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Home › NC › Randleman › Randleman Enrichment Center
611 S Main Street, Randleman NC 27317 · License #76000417 · Child Care Center
Not published by the state. Owners can add hours via profile claim.
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10A NCAC 09 .0902 · Violation
Name of Operation: RANDLEMAN ENRICHMENT CENTER Facility ID: 76000417 Consultant: LORI RIERSON Operation Type: Center Case Number: Visit Date: 4/13/2026 Number Present: 204 Completed Date: 4/13/2026 Age: From 0 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced Today an unannounced annual compliance with rated license assessment visit was conducted. A checklist was used to note the childcare requirements monitored today, and a copy was left with you. The last annual compliance visit was conducted 8/6/25. Currently this program operates with a five (5) star license issued 11/28/17. The center earned six (6) points in education, six (6) points in program standards, and one quality point for programmatic options met. The center director, Tracey Harrell, assisted me today. I conducted an assisted walk-through of the center. The last sanitation inspection was completed 3/16/26 with an ‘Approved’ classification and 22 demerits. The last fire inspection was conducted on 4/17/25. Children were observed playing in activity areas, playing outside, eating lunch, resting, and routine care activities. The center has four NCPK classrooms with seventy-eight children enrolled. The NCPK requirements were monitored during today’s visit. The program operates for 6.5 hours a day. A monthly breakfast and lunch menu was posted in each classroom. Eight NC Pre-K children's files were monitored and each contained a health assessment within 30 days, a DIAL screening within 90 days, and evidence of each child's on-going progress. The teachers use Creative Curriculum and Teaching Strategies and activity plans were current and posted. Staff/child ratio of 1:10 or less is being maintained. The parents receive newsletters, receive updates online messaging, and they are able to volunteer throughout the school year. The teachers also have parent meetings and conferences during the year. The current ECERS-R score was received 10/31/17 and scored 5.75. The center provides transportation for school-age children at a secondary location. Four vans (JKX 8743, FAA 3932, DMD 7829, and DC 2384) are used and were monitored today. A fifth van, EDK 8573, was monitored but is currently not being used. A partial assessment of childcare requirements was conducted today. Staff records were not monitored today. The following violation(s) were documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) One child did not have a feeding plan on file in room 4. 10A NCAC 09 .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The stakes holding the bumpers together around the sandbox on the preschool playground were raised an protruding over the top of the bumpers. .0601(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. A total of twenty children that are transported did not have a photograph attached to their emergency information. 10A NCAC 09 .1003(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the stationary structure on the preschool playground was not at least six inches deep. .0605(k)(1-4) You were provided an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Violations cited during the visit were discussed with Ms. Harrell. The violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be received on or before 4/27/26. The letter must include the following: *Facility Name and ID number *List of each violation number *How each violation was corrected All items must be included, or the corrective action letter will be returned for corrections. All requested documentation must accompany the Corrective Action Letter. The letter can be emailed to lori.rierson@dhhs.nc.gov. CONSULTATION AND RESOURCES: I will conduct a follow-up visit to monitor the staff files. A fire inspection must be completed by 4/16/26. Rated License Assessment: You are choosing pathway one. The assessment request for the four NCPK classrooms has been submitted. The request for assessment for the remainder of the classrooms must be submitted by July 31, 2026. All lead teachers and the administrator must complete the self-study review and use the forms on the NCRLAP website. Every classroom lead teacher should complete this. I discussed this with each NCPK lead teachers today. Each stated they are in the process of completing their self-study. The remaining classrooms should begin their self-study no later than May 1st to ensure it is completed on time. This will help them prepare their rooms for assessment. All staff must be registered into the WORKS system and have all education submitted and evaluated for their positions. You can email me the staff assigned to each classroom, their birthdays, and years of experience. I will evaluate these and follow up with you to discuss the star level the education is at and any options for increasing stars if that is needed. We reviewed the family and community engagement standards today. For five stars, you will choose four additional items from the three categories. The form was emailed to you. We reviewed the facility and staff continuous quality improvement plans today. Copies of these forms were emailed to you. Items 1-4 should be completed at the time of the completion of the rated license. I will monitor for recorded progress on the goals during monitoring visits. Classroom Technical Assistance: We discussed reducing the size of the block areas in the NCPK classrooms. They should be 6 feet x 9 feet. This area in some classrooms was significantly larger. This large size does not contribute to children keeping materials contained and building structures. All classrooms should add more child-led art to the walls. At the seven-point level, at least 50% of what is posted should be this type of artwork. Pictures of toys and the name of the toy should be placed on all shelves. Each room should have a cozy area separate from the book area. This area should have a lot of pillows for a level of softness. The dress-up clothes in the dramatic play areas should be hung in some manner for children to easily see and access them. Each music area should have a radio/CD player with several different types of music for children to choose from to play. We discussed some room rearrangement in the NCPK rooms. One room had the block center and dramatic play areas on opposite sides of the room. These are considered loud centers and should be adjacent to each other. This allows the teacher A photograph must be attached to each child’s emergency information that is transported. Staff should walk the playground daily to ensure the area is free of hazards and does not need any maintenance. You currently have a signed parent form giving authorization for a single dose of acetaminophen or Benadryl. The childcare rule 10A NCAC 09 .0803(8) only allows permission for the acetaminophen. This authorization must be removed and a new permission form signed by parents reflecting only permission for the acetaminophen in the event of a child’s fever if the parent cannot be contacted. Documents and forms for DCDEE licensure can be found at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. AGENCY NEWS AND UPDATES: Please refer to the Division of Child Development and Early Education website, http://ncchildcare.ncdhhs.gov for additional information regarding: *’What’s New’ tab *QRIS Updates If you have and questions or concerns, please call me at 336-816-4826, or email lori.rierson@dhhs.nc.gov or my supervisor Kaye Adkins at 336-580-2527 or by email at kaye.adkins@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
Generated from this facility's specific inspection record
Data synced from North Carolina's child care licensing agency on Jul 9, 2026 · Report an error
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0803 · Violation
Name of Operation: RANDLEMAN ENRICHMENT CENTER Facility ID: 76000417 Consultant: LORI RIERSON Operation Type: Center Case Number: Visit Date: 4/13/2026 Number Present: 204 Completed Date: 4/13/2026 Age: From 0 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced Today an unannounced annual compliance with rated license assessment visit was conducted. A checklist was used to note the childcare requirements monitored today, and a copy was left with you. The last annual compliance visit was conducted 8/6/25. Currently this program operates with a five (5) star license issued 11/28/17. The center earned six (6) points in education, six (6) points in program standards, and one quality point for programmatic options met. The center director, Tracey Harrell, assisted me today. I conducted an assisted walk-through of the center. The last sanitation inspection was completed 3/16/26 with an ‘Approved’ classification and 22 demerits. The last fire inspection was conducted on 4/17/25. Children were observed playing in activity areas, playing outside, eating lunch, resting, and routine care activities. The center has four NCPK classrooms with seventy-eight children enrolled. The NCPK requirements were monitored during today’s visit. The program operates for 6.5 hours a day. A monthly breakfast and lunch menu was posted in each classroom. Eight NC Pre-K children's files were monitored and each contained a health assessment within 30 days, a DIAL screening within 90 days, and evidence of each child's on-going progress. The teachers use Creative Curriculum and Teaching Strategies and activity plans were current and posted. Staff/child ratio of 1:10 or less is being maintained. The parents receive newsletters, receive updates online messaging, and they are able to volunteer throughout the school year. The teachers also have parent meetings and conferences during the year. The current ECERS-R score was received 10/31/17 and scored 5.75. The center provides transportation for school-age children at a secondary location. Four vans (JKX 8743, FAA 3932, DMD 7829, and DC 2384) are used and were monitored today. A fifth van, EDK 8573, was monitored but is currently not being used. A partial assessment of childcare requirements was conducted today. Staff records were not monitored today. The following violation(s) were documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) One child did not have a feeding plan on file in room 4. 10A NCAC 09 .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The stakes holding the bumpers together around the sandbox on the preschool playground were raised an protruding over the top of the bumpers. .0601(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. A total of twenty children that are transported did not have a photograph attached to their emergency information. 10A NCAC 09 .1003(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the stationary structure on the preschool playground was not at least six inches deep. .0605(k)(1-4) You were provided an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Violations cited during the visit were discussed with Ms. Harrell. The violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be received on or before 4/27/26. The letter must include the following: *Facility Name and ID number *List of each violation number *How each violation was corrected All items must be included, or the corrective action letter will be returned for corrections. All requested documentation must accompany the Corrective Action Letter. The letter can be emailed to lori.rierson@dhhs.nc.gov. CONSULTATION AND RESOURCES: I will conduct a follow-up visit to monitor the staff files. A fire inspection must be completed by 4/16/26. Rated License Assessment: You are choosing pathway one. The assessment request for the four NCPK classrooms has been submitted. The request for assessment for the remainder of the classrooms must be submitted by July 31, 2026. All lead teachers and the administrator must complete the self-study review and use the forms on the NCRLAP website. Every classroom lead teacher should complete this. I discussed this with each NCPK lead teachers today. Each stated they are in the process of completing their self-study. The remaining classrooms should begin their self-study no later than May 1st to ensure it is completed on time. This will help them prepare their rooms for assessment. All staff must be registered into the WORKS system and have all education submitted and evaluated for their positions. You can email me the staff assigned to each classroom, their birthdays, and years of experience. I will evaluate these and follow up with you to discuss the star level the education is at and any options for increasing stars if that is needed. We reviewed the family and community engagement standards today. For five stars, you will choose four additional items from the three categories. The form was emailed to you. We reviewed the facility and staff continuous quality improvement plans today. Copies of these forms were emailed to you. Items 1-4 should be completed at the time of the completion of the rated license. I will monitor for recorded progress on the goals during monitoring visits. Classroom Technical Assistance: We discussed reducing the size of the block areas in the NCPK classrooms. They should be 6 feet x 9 feet. This area in some classrooms was significantly larger. This large size does not contribute to children keeping materials contained and building structures. All classrooms should add more child-led art to the walls. At the seven-point level, at least 50% of what is posted should be this type of artwork. Pictures of toys and the name of the toy should be placed on all shelves. Each room should have a cozy area separate from the book area. This area should have a lot of pillows for a level of softness. The dress-up clothes in the dramatic play areas should be hung in some manner for children to easily see and access them. Each music area should have a radio/CD player with several different types of music for children to choose from to play. We discussed some room rearrangement in the NCPK rooms. One room had the block center and dramatic play areas on opposite sides of the room. These are considered loud centers and should be adjacent to each other. This allows the teacher A photograph must be attached to each child’s emergency information that is transported. Staff should walk the playground daily to ensure the area is free of hazards and does not need any maintenance. You currently have a signed parent form giving authorization for a single dose of acetaminophen or Benadryl. The childcare rule 10A NCAC 09 .0803(8) only allows permission for the acetaminophen. This authorization must be removed and a new permission form signed by parents reflecting only permission for the acetaminophen in the event of a child’s fever if the parent cannot be contacted. Documents and forms for DCDEE licensure can be found at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. AGENCY NEWS AND UPDATES: Please refer to the Division of Child Development and Early Education website, http://ncchildcare.ncdhhs.gov for additional information regarding: *’What’s New’ tab *QRIS Updates If you have and questions or concerns, please call me at 336-816-4826, or email lori.rierson@dhhs.nc.gov or my supervisor Kaye Adkins at 336-580-2527 or by email at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .1003 · Violation
Name of Operation: RANDLEMAN ENRICHMENT CENTER Facility ID: 76000417 Consultant: LORI RIERSON Operation Type: Center Case Number: Visit Date: 4/13/2026 Number Present: 204 Completed Date: 4/13/2026 Age: From 0 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced Today an unannounced annual compliance with rated license assessment visit was conducted. A checklist was used to note the childcare requirements monitored today, and a copy was left with you. The last annual compliance visit was conducted 8/6/25. Currently this program operates with a five (5) star license issued 11/28/17. The center earned six (6) points in education, six (6) points in program standards, and one quality point for programmatic options met. The center director, Tracey Harrell, assisted me today. I conducted an assisted walk-through of the center. The last sanitation inspection was completed 3/16/26 with an ‘Approved’ classification and 22 demerits. The last fire inspection was conducted on 4/17/25. Children were observed playing in activity areas, playing outside, eating lunch, resting, and routine care activities. The center has four NCPK classrooms with seventy-eight children enrolled. The NCPK requirements were monitored during today’s visit. The program operates for 6.5 hours a day. A monthly breakfast and lunch menu was posted in each classroom. Eight NC Pre-K children's files were monitored and each contained a health assessment within 30 days, a DIAL screening within 90 days, and evidence of each child's on-going progress. The teachers use Creative Curriculum and Teaching Strategies and activity plans were current and posted. Staff/child ratio of 1:10 or less is being maintained. The parents receive newsletters, receive updates online messaging, and they are able to volunteer throughout the school year. The teachers also have parent meetings and conferences during the year. The current ECERS-R score was received 10/31/17 and scored 5.75. The center provides transportation for school-age children at a secondary location. Four vans (JKX 8743, FAA 3932, DMD 7829, and DC 2384) are used and were monitored today. A fifth van, EDK 8573, was monitored but is currently not being used. A partial assessment of childcare requirements was conducted today. Staff records were not monitored today. The following violation(s) were documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) One child did not have a feeding plan on file in room 4. 10A NCAC 09 .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The stakes holding the bumpers together around the sandbox on the preschool playground were raised an protruding over the top of the bumpers. .0601(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. A total of twenty children that are transported did not have a photograph attached to their emergency information. 