Monroeton Head Start

G.S. 110-90 · Violation

Name of Operation: Monroeton Head Start Facility ID: 79000330 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 4/22/2026 Number Present: 17 Completed Date: 4/22/2026 Age: From 3 To 5 Total Minutes: 75 Time In: 09:30 AM Time Out: 10:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced An unannounced annual compliance visit with a rated license assessment was conducted at this child care center to monitor compliance with applicable child care requirements. This visit was conducted with Amber Hooper, Lead Teacher. Currently this center operates with a Five (5) Star License. The restrictions include daytime care only and meets all enhanced requirements with reduced ratios. The facility is owned and operated by Rockingham County Schools. Seventeen (17) children were present. The children were observed completing routine tasks, and playing indoors. All indoor and outdoor areas were monitored. Fire drill reports were monitored during today's visit. The last fire drill was conducted on April 14, 2026. It took the children three (3) minutes to evacuate. The last emergency drill, a lockdown drill, was conducted on March 31, 2026. The emergency drills must be conducted every three (3) months. The staff and children’s files were monitored in accordance with the Division of Child Development and Early Education policies and procedures. Ms. Hooper stated that children enrolled have emergency medication. The facility does not provide routine transportation. The following violations were observed during today's visit. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Th paint on the wooden stage on the outdoor play area is peeling. G.S. 110-91(6); .0601(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Permission for a medication expired April 2, 2026. .0803(12) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Two (2) employees were missing on the staff roster in the ABCMS system. G.S. 110-90.2 & .2703(r) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The EPR review is recorded as being completed on October 7, 2024. .0607(f) Rated License Information: The QRIS modernization plan was discussed with you during visits conducted with other facilities. Nicky Pickard, Education Manager, stated that this facility is ready for a rated license assessment. The facility is choosing pathway 3-Accreditation/Head Start. Once the compliance letter and all assessment application paperwork is received a rated license will be issued. Compliance letter: You must correct the violation found during today's visit immediately. Please send me two (2) letters verifying compliance. The letters must be received by May 6, 2026. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 962, Eden, NC 27289. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Failure to correct these violations in a timely manner may result in an administrative action. If more time is needed to correct any of the violations, you must send a request for an extension as soon as possible. The request must include a reason for the extension and a timeline of when the violation will be corrected. Thank you for your time and assistance during today's visit. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Sally Allen, Child Care Consultant, 336-580-3782, sally.allen@dhhs.nc.gov or Pam Hauser, Supervisor, (336)317-5003, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: Monroeton Head Start Facility ID: 79000330 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 4/22/2026 Number Present: 17 Completed Date: 4/22/2026 Age: From 3 To 5 Total Minutes: 75 Time In: 09:30 AM Time Out: 10:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced An unannounced annual compliance visit with a rated license assessment was conducted at this child care center to monitor compliance with applicable child care requirements. This visit was conducted with Amber Hooper, Lead Teacher. Currently this center operates with a Five (5) Star License. The restrictions include daytime care only and meets all enhanced requirements with reduced ratios. The facility is owned and operated by Rockingham County Schools. Seventeen (17) children were present. The children were observed completing routine tasks, and playing indoors. All indoor and outdoor areas were monitored. Fire drill reports were monitored during today's visit. The last fire drill was conducted on April 14, 2026. It took the children three (3) minutes to evacuate. The last emergency drill, a lockdown drill, was conducted on March 31, 2026. The emergency drills must be conducted every three (3) months. The staff and children’s files were monitored in accordance with the Division of Child Development and Early Education policies and procedures. Ms. Hooper stated that children enrolled have emergency medication. The facility does not provide routine transportation. The following violations were observed during today's visit. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Th paint on the wooden stage on the outdoor play area is peeling. G.S. 110-91(6); .0601(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Permission for a medication expired April 2, 2026. .0803(12) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Two (2) employees were missing on the staff roster in the ABCMS system. G.S. 110-90.2 & .2703(r) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The EPR review is recorded as being completed on October 7, 2024. .0607(f) Rated License Information: The QRIS modernization plan was discussed with you during visits conducted with other facilities. Nicky Pickard, Education Manager, stated that this facility is ready for a rated license assessment. The facility is choosing pathway 3-Accreditation/Head Start. Once the compliance letter and all assessment application paperwork is received a rated license will be issued. Compliance letter: You must correct the violation found during today's visit immediately. Please send me two (2) letters verifying compliance. The letters must be received by May 6, 2026. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 962, Eden, NC 27289. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Failure to correct these violations in a timely manner may result in an administrative action. If more time is needed to correct any of the violations, you must send a request for an extension as soon as possible. The request must include a reason for the extension and a timeline of when the violation will be corrected. Thank you for your time and assistance during today's visit. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Sally Allen, Child Care Consultant, 336-580-3782, sally.allen@dhhs.nc.gov or Pam Hauser, Supervisor, (336)317-5003, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: Monroeton Head Start Facility ID: 79000330 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 11/24/2025 Number Present: 18 Completed Date: 11/24/2025 Age: From 3 To 5 Total Minutes: 60 Time In: 09:00 AM Time Out: 10:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced A routine unannounced visit was conducted at this child care center to monitor compliance with applicable child care requirements. This visit was conducted with Nicky Pickard, Education Manager. Currently this center operates with a Five Star License. The restrictions include daytime care only and meets all enhanced requirements and reduced ratios. This facility is owned and operated by Rockingham County Schools. Eighteen (18) children were present during today’s visit. I observed the children playing indoors, completing routine tasks and preparing for outdoor play. The facility had a fire inspection completed on September 22, 2025. I received a copy today. The sanitation inspection was completed on September 10, 2025. The facility received a superior rating with no demerits. The emergency drill log was monitored during today's visit. The last fire drill recorded was completed on November 14, 2025. The evacuation took three (3) minutes. The last emergency drill, a shelter in place drill, was conducted on November 14, 2025. There are no new staff. The staff have current qualifying letters. They do not provide routine transportation for children enrolled this school year. The following violation was cited today. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. The parental permission for a medication was missing the name of the medication, dosage and parent signature. 10A NCAC 09 .0803(4)(6-9) Rated License: I spoke with Felicia Jumper, Head Start Director, on the telephone to review the QRIS modernization pathways. I completed a template documenting the pathway you plan to pursue, identifying needs, documenting a timeline for completion, resources, next steps, etc. Over the next few months, I’ll be checking in with you, ahead of your next visit to check on progress and determine if additional assistance is needed with WORKS, NCRLAP/ERS, accreditation, etc. Technical Assistance: It is important that the name of the medication is listed on the permission to administer. It is also important that when we do put the name of the medication it matches what is listed on the medication. Please make sure that when we receive permission that we are reviewing it carefully next to the medication prescription label. Compliance: You must correct the violation found during today's visit immediately. Please send me a two (2) letters verifying compliance. The letters must be received by December 8, 2025. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include in your letter the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 962, Eden, NC 27289 or email a copy of the letter to me at sally.allen@dhhs.nc.gov. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If I have not received the compliance letter by the tenth day, I will contact you, the operator/person in charge to inquire about your progress in correcting the violations and remind you of the date the compliance letter is due. I will contact you by telephone and/or email. If I have not received the letter by the due date, a follow up visit will be made promptly to verify compliance. Thank you for your time and assistance during today's visit. You may e-mail me at sally.allen@dhhs.nc.gov or call me at 336-580-3782 if you have questions. If you have any further questions or need further assistance you may contact my supervisor, Pam Hauser, at pamela.hauser@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

10A NCAC 09 .0701 · Violation

