topics related to the Environment Rating Scales 6. Support and encourage staff during a self-study process. Connect them with resources at ncrlap.org 7. Ensure all staff’s education is current in WORKS by having them log in to access their information at https://dcdee.works.nc.gov/ RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at mona.ndiaye@dhhs.nc.gov or by phone at 336-580-5417. You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or336-580-2527 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