10A NCAC 09 .1003(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the stationary structure on the preschool playground was not at least six inches deep. .0605(k)(1-4) You were provided an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Violations cited during the visit were discussed with Ms. Harrell. The violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be received on or before 4/27/26. The letter must include the following: *Facility Name and ID number *List of each violation number *How each violation was corrected All items must be included, or the corrective action letter will be returned for corrections. All requested documentation must accompany the Corrective Action Letter. The letter can be emailed to lori.rierson@dhhs.nc.gov. CONSULTATION AND RESOURCES: I will conduct a follow-up visit to monitor the staff files. A fire inspection must be completed by 4/16/26. Rated License Assessment: You are choosing pathway one. The assessment request for the four NCPK classrooms has been submitted. The request for assessment for the remainder of the classrooms must be submitted by July 31, 2026. All lead teachers and the administrator must complete the self-study review and use the forms on the NCRLAP website. Every classroom lead teacher should complete this. I discussed this with each NCPK lead teachers today. Each stated they are in the process of completing their self-study. The remaining classrooms should begin their self-study no later than May 1st to ensure it is completed on time. This will help them prepare their rooms for assessment. All staff must be registered into the WORKS system and have all education submitted and evaluated for their positions. You can email me the staff assigned to each classroom, their birthdays, and years of experience. I will evaluate these and follow up with you to discuss the star level the education is at and any options for increasing stars if that is needed. We reviewed the family and community engagement standards today. For five stars, you will choose four additional items from the three categories. The form was emailed to you. We reviewed the facility and staff continuous quality improvement plans today. Copies of these forms were emailed to you. Items 1-4 should be completed at the time of the completion of the rated license. I will monitor for recorded progress on the goals during monitoring visits. Classroom Technical Assistance: We discussed reducing the size of the block areas in the NCPK classrooms. They should be 6 feet x 9 feet. This area in some classrooms was significantly larger. This large size does not contribute to children keeping materials contained and building structures. All classrooms should add more child-led art to the walls. At the seven-point level, at least 50% of what is posted should be this type of artwork. Pictures of toys and the name of the toy should be placed on all shelves. Each room should have a cozy area separate from the book area. This area should have a lot of pillows for a level of softness. The dress-up clothes in the dramatic play areas should be hung in some manner for children to easily see and access them. Each music area should have a radio/CD player with several different types of music for children to choose from to play. We discussed some room rearrangement in the NCPK rooms. One room had the block center and dramatic play areas on opposite sides of the room. These are considered loud centers and should be adjacent to each other. This allows the teacher A photograph must be attached to each child’s emergency information that is transported. Staff should walk the playground daily to ensure the area is free of hazards and does not need any maintenance. You currently have a signed parent form giving authorization for a single dose of acetaminophen or Benadryl. The childcare rule 10A NCAC 09 .0803(8) only allows permission for the acetaminophen. This authorization must be removed and a new permission form signed by parents reflecting only permission for the acetaminophen in the event of a child’s fever if the parent cannot be contacted. Documents and forms for DCDEE licensure can be found at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. AGENCY NEWS AND UPDATES: Please refer to the Division of Child Development and Early Education website, http://ncchildcare.ncdhhs.gov for additional information regarding: *’What’s New’ tab *QRIS Updates If you have and questions or concerns, please call me at 336-816-4826, or email lori.rierson@dhhs.nc.gov or my supervisor Kaye Adkins at 336-580-2527 or by email at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-90 · Violation
Name of Operation: RANDLEMAN ENRICHMENT CENTER Facility ID: 76000417 Consultant: LORI RIERSON Operation Type: Center Case Number: Visit Date: 8/26/2025 Number Present: 145 Completed Date: 8/26/2025 Age: From 0 To 5 Total Minutes: 265 Time In: 09:50 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced Today an unannounced annual compliance follow-up visit was conducted. An annual compliance visit was conducted 8/6/25. Center director Tracy Harrell assisted me today. I conducted an assisted walk-through of the center today. Children were observed resting and routine care activities. A partial assessment of childcare requirements was conducted today. Staff files were monitored today. Staff/child ratios, supervision, and safety requirements were in compliance today. The following violations were cited today. Violation Number Comment Rule 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. B. Trogdon did not have a questionnaire on file. The questionnaire on file for S. Scott was not renewed annually. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. B. Trogdon did not have a questionnaire on file. The questionnaire on file for S. Scott was not renewed annually. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The letter for S. Nelson expired 6/8/25 and the new letter was dated 6/13/25. The letter for P. Shelton expired 1/17/25 and the new letter was dated 2/18/25. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. New staff member B. Trogdon did not complete orientation. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member K. Dettle was short two hours, B. Roark is short seven hours, A. Robins is short nine hours, M. Semler is short three hours, R. Thomas is short five hours, and S. Turner is short eight hours. .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 training for T. Lemons was due by 7/12/25. .1102(f) 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. The policy was not reviewed with B. Trogdon. Her date of hire was 6/2/25. .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. The training was due for M. Blake by 6/10/25, T. Lemons by 8/12/25, and T. Swan by 4/6/25. The trainings were not completed. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. The training for A. Dixon was due 7/9/25, S. Scott by 6/4/25, N. Tenner by 3/1/25, and K. Wagoner by 3/18/25. .1102(a) You were provided an opportunity to ask questions regarding violations today. The violations were discussed with Ms. Lauren Havens. The violations above must be corrected immediately. A signed/dated letter of compliance is due by 9/9/25. The letter may be emailed to lori.rierson@dhhs.nc.gov. Technical Assistance: The Health and Safety trainings are due for the following staff: T. Swan - 1/6/26, B. Trogdon - 6/2/26, T. Lemons - 5/12/26. K. Baker - 6/9/26, M. Blake - 3/10/26, C. Hankins - 10/24/25, and A. Gray - 10/1/25. The five-year completion date for the Health and Safety trainings is due for the following: B. Avila - 9/30/25, and K. Dettle - 9/30/25. The qualification letter for A. Gray expired while she was out for the summer. A new letter was received prior to the fall return. A violation was not cited. Staff member N. Tenner completed Recognizing and Responding to Suspicions of Child Maltreatment on 11/13/23. A copy of the training certificate was not available. She can contact Prevent Child Abuse NC to obtain a new copy. If one cannot be obtained, she must retake the training. Recognizing and Responding to Suspicions of Child Maltreatment is due for K. Baker by 9/9/25 and for N. Striblin by 9/16/25. The qualification letter for A. Cooper expires 10/23/25. CPR/First Aid for B. Avila expires 11/2025. CPR/First Aid is due for B. Trogdon by 9/2/25. T. Lemons cannot work alone in with infants until she completed ITS/SIDS training. If you have any questions or concerns, you may contact me at (336)8160-4826 or at lori.rierson@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0304 · Violation
Name of Operation: RANDLEMAN ENRICHMENT CENTER Facility ID: 76000417 Consultant: LORI RIERSON Operation Type: Center Case Number: Visit Date: 8/6/2025 Number Present: 193 Completed Date: 8/6/2025 Age: From 0 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today an unannounced annual compliance visit was conducted. A checklist was used to monitor requirements today and a copy was left with you. The last annual compliance visit was conducted 8/9/25. Currently this program operates with a five (5) star license issued 11/28/17. The center earned six points in education, 6 points in program standards, and one quality point for programmatic options met. The center director, Tracy Harrell, assisted me today. I conducted an assisted walk-through of the center. The last sanitation inspection was completed 5/7/25 with an ‘Approved’ classification and 19 demerits. The last fire inspection was conducted on 4/17/25. Children were observed playing in large and small group activities, eating lunch, and routine care activities. Transportation is provided. The facility uses two large buses, one mini-bus (DMD 7829), and two passenger vans (DC-2384, EDF 8573) for transportation. All were monitored except the two large buses. These were at the school-age center. They have been monitored at that location. The vans and mini-bus are not currently being used. A partial assessment of childcare requirements was conducted today. Staff records were not monitored today. The following violation(s) were documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The current inspection was not received within twelve months of the previous inspection. 10A NCAC 09 .0304(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. There was not any measurable mulch around the stationary equipment on the playground. .0605(j) 721 All equipment and furnishings were not in good repair. One of the blue parallel bars was bent and posed a hazard on the playground. G.S. 110-91(6); .0601(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One diaper cream for a child in room three did not have a permission form. 10A NCAC 09 .0803(1)(a & b) You were provided an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Violations cited during the visit were discussed with Ms. Harrell. The violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be received on or before 8/20/25. The letter must include the following: *Facility Name and ID number *List of each violation number *How each violation was corrected All items must be included, or the corrective action letter will be returned for corrections. All requested documentation must accompany the Corrective Action Letter. The letter can be emailed to lori.rierson@dhhs.nc.gov. CONSULTATION AND RESOURCES: Once QRIS is implemented, you will receive information from DCDEE regarding the new pathways for licensure and your timeframe for completing your license renewal. Provider trainings will be offered this fall. The NCRLAP website, https://ncrlap.org, has trainings geared towards the new ECERS3 and ITERS3 assessment scales. These will introduce you to the updated assessment scale and provide tips for completing the new scale. We discussed purchasing the new assessment books today. The cost is around $28.00 each. We discussed the annual review of the center’s Emergency Preparedness Plan. The website is https://rmp.nc.gov. Once you make any revisions, publish the plan and print the first page for your records. We reviewed the requirements for therapists that come into the classrooms. Therapists are required to obtain a criminal background letter through DCDEE. You must have a on file for review at your center. The vehicle registration for DMD 7829 expired 7/31/25. This must be renewed before it is used again. The registration for van DC 2384 expires 8/31/25. I will return within two weeks to complete a review of the staff files. Documents and forms for DCDEE licensure can be found at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. AGENCY NEWS AND UPDATES: Please refer to the Division of Child Development and Early Education website, http://ncchildcare.ncdhhs.gov for additional information regarding: *’What’s New’ tab *QRIS Updates If you have and questions or concerns, please call me at 336-816-4826, or email lori.rierson@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
10A NCAC 09 .0803 · Violation
Name of Operation: RANDLEMAN ENRICHMENT CENTER Facility ID: 76000417 Consultant: LORI RIERSON Operation Type: Center Case Number: Visit Date: 8/6/2025 Number Present: 193 Completed Date: 8/6/2025 Age: From 0 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today an unannounced annual compliance visit was conducted. A checklist was used to monitor requirements today and a copy was left with you. The last annual compliance visit was conducted 8/9/25. Currently this program operates with a five (5) star license issued 11/28/17. The center earned six points in education, 6 points in program standards, and one quality point for programmatic options met. The center director, Tracy Harrell, assisted me today. I conducted an assisted walk-through of the center. The last sanitation inspection was completed 5/7/25 with an ‘Approved’ classification and 19 demerits. The last fire inspection was conducted on 4/17/25. Children were observed playing in large and small group activities, eating lunch, and routine care activities. Transportation is provided. The facility uses two large buses, one mini-bus (DMD 7829), and two passenger vans (DC-2384, EDF 8573) for transportation. All were monitored except the two large buses. These were at the school-age center. They have been monitored at that location. The vans and mini-bus are not currently being used. A partial assessment of childcare requirements was conducted today. Staff records were not monitored today. The following violation(s) were documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The current inspection was not received within twelve months of the previous inspection. 10A NCAC 09 .0304(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. There was not any measurable mulch around the stationary equipment on the playground. .0605(j) 721 All equipment and furnishings were not in good repair. One of the blue parallel bars was bent and posed a hazard on the playground. G.S. 110-91(6); .0601(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One diaper cream for a child in room three did not have a permission form. 10A NCAC 09 .0803(1)(a & b) You were provided an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Violations cited during the visit were discussed with Ms. Harrell. The violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be received on or before 8/20/25. The letter must include the following: *Facility Name and ID number *List of each violation number *How each violation was corrected All items must be included, or the corrective action letter will be returned for corrections. All requested documentation must accompany the Corrective Action Letter. The letter can be emailed to lori.rierson@dhhs.nc.gov. CONSULTATION AND RESOURCES: Once QRIS is implemented, you will receive information from DCDEE regarding the new pathways for licensure and your timeframe for completing your license renewal. Provider trainings will be offered this fall. The NCRLAP website, https://ncrlap.org, has trainings geared towards the new ECERS3 and ITERS3 assessment scales. These will introduce you to the updated assessment scale and provide tips for completing the new scale. We discussed purchasing the new assessment books today. The cost is around $28.00 each. We discussed the annual review of the center’s Emergency Preparedness Plan. The website is https://rmp.nc.gov. Once you make any revisions, publish the plan and print the first page for your records. We reviewed the requirements for therapists that come into the classrooms. Therapists are required to obtain a criminal background letter through DCDEE. You must have a on file for review at your center. The vehicle registration for DMD 7829 expired 7/31/25. This must be renewed before it is used again. The registration for van DC 2384 expires 8/31/25. I will return within two weeks to complete a review of the staff files. Documents and forms for DCDEE licensure can be found at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. AGENCY NEWS AND UPDATES: Please refer to the Division of Child Development and Early Education website, http://ncchildcare.ncdhhs.gov for additional information regarding: *’What’s New’ tab *QRIS Updates If you have and questions or concerns, please call me at 336-816-4826, or email lori.rierson@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
G.S. 110-91 · Violation
Name of Operation: RANDLEMAN ENRICHMENT CENTER Facility ID: 76000417 Consultant: LORI RIERSON Operation Type: Center Case Number: Visit Date: 8/6/2025 Number Present: 193 Completed Date: 8/6/2025 Age: From 0 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today an unannounced annual compliance visit was conducted. A checklist was used to monitor requirements today and a copy was left with you. The last annual compliance visit was conducted 8/9/25. Currently this program operates with a five (5) star license issued 11/28/17. The center earned six points in education, 6 points in program standards, and one quality point for programmatic options met. The center director, Tracy Harrell, assisted me today. I conducted an assisted walk-through of the center. The last sanitation inspection was completed 5/7/25 with an ‘Approved’ classification and 19 demerits. The last fire inspection was conducted on 4/17/25. Children were observed playing in large and small group activities, eating lunch, and routine care activities. Transportation is provided. The facility uses two large buses, one mini-bus (DMD 7829), and two passenger vans (DC-2384, EDF 8573) for transportation. All were monitored except the two large buses. These were at the school-age center. They have been monitored at that location. The vans and mini-bus are not currently being used. A partial assessment of childcare requirements was conducted today. Staff records were not monitored today. The following violation(s) were documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The current inspection was not received within twelve months of the previous inspection. 10A NCAC 09 .0304(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. There was not any measurable mulch around the stationary equipment on the playground. .0605(j) 721 All equipment and furnishings were not in good repair. One of the blue parallel bars was bent and posed a hazard on the playground. G.S. 110-91(6); .0601(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One diaper cream for a child in room three did not have a permission form. 10A NCAC 09 .0803(1)(a & b) You were provided an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Violations cited during the visit were discussed with Ms. Harrell. The violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be received on or before 8/20/25. The letter must include the following: *Facility Name and ID number *List of each violation number *How each violation was corrected All items must be included, or the corrective action letter will be returned for corrections. All requested documentation must accompany the Corrective Action Letter. The letter can be emailed to lori.rierson@dhhs.nc.gov. CONSULTATION AND RESOURCES: Once QRIS is implemented, you will receive information from DCDEE regarding the new pathways for licensure and your timeframe for completing your license renewal. Provider trainings will be offered this fall. The NCRLAP website, https://ncrlap.org, has trainings geared towards the new ECERS3 and ITERS3 assessment scales. These will introduce you to the updated assessment scale and provide tips for completing the new scale. We discussed purchasing the new assessment books today. The cost is around $28.00 each. We discussed the annual review of the center’s Emergency Preparedness Plan. The website is https://rmp.nc.gov. Once you make any revisions, publish the plan and print the first page for your records. We reviewed the requirements for therapists that come into the classrooms. Therapists are required to obtain a criminal background letter through DCDEE. You must have a on file for review at your center. The vehicle registration for DMD 7829 expired 7/31/25. This must be renewed before it is used again. The registration for van DC 2384 expires 8/31/25. I will return within two weeks to complete a review of the staff files. Documents and forms for DCDEE licensure can be found at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. AGENCY NEWS AND UPDATES: Please refer to the Division of Child Development and Early Education website, http://ncchildcare.ncdhhs.gov for additional information regarding: *’What’s New’ tab *QRIS Updates If you have and questions or concerns, please call me at 336-816-4826, or email lori.rierson@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