Name of Operation: Monroeton Head Start Facility ID: 79000330 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 4/28/2025 Number Present: 17 Completed Date: 4/28/2025 Age: From 3 To 5 Total Minutes: 90 Time In: 09:40 AM Time Out: 11:10 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this child care center to monitor compliance with applicable child care requirements. This visit was conducted by Sally Allen, Child Care Consultant with Nancy Dickerson, Teacher. The lead teacher was not present during today’s visit. Currently this center operates with a Five (5) Star license. Restrictions include daytime care only and meets all enhanced requirements and reduced ratios. Rockingham County Public Schools is the operator of the facility. The sanitation inspection was completed February 6, 2025, with a "Superior" classification with no demerits. The fire inspection was completed on September 4, 2024. I received a copy during another visit to the facility. Upon arrival staff/child ratio was observed and in compliance as indicated on the attached enrollment worksheet. Children were adequately supervised during today’s visit. All indoor and outdoor areas were observed during today's visit. Seventeen (17) children were present during today’s visit. The children were observed playing outdoors, completing routine tasks, and preparing for lunch. Fire drill reports and playground inspections were monitored during today's visit. The last fire drill was completed April 2, 2025. It took the children three (3) minutes to evacuate. The last emergency drill, a shelter-in-place, was conducted April 4, 2025. Children’s and staff files were reviewed following DCDEE procedures. Ms. Dickerson stated that no children enrolled have emergency medication. Hazardous supplies were kept in locked storage. Ms. Dickerson stated that they do not provide routine transportation. The following violations were observed during today's visit. Violation Number Comment Rule 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. The employee's, who was hired August 12, 2024, medical report was dated July 13, 2023. 10A NCAC 09 .0701(a) 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. There was not proof in the file that the training was completed by the staff hired August 12, 2024. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. A staff member hired January 2, 2024, only completed one of the required health and safety trainings with the first year of employment. .1102(a) Technical Assistance: 1-The health and safety trainings are required to be completed within the first year of employment, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment, CPR and First Aid training. These three (3) trainings must be completed within ninety (90) days of employment. CPR must be appropriate for the ages of children in care. Following the initial completion of the health and safety trainings they must be completed within the next five years of employment or prior to expiration (CPR and First Aid). There is a training log available on the Division’s website to document the completion of the trainings. All topics must be covered. If staff are hired and have completed the trainings they must be within twelve months of being completed to count for the first year of employment. Consultation: 1-Child Care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: •See the real-time background check status of staff members •Run a printable report of the staff roster to assist with compliance visits •See new background check applicants and add to staff roster To get started, complete the ABCMS Child Care Provider Portal Training in Moodle. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Compliance: You must correct the violation found during today's visit immediately. Please send me two (2) letters verifying compliance or you may email me the letter. The letter must be received by May 12, 2025. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 1305, Eden, NC 27289 or sally.allen@dhhs.nc.gov. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Failure to correct these violations in a timely manner may result in an administrative action. Thank you for your time and assistance during today's visit. You may e-mail me at sally.allen@dhhs.nc.gov or call me at 336-580-3782 or you may contact my supervisor, Pam Hauser at pamela.hauser@dhhs.nc.gov if you have questions or concerns. 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: Monroeton Head Start Facility ID: 79000330 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 2/2/2024 Number Present: 13 Completed Date: 2/2/2024 Age: From 3 To 5 Total Minutes: 120 Time In: 10:10 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during the third temporary time period and to discuss the rated license assessment for the issuance of a star rated license. The visit was conducted with Amber Hooper, Lead Teacher (new staff member), and Andrea Barker, Teacher, by Tammy Childress, Lead Child Care Consultant. Nicky Pickard, Education Manager, Rockingham County Schools Early Learning Head Start. Currently this center operates with a Temporary License, issued on August 31, 2023. The restrictions are Daytime care only and meets all enhanced requirements and reduced ratios. The program is operated in one classroom within Monroeton Elementary School and is licensed to provide care to children ages three to five-years-old with a capacity of 18 children. If any changes are made regarding the ownership of this facility, you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The following items were monitored during today’s visit: • License Posted • Permit Restrictions • Staff/Child Ratios • Supervision • Group Size • Capacity • Hazardous Product Storage • New Staff Files • Indoor and Outdoor Space Safety Requirements • Applicable Rated License Requirements Children in care were observed to be engaged in outdoor play, toileting/handwashing, drinking water, large group time, free choice activities, and lunch. The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Mini-blinds on the classroom exterior door had bent and broken slats at height level of the children. G.S. 110-91(6); .0601(b) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The EMC Plan posted in the classroom listed the name of a Lead Teacher no longer employed with the program and a Teacher who was absent today. .0802(b)(1-2) All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by February 16, 2024. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1. Name of your facility and ID# 2. Date of the Visit 3. Date of the Documentation you are submitting 4. Each Item Number of the Violations Cited 5. Date of when each item number was corrected 6. How the item was corrected and how you will prevent the violation from reoccurring 7. Signature of the person submitting the documentation An Environment Rating Scale Assessment was requested for this facility on January 16, 2024, but has not yet been conducted. Once the Facility Summary Report showing the assessment score from the North Carolina Rated License Assessment Project is received by Ms. Childress, points in the program component can be determined. Staff have completed ECERS-R training and the program has received resource assistance from the local partnership. You will need to ensure that you pull mulch back into the fall zones areas at the bottom of the slides to meet the measurement of six inches. All components of the rated license (Program and Education Standards and the Quality Point) were also reviewed with Ms. Pickard. The current compliance history for the facility prior to today’s visit was 99%. The possible points in each component of the rated license were reviewed as follows: Program Standards- TO BE Determined The facility will meet enhanced space requirements and enhanced ratios minus one. Education- PENDING Administrator: 7 Points Lead Teacher: Pending Needs to Update WORKS Account Teacher- 7 Points Quality Point- 1 Point Ms. Pickard selected the following options: • Staff Benefits Package: Paid Leave for professional development, paid planning time, vacation, sick time, retirement, and health insurance. • Infrastructure of Parent Involvement: meets all options The total number of points earned for the star rated license cannot be determined until one staff member has been evaluated as a Lead Teacher by the Workforce Education Unit. Consultation provided during today’s visit: Child Care Rule 10A NCAC 09. 0802(a) requires that you have an Emergency Medical Care Plan outlining the steps to follow in the event of a child medical emergency. The EMC Plan should list the names of the people responsible for carrying out each step of the plan. The EMC Plan currently posted in the classroom has the name of a staff person no longer employed with the program and the alternate person was not on site today. You will need to complete, print and post a new EMC Plan. The form is available on the DCDEE website at https://ncchildcare.ncdhhs.gov under the Provider tab and then selecting Provider Documents and Forms. Child Care Rule 10A NCAC 09 .0601(b) requires that all equipment and furnishings be in good repair. The metal slat blinds on the exterior door of the classroom have broken and bent slats. Ms. Pickard stated that she had already put in a work order for news blinds. If you have any questions about today’s visit, please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding today’s visit or regarding any violations documented during today's visit. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09. 0802 · Violation

Name of Operation: Monroeton Head Start Facility ID: 79000330 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 2/2/2024 Number Present: 13 Completed Date: 2/2/2024 Age: From 3 To 5 Total Minutes: 120 Time In: 10:10 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during the third temporary time period and to discuss the rated license assessment for the issuance of a star rated license. The visit was conducted with Amber Hooper, Lead Teacher (new staff member), and Andrea Barker, Teacher, by Tammy Childress, Lead Child Care Consultant. Nicky Pickard, Education Manager, Rockingham County Schools Early Learning Head Start. Currently this center operates with a Temporary License, issued on August 31, 2023. The restrictions are Daytime care only and meets all enhanced requirements and reduced ratios. The program is operated in one classroom within Monroeton Elementary School and is licensed to provide care to children ages three to five-years-old with a capacity of 18 children. If any changes are made regarding the ownership of this facility, you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The following items were monitored during today’s visit: • License Posted • Permit Restrictions • Staff/Child Ratios • Supervision • Group Size • Capacity • Hazardous Product Storage • New Staff Files • Indoor and Outdoor Space Safety Requirements • Applicable Rated License Requirements Children in care were observed to be engaged in outdoor play, toileting/handwashing, drinking water, large group time, free choice activities, and lunch. The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Mini-blinds on the classroom exterior door had bent and broken slats at height level of the children. G.S. 110-91(6); .0601(b) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The EMC Plan posted in the classroom listed the name of a Lead Teacher no longer employed with the program and a Teacher who was absent today. .0802(b)(1-2) All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by February 16, 2024. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1. Name of your facility and ID# 2. Date of the Visit 3. Date of the Documentation you are submitting 4. Each Item Number of the Violations Cited 5. Date of when each item number was corrected 6. How the item was corrected and how you will prevent the violation from reoccurring 7. Signature of the person submitting the documentation An Environment Rating Scale Assessment was requested for this facility on January 16, 2024, but has not yet been conducted. Once the Facility Summary Report showing the assessment score from the North Carolina Rated License Assessment Project is received by Ms. Childress, points in the program component can be determined. Staff have completed ECERS-R training and the program has received resource assistance from the local partnership. You will need to ensure that you pull mulch back into the fall zones areas at the bottom of the slides to meet the measurement of six inches. All components of the rated license (Program and Education Standards and the Quality Point) were also reviewed with Ms. Pickard. The current compliance history for the facility prior to today’s visit was 99%. The possible points in each component of the rated license were reviewed as follows: Program Standards- TO BE Determined The facility will meet enhanced space requirements and enhanced ratios minus one. Education- PENDING Administrator: 7 Points Lead Teacher: Pending Needs to Update WORKS Account Teacher- 7 Points Quality Point- 1 Point Ms. Pickard selected the following options: • Staff Benefits Package: Paid Leave for professional development, paid planning time, vacation, sick time, retirement, and health insurance. • Infrastructure of Parent Involvement: meets all options The total number of points earned for the star rated license cannot be determined until one staff member has been evaluated as a Lead Teacher by the Workforce Education Unit. Consultation provided during today’s visit: Child Care Rule 10A NCAC 09. 