G.S. 110-91 · Violation
Name of Operation: RANDLEMAN ENRICHMENT CENTER Facility ID: 76000417 Consultant: MONA NDIAYE Operation Type: Center Case Number: 0325-114L Visit Date: 3/24/2025 Number Present: 189 Completed Date: 3/24/2025 Age: From 0 To 5 Total Minutes: 60 Time In: 08:45 AM Time Out: 09:45 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 alleging violations of child care requirements regarding staff child ratio, nurture and care. The facility currently operates with a Five Star License that was issued on November 28, 2017. The last annual compliance visit was conducted August 9, 2024. The Director, Tracy Harrell, and Assistant Director Lauren Havens were present and assisted me during the visit. I informed them of the reason for my visit. The children were observed participating in free play in their classrooms and interacting with their teachers. Allegation 1: There is concern regarding staff child ratios During today’s visit, I observed all the classrooms in ratio during my visit, however, I spoke with the Assistant Director about the date of February 27, 2025 and she stated the infant classroom, space 3, was out of ratios for a short time Findings: The allegation regarding ratios is substantiated based on today’s discussion with the Assistant Director. Allegation 2 : There is concern regarding nurture and care. During today’s visit, I observed the teachers interacting with the children in a positive manner, I spoke with the Assistant Director, about the date of February 27, 2025. She stated she did have a discussion one of the teachers for infants in space 3, about roughly handling a child. Findings The allegation regarding nurture and care is substantiated based on today's discussion with the Assistant Director. Supervision was observed in compliance. The license was posted and the restrictions were in compliance 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. The Assistant Director stated on February 27, 2025, space 3, a classroom for infants was out of ratio for a short period of time. GS 110-91(7);.0713(a-d) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. The Assistant Director stated, on February 27, 2025 a teacher did not handle a child with care, in space 3, which is a classroom for infants. G.S. 110-91(10) The above violations must be corrected immediately, and a letter must be sent to me no later than April 9, 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 April 9, 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. Consultation The Assistant Director stated she spoke with both of the infant teachers in space three regarding staff child ratio and interacting with children in a positive manner. She also stated she has had no further issues with the teachers. She also stated the each classroom has a walkie talkie to request assistance when needed. 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 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: RANDLEMAN ENRICHMENT CENTER Facility ID: 76000417 Consultant: MONA NDIAYE Operation Type: Center Case Number: 0325-114L Visit Date: 3/24/2025 Number Present: 189 Completed Date: 3/24/2025 Age: From 0 To 5 Total Minutes: 60 Time In: 08:45 AM Time Out: 09:45 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 alleging violations of child care requirements regarding staff child ratio, nurture and care. The facility currently operates with a Five Star License that was issued on November 28, 2017. The last annual compliance visit was conducted August 9, 2024. The Director, Tracy Harrell, and Assistant Director Lauren Havens were present and assisted me during the visit. I informed them of the reason for my visit. The children were observed participating in free play in their classrooms and interacting with their teachers. Allegation 1: There is concern regarding staff child ratios During today’s visit, I observed all the classrooms in ratio during my visit, however, I spoke with the Assistant Director about the date of February 27, 2025 and she stated the infant classroom, space 3, was out of ratios for a short time Findings: The allegation regarding ratios is substantiated based on today’s discussion with the Assistant Director. Allegation 2 : There is concern regarding nurture and care. During today’s visit, I observed the teachers interacting with the children in a positive manner, I spoke with the Assistant Director, about the date of February 27, 2025. She stated she did have a discussion one of the teachers for infants in space 3, about roughly handling a child. Findings The allegation regarding nurture and care is substantiated based on today's discussion with the Assistant Director. Supervision was observed in compliance. The license was posted and the restrictions were in compliance 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. The Assistant Director stated on February 27, 2025, space 3, a classroom for infants was out of ratio for a short period of time. GS 110-91(7);.0713(a-d) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. The Assistant Director stated, on February 27, 2025 a teacher did not handle a child with care, in space 3, which is a classroom for infants. G.S. 110-91(10) The above violations must be corrected immediately, and a letter must be sent to me no later than April 9, 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 April 9, 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. Consultation The Assistant Director stated she spoke with both of the infant teachers in space three regarding staff child ratio and interacting with children in a positive manner. She also stated she has had no further issues with the teachers. She also stated the each classroom has a walkie talkie to request assistance when needed. 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 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
10A NCAC 09 .0901 · Violation
Name of Operation: RANDLEMAN ENRICHMENT CENTER Facility ID: 76000417 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 8/9/2024 Number Present: 200 Completed Date: 8/9/2024 Age: From 0 To 12 Total Minutes: 315 Time In: 09:00 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for child care requirements applicable to a child care center during an unannounced annual compliance visit. Upon my arrival I was greeted by the Assistant Managers, Lauren Havens and Teryn Millikan, they assisted me during today’s visit. I completed a walk-through of the classrooms, attendance was documented, and observations were made. The children were observed participating in free play in their classrooms. The infants were observed interacting with their teachers. Two groups were observed participating in group time and listening to a story. One group of three and four year olds were observed participating in a food activity in their classroom. One group of school age children were observed playing UNO with the teachers and participating in a music and movement activity. The children were observed eating lunch which consisted of apple sauce, corn, cheese pizza and milk. Some children were observed eating a cheese hamburger pasta instead of pizza. The last annual compliance visit was conducted August 14, 2023. The center is operating five star license that was issued November 28, 2017. The license was earned with 6 points in program standards, 6 points in education and 1 quality point for having enhanced policies and an infrastructure of parental involvement. All permit restrictions were in compliance The last sanitation inspection was conducted July 15, 2024 the center received a Superior rating. Fire drills and playground inspections were monitored. The last fire inspection was conducted February 21, 2024. The Department of the Secretary’s website was used to check the status of the corporation. The facility’s owner is current/active. All the required documents were posted. Your compliance history is 82%, this may change following today’s visit. 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 415 A current schedule was not posted for each group of children for reference.There was no daily schedule posted in spaces 7 and 14. GS 110-91(12);.0508(a) 453 The schedule of off premise activities was not current and/or did not include required information. The required information for the summer field trips was not posted. .1005(b)(5)(A-E) 503 Food brought from home, did not meet the nutritional requirements and necessary supplements were not provided by center. Three children in space 14, brought lunches from home, the lunches were not supplements with the missing components. 10A NCAC 09 .0901(c) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was changed and the menu was not updated, some children were served cheese beef pasta instead of cheese pizza that was listed on the menu. 10A NCAC 09 .0901(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There were cleaners stored in two unlocked cabinets in space 9 and space 15. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Three of the five vehicles used for transporting children had medications in the first aid kits that were accessible to the children. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.Medications for Asthma and ADHA was administrated without current parental authorization. Topical medications, such as diaper creams, sunscreens and bug repellents were administrated without current parental authorization. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. Several topical medications such as diaper creams, sunscreens and bug repellents had incomplete or missing parental authorization forms. 10A NCAC 09 .0803(4)(6-9) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. The required documentation was not completed for a child that was given medication for Asthma for emergency use and a child that was given medication daily for ADHD .0803(13)(a-e); .2318(3) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff did not have medical reports on file. 10A NCAC 09 .0701(a) 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. Two staff did not have a negative TB test on file. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Several staff did not have a current Health Questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Several staff did not have a current Emergency Information on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Four staff did not have a completed orientation 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. Several 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. Several staff did not have current CPR training. .1102(d) 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 their on-going training as required. .1103(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Three children did not have medical assessment on file or the medical assessment was not completed within 30 days. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission One children did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The discipline policy did not have the enrollment date for several children. .1804(b) 1329 Application for enrollment did not include all required information. Five of the twenty children's files monitored did not have a hospital preference listed. .0801(a)(1-7) 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 staff did not complete the training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Four staff did not complete the health and safety training. .1102(a) The above violations must be corrected immediately, and a letter must be sent to me no later than August 27, 2024 stating how each item was corrected and a plan to maintain compliance with the requirement. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation and your plan to keep each item in compliance. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by August 27, 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 violations have 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 For all off premise activities the following information must be posted and given to parents. 10A NCAC 09 .2509 ACTIVITIES: OFF-PREMISES (b) The facility shall develop a plan of activities which is posted in a place in the home base or given to the parents. The plan shall include the location, purpose, time and date, person in charge, and telephone number or method for contacting the person in charge. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT All children with chronic health conditions must have a medical action plan on file. (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp Several diaper creams, sunscreens and bug repellents did not have completed parental authorizations on file or had expired parental authorizations. Check all the topical medications in the classrooms and update the parental authorization forms or return the medication to parent or discard within 72 hours if the parent does not take the medication. “As Needed” should not be used on medication forms, specific instructions from parents is required. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. There was prescription Asthma medication that was administrated after the parental authorization had expired. The was prescription medication for ADHD that was administrated daily and none of the required information was documented. This medication had no parental authorization form. (13)Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. During today’s visit I observed two cabinets that were locked however the key was in the lock, when the key is in the lock, the cabinet is considered unlocked. These cabinets had cleaners and medication in them. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (c) When children bring their own food for meals or snacks to the center, if the food does not meet the nutritional requirements specified in Paragraph (a) of this Rule, the center must provide additional food necessary to meet those requirements. Any changes to the menu must be updated on the posted menu. (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Three buses and two vans were monitored during today’s visit, three of the vehicles had medications in the first aid kits that were accessible to the children. This visit summary was reviewed with you and provided to you. A visit will be conducted in thee future to monitor children’s and staff files. 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 .0302 · Violation
Name of Operation: RANDLEMAN ENRICHMENT CENTER Facility ID: 76000417 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 8/9/2024 Number Present: 200 Completed Date: 8/9/2024 Age: From 0 To 12 Total Minutes: 315 Time In: 09:00 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for child care requirements applicable to a child care center during an unannounced annual compliance visit. Upon my arrival I was greeted by the Assistant Managers, Lauren Havens and Teryn Millikan, they assisted me during today’s visit. I completed a walk-through of the classrooms, attendance was documented, and observations were made. The children were observed participating in free play in their classrooms. The infants were observed interacting with their teachers. Two groups were observed participating in group time and listening to a story. One group of three and four year olds were observed participating in a food activity in their classroom. One group of school age children were observed playing UNO with the teachers and participating in a music and movement activity. The children were observed eating lunch which consisted of apple sauce, corn, cheese pizza and milk. Some children were observed eating a cheese hamburger pasta instead of pizza. The last annual compliance visit was conducted August 14, 2023. The center is operating five star license that was issued November 28, 2017. The license was earned with 6 points in program standards, 6 points in education and 1 quality point for having enhanced policies and an infrastructure of parental involvement. All permit restrictions were in compliance The last sanitation inspection was conducted July 15, 2024 the center received a Superior rating. Fire drills and playground inspections were monitored. The last fire inspection was conducted February 21, 2024. The Department of the Secretary’s website was used to check the status of the corporation. The facility’s owner is current/active. All the required documents were posted. Your compliance history is 82%, this may change following today’s visit. 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 415 A current schedule was not posted for each group of children for reference.There was no daily schedule posted in spaces 7 and 14. GS 110-91(12);.0508(a) 453 The schedule of off premise activities was not current and/or did not include required information. The required information for the summer field trips was not posted. .1005(b)(5)(A-E) 503 Food brought from home, did not meet the nutritional requirements and necessary supplements were not provided by center. Three children in space 14, brought lunches from home, the lunches were not supplements with the missing components. 10A NCAC 09 .0901(c) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was changed and the menu was not updated, some children were served cheese beef pasta instead of cheese pizza that was listed on the menu. 10A NCAC 09 .0901(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There were cleaners stored in two unlocked cabinets in space 9 and space 15. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Three of the five vehicles used for transporting children had medications in the first aid kits that were accessible to the children. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.Medications for Asthma and ADHA was administrated without current parental authorization. Topical medications, such as diaper creams, sunscreens and bug repellents were administrated without current parental authorization. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. Several topical medications such as diaper creams, sunscreens and bug repellents had incomplete or missing parental authorization forms. 10A NCAC 09 .0803(4)(6-9) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. The required documentation was not completed for a child that was given medication for Asthma for emergency use and a child that was given medication daily for ADHD .0803(13)(a-e); .2318(3) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff did not have medical reports on file. 10A NCAC 09 .0701(a) 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. Two staff did not have a negative TB test on file. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Several staff did not have a current Health Questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Several staff did not have a current Emergency Information on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Four staff did not have a completed orientation 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. Several 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. Several staff did not have current CPR training. .1102(d) 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 their on-going training as required. .1103(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Three children did not have medical assessment on file or the medical assessment was not completed within 30 days. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission One children did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The discipline policy did not have the enrollment date for several children. .1804(b) 1329 Application for enrollment did not include all required information. Five of the twenty children's files monitored did not have a hospital preference listed. .0801(a)(1-7) 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 staff did not complete the training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Four staff did not complete the health and safety training. .1102(a) The above violations must be corrected immediately, and a letter must be sent to me no later than August 27, 2024 stating how each item was corrected and a plan to maintain compliance with the requirement. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation and your plan to keep each item in compliance. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by August 27, 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 violations have 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 For all off premise activities the following information must be posted and given to parents. 10A NCAC 09 .2509 ACTIVITIES: OFF-PREMISES (b) The facility shall develop a plan of activities which is posted in a place in the home base or given to the parents. The plan shall include the location, purpose, time and date, person in charge, and telephone number or method for contacting the person in charge. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT All children with chronic health conditions must have a medical action plan on file. (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp Several diaper creams, sunscreens and bug repellents did not have completed parental authorizations on file or had expired parental authorizations. Check all the topical medications in the classrooms and update the parental authorization forms or return the medication to parent or discard within 72 hours if the parent does not take the medication. “As Needed” should not be used on medication forms, specific instructions from parents is required. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. There was prescription Asthma medication that was administrated after the parental authorization had expired. The was prescription medication for ADHD that was administrated daily and none of the required information was documented. This medication had no parental authorization form. (13)Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. During today’s visit I observed two cabinets that were locked however the key was in the lock, when the key is in the lock, the cabinet is considered unlocked. These cabinets had cleaners and medication in them. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (c) When children bring their own food for meals or snacks to the center, if the food does not meet the nutritional requirements specified in Paragraph (a) of this Rule, the center must provide additional food necessary to meet those requirements. Any changes to the menu must be updated on the posted menu. (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Three buses and two vans were monitored during today’s visit, three of the vehicles had medications in the first aid kits that were accessible to the children. This visit summary was reviewed with you and provided to you. A visit will be conducted in thee future to monitor children’s and staff files. 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
10A NCAC 09 .0701 · Violation
Name of Operation: RANDLEMAN ENRICHMENT CENTER Facility ID: 76000417 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 8/9/2024 Number Present: 200 Completed Date: 8/9/2024 Age: From 0 To 12 Total Minutes: 315 Time In: 09:00 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for child care requirements applicable to a child care center during an unannounced annual compliance visit. Upon my arrival I was greeted by the Assistant Managers, Lauren Havens and Teryn Millikan, they assisted me during today’s visit. I completed a walk-through of the classrooms, attendance was documented, and observations were made. The children were observed participating in free play in their classrooms. The infants were observed interacting with their teachers. Two groups were observed participating in group time and listening to a story. One group of three and four year olds were observed participating in a food activity in their classroom. One group of school age children were observed playing UNO with the teachers and participating in a music and movement activity. The children were observed eating lunch which consisted of apple sauce, corn, cheese pizza and milk. Some children were observed eating a cheese hamburger pasta instead of pizza. The last annual compliance visit was conducted August 14, 2023. The center is operating five star license that was issued November 28, 2017. The license was earned with 6 points in program standards, 6 points in education and 1 quality point for having enhanced policies and an infrastructure of parental involvement. All permit restrictions were in compliance The last sanitation inspection was conducted July 15, 2024 the center received a Superior rating. Fire drills and playground inspections were monitored. The last fire inspection was conducted February 21, 2024. The Department of the Secretary’s website was used to check the status of the corporation. The facility’s owner is current/active. All the required documents were posted. Your compliance history is 82%, this may change following today’s visit. 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 415 A current schedule was not posted for each group of children for reference.There was no daily schedule posted in spaces 7 and 14. GS 110-91(12);.0508(a) 453 The schedule of off premise activities was not current and/or did not include required information. The required information for the summer field trips was not posted. .1005(b)(5)(A-E) 503 Food brought from home, did not meet the nutritional requirements and necessary supplements were not provided by center. Three children in space 14, brought lunches from home, the lunches were not supplements with the missing components. 10A NCAC 09 .0901(c) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was changed and the menu was not updated, some children were served cheese beef pasta instead of cheese pizza that was listed on the menu. 10A NCAC 09 .0901(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There were cleaners stored in two unlocked cabinets in space 9 and space 15. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Three of the five vehicles used for transporting children had medications in the first aid kits that were accessible to the children. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.Medications for Asthma and ADHA was administrated without current parental authorization. Topical medications, such as diaper creams, sunscreens and bug repellents were administrated without current parental authorization. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. Several topical medications such as diaper creams, sunscreens and bug repellents had incomplete or missing parental authorization forms. 10A NCAC 09 .0803(4)(6-9) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. The required documentation was not completed for a child that was given medication for Asthma for emergency use and a child that was given medication daily for ADHD .0803(13)(a-e); .2318(3) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff did not have medical reports on file. 10A NCAC 09 .0701(a) 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. Two staff did not have a negative TB test on file. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Several staff did not have a current Health Questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Several staff did not have a current Emergency Information on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Four staff did not have a completed orientation 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. Several 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. Several staff did not have current CPR training. .1102(d) 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 their on-going training as required. .1103(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Three children did not have medical assessment on file or the medical assessment was not completed within 30 days. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission One children did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The discipline policy did not have the enrollment date for several children. .1804(b) 1329 Application for enrollment did not include all required information. Five of the twenty children's files monitored did not have a hospital preference listed. .0801(a)(1-7) 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 staff did not complete the training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Four staff did not complete the health and safety training. .1102(a) The above violations must be corrected immediately, and a letter must be sent to me no later than August 27, 2024 stating how each item was corrected and a plan to maintain compliance with the requirement. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation and your plan to keep each item in compliance. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by August 27, 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 violations have 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 For all off premise activities the following information must be posted and given to parents. 10A NCAC 09 .2509 ACTIVITIES: OFF-PREMISES (b) The facility shall develop a plan of activities which is posted in a place in the home base or given to the parents. The plan shall include the location, purpose, time and date, person in charge, and telephone number or method for contacting the person in charge. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT All children with chronic health conditions must have a medical action plan on file. (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp Several diaper creams, sunscreens and bug repellents did not have completed parental authorizations on file or had expired parental authorizations. Check all the topical medications in the classrooms and update the parental authorization forms or return the medication to parent or discard within 72 hours if the parent does not take the medication. “As Needed” should not be used on medication forms, specific instructions from parents is required. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. There was prescription Asthma medication that was administrated after the parental authorization had expired. The was prescription medication for ADHD that was administrated daily and none of the required information was documented. This medication had no parental authorization form. (13)Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. During today’s visit I observed two cabinets that were locked however the key was in the lock, when the key is in the lock, the cabinet is considered unlocked. These cabinets had cleaners and medication in them. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (c) When children bring their own food for meals or snacks to the center, if the food does not meet the nutritional requirements specified in Paragraph (a) of this Rule, the center must provide additional food necessary to meet those requirements. Any changes to the menu must be updated on the posted menu. (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Three buses and two vans were monitored during today’s visit, three of the vehicles had medications in the first aid kits that were accessible to the children. This visit summary was reviewed with you and provided to you. A visit will be conducted in thee future to monitor children’s and staff files. 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
10A NCAC 09 .0801 · Violation
Name of Operation: RANDLEMAN ENRICHMENT CENTER Facility ID: 76000417 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 8/9/2024 Number Present: 200 Completed Date: 8/9/2024 Age: From 0 To 12 Total Minutes: 315 Time In: 09:00 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for child care requirements applicable to a child care center during an unannounced annual compliance visit. Upon my arrival I was greeted by the Assistant Managers, Lauren Havens and Teryn Millikan, they assisted me during today’s visit. I completed a walk-through of the classrooms, attendance was documented, and observations were made. The children were observed participating in free play in their classrooms. The infants were observed interacting with their teachers. Two groups were observed participating in group time and listening to a story. One group of three and four year olds were observed participating in a food activity in their classroom. One group of school age children were observed playing UNO with the teachers and participating in a music and movement activity. The children were observed eating lunch which consisted of apple sauce, corn, cheese pizza and milk. Some children were observed eating a cheese hamburger pasta instead of pizza. The last annual compliance visit was conducted August 14, 2023. The center is operating five star license that was issued November 28, 2017. The license was earned with 6 points in program standards, 6 points in education and 1 quality point for having enhanced policies and an infrastructure of parental involvement. All permit restrictions were in compliance The last sanitation inspection was conducted July 15, 2024 the center received a Superior rating. Fire drills and playground inspections were monitored. The last fire inspection was conducted February 21, 2024. The Department of the Secretary’s website was used to check the status of the corporation. The facility’s owner is current/active. All the required documents were posted. Your compliance history is 82%, this may change following today’s visit. 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 415 A current schedule was not posted for each group of children for reference.There was no daily schedule posted in spaces 7 and 14. GS 110-91(12);.0508(a) 453 The schedule of off premise activities was not current and/or did not include required information. The required information for the summer field trips was not posted. .1005(b)(5)(A-E) 503 Food brought from home, did not meet the nutritional requirements and necessary supplements were not provided by center. Three children in space 14, brought lunches from home, the lunches were not supplements with the missing components. 10A NCAC 09 .0901(c) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was changed and the menu was not updated, some children were served cheese beef pasta instead of cheese pizza that was listed on the menu. 10A NCAC 09 .0901(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There were cleaners stored in two unlocked cabinets in space 9 and space 15. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Three of the five vehicles used for transporting children had medications in the first aid kits that were accessible to the children. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.Medications for Asthma and ADHA was administrated without current parental authorization. Topical medications, such as diaper creams, sunscreens and bug repellents were administrated without current parental authorization. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. Several topical medications such as diaper creams, sunscreens and bug repellents had incomplete or missing parental authorization forms. 10A NCAC 09 .0803(4)(6-9) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. The required documentation was not completed for a child that was given medication for Asthma for emergency use and a child that was given medication daily for ADHD .0803(13)(a-e); .2318(3) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff did not have medical reports on file. 10A NCAC 09 .0701(a) 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. Two staff did not have a negative TB test on file. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Several staff did not have a current Health Questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Several staff did not have a current Emergency Information on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Four staff did not have a completed orientation 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. Several 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. Several staff did not have current CPR training. .1102(d) 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 their on-going training as required. .1103(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Three children did not have medical assessment on file or the medical assessment was not completed within 30 days. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission One children did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The discipline policy did not have the enrollment date for several children. .1804(b) 1329 Application for enrollment did not include all required information. Five of the twenty children's files monitored did not have a hospital preference listed. .0801(a)(1-7) 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 staff did not complete the training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Four staff did not complete the health and safety training. .1102(a) The above violations must be corrected immediately, and a letter must be sent to me no later than August 27, 2024 stating how each item was corrected and a plan to maintain compliance with the requirement. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation and your plan to keep each item in compliance. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by August 27, 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 violations have 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 For all off premise activities the following information must be posted and given to parents. 10A NCAC 09 .2509 ACTIVITIES: OFF-PREMISES (b) The facility shall develop a plan of activities which is posted in a place in the home base or given to the parents. The plan shall include the location, purpose, time and date, person in charge, and telephone number or method for contacting the person in charge. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT All children with chronic health conditions must have a medical action plan on file. (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp Several diaper creams, sunscreens and bug repellents did not have completed parental authorizations on file or had expired parental authorizations. Check all the topical medications in the classrooms and update the parental authorization forms or return the medication to parent or discard within 72 hours if the parent does not take the medication. “As Needed” should not be used on medication forms, specific instructions from parents is required. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. There was prescription Asthma medication that was administrated after the parental authorization had expired. The was prescription medication for ADHD that was administrated daily and none of the required information was documented. This medication had no parental authorization form. (13)Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. During today’s visit I observed two cabinets that were locked however the key was in the lock, when the key is in the lock, the cabinet is considered unlocked. These cabinets had cleaners and medication in them. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (c) When children bring their own food for meals or snacks to the center, if the food does not meet the nutritional requirements specified in Paragraph (a) of this Rule, the center must provide additional food necessary to meet those requirements. Any changes to the menu must be updated on the posted menu. (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Three buses and two vans were monitored during today’s visit, three of the vehicles had medications in the first aid kits that were accessible to the children. This visit summary was reviewed with you and provided to you. A visit will be conducted in thee future to monitor children’s and staff files. 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