0802(a) requires that you have an Emergency Medical Care Plan outlining the steps to follow in the event of a child medical emergency. The EMC Plan should list the names of the people responsible for carrying out each step of the plan. The EMC Plan currently posted in the classroom has the name of a staff person no longer employed with the program and the alternate person was not on site today. You will need to complete, print and post a new EMC Plan. The form is available on the DCDEE website at https://ncchildcare.ncdhhs.gov under the Provider tab and then selecting Provider Documents and Forms. Child Care Rule 10A NCAC 09 .0601(b) requires that all equipment and furnishings be in good repair. The metal slat blinds on the exterior door of the classroom have broken and bent slats. Ms. Pickard stated that she had already put in a work order for news blinds. If you have any questions about today’s visit, please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding today’s visit or regarding any violations documented during today's visit. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: Monroeton Head Start Facility ID: 79000330 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 2/2/2024 Number Present: 13 Completed Date: 2/2/2024 Age: From 3 To 5 Total Minutes: 120 Time In: 10:10 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during the third temporary time period and to discuss the rated license assessment for the issuance of a star rated license. The visit was conducted with Amber Hooper, Lead Teacher (new staff member), and Andrea Barker, Teacher, by Tammy Childress, Lead Child Care Consultant. Nicky Pickard, Education Manager, Rockingham County Schools Early Learning Head Start. Currently this center operates with a Temporary License, issued on August 31, 2023. The restrictions are Daytime care only and meets all enhanced requirements and reduced ratios. The program is operated in one classroom within Monroeton Elementary School and is licensed to provide care to children ages three to five-years-old with a capacity of 18 children. If any changes are made regarding the ownership of this facility, you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The following items were monitored during today’s visit: • License Posted • Permit Restrictions • Staff/Child Ratios • Supervision • Group Size • Capacity • Hazardous Product Storage • New Staff Files • Indoor and Outdoor Space Safety Requirements • Applicable Rated License Requirements Children in care were observed to be engaged in outdoor play, toileting/handwashing, drinking water, large group time, free choice activities, and lunch. The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Mini-blinds on the classroom exterior door had bent and broken slats at height level of the children. G.S. 110-91(6); .0601(b) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The EMC Plan posted in the classroom listed the name of a Lead Teacher no longer employed with the program and a Teacher who was absent today. .0802(b)(1-2) All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by February 16, 2024. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1. Name of your facility and ID# 2. Date of the Visit 3. Date of the Documentation you are submitting 4. Each Item Number of the Violations Cited 5. Date of when each item number was corrected 6. How the item was corrected and how you will prevent the violation from reoccurring 7. Signature of the person submitting the documentation An Environment Rating Scale Assessment was requested for this facility on January 16, 2024, but has not yet been conducted. Once the Facility Summary Report showing the assessment score from the North Carolina Rated License Assessment Project is received by Ms. Childress, points in the program component can be determined. Staff have completed ECERS-R training and the program has received resource assistance from the local partnership. You will need to ensure that you pull mulch back into the fall zones areas at the bottom of the slides to meet the measurement of six inches. All components of the rated license (Program and Education Standards and the Quality Point) were also reviewed with Ms. Pickard. The current compliance history for the facility prior to today’s visit was 99%. The possible points in each component of the rated license were reviewed as follows: Program Standards- TO BE Determined The facility will meet enhanced space requirements and enhanced ratios minus one. Education- PENDING Administrator: 7 Points Lead Teacher: Pending Needs to Update WORKS Account Teacher- 7 Points Quality Point- 1 Point Ms. Pickard selected the following options: • Staff Benefits Package: Paid Leave for professional development, paid planning time, vacation, sick time, retirement, and health insurance. • Infrastructure of Parent Involvement: meets all options The total number of points earned for the star rated license cannot be determined until one staff member has been evaluated as a Lead Teacher by the Workforce Education Unit. Consultation provided during today’s visit: Child Care Rule 10A NCAC 09. 0802(a) requires that you have an Emergency Medical Care Plan outlining the steps to follow in the event of a child medical emergency. The EMC Plan should list the names of the people responsible for carrying out each step of the plan. The EMC Plan currently posted in the classroom has the name of a staff person no longer employed with the program and the alternate person was not on site today. You will need to complete, print and post a new EMC Plan. The form is available on the DCDEE website at https://ncchildcare.ncdhhs.gov under the Provider tab and then selecting Provider Documents and Forms. Child Care Rule 10A NCAC 09 .0601(b) requires that all equipment and furnishings be in good repair. The metal slat blinds on the exterior door of the classroom have broken and bent slats. Ms. Pickard stated that she had already put in a work order for news blinds. If you have any questions about today’s visit, please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding today’s visit or regarding any violations documented during today's visit. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: Monroeton Head Start Facility ID: 79000330 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 15 Completed Date: 10/18/2023 Age: From 3 To 5 Total Minutes: 185 Time In: 11:20 AM Time Out: 02:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time visit. The visit was conducted with Amelya Black, Lead Teacher, and Nancy Dickerson, Teacher, by Tammy Childress, Lead Child Care Consultant. Courtney Slade, Head Start Health/Mental Health Coordinator, was also present in the classroom assisting with caregiving. Currently this center operates with a Temporary License, issued on August 31, 2023, to operate first shift, with a capacity of 18, and to serve children ages 3-5 years old. Restrictions include daytime care only and meets all enhanced requirements and enhanced reduced ratios. The program operates in one classroom within Monroeton Elementary School. Rockingham County Schools is the designated owner of the program. If any changes to the corporation need to be made or you decide to sale your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A sampling of staff and children’s files were monitored during the visit. Staff file set-up and documentation of training, orientation and annual reviews were discussed with Ms. Pickard, Education Manager, who arrived during the visit. All program records and documents required to be posted and the outdoor learning environment were monitored. Parents are required to provide transportation for all enrolled children. Meals and snacks are prepared in the school cafeteria and served to the children in the classrooms. During today’s visit children present were observed to be engaged eating lunch, toileting/handwashing, large group, napping, free choice activities and departure. All child care rules applicable to this visit were monitored today. Activity centers and materials were observed and the teachers, Ms. Pickard and I all talked about adding more materials, a living thing, sensory play and sand and water play. Implementation of the daily schedule, the activity plan and staff/child interaction were observed during today’s visit. As the children finished lunch, the children were to wash their hands and go to the large carpet in front of the classroom with Ms. Black. Ms. Dickerson went to the bathroom to assist children that needed to use the restroom, and Ms. Slade remained with the children who were still eating and assisted those children with handwashing at the sink in the classroom. During this time, Ms. Black was attempting to talk with the children about a book that she was going to read to them before rest time. Some of the children left the lunch table and went to activity centers, some of the children went to the carpet while still chewing food, some children remained at the lunch tables and some children were in the bathroom. Ms. Black was instructing the children to return to the table if they still had food in their mouths, to wash their hands, and to sit on the carpet. Some of the children went to the book area and were choosing their own books, which she asked them to put up. Ms. Black stated that normally the children lay down after lunch/toileting/handwashing but that this had not been working very well, so today reading a book as a large group before rest time was new in the routine for the children. Once the children were on their cots and quiet, Ms. Slade left for the day. Ms. Slade is currently acting as a floater in the classroom and is not always the assigned person each day. I discussed with Ms. Black and Ms. Pickard that while reading a book after lunch today was a new routine for the children as evidenced by their behavior, I had also observed that some children with Ms. Dickerson and Ms. Slade were not finishing their food, toileting and/or handwashing and several of the children were not going to the carpet to sit. We discussed that responsibilities of each of the 3 caregivers in the classroom should be understood during this transition time, transition activities should be used, and to consider that there may be times when we need to take cues from the children’s behavior and adapt- maybe the children need a music and dance/yoga activity. After rest time, the staff members woke the children gently one at a time, assisted with toileting/handwashing and snack was served. This was a staggered process where some children remained asleep, while others were already eating snacks. The activity after snack was free choice activities and then the children prepare for departure. As some children finished their snacks, they went to activity areas where other children remained asleep on their cots, or several children went to one activity area and there was competition for materials. We again talked about a transition activity to allow time for all the children to be awake and off their cots, and for the cots to be put away before children go to activity centers. Waking all of the children at the same time allows the children to transition as a group, lessening the time children are waiting on each other. Ms. Black instructed the children to clean up the centers they were in and turned on a cleanup song on the smart board. The song was also accompanied by visual cartoon characters singing and cleaning. I discussed with Ms. Pickard that this was considered screen time and would have to be logged daily and part of the lesson plan, and a better option might be the music without the visuals. Ms. Black and Ms. Dickerson assisted the children in cleaning up and writing their names on drawings. Children migrated alone to the large carpet where the smartboard is located. One child, without being instructed to do so, turned the cleanup song off and played a song with dancing characters on the screen. The majority of the children were very interested in and familiar with the song and dance and went to the carpet to participate. During this time, one child was at his cubby alone and worked for several minutes at putting on his sweatshirt. This child then went to the window at the book center and looked outside. Ms. Black and Ms. Dickerson worked with the children on getting their belongings and getting in line to leave for the day. Two different children were designated as the head and the caboose of the train (line). While lining up, while walking to the front of the school and while waiting for parents the children were distracted, not staying in line, and were engaged in behaviors such as pushing/passing/falling on each other. While waiting for parents at the front of the school, a child(a) was observed rubbing his arm across the window in front of another child(b) who was looking out the window. Child(b) started screaming and child(a) would stop and then quickly start the behavior all over again with no intervention. Parents were observed to sign their child out on a log and engage in conversation with the teachers. Ms. Pickard and I talked about how transition activities during the whole departure time period (cleanup, getting belongings, lining up, walking up the hallway and gathering at the front door) would be helpful for the children and the teachers. The following violations were cited during today’s visit: Violation Number Comment Rule 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. An enrolled child was present on October 11, 2023 and October 12, 2023 and the sign-in and sign-out log had a parent or responsible signature, but an arrival and departure time was not documented for either day. 10A NCAC 09 .0302(d)(4) All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by October 30, 2023. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1. Name of your facility and ID# 2. Date of the Visit 3. Date of the Documentation you are submitting 4. Each Item Number of the Violations Cited 5. Date of when each item number was corrected 6. How the item was corrected and how you will prevent the violation from reoccurring 7. Signature of the person submitting the documentation Failure to submit the documentation so that it may be received by Ms. Childress by October 30, 2023, will result in a follow-up visit where uncorrected violations will again be cited. Submitting inaccurate or false information in the documentation submitted to Ms. Childress will be considered a falsification which could result in the issuance of an administrative action. At a future visit and through email communication we will discuss in more depth preparing for the rated license assessment process and the environmental rating scale assessment. However, staff could begin reviewing the Early Childhood Environment Rating Scale (revised edition) booklet ECERS-R, visit the North Carolina Rated License Assessment Project website at www.ncrlap.org and review resource guides/additional notes/ informational videos. Staff can also request technical assistance in preparing for the Environment Rating Scale Assessment, by partnering with the local resource and referral agency at: Rockingham County Partnership for Children 7572 NC-87 Reidsville, NC 27320 336-342-9676 https://rockinghamkids.org/ It is imperative that staff maintain compliance with child care rules and requirements at all times. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: -Maintain copies of each monthly playground inspection for 12 months. 10A NCAC 09 .0605(q) -Screen time must be logged for each child who participates in viewing any electronic device with a visual display, whether as free choice or part of a group activity such as cleaning up activity centers. Screen time cannot exceed 30 minutes a day and 2.5 hours a week for each child, must meet a developmental domain and shown on the activity/lesson plan. This would include playing songs with characters, graphics, objects, and/or performances on the smart board. 10A NCAC 09 .2508(e) -Ensure that children are supervised at all times, being aware of each child’s activities and whereabouts. Staff must also be able to see and hear children aged birth to five years old while children are eating. 10A NCAC 09 .1801(a) -Daily records of arrival and departure times at the center for each child shall be maintained as children arrive and depart. 10A NCAC 09 .0302(d) -A daily schedule and current activity plan must be posted for each group of children for reference by parents and caregivers. It is recommended when parents are dropping off and picking up children in an area other than the classroom, that the activity plan be posted in the classroom and staff should provide parents with a hard copy or digital copy. 10A NCAC 09 .0508(a) -Explore ways to make transition times clearly understood, short in length, meaningful and fun. Reach out for technical assistance if needed from Head Start, Smart Start and Ms. Childress. Moving from one activity to the next can be a time of confusion, frustration, and challenging behaviors for some children. Consider some of the techniques below and as with all things with preschool children, try out several ideas and stick with what works for them. Use what gets their attention, even if that is being a silly/dancing/singing teacher! -Explain It: Before going into an activity, talk with children as a group and use “first” and “then” language. In simple, short terms tell the children what they are doing first and what they are doing then. -Use Visual Supports: Create picture daily schedule cards, showing actual pictures of the children and/or actual objects in the classroom demonstrating the first and then. -Use Verbal or other Audible Prompts: Timers, bells, verbal warnings that we are moving from one activity to the next and use first and then language. -Make it Fun: Use simple games (like I Spy or hop to the carpet like a ____, when your area is clean, wave your hands above your head like a tree in the wind after your hands are washed, etc.) songs (sing them together or use applications like Spotify) to avoid children being distracted/more interested in the visual display on the smart board. Use songs as you line up for hallway transitions ( Google it- there are some great ones! Hallway Rap, Marshmallow Mouths and Toes) and have a plan for an activity when you get where you are going. -Praise and Encourage: I observed Ms. Black doing this throughout my visit so keep it up! -Double Check the Daily Schedule: Consider and reconsider if the times allotted for transitions and activities work- are transition times too long? Do we leave too early for departure? -Visit the DCDEE website at https://ncchildcare.ncdhhs.gov. From the home screen, hover your cursor over the “Provider” tab at the top of the page, from the drop down options hover over “Training and Professional Development” and lastly select (click on) “DCDEE Moodle” from the option menu to your right. Login to Moodle using your NCID username and password. From the carousel of pictures at the top of the page, select “View Early Childhood Professional Development.” Then select “Regulatory” and finally select “Child Care Rule Rollout” as a way to become more familiar with child care center rules. Also, on the DCDEE website home page, under the “Provider” tab, you can select “Child Care Rules” and on the next page select “Chapter 9- Child Care Rules.” You should download the rules for easier access. When needing to review a rule for quick reference you can use the keyboard keys “Ctrl” + “F” at the same time to prompt a search bar to appear and you can enter keywords for any rule. The keywords are then highlighted throughout the rules, and you can navigate through them using the up and down arrows. -Sensory Play The use of shaving cream by children in child care centers is not recommended under any circumstances. Research completed by regional children’s environmental health specialist found that specifically Barbasol Shaving Cream, could cause nausea, vomiting and diarrhea from ingestion, minor eye irritation from eye contact, and irritation from prolonged skin contact. Pfizer Consumer Health Care Division, maker of Barbasol Shaving Cream, indicated that shaving cream was not formulated or tested for use in child care settings and therefore could not recommend it for use. This research and statement position by environmental health applies to any brand of shaving cream. We discussed other alternatives such as whipped cream and googling taste safe sensory foam that you can make with only a few ingredients. -There are various materials that meet requirements in place of sand play, which are often seen in sensory bins filled with items such as rice, lentils, birdseed, cornmeal, wet sand, sterilized potting soil, and woodchips, whole and dried corn kernels. It is important not to use any items that could be considered choking hazards for preschoolers, such as larger dried beans, acorns. When using an approved sand substitute make sure that there is enough of the material to allow children to dig, scoop, pour and fill and that there are accessory items such as cups and spoons. The “measuring” types of toys can be alternated with items such as cars, trucks, people, animals, tools for making designs in sand, etcetera, but if using in rotation the measuring types of toys must be available to be monitored. Some suggestions for water play include added color and objects to the water with the same types of accessory items. Water play can also include bathing dolls, dishes for housekeeping, or trucks and cars at a car wash. Be creative, but also allow children opportunities to gain experience and explore with sand and water. Please feel free to contact me with any questions or needed assistance. If you have any questions about this visit, please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding this visit. Because the program day was over, the content of this visit summary was reviewed with Ms. Black and Ms. Pickard and a copy will be emailed to them. 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 .0508 · Violation

Name of Operation: Monroeton Head Start Facility ID: 79000330 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 15 Completed Date: 10/18/2023 Age: From 3 To 5 Total Minutes: 185 Time In: 11:20 AM Time Out: 02:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time visit. The visit was conducted with Amelya Black, Lead Teacher, and Nancy Dickerson, Teacher, by Tammy Childress, Lead Child Care Consultant. Courtney Slade, Head Start Health/Mental Health Coordinator, was also present in the classroom assisting with caregiving. Currently this center operates with a Temporary License, issued on August 31, 2023, to operate first shift, with a capacity of 18, and to serve children ages 3-5 years old. Restrictions include daytime care only and meets all enhanced requirements and enhanced reduced ratios. The program operates in one classroom within Monroeton Elementary School. Rockingham County Schools is the designated owner of the program. If any changes to the corporation need to be made or you decide to sale your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A sampling of staff and children’s files were monitored during the visit. Staff file set-up and documentation of training, orientation and annual reviews were discussed with Ms. Pickard, Education Manager, who arrived during the visit. All program records and documents required to be posted and the outdoor learning environment were monitored. Parents are required to provide transportation for all enrolled children. Meals and snacks are prepared in the school cafeteria and served to the children in the classrooms. During today’s visit children present were observed to be engaged eating lunch, toileting/handwashing, large group, napping, free choice activities and departure. All child care rules applicable to this visit were monitored today. Activity centers and materials were observed and the teachers, Ms. Pickard and I all talked about adding more materials, a living thing, sensory play and sand and water play. Implementation of the daily schedule, the activity plan and staff/child interaction were observed during today’s visit. As the children finished lunch, the children were to wash their hands and go to the large carpet in front of the classroom with Ms. Black. Ms. Dickerson went to the bathroom to assist children that needed to use the restroom, and Ms. Slade remained with the children who were still eating and assisted those children with handwashing at the sink in the classroom. During this time, Ms. Black was attempting to talk with the children about a book that she was going to read to them before rest time. Some of the children left the lunch table and went to activity centers, some of the children went to the carpet while still chewing food, some children remained at the lunch tables and some children were in the bathroom. Ms. Black was instructing the children to return to the table if they still had food in their mouths, to wash their hands, and to sit on the carpet. Some of the children went to the book area and were choosing their own books, which she asked them to put up. Ms. Black stated that normally the children lay down after lunch/toileting/handwashing but that this had not been working very well, so today reading a book as a large group before rest time was new in the routine for the children. Once the children were on their cots and quiet, Ms. Slade left for the day. Ms. Slade is currently acting as a floater in the classroom and is not always the assigned person each day. I discussed with Ms. Black and Ms. Pickard that while reading a book after lunch today was a new routine for the children as evidenced by their behavior, I had also observed that some children with Ms. Dickerson and Ms. Slade were not finishing their food, toileting and/or handwashing and several of the children were not going to the carpet to sit. We discussed that responsibilities of each of the 3 caregivers in the classroom should be understood during this transition time, transition activities should be used, and to consider that there may be times when we need to take cues from the children’s behavior and adapt- maybe the children need a music and dance/yoga activity. After rest time, the staff members woke the children gently one at a time, assisted with toileting/handwashing and snack was served. This was a staggered process where some children remained asleep, while others were already eating snacks. The activity after snack was free choice activities and then the children prepare for departure. As some children finished their snacks, they went to activity areas where other children remained asleep on their cots, or several children went to one activity area and there was competition for materials. We again talked about a transition activity to allow time for all the children to be awake and off their cots, and for the cots to be put away before children go to activity centers. Waking all of the children at the same time allows the children to transition as a group, lessening the time children are waiting on each other. Ms. Black instructed the children to clean up the centers they were in and turned on a cleanup song on the smart board. The song was also accompanied by visual cartoon characters singing and cleaning. I discussed with Ms. Pickard that this was considered screen time and would have to be logged daily and part of the lesson plan, and a better option might be the music without the visuals. Ms. Black and Ms. Dickerson assisted the children in cleaning up and writing their names on drawings. Children migrated alone to the large carpet where the smartboard is located. One child, without being instructed to do so, turned the cleanup song off and played a song with dancing characters on the screen. The majority of the children were very interested in and familiar with the song and dance and went to the carpet to participate. During this time, one child was at his cubby alone and worked for several minutes at putting on his sweatshirt. This child then went to the window at the book center and looked outside. Ms. Black and Ms. Dickerson worked with the children on getting their belongings and getting in line to leave for the day. Two different children were designated as the head and the caboose of the train (line). While lining up, while walking to the front of the school and while waiting for parents the children were distracted, not staying in line, and were engaged in behaviors such as pushing/passing/falling on each other. While waiting for parents at the front of the school, a child(a) was observed rubbing his arm across the window in front of another child(b) who was looking out the window. Child(b) started screaming and child(a) would stop and then quickly start the behavior all over again with no intervention. Parents were observed to sign their child out on a log and engage in conversation with the teachers. Ms. Pickard and I talked about how transition activities during the whole departure time period (cleanup, getting belongings, lining up, walking up the hallway and gathering at the front door) would be helpful for the children and the teachers. The following violations were cited during today’s visit: Violation Number Comment Rule 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. An enrolled child was present on October 11, 2023 and October 12, 2023 and the sign-in and sign-out log had a parent or responsible signature, but an arrival and departure time was not documented for either day. 10A NCAC 09 .0302(d)(4) All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by October 30, 2023. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1. Name of your facility and ID# 2. Date of the Visit 3. Date of the Documentation you are submitting 4. Each Item Number of the Violations Cited 5. Date of when each item number was corrected 6. How the item was corrected and how you will prevent the violation from reoccurring 7. Signature of the person submitting the documentation Failure to submit the documentation so that it may be received by Ms. Childress by October 30, 2023, will result in a follow-up visit where uncorrected violations will again be cited. Submitting inaccurate or false information in the documentation submitted to Ms. Childress will be considered a falsification which could result in the issuance of an administrative action. At a future visit and through email communication we will discuss in more depth preparing for the rated license assessment process and the environmental rating scale assessment. However, staff could begin reviewing the Early Childhood Environment Rating Scale (revised edition) booklet ECERS-R, visit the North Carolina Rated License Assessment Project website at www.ncrlap.org and review resource guides/additional notes/ informational videos. Staff can also request technical assistance in preparing for the Environment Rating Scale Assessment, by partnering with the local resource and referral agency at: Rockingham County Partnership for Children 7572 NC-87 Reidsville, NC 27320 336-342-9676 https://rockinghamkids.org/ It is imperative that staff maintain compliance with child care rules and requirements at all times. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: -Maintain copies of each monthly playground inspection for 12 months. 10A NCAC 09 .0605(q) -Screen time must be logged for each child who participates in viewing any electronic device with a visual display, whether as free choice or part of a group activity such as cleaning up activity centers. Screen time cannot exceed 30 minutes a day and 2.5 hours a week for each child, must meet a developmental domain and shown on the activity/lesson plan. This would include playing songs with characters, graphics, objects, and/or performances on the smart board. 10A NCAC 09 .2508(e) -Ensure that children are supervised at all times, being aware of each child’s activities and whereabouts. Staff must also be able to see and hear children aged birth to five years old while children are eating. 10A NCAC 09 .1801(a) -Daily records of arrival and departure times at the center for each child shall be maintained as children arrive and depart. 10A NCAC 09 .0302(d) -A daily schedule and current activity plan must be posted for each group of children for reference by parents and caregivers. It is recommended when parents are dropping off and picking up children in an area other than the classroom, that the activity plan be posted in the classroom and staff should provide parents with a hard copy or digital copy. 10A NCAC 09 .0508(a) -Explore ways to make transition times clearly understood, short in length, meaningful and fun. Reach out for technical assistance if needed from Head Start, Smart Start and Ms. Childress. Moving from one activity to the next can be a time of confusion, frustration, and challenging behaviors for some children. Consider some of the techniques below and as with all things with preschool children, try out several ideas and stick with what works for them. Use what gets their attention, even if that is being a silly/dancing/singing teacher! -Explain It: Before going into an activity, talk with children as a group and use “first” and “then” language. In simple, short terms tell the children what they are doing first and what they are doing then. -Use Visual Supports: Create picture daily schedule cards, showing actual pictures of the children and/or actual objects in the classroom demonstrating the first and then. -Use Verbal or other Audible Prompts: Timers, bells, verbal warnings that we are moving from one activity to the next and use first and then language. -Make it Fun: Use simple games (like I Spy or hop to the carpet like a ____, when your area is clean, wave your hands above your head like a tree in the wind after your hands are washed, etc.) songs (sing them together or use applications like Spotify) to avoid children being distracted/more interested in the visual display on the smart board. Use songs as you line up for hallway transitions ( Google it- there are some great ones! Hallway Rap, Marshmallow Mouths and Toes) and have a plan for an activity when you get where you are going. -Praise and Encourage: I observed Ms. Black doing this throughout my visit so keep it up! -Double Check the Daily Schedule: Consider and reconsider if the times allotted for transitions and activities work- are transition times too long? Do we leave too early for departure? -Visit the DCDEE website at https://ncchildcare.ncdhhs.gov. From the home screen, hover your cursor over the “Provider” tab at the top of the page, from the drop down options hover over “Training and Professional Development” and lastly select (click on) “DCDEE Moodle” from the option menu to your right. Login to Moodle using your NCID username and password. From the carousel of pictures at the top of the page, select “View Early Childhood Professional Development.” Then select “Regulatory” and finally select “Child Care Rule Rollout” as a way to become more familiar with child care center rules. Also, on the DCDEE website home page, under the “Provider” tab, you can select “Child Care Rules” and on the next page select “Chapter 9- Child Care Rules.” You should download the rules for easier access. When needing to review a rule for quick reference you can use the keyboard keys “Ctrl” + “F” at the same time to prompt a search bar to appear and you can enter keywords for any rule. The keywords are then highlighted throughout the rules, and you can navigate through them using the up and down arrows. -Sensory Play The use of shaving cream by children in child care centers is not recommended under any circumstances. Research completed by regional children’s environmental health specialist found that specifically Barbasol Shaving Cream, could cause nausea, vomiting and diarrhea from ingestion, minor eye irritation from eye contact, and irritation from prolonged skin contact. Pfizer Consumer Health Care Division, maker of Barbasol Shaving Cream, indicated that shaving cream was not formulated or tested for use in child care settings and therefore could not recommend it for use. This research and statement position by environmental health applies to any brand of shaving cream. We discussed other alternatives such as whipped cream and googling taste safe sensory foam that you can make with only a few ingredients. -There are various materials that meet requirements in place of sand play, which are often seen in sensory bins filled with items such as rice, lentils, birdseed, cornmeal, wet sand, sterilized potting soil, and woodchips, whole and dried corn kernels. It is important not to use any items that could be considered choking hazards for preschoolers, such as larger dried beans, acorns. When using an approved sand substitute make sure that there is enough of the material to allow children to dig, scoop, pour and fill and that there are accessory items such as cups and spoons. The “measuring” types of toys can be alternated with items such as cars, trucks, people, animals, tools for making designs in sand, etcetera, but if using in rotation the measuring types of toys must be available to be monitored. Some suggestions for water play include added color and objects to the water with the same types of accessory items. Water play can also include bathing dolls, dishes for housekeeping, or trucks and cars at a car wash. Be creative, but also allow children opportunities to gain experience and explore with sand and water. Please feel free to contact me with any questions or needed assistance. If you have any questions about this visit, please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding this visit. Because the program day was over, the content of this visit summary was reviewed with Ms. Black and Ms. Pickard and a copy will be emailed to them. 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 .0605 · Violation