10A NCAC 09 .0803 · Violation
Name of Operation: RANDLEMAN ENRICHMENT CENTER Facility ID: 76000417 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 8/9/2024 Number Present: 200 Completed Date: 8/9/2024 Age: From 0 To 12 Total Minutes: 315 Time In: 09:00 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for child care requirements applicable to a child care center during an unannounced annual compliance visit. Upon my arrival I was greeted by the Assistant Managers, Lauren Havens and Teryn Millikan, they assisted me during today’s visit. I completed a walk-through of the classrooms, attendance was documented, and observations were made. The children were observed participating in free play in their classrooms. The infants were observed interacting with their teachers. Two groups were observed participating in group time and listening to a story. One group of three and four year olds were observed participating in a food activity in their classroom. One group of school age children were observed playing UNO with the teachers and participating in a music and movement activity. The children were observed eating lunch which consisted of apple sauce, corn, cheese pizza and milk. Some children were observed eating a cheese hamburger pasta instead of pizza. The last annual compliance visit was conducted August 14, 2023. The center is operating five star license that was issued November 28, 2017. The license was earned with 6 points in program standards, 6 points in education and 1 quality point for having enhanced policies and an infrastructure of parental involvement. All permit restrictions were in compliance The last sanitation inspection was conducted July 15, 2024 the center received a Superior rating. Fire drills and playground inspections were monitored. The last fire inspection was conducted February 21, 2024. The Department of the Secretary’s website was used to check the status of the corporation. The facility’s owner is current/active. All the required documents were posted. Your compliance history is 82%, this may change following today’s visit. 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 415 A current schedule was not posted for each group of children for reference.There was no daily schedule posted in spaces 7 and 14. GS 110-91(12);.0508(a) 453 The schedule of off premise activities was not current and/or did not include required information. The required information for the summer field trips was not posted. .1005(b)(5)(A-E) 503 Food brought from home, did not meet the nutritional requirements and necessary supplements were not provided by center. Three children in space 14, brought lunches from home, the lunches were not supplements with the missing components. 10A NCAC 09 .0901(c) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was changed and the menu was not updated, some children were served cheese beef pasta instead of cheese pizza that was listed on the menu. 10A NCAC 09 .0901(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There were cleaners stored in two unlocked cabinets in space 9 and space 15. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Three of the five vehicles used for transporting children had medications in the first aid kits that were accessible to the children. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.Medications for Asthma and ADHA was administrated without current parental authorization. Topical medications, such as diaper creams, sunscreens and bug repellents were administrated without current parental authorization. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. Several topical medications such as diaper creams, sunscreens and bug repellents had incomplete or missing parental authorization forms. 10A NCAC 09 .0803(4)(6-9) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. The required documentation was not completed for a child that was given medication for Asthma for emergency use and a child that was given medication daily for ADHD .0803(13)(a-e); .2318(3) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff did not have medical reports on file. 10A NCAC 09 .0701(a) 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. Two staff did not have a negative TB test on file. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Several staff did not have a current Health Questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Several staff did not have a current Emergency Information on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Four staff did not have a completed orientation 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. Several 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. Several staff did not have current CPR training. .1102(d) 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 their on-going training as required. .1103(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Three children did not have medical assessment on file or the medical assessment was not completed within 30 days. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission One children did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The discipline policy did not have the enrollment date for several children. .1804(b) 1329 Application for enrollment did not include all required information. Five of the twenty children's files monitored did not have a hospital preference listed. .0801(a)(1-7) 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 staff did not complete the training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Four staff did not complete the health and safety training. .1102(a) The above violations must be corrected immediately, and a letter must be sent to me no later than August 27, 2024 stating how each item was corrected and a plan to maintain compliance with the requirement. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation and your plan to keep each item in compliance. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by August 27, 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 violations have 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 For all off premise activities the following information must be posted and given to parents. 10A NCAC 09 .2509 ACTIVITIES: OFF-PREMISES (b) The facility shall develop a plan of activities which is posted in a place in the home base or given to the parents. The plan shall include the location, purpose, time and date, person in charge, and telephone number or method for contacting the person in charge. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT All children with chronic health conditions must have a medical action plan on file. (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp Several diaper creams, sunscreens and bug repellents did not have completed parental authorizations on file or had expired parental authorizations. Check all the topical medications in the classrooms and update the parental authorization forms or return the medication to parent or discard within 72 hours if the parent does not take the medication. “As Needed” should not be used on medication forms, specific instructions from parents is required. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. There was prescription Asthma medication that was administrated after the parental authorization had expired. The was prescription medication for ADHD that was administrated daily and none of the required information was documented. This medication had no parental authorization form. (13)Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. During today’s visit I observed two cabinets that were locked however the key was in the lock, when the key is in the lock, the cabinet is considered unlocked. These cabinets had cleaners and medication in them. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (c) When children bring their own food for meals or snacks to the center, if the food does not meet the nutritional requirements specified in Paragraph (a) of this Rule, the center must provide additional food necessary to meet those requirements. Any changes to the menu must be updated on the posted menu. (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Three buses and two vans were monitored during today’s visit, three of the vehicles had medications in the first aid kits that were accessible to the children. This visit summary was reviewed with you and provided to you. A visit will be conducted in thee future to monitor children’s and staff files. 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
10A NCAC 09 .0901 · Violation
Name of Operation: RANDLEMAN ENRICHMENT CENTER Facility ID: 76000417 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 8/9/2024 Number Present: 200 Completed Date: 8/9/2024 Age: From 0 To 12 Total Minutes: 315 Time In: 09:00 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for child care requirements applicable to a child care center during an unannounced annual compliance visit. Upon my arrival I was greeted by the Assistant Managers, Lauren Havens and Teryn Millikan, they assisted me during today’s visit. I completed a walk-through of the classrooms, attendance was documented, and observations were made. The children were observed participating in free play in their classrooms. The infants were observed interacting with their teachers. Two groups were observed participating in group time and listening to a story. One group of three and four year olds were observed participating in a food activity in their classroom. One group of school age children were observed playing UNO with the teachers and participating in a music and movement activity. The children were observed eating lunch which consisted of apple sauce, corn, cheese pizza and milk. Some children were observed eating a cheese hamburger pasta instead of pizza. The last annual compliance visit was conducted August 14, 2023. The center is operating five star license that was issued November 28, 2017. The license was earned with 6 points in program standards, 6 points in education and 1 quality point for having enhanced policies and an infrastructure of parental involvement. All permit restrictions were in compliance The last sanitation inspection was conducted July 15, 2024 the center received a Superior rating. Fire drills and playground inspections were monitored. The last fire inspection was conducted February 21, 2024. The Department of the Secretary’s website was used to check the status of the corporation. The facility’s owner is current/active. All the required documents were posted. Your compliance history is 82%, this may change following today’s visit. 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 415 A current schedule was not posted for each group of children for reference.There was no daily schedule posted in spaces 7 and 14. GS 110-91(12);.0508(a) 453 The schedule of off premise activities was not current and/or did not include required information. The required information for the summer field trips was not posted. .1005(b)(5)(A-E) 503 Food brought from home, did not meet the nutritional requirements and necessary supplements were not provided by center. Three children in space 14, brought lunches from home, the lunches were not supplements with the missing components. 10A NCAC 09 .0901(c) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was changed and the menu was not updated, some children were served cheese beef pasta instead of cheese pizza that was listed on the menu. 10A NCAC 09 .0901(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There were cleaners stored in two unlocked cabinets in space 9 and space 15. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Three of the five vehicles used for transporting children had medications in the first aid kits that were accessible to the children. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.Medications for Asthma and ADHA was administrated without current parental authorization. Topical medications, such as diaper creams, sunscreens and bug repellents were administrated without current parental authorization. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. Several topical medications such as diaper creams, sunscreens and bug repellents had incomplete or missing parental authorization forms. 10A NCAC 09 .0803(4)(6-9) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. The required documentation was not completed for a child that was given medication for Asthma for emergency use and a child that was given medication daily for ADHD .0803(13)(a-e); .2318(3) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff did not have medical reports on file. 10A NCAC 09 .0701(a) 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. Two staff did not have a negative TB test on file. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Several staff did not have a current Health Questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Several staff did not have a current Emergency Information on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Four staff did not have a completed orientation 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. Several 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. Several staff did not have current CPR training. .1102(d) 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 their on-going training as required. .1103(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Three children did not have medical assessment on file or the medical assessment was not completed within 30 days. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission One children did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The discipline policy did not have the enrollment date for several children. .1804(b) 1329 Application for enrollment did not include all required information. Five of the twenty children's files monitored did not have a hospital preference listed. .0801(a)(1-7) 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 staff did not complete the training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Four staff did not complete the health and safety training. .1102(a) The above violations must be corrected immediately, and a letter must be sent to me no later than August 27, 2024 stating how each item was corrected and a plan to maintain compliance with the requirement. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation and your plan to keep each item in compliance. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by August 27, 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 violations have 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 For all off premise activities the following information must be posted and given to parents. 10A NCAC 09 .2509 ACTIVITIES: OFF-PREMISES (b) The facility shall develop a plan of activities which is posted in a place in the home base or given to the parents. The plan shall include the location, purpose, time and date, person in charge, and telephone number or method for contacting the person in charge. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT All children with chronic health conditions must have a medical action plan on file. (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp Several diaper creams, sunscreens and bug repellents did not have completed parental authorizations on file or had expired parental authorizations. Check all the topical medications in the classrooms and update the parental authorization forms or return the medication to parent or discard within 72 hours if the parent does not take the medication. “As Needed” should not be used on medication forms, specific instructions from parents is required. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. There was prescription Asthma medication that was administrated after the parental authorization had expired. The was prescription medication for ADHD that was administrated daily and none of the required information was documented. This medication had no parental authorization form. (13)Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. During today’s visit I observed two cabinets that were locked however the key was in the lock, when the key is in the lock, the cabinet is considered unlocked. These cabinets had cleaners and medication in them. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (c) When children bring their own food for meals or snacks to the center, if the food does not meet the nutritional requirements specified in Paragraph (a) of this Rule, the center must provide additional food necessary to meet those requirements. Any changes to the menu must be updated on the posted menu. (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Three buses and two vans were monitored during today’s visit, three of the vehicles had medications in the first aid kits that were accessible to the children. This visit summary was reviewed with you and provided to you. A visit will be conducted in thee future to monitor children’s and staff files. 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
10A NCAC 09 .2509 · Violation
Name of Operation: RANDLEMAN ENRICHMENT CENTER Facility ID: 76000417 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 8/9/2024 Number Present: 200 Completed Date: 8/9/2024 Age: From 0 To 12 Total Minutes: 315 Time In: 09:00 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for child care requirements applicable to a child care center during an unannounced annual compliance visit. Upon my arrival I was greeted by the Assistant Managers, Lauren Havens and Teryn Millikan, they assisted me during today’s visit. I completed a walk-through of the classrooms, attendance was documented, and observations were made. The children were observed participating in free play in their classrooms. The infants were observed interacting with their teachers. Two groups were observed participating in group time and listening to a story. One group of three and four year olds were observed participating in a food activity in their classroom. One group of school age children were observed playing UNO with the teachers and participating in a music and movement activity. The children were observed eating lunch which consisted of apple sauce, corn, cheese pizza and milk. Some children were observed eating a cheese hamburger pasta instead of pizza. The last annual compliance visit was conducted August 14, 2023. The center is operating five star license that was issued November 28, 2017. The license was earned with 6 points in program standards, 6 points in education and 1 quality point for having enhanced policies and an infrastructure of parental involvement. All permit restrictions were in compliance The last sanitation inspection was conducted July 15, 2024 the center received a Superior rating. Fire drills and playground inspections were monitored. The last fire inspection was conducted February 21, 2024. The Department of the Secretary’s website was used to check the status of the corporation. The facility’s owner is current/active. All the required documents were posted. Your compliance history is 82%, this may change following today’s visit. 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 415 A current schedule was not posted for each group of children for reference.There was no daily schedule posted in spaces 7 and 14. GS 110-91(12);.0508(a) 453 The schedule of off premise activities was not current and/or did not include required information. The required information for the summer field trips was not posted. .1005(b)(5)(A-E) 503 Food brought from home, did not meet the nutritional requirements and necessary supplements were not provided by center. Three children in space 14, brought lunches from home, the lunches were not supplements with the missing components. 10A NCAC 09 .0901(c) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was changed and the menu was not updated, some children were served cheese beef pasta instead of cheese pizza that was listed on the menu. 10A NCAC 09 .0901(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There were cleaners stored in two unlocked cabinets in space 9 and space 15. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Three of the five vehicles used for transporting children had medications in the first aid kits that were accessible to the children. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.Medications for Asthma and ADHA was administrated without current parental authorization. Topical medications, such as diaper creams, sunscreens and bug repellents were administrated without current parental authorization. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. Several topical medications such as diaper creams, sunscreens and bug repellents had incomplete or missing parental authorization forms. 10A NCAC 09 .0803(4)(6-9) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. The required documentation was not completed for a child that was given medication for Asthma for emergency use and a child that was given medication daily for ADHD .0803(13)(a-e); .2318(3) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff did not have medical reports on file. 10A NCAC 09 .0701(a) 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. Two staff did not have a negative TB test on file. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Several staff did not have a current Health Questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Several staff did not have a current Emergency Information on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Four staff did not have a completed orientation 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. Several 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. Several staff did not have current CPR training. .1102(d) 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 their on-going training as required. .1103(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Three children did not have medical assessment on file or the medical assessment was not completed within 30 days. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission One children did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The discipline policy did not have the enrollment date for several children. .1804(b) 1329 Application for enrollment did not include all required information. Five of the twenty children's files monitored did not have a hospital preference listed. .0801(a)(1-7) 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 staff did not complete the training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Four staff did not complete the health and safety training. .1102(a) The above violations must be corrected immediately, and a letter must be sent to me no later than August 27, 2024 stating how each item was corrected and a plan to maintain compliance with the requirement. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation and your plan to keep each item in compliance. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by August 27, 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 violations have 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 For all off premise activities the following information must be posted and given to parents. 10A NCAC 09 .2509 ACTIVITIES: OFF-PREMISES (b) The facility shall develop a plan of activities which is posted in a place in the home base or given to the parents. The plan shall include the location, purpose, time and date, person in charge, and telephone number or method for contacting the person in charge. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT All children with chronic health conditions must have a medical action plan on file. (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp Several diaper creams, sunscreens and bug repellents did not have completed parental authorizations on file or had expired parental authorizations. Check all the topical medications in the classrooms and update the parental authorization forms or return the medication to parent or discard within 72 hours if the parent does not take the medication. “As Needed” should not be used on medication forms, specific instructions from parents is required. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. There was prescription Asthma medication that was administrated after the parental authorization had expired. The was prescription medication for ADHD that was administrated daily and none of the required information was documented. This medication had no parental authorization form. (13)Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. During today’s visit I observed two cabinets that were locked however the key was in the lock, when the key is in the lock, the cabinet is considered unlocked. These cabinets had cleaners and medication in them. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (c) When children bring their own food for meals or snacks to the center, if the food does not meet the nutritional requirements specified in Paragraph (a) of this Rule, the center must provide additional food necessary to meet those requirements. Any changes to the menu must be updated on the posted menu. (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Three buses and two vans were monitored during today’s visit, three of the vehicles had medications in the first aid kits that were accessible to the children. This visit summary was reviewed with you and provided to you. A visit will be conducted in thee future to monitor children’s and staff files. 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
GS 110-91 · Violation
Name of Operation: RANDLEMAN ENRICHMENT CENTER Facility ID: 76000417 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 8/9/2024 Number Present: 200 Completed Date: 8/9/2024 Age: From 0 To 12 Total Minutes: 315 Time In: 09:00 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for child care requirements applicable to a child care center during an unannounced annual compliance visit. Upon my arrival I was greeted by the Assistant Managers, Lauren Havens and Teryn Millikan, they assisted me during today’s visit. I completed a walk-through of the classrooms, attendance was documented, and observations were made. The children were observed participating in free play in their classrooms. The infants were observed interacting with their teachers. Two groups were observed participating in group time and listening to a story. One group of three and four year olds were observed participating in a food activity in their classroom. One group of school age children were observed playing UNO with the teachers and participating in a music and movement activity. The children were observed eating lunch which consisted of apple sauce, corn, cheese pizza and milk. Some children were observed eating a cheese hamburger pasta instead of pizza. The last annual compliance visit was conducted August 14, 2023. The center is operating five star license that was issued November 28, 2017. The license was earned with 6 points in program standards, 6 points in education and 1 quality point for having enhanced policies and an infrastructure of parental involvement. All permit restrictions were in compliance The last sanitation inspection was conducted July 15, 2024 the center received a Superior rating. Fire drills and playground inspections were monitored. The last fire inspection was conducted February 21, 2024. The Department of the Secretary’s website was used to check the status of the corporation. The facility’s owner is current/active. All the required documents were posted. Your compliance history is 82%, this may change following today’s visit. 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 415 A current schedule was not posted for each group of children for reference.There was no daily schedule posted in spaces 7 and 14. GS 110-91(12);.0508(a) 453 The schedule of off premise activities was not current and/or did not include required information. The required information for the summer field trips was not posted. .1005(b)(5)(A-E) 503 Food brought from home, did not meet the nutritional requirements and necessary supplements were not provided by center. Three children in space 14, brought lunches from home, the lunches were not supplements with the missing components. 10A NCAC 09 .0901(c) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was changed and the menu was not updated, some children were served cheese beef pasta instead of cheese pizza that was listed on the menu. 10A NCAC 09 .0901(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There were cleaners stored in two unlocked cabinets in space 9 and space 15. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Three of the five vehicles used for transporting children had medications in the first aid kits that were accessible to the children. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.Medications for Asthma and ADHA was administrated without current parental authorization. Topical medications, such as diaper creams, sunscreens and bug repellents were administrated without current parental authorization. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. Several topical medications such as diaper creams, sunscreens and bug repellents had incomplete or missing parental authorization forms. 10A NCAC 09 .0803(4)(6-9) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. The required documentation was not completed for a child that was given medication for Asthma for emergency use and a child that was given medication daily for ADHD .0803(13)(a-e); .2318(3) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff did not have medical reports on file. 10A NCAC 09 .0701(a) 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. Two staff did not have a negative TB test on file. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Several staff did not have a current Health Questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Several staff did not have a current Emergency Information on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Four staff did not have a completed orientation 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. Several 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. Several staff did not have current CPR training. .1102(d) 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 their on-going training as required. .1103(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Three children did not have medical assessment on file or the medical assessment was not completed within 30 days. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission One children did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The discipline policy did not have the enrollment date for several children. .1804(b) 1329 Application for enrollment did not include all required information. Five of the twenty children's files monitored did not have a hospital preference listed. .0801(a)(1-7) 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 staff did not complete the training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Four staff did not complete the health and safety training. .1102(a) The above violations must be corrected immediately, and a letter must be sent to me no later than August 27, 2024 stating how each item was corrected and a plan to maintain compliance with the requirement. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation and your plan to keep each item in compliance. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by August 27, 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 violations have 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 For all off premise activities the following information must be posted and given to parents. 10A NCAC 09 .2509 ACTIVITIES: OFF-PREMISES (b) The facility shall develop a plan of activities which is posted in a place in the home base or given to the parents. The plan shall include the location, purpose, time and date, person in charge, and telephone number or method for contacting the person in charge. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT All children with chronic health conditions must have a medical action plan on file. (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp Several diaper creams, sunscreens and bug repellents did not have completed parental authorizations on file or had expired parental authorizations. Check all the topical medications in the classrooms and update the parental authorization forms or return the medication to parent or discard within 72 hours if the parent does not take the medication. “As Needed” should not be used on medication forms, specific instructions from parents is required. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. There was prescription Asthma medication that was administrated after the parental authorization had expired. The was prescription medication for ADHD that was administrated daily and none of the required information was documented. This medication had no parental authorization form. (13)Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. During today’s visit I observed two cabinets that were locked however the key was in the lock, when the key is in the lock, the cabinet is considered unlocked. These cabinets had cleaners and medication in them. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (c) When children bring their own food for meals or snacks to the center, if the food does not meet the nutritional requirements specified in Paragraph (a) of this Rule, the center must provide additional food necessary to meet those requirements. Any changes to the menu must be updated on the posted menu. (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Three buses and two vans were monitored during today’s visit, three of the vehicles had medications in the first aid kits that were accessible to the children. This visit summary was reviewed with you and provided to you. A visit will be conducted in thee future to monitor children’s and staff files. 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
GS110-91 · Violation
Name of Operation: RANDLEMAN ENRICHMENT CENTER Facility ID: 76000417 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 8/9/2024 Number Present: 200 Completed Date: 8/9/2024 Age: From 0 To 12 Total Minutes: 315 Time In: 09:00 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for child care requirements applicable to a child care center during an unannounced annual compliance visit. Upon my arrival I was greeted by the Assistant Managers, Lauren Havens and Teryn Millikan, they assisted me during today’s visit. I completed a walk-through of the classrooms, attendance was documented, and observations were made. The children were observed participating in free play in their classrooms. The infants were observed interacting with their teachers. Two groups were observed participating in group time and listening to a story. One group of three and four year olds were observed participating in a food activity in their classroom. One group of school age children were observed playing UNO with the teachers and participating in a music and movement activity. The children were observed eating lunch which consisted of apple sauce, corn, cheese pizza and milk. Some children were observed eating a cheese hamburger pasta instead of pizza. The last annual compliance visit was conducted August 14, 2023. The center is operating five star license that was issued November 28, 2017. The license was earned with 6 points in program standards, 6 points in education and 1 quality point for having enhanced policies and an infrastructure of parental involvement. All permit restrictions were in compliance The last sanitation inspection was conducted July 15, 2024 the center received a Superior rating. Fire drills and playground inspections were monitored. The last fire inspection was conducted February 21, 2024. The Department of the Secretary’s website was used to check the status of the corporation. The facility’s owner is current/active. All the required documents were posted. Your compliance history is 82%, this may change following today’s visit. 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 415 A current schedule was not posted for each group of children for reference.There was no daily schedule posted in spaces 7 and 14. GS 110-91(12);.0508(a) 453 The schedule of off premise activities was not current and/or did not include required information. The required information for the summer field trips was not posted. .1005(b)(5)(A-E) 503 Food brought from home, did not meet the nutritional requirements and necessary supplements were not provided by center. Three children in space 14, brought lunches from home, the lunches were not supplements with the missing components. 10A NCAC 09 .0901(c) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was changed and the menu was not updated, some children were served cheese beef pasta instead of cheese pizza that was listed on the menu. 10A NCAC 09 .0901(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There were cleaners stored in two unlocked cabinets in space 9 and space 15. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Three of the five vehicles used for transporting children had medications in the first aid kits that were accessible to the children. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.Medications for Asthma and ADHA was administrated without current parental authorization. Topical medications, such as diaper creams, sunscreens and bug repellents were administrated without current parental authorization. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. Several topical medications such as diaper creams, sunscreens and bug repellents had incomplete or missing parental authorization forms. 10A NCAC 09 .0803(4)(6-9) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. The required documentation was not completed for a child that was given medication for Asthma for emergency use and a child that was given medication daily for ADHD .0803(13)(a-e); .2318(3) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff did not have medical reports on file. 10A NCAC 09 .0701(a) 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. Two staff did not have a negative TB test on file. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Several staff did not have a current Health Questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Several staff did not have a current Emergency Information on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Four staff did not have a completed orientation 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. Several 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. Several staff did not have current CPR training. .1102(d) 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 their on-going training as required. .1103(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Three children did not have medical assessment on file or the medical assessment was not completed within 30 days. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission One children did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The discipline policy did not have the enrollment date for several children. .1804(b) 1329 Application for enrollment did not include all required information. Five of the twenty children's files monitored did not have a hospital preference listed. .0801(a)(1-7) 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 staff did not complete the training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Four staff did not complete the health and safety training. .1102(a) The above violations must be corrected immediately, and a letter must be sent to me no later than August 27, 2024 stating how each item was corrected and a plan to maintain compliance with the requirement. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation and your plan to keep each item in compliance. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by August 27, 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 violations have 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 For all off premise activities the following information must be posted and given to parents. 10A NCAC 09 .2509 ACTIVITIES: OFF-PREMISES (b) The facility shall develop a plan of activities which is posted in a place in the home base or given to the parents. The plan shall include the location, purpose, time and date, person in charge, and telephone number or method for contacting the person in charge. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT All children with chronic health conditions must have a medical action plan on file. (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp Several diaper creams, sunscreens and bug repellents did not have completed parental authorizations on file or had expired parental authorizations. Check all the topical medications in the classrooms and update the parental authorization forms or return the medication to parent or discard within 72 hours if the parent does not take the medication. “As Needed” should not be used on medication forms, specific instructions from parents is required. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. There was prescription Asthma medication that was administrated after the parental authorization had expired. The was prescription medication for ADHD that was administrated daily and none of the required information was documented. This medication had no parental authorization form. (13)Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. During today’s visit I observed two cabinets that were locked however the key was in the lock, when the key is in the lock, the cabinet is considered unlocked. These cabinets had cleaners and medication in them. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (c) When children bring their own food for meals or snacks to the center, if the food does not meet the nutritional requirements specified in Paragraph (a) of this Rule, the center must provide additional food necessary to meet those requirements. Any changes to the menu must be updated on the posted menu. (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Three buses and two vans were monitored during today’s visit, three of the vehicles had medications in the first aid kits that were accessible to the children. This visit summary was reviewed with you and provided to you. A visit will be conducted in thee future to monitor children’s and staff files. 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
10A NCAC 09 .0803 · Violation
Name of Operation: RANDLEMAN ENRICHMENT CENTER Facility ID: 76000417 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 3/11/2024 Number Present: 199 Completed Date: 3/11/2024 Age: From 0 To 12 Total Minutes: 165 Time In: 02:30 PM Time Out: 05:15 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 five star license that was issued on November 28, 2017. The last annual compliance visit was conducted on August 14, 2023. The Director was present and assisted me during the visit. Children were observed participating in free play in there classrooms and outside. The infants were observed in their classrooms participating in free play and interacting with the teachers. The last sanitation inspection was completed November 30, 2023 with a “Superior” classification. The last fire inspection was conducted February 21, 2024. During today’s visit, a partial assessment of applicable child care requirements was conducted. Supervision was in compliance. There was no new employees. I observed the following violations. Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. In the classroom for two and three year olds, two children were diapered and did not wash their hands after being diapered. 15A NCAC 18A .2803(c)(2) 847 Parent's medication authorization did not include required information. There was Mupirocin medication without a parental authorization form 10A NCAC 09 .0803(4)(6-9) 9999 A violation was found for which there is no item number. 15A NCAC 18A .2819(d) DIAPERING AND DIAPER CHANGING FACILITIES In the classroom for two and three year olds, a teacher was observed not following the correct diaper changing procedures. The violation(s) must be corrected immediately, and a letter must be sent to me no later than March 23, 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. Consultation Your NCRLAP assessment window has been assigned refer to the NCRLAP website for resources to assist you in your preparation for your assessments. 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. 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/ . The Health and Safety Trainings are now being offered on the DCDEE Moodle format as well. These trainings are free, and participants will receive training certificates when completed. 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. 110-90 · Violation
Name of Operation: RANDLEMAN ENRICHMENT CENTER Facility ID: 76000417 Consultant: MICHAEL SCOTT MASON Operation Type: Center Case Number: 0224-228A Visit Date: 2/22/2024 Number Present: 176 Completed Date: 2/22/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 08:50 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Lauren Havens, Assistant Director, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Tracy Harrell, Administrator, Ms. Havens, and 4 additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. Facility management did not obtain a valid Criminal Background Check for 2 staff members. The first staff member worked at the facility providing child care from June 2023 and October 2023. The second staff member worked at the facility from 1/12/2023 to 2/22/2024. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Facility management did not maintain a file for one staff member who worked at the facility providing direct child care from June 2023 and October 2023. G.S. 110-91( 9) 1848 The child care environment was not smoke and/or tobacco free. Staff members used vaping products in the parking lot of the facility in January or February 2023, and December 2023. .0604(h) Violations must be corrected immediately. Within one week, by 2/29/2024, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at scott.mason@dhhs.nc.gov. You may contact me, Scott Mason, Lead Investigations Consultant, phone 919-594-4841, email scott.mason@dhhs.nc.gov, or Elizabeth Nichols, North Central Investigations Team Supervisor at elizabeth.nichols@dhhs.nc.gov. Thank you for your time. 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: RANDLEMAN ENRICHMENT CENTER Facility ID: 76000417 Consultant: MICHAEL SCOTT MASON Operation Type: Center Case Number: 0224-228A Visit Date: 2/22/2024 Number Present: 176 Completed Date: 2/22/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 08:50 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Lauren Havens, Assistant Director, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Tracy Harrell, Administrator, Ms. Havens, and 4 additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. Facility management did not obtain a valid Criminal Background Check for 2 staff members. The first staff member worked at the facility providing child care from June 2023 and October 2023. The second staff member worked at the facility from 1/12/2023 to 2/22/2024. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Facility management did not maintain a file for one staff member who worked at the facility providing direct child care from June 2023 and October 2023. G.S. 110-91( 9) 1848 The child care environment was not smoke and/or tobacco free. Staff members used vaping products in the parking lot of the facility in January or February 2023, and December 2023. .0604(h) Violations must be corrected immediately. Within one week, by 2/29/2024, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at scott.mason@dhhs.nc.gov. You may contact me, Scott Mason, Lead Investigations Consultant, phone 919-594-4841, email scott.mason@dhhs.nc.gov, or Elizabeth Nichols, North Central Investigations Team Supervisor at elizabeth.nichols@dhhs.nc.gov. Thank you for your time. 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 .0302 · Violation
Name of Operation: RANDLEMAN ENRICHMENT CENTER Facility ID: 76000417 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 8/24/2023 Number Present: 224 Completed Date: 8/24/2023 Age: From 0 To 12 Total Minutes: 110 Time In: 09:55 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance follow up visit was to monitor for child care requirements applicable children’s records and staff records at a child care center. Tracy Harrell, Director, was present and assisted me during today’s visit. Staff files and children’s records were monitored during today’s visit. The last annual compliance visit was conducted August 14, 2023. The center is operating under a Five Star License that was issued November 28, 2017. The last sanitation inspection was conducted June 9, 2023 the center received a Superior rating. During today’s visit, a partial assessment of applicable Child Care Requirements was conducted. The following violations were observed during today’s visit. Violation Number Comment Rule 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Ten staff did not have signed 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. Two staff did not have First Aid training within 90 days of employment. .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. Two staff did not have CPR training within 90 days of employment. .1102(d) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Five children did not have medical reports on file. GS 110-91(1);.0302(d)(2); .0304(g) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Five children did not have immunization records on file. 10A NCAC 09 .0302(d)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Three children did not have a date of enrollment on file. .1804(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. Two staff did not have medical reports 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. Two staff did not have the training within 90 days of employment. .1102(g) The above violations must be corrected immediately, and a letter must be sent to me no later than September 7, 2023 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 September 7, 2023 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 Staff orientation forms must be signed by staff once completed. Dates of review must also be written on the orientation form. 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. 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: ratio. Open / not marked corrected.
GS 110-91 · Violation
Name of Operation: RANDLEMAN ENRICHMENT CENTER Facility ID: 76000417 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 8/24/2023 Number Present: 224 Completed Date: 8/24/2023 Age: From 0 To 12 Total Minutes: 110 Time In: 09:55 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance follow up visit was to monitor for child care requirements applicable children’s records and staff records at a child care center. Tracy Harrell, Director, was present and assisted me during today’s visit. Staff files and children’s records were monitored during today’s visit. The last annual compliance visit was conducted August 14, 2023. The center is operating under a Five Star License that was issued November 28, 2017. The last sanitation inspection was conducted June 9, 2023 the center received a Superior rating. During today’s visit, a partial assessment of applicable Child Care Requirements was conducted. The following violations were observed during today’s visit. Violation Number Comment Rule 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Ten staff did not have signed 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. Two staff did not have First Aid training within 90 days of employment. .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. Two staff did not have CPR training within 90 days of employment. .1102(d) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Five children did not have medical reports on file. GS 110-91(1);.0302(d)(2); .0304(g) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Five children did not have immunization records on file. 10A NCAC 09 .0302(d)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Three children did not have a date of enrollment on file. .1804(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. Two staff did not have medical reports 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. Two staff did not have the training within 90 days of employment. .1102(g) The above violations must be corrected immediately, and a letter must be sent to me no later than September 7, 2023 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 September 7, 2023 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 Staff orientation forms must be signed by staff once completed. Dates of review must also be written on the orientation form. 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. 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 .0601 · Violation
Name of Operation: RANDLEMAN ENRICHMENT CENTER Facility ID: 76000417 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 8/14/2023 Number Present: 194 Completed Date: 8/14/2023 Age: From 0 To 12 Total Minutes: 210 Time In: 08:45 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor for child care requirements applicable to a child care center. Tracy Harrell, Director, was 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 playing freely inside and outside on their designated playgrounds. The school age children were having an end of summer celebration, and were observed participating in gross motor play using bouncy houses. The infants were observed playing freely in their classroom. The children were observed eating chicken and pasta, carrots, peaches and milk. The last annual compliance visit was conducted August 22, 2022. The center is operating under a Five Star License that was issued November 28, 2017. The last sanitation inspection was conducted June 9, 2023 the center received a Superior rating. The last fire inspection was conducted July 12, 2022. Fire drills and playground inspections were monitored. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. The following violation was observed during today’s visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last inspection was conducted July 2023. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In the classroom for 2 year olds, arrival times were not documented. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. Several classrooms did not have current activity plans. GS 110-91(12); .0508(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence)In the first classroom for infants one child did not have a feeding schedule. 10A NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. On the outdoor play area for school age children there were metal bolts sticking up out of the black border. There was also two holes at the entrance that can be tripping hazards. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the classroom for three and four year olds, there was Lysol spray that was hanging on a cabinet. In the classroom for four and five year olds, there were several cleaners in an unlocked cabinet. On the van there was Lysol Disinfectant spray accessible to the children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the classroom for four and five year olds, there wass Hydrocortison medication in an unlocked cabinet. 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 four and five year olds, there was asthma medication that did not have a prescription label. .0803(2)(a) 847 Parent's medication authorization did not include required information. In the classroom for four and five year olds there was asthma medication that did not have a parental authorization or action plan. 10A NCAC 09 .0803(4)(6-9) The above violation must be corrected immediately, and a letter must be sent to me no later than August 28, 2023 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 August 28, 2023 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 There were several activity/lesson plans that were not current, ensure all plans are up to date and have current dates on them. Contact the fire inspector immediately to let him/her know your inspection is past due. All medications must have a currently dated parental authorization on file. All prescription medications with the exception of emergency medication must be in locked storage. The playground for school age children, at the entrance there is two holes in the dirt that can be tripping hazards, fill in the hiles with dirt. Some of the bolts in the black boarders are coming up, hammer them back in place. All cleaning supplies must be in locked storage. Conduct a fire drill near the end of naptime. A follow-up will be conducted to review staff and children’s files. RESOURCES The most current ChildCareStrongNC Public Health Toolkit Interim Guidance can be found on the DCDEE website, https://ncchildcare.ncdhhs.gov/ For information about current rule changes, visit the Division’s website at and look under the “SERVICES” tab for “DCDEE Moodle”. From the Moodle home screen go to “My Courses”; click on “Intro to Child Care Rules”; scroll down to “Child Care Rule Changes Effective February 2021” and then click on the module. If you complete the module, you will receive On-going Training credit. The Health and Safety Trainings are now being offered on the DCDEE Moodle format as well. 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/ . Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care. 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. 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: ratio. Open / not marked corrected.