Name of Operation: Monroeton Head Start Facility ID: 79000330 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 15 Completed Date: 10/18/2023 Age: From 3 To 5 Total Minutes: 185 Time In: 11:20 AM Time Out: 02:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time visit. The visit was conducted with Amelya Black, Lead Teacher, and Nancy Dickerson, Teacher, by Tammy Childress, Lead Child Care Consultant. Courtney Slade, Head Start Health/Mental Health Coordinator, was also present in the classroom assisting with caregiving. Currently this center operates with a Temporary License, issued on August 31, 2023, to operate first shift, with a capacity of 18, and to serve children ages 3-5 years old. Restrictions include daytime care only and meets all enhanced requirements and enhanced reduced ratios. The program operates in one classroom within Monroeton Elementary School. Rockingham County Schools is the designated owner of the program. If any changes to the corporation need to be made or you decide to sale your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A sampling of staff and children’s files were monitored during the visit. Staff file set-up and documentation of training, orientation and annual reviews were discussed with Ms. Pickard, Education Manager, who arrived during the visit. All program records and documents required to be posted and the outdoor learning environment were monitored. Parents are required to provide transportation for all enrolled children. Meals and snacks are prepared in the school cafeteria and served to the children in the classrooms. During today’s visit children present were observed to be engaged eating lunch, toileting/handwashing, large group, napping, free choice activities and departure. All child care rules applicable to this visit were monitored today. Activity centers and materials were observed and the teachers, Ms. Pickard and I all talked about adding more materials, a living thing, sensory play and sand and water play. Implementation of the daily schedule, the activity plan and staff/child interaction were observed during today’s visit. As the children finished lunch, the children were to wash their hands and go to the large carpet in front of the classroom with Ms. Black. Ms. Dickerson went to the bathroom to assist children that needed to use the restroom, and Ms. Slade remained with the children who were still eating and assisted those children with handwashing at the sink in the classroom. During this time, Ms. Black was attempting to talk with the children about a book that she was going to read to them before rest time. Some of the children left the lunch table and went to activity centers, some of the children went to the carpet while still chewing food, some children remained at the lunch tables and some children were in the bathroom. Ms. Black was instructing the children to return to the table if they still had food in their mouths, to wash their hands, and to sit on the carpet. Some of the children went to the book area and were choosing their own books, which she asked them to put up. Ms. Black stated that normally the children lay down after lunch/toileting/handwashing but that this had not been working very well, so today reading a book as a large group before rest time was new in the routine for the children. Once the children were on their cots and quiet, Ms. Slade left for the day. Ms. Slade is currently acting as a floater in the classroom and is not always the assigned person each day. I discussed with Ms. Black and Ms. Pickard that while reading a book after lunch today was a new routine for the children as evidenced by their behavior, I had also observed that some children with Ms. Dickerson and Ms. Slade were not finishing their food, toileting and/or handwashing and several of the children were not going to the carpet to sit. We discussed that responsibilities of each of the 3 caregivers in the classroom should be understood during this transition time, transition activities should be used, and to consider that there may be times when we need to take cues from the children’s behavior and adapt- maybe the children need a music and dance/yoga activity. After rest time, the staff members woke the children gently one at a time, assisted with toileting/handwashing and snack was served. This was a staggered process where some children remained asleep, while others were already eating snacks. The activity after snack was free choice activities and then the children prepare for departure. As some children finished their snacks, they went to activity areas where other children remained asleep on their cots, or several children went to one activity area and there was competition for materials. We again talked about a transition activity to allow time for all the children to be awake and off their cots, and for the cots to be put away before children go to activity centers. Waking all of the children at the same time allows the children to transition as a group, lessening the time children are waiting on each other. Ms. Black instructed the children to clean up the centers they were in and turned on a cleanup song on the smart board. The song was also accompanied by visual cartoon characters singing and cleaning. I discussed with Ms. Pickard that this was considered screen time and would have to be logged daily and part of the lesson plan, and a better option might be the music without the visuals. Ms. Black and Ms. Dickerson assisted the children in cleaning up and writing their names on drawings. Children migrated alone to the large carpet where the smartboard is located. One child, without being instructed to do so, turned the cleanup song off and played a song with dancing characters on the screen. The majority of the children were very interested in and familiar with the song and dance and went to the carpet to participate. During this time, one child was at his cubby alone and worked for several minutes at putting on his sweatshirt. This child then went to the window at the book center and looked outside. Ms. Black and Ms. Dickerson worked with the children on getting their belongings and getting in line to leave for the day. Two different children were designated as the head and the caboose of the train (line). While lining up, while walking to the front of the school and while waiting for parents the children were distracted, not staying in line, and were engaged in behaviors such as pushing/passing/falling on each other. While waiting for parents at the front of the school, a child(a) was observed rubbing his arm across the window in front of another child(b) who was looking out the window. Child(b) started screaming and child(a) would stop and then quickly start the behavior all over again with no intervention. Parents were observed to sign their child out on a log and engage in conversation with the teachers. Ms. Pickard and I talked about how transition activities during the whole departure time period (cleanup, getting belongings, lining up, walking up the hallway and gathering at the front door) would be helpful for the children and the teachers. The following violations were cited during today’s visit: Violation Number Comment Rule 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. An enrolled child was present on October 11, 2023 and October 12, 2023 and the sign-in and sign-out log had a parent or responsible signature, but an arrival and departure time was not documented for either day. 10A NCAC 09 .0302(d)(4) All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by October 30, 2023. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1. Name of your facility and ID# 2. Date of the Visit 3. Date of the Documentation you are submitting 4. Each Item Number of the Violations Cited 5. Date of when each item number was corrected 6. How the item was corrected and how you will prevent the violation from reoccurring 7. Signature of the person submitting the documentation Failure to submit the documentation so that it may be received by Ms. Childress by October 30, 2023, will result in a follow-up visit where uncorrected violations will again be cited. Submitting inaccurate or false information in the documentation submitted to Ms. Childress will be considered a falsification which could result in the issuance of an administrative action. At a future visit and through email communication we will discuss in more depth preparing for the rated license assessment process and the environmental rating scale assessment. However, staff could begin reviewing the Early Childhood Environment Rating Scale (revised edition) booklet ECERS-R, visit the North Carolina Rated License Assessment Project website at www.ncrlap.org and review resource guides/additional notes/ informational videos. Staff can also request technical assistance in preparing for the Environment Rating Scale Assessment, by partnering with the local resource and referral agency at: Rockingham County Partnership for Children 7572 NC-87 Reidsville, NC 27320 336-342-9676 https://rockinghamkids.org/ It is imperative that staff maintain compliance with child care rules and requirements at all times. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: -Maintain copies of each monthly playground inspection for 12 months. 10A NCAC 09 .0605(q) -Screen time must be logged for each child who participates in viewing any electronic device with a visual display, whether as free choice or part of a group activity such as cleaning up activity centers. Screen time cannot exceed 30 minutes a day and 2.5 hours a week for each child, must meet a developmental domain and shown on the activity/lesson plan. This would include playing songs with characters, graphics, objects, and/or performances on the smart board. 10A NCAC 09 .2508(e) -Ensure that children are supervised at all times, being aware of each child’s activities and whereabouts. Staff must also be able to see and hear children aged birth to five years old while children are eating. 10A NCAC 09 .1801(a) -Daily records of arrival and departure times at the center for each child shall be maintained as children arrive and depart. 