10A NCAC 09 .0902 · Violation
Name of Operation: RANDLEMAN ENRICHMENT CENTER Facility ID: 76000417 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 8/14/2023 Number Present: 194 Completed Date: 8/14/2023 Age: From 0 To 12 Total Minutes: 210 Time In: 08:45 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor for child care requirements applicable to a child care center. Tracy Harrell, Director, was 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 playing freely inside and outside on their designated playgrounds. The school age children were having an end of summer celebration, and were observed participating in gross motor play using bouncy houses. The infants were observed playing freely in their classroom. The children were observed eating chicken and pasta, carrots, peaches and milk. The last annual compliance visit was conducted August 22, 2022. The center is operating under a Five Star License that was issued November 28, 2017. The last sanitation inspection was conducted June 9, 2023 the center received a Superior rating. The last fire inspection was conducted July 12, 2022. Fire drills and playground inspections were monitored. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. The following violation was observed during today’s visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last inspection was conducted July 2023. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In the classroom for 2 year olds, arrival times were not documented. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. Several classrooms did not have current activity plans. GS 110-91(12); .0508(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence)In the first classroom for infants one child did not have a feeding schedule. 10A NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. On the outdoor play area for school age children there were metal bolts sticking up out of the black border. There was also two holes at the entrance that can be tripping hazards. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the classroom for three and four year olds, there was Lysol spray that was hanging on a cabinet. In the classroom for four and five year olds, there were several cleaners in an unlocked cabinet. On the van there was Lysol Disinfectant spray accessible to the children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the classroom for four and five year olds, there wass Hydrocortison medication in an unlocked cabinet. 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 four and five year olds, there was asthma medication that did not have a prescription label. .0803(2)(a) 847 Parent's medication authorization did not include required information. In the classroom for four and five year olds there was asthma medication that did not have a parental authorization or action plan. 10A NCAC 09 .0803(4)(6-9) The above violation must be corrected immediately, and a letter must be sent to me no later than August 28, 2023 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 August 28, 2023 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 There were several activity/lesson plans that were not current, ensure all plans are up to date and have current dates on them. Contact the fire inspector immediately to let him/her know your inspection is past due. All medications must have a currently dated parental authorization on file. All prescription medications with the exception of emergency medication must be in locked storage. The playground for school age children, at the entrance there is two holes in the dirt that can be tripping hazards, fill in the hiles with dirt. Some of the bolts in the black boarders are coming up, hammer them back in place. All cleaning supplies must be in locked storage. Conduct a fire drill near the end of naptime. A follow-up will be conducted to review staff and children’s files. RESOURCES The most current ChildCareStrongNC Public Health Toolkit Interim Guidance can be found on the DCDEE website, https://ncchildcare.ncdhhs.gov/ For information about current rule changes, visit the Division’s website at and look under the “SERVICES” tab for “DCDEE Moodle”. From the Moodle home screen go to “My Courses”; click on “Intro to Child Care Rules”; scroll down to “Child Care Rule Changes Effective February 2021” and then click on the module. If you complete the module, you will receive On-going Training credit. The Health and Safety Trainings are now being offered on the DCDEE Moodle format as well. 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/ . Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care. 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. 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 .0302 · Violation
Name of Operation: RANDLEMAN ENRICHMENT CENTER Facility ID: 76000417 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 8/14/2023 Number Present: 194 Completed Date: 8/14/2023 Age: From 0 To 12 Total Minutes: 210 Time In: 08:45 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor for child care requirements applicable to a child care center. Tracy Harrell, Director, was 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 playing freely inside and outside on their designated playgrounds. The school age children were having an end of summer celebration, and were observed participating in gross motor play using bouncy houses. The infants were observed playing freely in their classroom. The children were observed eating chicken and pasta, carrots, peaches and milk. The last annual compliance visit was conducted August 22, 2022. The center is operating under a Five Star License that was issued November 28, 2017. The last sanitation inspection was conducted June 9, 2023 the center received a Superior rating. The last fire inspection was conducted July 12, 2022. Fire drills and playground inspections were monitored. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. The following violation was observed during today’s visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last inspection was conducted July 2023. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In the classroom for 2 year olds, arrival times were not documented. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. Several classrooms did not have current activity plans. GS 110-91(12); .0508(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence)In the first classroom for infants one child did not have a feeding schedule. 10A NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. On the outdoor play area for school age children there were metal bolts sticking up out of the black border. There was also two holes at the entrance that can be tripping hazards. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the classroom for three and four year olds, there was Lysol spray that was hanging on a cabinet. In the classroom for four and five year olds, there were several cleaners in an unlocked cabinet. On the van there was Lysol Disinfectant spray accessible to the children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the classroom for four and five year olds, there wass Hydrocortison medication in an unlocked cabinet. 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 four and five year olds, there was asthma medication that did not have a prescription label. .0803(2)(a) 847 Parent's medication authorization did not include required information. In the classroom for four and five year olds there was asthma medication that did not have a parental authorization or action plan. 10A NCAC 09 .0803(4)(6-9) The above violation must be corrected immediately, and a letter must be sent to me no later than August 28, 2023 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 August 28, 2023 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 There were several activity/lesson plans that were not current, ensure all plans are up to date and have current dates on them. Contact the fire inspector immediately to let him/her know your inspection is past due. All medications must have a currently dated parental authorization on file. All prescription medications with the exception of emergency medication must be in locked storage. The playground for school age children, at the entrance there is two holes in the dirt that can be tripping hazards, fill in the hiles with dirt. Some of the bolts in the black boarders are coming up, hammer them back in place. All cleaning supplies must be in locked storage. Conduct a fire drill near the end of naptime. A follow-up will be conducted to review staff and children’s files. RESOURCES The most current ChildCareStrongNC Public Health Toolkit Interim Guidance can be found on the DCDEE website, https://ncchildcare.ncdhhs.gov/ For information about current rule changes, visit the Division’s website at and look under the “SERVICES” tab for “DCDEE Moodle”. From the Moodle home screen go to “My Courses”; click on “Intro to Child Care Rules”; scroll down to “Child Care Rule Changes Effective February 2021” and then click on the module. If you complete the module, you will receive On-going Training credit. The Health and Safety Trainings are now being offered on the DCDEE Moodle format as well. 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/ . Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care. 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. 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 .0304 · Violation
Name of Operation: RANDLEMAN ENRICHMENT CENTER Facility ID: 76000417 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 8/14/2023 Number Present: 194 Completed Date: 8/14/2023 Age: From 0 To 12 Total Minutes: 210 Time In: 08:45 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor for child care requirements applicable to a child care center. Tracy Harrell, Director, was 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 playing freely inside and outside on their designated playgrounds. The school age children were having an end of summer celebration, and were observed participating in gross motor play using bouncy houses. The infants were observed playing freely in their classroom. The children were observed eating chicken and pasta, carrots, peaches and milk. The last annual compliance visit was conducted August 22, 2022. The center is operating under a Five Star License that was issued November 28, 2017. The last sanitation inspection was conducted June 9, 2023 the center received a Superior rating. The last fire inspection was conducted July 12, 2022. Fire drills and playground inspections were monitored. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. The following violation was observed during today’s visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last inspection was conducted July 2023. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In the classroom for 2 year olds, arrival times were not documented. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. Several classrooms did not have current activity plans. GS 110-91(12); .0508(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence)In the first classroom for infants one child did not have a feeding schedule. 10A NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. On the outdoor play area for school age children there were metal bolts sticking up out of the black border. There was also two holes at the entrance that can be tripping hazards. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the classroom for three and four year olds, there was Lysol spray that was hanging on a cabinet. In the classroom for four and five year olds, there were several cleaners in an unlocked cabinet. On the van there was Lysol Disinfectant spray accessible to the children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the classroom for four and five year olds, there wass Hydrocortison medication in an unlocked cabinet. 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 four and five year olds, there was asthma medication that did not have a prescription label. .0803(2)(a) 847 Parent's medication authorization did not include required information. In the classroom for four and five year olds there was asthma medication that did not have a parental authorization or action plan. 10A NCAC 09 .0803(4)(6-9) The above violation must be corrected immediately, and a letter must be sent to me no later than August 28, 2023 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 August 28, 2023 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 There were several activity/lesson plans that were not current, ensure all plans are up to date and have current dates on them. Contact the fire inspector immediately to let him/her know your inspection is past due. All medications must have a currently dated parental authorization on file. All prescription medications with the exception of emergency medication must be in locked storage. The playground for school age children, at the entrance there is two holes in the dirt that can be tripping hazards, fill in the hiles with dirt. Some of the bolts in the black boarders are coming up, hammer them back in place. All cleaning supplies must be in locked storage. Conduct a fire drill near the end of naptime. A follow-up will be conducted to review staff and children’s files. RESOURCES The most current ChildCareStrongNC Public Health Toolkit Interim Guidance can be found on the DCDEE website, https://ncchildcare.ncdhhs.gov/ For information about current rule changes, visit the Division’s website at and look under the “SERVICES” tab for “DCDEE Moodle”. From the Moodle home screen go to “My Courses”; click on “Intro to Child Care Rules”; scroll down to “Child Care Rule Changes Effective February 2021” and then click on the module. If you complete the module, you will receive On-going Training credit. The Health and Safety Trainings are now being offered on the DCDEE Moodle format as well. 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/ . Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care. 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. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0803 · Violation
Name of Operation: RANDLEMAN ENRICHMENT CENTER Facility ID: 76000417 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 8/14/2023 Number Present: 194 Completed Date: 8/14/2023 Age: From 0 To 12 Total Minutes: 210 Time In: 08:45 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor for child care requirements applicable to a child care center. Tracy Harrell, Director, was 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 playing freely inside and outside on their designated playgrounds. The school age children were having an end of summer celebration, and were observed participating in gross motor play using bouncy houses. The infants were observed playing freely in their classroom. The children were observed eating chicken and pasta, carrots, peaches and milk. The last annual compliance visit was conducted August 22, 2022. The center is operating under a Five Star License that was issued November 28, 2017. The last sanitation inspection was conducted June 9, 2023 the center received a Superior rating. The last fire inspection was conducted July 12, 2022. Fire drills and playground inspections were monitored. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. The following violation was observed during today’s visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last inspection was conducted July 2023. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In the classroom for 2 year olds, arrival times were not documented. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. Several classrooms did not have current activity plans. GS 110-91(12); .0508(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence)In the first classroom for infants one child did not have a feeding schedule. 10A NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. On the outdoor play area for school age children there were metal bolts sticking up out of the black border. There was also two holes at the entrance that can be tripping hazards. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the classroom for three and four year olds, there was Lysol spray that was hanging on a cabinet. In the classroom for four and five year olds, there were several cleaners in an unlocked cabinet. On the van there was Lysol Disinfectant spray accessible to the children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the classroom for four and five year olds, there wass Hydrocortison medication in an unlocked cabinet. 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 four and five year olds, there was asthma medication that did not have a prescription label. .0803(2)(a) 847 Parent's medication authorization did not include required information. In the classroom for four and five year olds there was asthma medication that did not have a parental authorization or action plan. 10A NCAC 09 .0803(4)(6-9) The above violation must be corrected immediately, and a letter must be sent to me no later than August 28, 2023 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 August 28, 2023 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 There were several activity/lesson plans that were not current, ensure all plans are up to date and have current dates on them. Contact the fire inspector immediately to let him/her know your inspection is past due. All medications must have a currently dated parental authorization on file. All prescription medications with the exception of emergency medication must be in locked storage. The playground for school age children, at the entrance there is two holes in the dirt that can be tripping hazards, fill in the hiles with dirt. Some of the bolts in the black boarders are coming up, hammer them back in place. All cleaning supplies must be in locked storage. Conduct a fire drill near the end of naptime. A follow-up will be conducted to review staff and children’s files. RESOURCES The most current ChildCareStrongNC Public Health Toolkit Interim Guidance can be found on the DCDEE website, https://ncchildcare.ncdhhs.gov/ For information about current rule changes, visit the Division’s website at and look under the “SERVICES” tab for “DCDEE Moodle”. From the Moodle home screen go to “My Courses”; click on “Intro to Child Care Rules”; scroll down to “Child Care Rule Changes Effective February 2021” and then click on the module. If you complete the module, you will receive On-going Training credit. The Health and Safety Trainings are now being offered on the DCDEE Moodle format as well. 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/ . Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care. 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. 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
GS 110-91 · Violation
Name of Operation: RANDLEMAN ENRICHMENT CENTER Facility ID: 76000417 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 8/14/2023 Number Present: 194 Completed Date: 8/14/2023 Age: From 0 To 12 Total Minutes: 210 Time In: 08:45 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor for child care requirements applicable to a child care center. Tracy Harrell, Director, was 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 playing freely inside and outside on their designated playgrounds. The school age children were having an end of summer celebration, and were observed participating in gross motor play using bouncy houses. The infants were observed playing freely in their classroom. The children were observed eating chicken and pasta, carrots, peaches and milk. The last annual compliance visit was conducted August 22, 2022. The center is operating under a Five Star License that was issued November 28, 2017. The last sanitation inspection was conducted June 9, 2023 the center received a Superior rating. The last fire inspection was conducted July 12, 2022. Fire drills and playground inspections were monitored. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. The following violation was observed during today’s visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last inspection was conducted July 2023. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In the classroom for 2 year olds, arrival times were not documented. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. Several classrooms did not have current activity plans. GS 110-91(12); .0508(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence)In the first classroom for infants one child did not have a feeding schedule. 10A NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. On the outdoor play area for school age children there were metal bolts sticking up out of the black border. There was also two holes at the entrance that can be tripping hazards. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the classroom for three and four year olds, there was Lysol spray that was hanging on a cabinet. In the classroom for four and five year olds, there were several cleaners in an unlocked cabinet. On the van there was Lysol Disinfectant spray accessible to the children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the classroom for four and five year olds, there wass Hydrocortison medication in an unlocked cabinet. 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 four and five year olds, there was asthma medication that did not have a prescription label. .0803(2)(a) 847 Parent's medication authorization did not include required information. In the classroom for four and five year olds there was asthma medication that did not have a parental authorization or action plan. 10A NCAC 09 .0803(4)(6-9) The above violation must be corrected immediately, and a letter must be sent to me no later than August 28, 2023 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 August 28, 2023 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 There were several activity/lesson plans that were not current, ensure all plans are up to date and have current dates on them. Contact the fire inspector immediately to let him/her know your inspection is past due. All medications must have a currently dated parental authorization on file. All prescription medications with the exception of emergency medication must be in locked storage. The playground for school age children, at the entrance there is two holes in the dirt that can be tripping hazards, fill in the hiles with dirt. Some of the bolts in the black boarders are coming up, hammer them back in place. All cleaning supplies must be in locked storage. Conduct a fire drill near the end of naptime. A follow-up will be conducted to review staff and children’s files. RESOURCES The most current ChildCareStrongNC Public Health Toolkit Interim Guidance can be found on the DCDEE website, https://ncchildcare.ncdhhs.gov/ For information about current rule changes, visit the Division’s website at and look under the “SERVICES” tab for “DCDEE Moodle”. From the Moodle home screen go to “My Courses”; click on “Intro to Child Care Rules”; scroll down to “Child Care Rule Changes Effective February 2021” and then click on the module. If you complete the module, you will receive On-going Training credit. The Health and Safety Trainings are now being offered on the DCDEE Moodle format as well. 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/ . Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care. 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. 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
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