10A NCAC 09 .0302(d) -A daily schedule and current activity plan must be posted for each group of children for reference by parents and caregivers. It is recommended when parents are dropping off and picking up children in an area other than the classroom, that the activity plan be posted in the classroom and staff should provide parents with a hard copy or digital copy. 10A NCAC 09 .0508(a) -Explore ways to make transition times clearly understood, short in length, meaningful and fun. Reach out for technical assistance if needed from Head Start, Smart Start and Ms. Childress. Moving from one activity to the next can be a time of confusion, frustration, and challenging behaviors for some children. Consider some of the techniques below and as with all things with preschool children, try out several ideas and stick with what works for them. Use what gets their attention, even if that is being a silly/dancing/singing teacher! -Explain It: Before going into an activity, talk with children as a group and use “first” and “then” language. In simple, short terms tell the children what they are doing first and what they are doing then. -Use Visual Supports: Create picture daily schedule cards, showing actual pictures of the children and/or actual objects in the classroom demonstrating the first and then. -Use Verbal or other Audible Prompts: Timers, bells, verbal warnings that we are moving from one activity to the next and use first and then language. -Make it Fun: Use simple games (like I Spy or hop to the carpet like a ____, when your area is clean, wave your hands above your head like a tree in the wind after your hands are washed, etc.) songs (sing them together or use applications like Spotify) to avoid children being distracted/more interested in the visual display on the smart board. Use songs as you line up for hallway transitions ( Google it- there are some great ones! Hallway Rap, Marshmallow Mouths and Toes) and have a plan for an activity when you get where you are going. -Praise and Encourage: I observed Ms. Black doing this throughout my visit so keep it up! -Double Check the Daily Schedule: Consider and reconsider if the times allotted for transitions and activities work- are transition times too long? Do we leave too early for departure? -Visit the DCDEE website at https://ncchildcare.ncdhhs.gov. From the home screen, hover your cursor over the “Provider” tab at the top of the page, from the drop down options hover over “Training and Professional Development” and lastly select (click on) “DCDEE Moodle” from the option menu to your right. Login to Moodle using your NCID username and password. From the carousel of pictures at the top of the page, select “View Early Childhood Professional Development.” Then select “Regulatory” and finally select “Child Care Rule Rollout” as a way to become more familiar with child care center rules. Also, on the DCDEE website home page, under the “Provider” tab, you can select “Child Care Rules” and on the next page select “Chapter 9- Child Care Rules.” You should download the rules for easier access. When needing to review a rule for quick reference you can use the keyboard keys “Ctrl” + “F” at the same time to prompt a search bar to appear and you can enter keywords for any rule. The keywords are then highlighted throughout the rules, and you can navigate through them using the up and down arrows. -Sensory Play The use of shaving cream by children in child care centers is not recommended under any circumstances. Research completed by regional children’s environmental health specialist found that specifically Barbasol Shaving Cream, could cause nausea, vomiting and diarrhea from ingestion, minor eye irritation from eye contact, and irritation from prolonged skin contact. Pfizer Consumer Health Care Division, maker of Barbasol Shaving Cream, indicated that shaving cream was not formulated or tested for use in child care settings and therefore could not recommend it for use. This research and statement position by environmental health applies to any brand of shaving cream. We discussed other alternatives such as whipped cream and googling taste safe sensory foam that you can make with only a few ingredients. -There are various materials that meet requirements in place of sand play, which are often seen in sensory bins filled with items such as rice, lentils, birdseed, cornmeal, wet sand, sterilized potting soil, and woodchips, whole and dried corn kernels. It is important not to use any items that could be considered choking hazards for preschoolers, such as larger dried beans, acorns. When using an approved sand substitute make sure that there is enough of the material to allow children to dig, scoop, pour and fill and that there are accessory items such as cups and spoons. The “measuring” types of toys can be alternated with items such as cars, trucks, people, animals, tools for making designs in sand, etcetera, but if using in rotation the measuring types of toys must be available to be monitored. Some suggestions for water play include added color and objects to the water with the same types of accessory items. Water play can also include bathing dolls, dishes for housekeeping, or trucks and cars at a car wash. Be creative, but also allow children opportunities to gain experience and explore with sand and water. Please feel free to contact me with any questions or needed assistance. If you have any questions about this visit, please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding this visit. Because the program day was over, the content of this visit summary was reviewed with Ms. Black and Ms. Pickard and a copy will be emailed to them. 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 .1801 · Violation

Name of Operation: Monroeton Head Start Facility ID: 79000330 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 15 Completed Date: 10/18/2023 Age: From 3 To 5 Total Minutes: 185 Time In: 11:20 AM Time Out: 02:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time visit. The visit was conducted with Amelya Black, Lead Teacher, and Nancy Dickerson, Teacher, by Tammy Childress, Lead Child Care Consultant. Courtney Slade, Head Start Health/Mental Health Coordinator, was also present in the classroom assisting with caregiving. Currently this center operates with a Temporary License, issued on August 31, 2023, to operate first shift, with a capacity of 18, and to serve children ages 3-5 years old. Restrictions include daytime care only and meets all enhanced requirements and enhanced reduced ratios. The program operates in one classroom within Monroeton Elementary School. Rockingham County Schools is the designated owner of the program. If any changes to the corporation need to be made or you decide to sale your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A sampling of staff and children’s files were monitored during the visit. Staff file set-up and documentation of training, orientation and annual reviews were discussed with Ms. Pickard, Education Manager, who arrived during the visit. All program records and documents required to be posted and the outdoor learning environment were monitored. Parents are required to provide transportation for all enrolled children. Meals and snacks are prepared in the school cafeteria and served to the children in the classrooms. During today’s visit children present were observed to be engaged eating lunch, toileting/handwashing, large group, napping, free choice activities and departure. All child care rules applicable to this visit were monitored today. Activity centers and materials were observed and the teachers, Ms. Pickard and I all talked about adding more materials, a living thing, sensory play and sand and water play. Implementation of the daily schedule, the activity plan and staff/child interaction were observed during today’s visit. As the children finished lunch, the children were to wash their hands and go to the large carpet in front of the classroom with Ms. Black. Ms. Dickerson went to the bathroom to assist children that needed to use the restroom, and Ms. Slade remained with the children who were still eating and assisted those children with handwashing at the sink in the classroom. During this time, Ms. Black was attempting to talk with the children about a book that she was going to read to them before rest time. Some of the children left the lunch table and went to activity centers, some of the children went to the carpet while still chewing food, some children remained at the lunch tables and some children were in the bathroom. Ms. Black was instructing the children to return to the table if they still had food in their mouths, to wash their hands, and to sit on the carpet. Some of the children went to the book area and were choosing their own books, which she asked them to put up. Ms. Black stated that normally the children lay down after lunch/toileting/handwashing but that this had not been working very well, so today reading a book as a large group before rest time was new in the routine for the children. Once the children were on their cots and quiet, Ms. Slade left for the day. Ms. Slade is currently acting as a floater in the classroom and is not always the assigned person each day. I discussed with Ms. Black and Ms. Pickard that while reading a book after lunch today was a new routine for the children as evidenced by their behavior, I had also observed that some children with Ms. Dickerson and Ms. Slade were not finishing their food, toileting and/or handwashing and several of the children were not going to the carpet to sit. We discussed that responsibilities of each of the 3 caregivers in the classroom should be understood during this transition time, transition activities should be used, and to consider that there may be times when we need to take cues from the children’s behavior and adapt- maybe the children need a music and dance/yoga activity. After rest time, the staff members woke the children gently one at a time, assisted with toileting/handwashing and snack was served. This was a staggered process where some children remained asleep, while others were already eating snacks. The activity after snack was free choice activities and then the children prepare for departure. As some children finished their snacks, they went to activity areas where other children remained asleep on their cots, or several children went to one activity area and there was competition for materials. We again talked about a transition activity to allow time for all the children to be awake and off their cots, and for the cots to be put away before children go to activity centers. Waking all of the children at the same time allows the children to transition as a group, lessening the time children are waiting on each other. Ms. Black instructed the children to clean up the centers they were in and turned on a cleanup song on the smart board. The song was also accompanied by visual cartoon characters singing and cleaning. I discussed with Ms. Pickard that this was considered screen time and would have to be logged daily and part of the lesson plan, and a better option might be the music without the visuals. Ms. Black and Ms. Dickerson assisted the children in cleaning up and writing their names on drawings. Children migrated alone to the large carpet where the smartboard is located. One child, without being instructed to do so, turned the cleanup song off and played a song with dancing characters on the screen. The majority of the children were very interested in and familiar with the song and dance and went to the carpet to participate. During this time, one child was at his cubby alone and worked for several minutes at putting on his sweatshirt. This child then went to the window at the book center and looked outside. Ms. Black and Ms. Dickerson worked with the children on getting their belongings and getting in line to leave for the day. Two different children were designated as the head and the caboose of the train (line). While lining up, while walking to the front of the school and while waiting for parents the children were distracted, not staying in line, and were engaged in behaviors such as pushing/passing/falling on each other. While waiting for parents at the front of the school, a child(a) was observed rubbing his arm across the window in front of another child(b) who was looking out the window. Child(b) started screaming and child(a) would stop and then quickly start the behavior all over again with no intervention. Parents were observed to sign their child out on a log and engage in conversation with the teachers. Ms. Pickard and I talked about how transition activities during the whole departure time period (cleanup, getting belongings, lining up, walking up the hallway and gathering at the front door) would be helpful for the children and the teachers. The following violations were cited during today’s visit: Violation Number Comment Rule 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. An enrolled child was present on October 11, 2023 and October 12, 2023 and the sign-in and sign-out log had a parent or responsible signature, but an arrival and departure time was not documented for either day. 10A NCAC 09 .0302(d)(4) All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by October 30, 2023. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1. Name of your facility and ID# 2. Date of the Visit 3. Date of the Documentation you are submitting 4. Each Item Number of the Violations Cited 5. Date of when each item number was corrected 6. How the item was corrected and how you will prevent the violation from reoccurring 7. Signature of the person submitting the documentation Failure to submit the documentation so that it may be received by Ms. Childress by October 30, 2023, will result in a follow-up visit where uncorrected violations will again be cited. Submitting inaccurate or false information in the documentation submitted to Ms. Childress will be considered a falsification which could result in the issuance of an administrative action. At a future visit and through email communication we will discuss in more depth preparing for the rated license assessment process and the environmental rating scale assessment. However, staff could begin reviewing the Early Childhood Environment Rating Scale (revised edition) booklet ECERS-R, visit the North Carolina Rated License Assessment Project website at www.ncrlap.org and review resource guides/additional notes/ informational videos. Staff can also request technical assistance in preparing for the Environment Rating Scale Assessment, by partnering with the local resource and referral agency at: Rockingham County Partnership for Children 7572 NC-87 Reidsville, NC 27320 336-342-9676 https://rockinghamkids.org/ It is imperative that staff maintain compliance with child care rules and requirements at all times. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: -Maintain copies of each monthly playground inspection for 12 months. 10A NCAC 09 .0605(q) -Screen time must be logged for each child who participates in viewing any electronic device with a visual display, whether as free choice or part of a group activity such as cleaning up activity centers. Screen time cannot exceed 30 minutes a day and 2.5 hours a week for each child, must meet a developmental domain and shown on the activity/lesson plan. This would include playing songs with characters, graphics, objects, and/or performances on the smart board. 10A NCAC 09 .2508(e) -Ensure that children are supervised at all times, being aware of each child’s activities and whereabouts. Staff must also be able to see and hear children aged birth to five years old while children are eating. 10A NCAC 09 .1801(a) -Daily records of arrival and departure times at the center for each child shall be maintained as children arrive and depart. 10A NCAC 09 .0302(d) -A daily schedule and current activity plan must be posted for each group of children for reference by parents and caregivers. It is recommended when parents are dropping off and picking up children in an area other than the classroom, that the activity plan be posted in the classroom and staff should provide parents with a hard copy or digital copy. 10A NCAC 09 .0508(a) -Explore ways to make transition times clearly understood, short in length, meaningful and fun. Reach out for technical assistance if needed from Head Start, Smart Start and Ms. Childress. Moving from one activity to the next can be a time of confusion, frustration, and challenging behaviors for some children. Consider some of the techniques below and as with all things with preschool children, try out several ideas and stick with what works for them. Use what gets their attention, even if that is being a silly/dancing/singing teacher! -Explain It: Before going into an activity, talk with children as a group and use “first” and “then” language. In simple, short terms tell the children what they are doing first and what they are doing then. -Use Visual Supports: Create picture daily schedule cards, showing actual pictures of the children and/or actual objects in the classroom demonstrating the first and then. -Use Verbal or other Audible Prompts: Timers, bells, verbal warnings that we are moving from one activity to the next and use first and then language. -Make it Fun: Use simple games (like I Spy or hop to the carpet like a ____, when your area is clean, wave your hands above your head like a tree in the wind after your hands are washed, etc.) songs (sing them together or use applications like Spotify) to avoid children being distracted/more interested in the visual display on the smart board. Use songs as you line up for hallway transitions ( Google it- there are some great ones! Hallway Rap, Marshmallow Mouths and Toes) and have a plan for an activity when you get where you are going. -Praise and Encourage: I observed Ms. Black doing this throughout my visit so keep it up! -Double Check the Daily Schedule: Consider and reconsider if the times allotted for transitions and activities work- are transition times too long? Do we leave too early for departure? -Visit the DCDEE website at https://ncchildcare.ncdhhs.gov. From the home screen, hover your cursor over the “Provider” tab at the top of the page, from the drop down options hover over “Training and Professional Development” and lastly select (click on) “DCDEE Moodle” from the option menu to your right. Login to Moodle using your NCID username and password. From the carousel of pictures at the top of the page, select “View Early Childhood Professional Development.” Then select “Regulatory” and finally select “Child Care Rule Rollout” as a way to become more familiar with child care center rules. Also, on the DCDEE website home page, under the “Provider” tab, you can select “Child Care Rules” and on the next page select “Chapter 9- Child Care Rules.” You should download the rules for easier access. When needing to review a rule for quick reference you can use the keyboard keys “Ctrl” + “F” at the same time to prompt a search bar to appear and you can enter keywords for any rule. The keywords are then highlighted throughout the rules, and you can navigate through them using the up and down arrows. -Sensory Play The use of shaving cream by children in child care centers is not recommended under any circumstances. Research completed by regional children’s environmental health specialist found that specifically Barbasol Shaving Cream, could cause nausea, vomiting and diarrhea from ingestion, minor eye irritation from eye contact, and irritation from prolonged skin contact. Pfizer Consumer Health Care Division, maker of Barbasol Shaving Cream, indicated that shaving cream was not formulated or tested for use in child care settings and therefore could not recommend it for use. This research and statement position by environmental health applies to any brand of shaving cream. We discussed other alternatives such as whipped cream and googling taste safe sensory foam that you can make with only a few ingredients. -There are various materials that meet requirements in place of sand play, which are often seen in sensory bins filled with items such as rice, lentils, birdseed, cornmeal, wet sand, sterilized potting soil, and woodchips, whole and dried corn kernels. It is important not to use any items that could be considered choking hazards for preschoolers, such as larger dried beans, acorns. When using an approved sand substitute make sure that there is enough of the material to allow children to dig, scoop, pour and fill and that there are accessory items such as cups and spoons. The “measuring” types of toys can be alternated with items such as cars, trucks, people, animals, tools for making designs in sand, etcetera, but if using in rotation the measuring types of toys must be available to be monitored. Some suggestions for water play include added color and objects to the water with the same types of accessory items. Water play can also include bathing dolls, dishes for housekeeping, or trucks and cars at a car wash. Be creative, but also allow children opportunities to gain experience and explore with sand and water. Please feel free to contact me with any questions or needed assistance. If you have any questions about this visit, please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding this visit. Because the program day was over, the content of this visit summary was reviewed with Ms. Black and Ms. Pickard and a copy will be emailed to them. 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 .2508 · Violation

Name of Operation: Monroeton Head Start Facility ID: 79000330 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 15 Completed Date: 10/18/2023 Age: From 3 To 5 Total Minutes: 185 Time In: 11:20 AM Time Out: 02:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time visit. The visit was conducted with Amelya Black, Lead Teacher, and Nancy Dickerson, Teacher, by Tammy Childress, Lead Child Care Consultant. Courtney Slade, Head Start Health/Mental Health Coordinator, was also present in the classroom assisting with caregiving. Currently this center operates with a Temporary License, issued on August 31, 2023, to operate first shift, with a capacity of 18, and to serve children ages 3-5 years old. Restrictions include daytime care only and meets all enhanced requirements and enhanced reduced ratios. The program operates in one classroom within Monroeton Elementary School. Rockingham County Schools is the designated owner of the program. If any changes to the corporation need to be made or you decide to sale your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A sampling of staff and children’s files were monitored during the visit. Staff file set-up and documentation of training, orientation and annual reviews were discussed with Ms. Pickard, Education Manager, who arrived during the visit. All program records and documents required to be posted and the outdoor learning environment were monitored. Parents are required to provide transportation for all enrolled children. Meals and snacks are prepared in the school cafeteria and served to the children in the classrooms. During today’s visit children present were observed to be engaged eating lunch, toileting/handwashing, large group, napping, free choice activities and departure. All child care rules applicable to this visit were monitored today. Activity centers and materials were observed and the teachers, Ms. Pickard and I all talked about adding more materials, a living thing, sensory play and sand and water play. Implementation of the daily schedule, the activity plan and staff/child interaction were observed during today’s visit. As the children finished lunch, the children were to wash their hands and go to the large carpet in front of the classroom with Ms. Black. Ms. Dickerson went to the bathroom to assist children that needed to use the restroom, and Ms. Slade remained with the children who were still eating and assisted those children with handwashing at the sink in the classroom. During this time, Ms. Black was attempting to talk with the children about a book that she was going to read to them before rest time. Some of the children left the lunch table and went to activity centers, some of the children went to the carpet while still chewing food, some children remained at the lunch tables and some children were in the bathroom. Ms. Black was instructing the children to return to the table if they still had food in their mouths, to wash their hands, and to sit on the carpet. Some of the children went to the book area and were choosing their own books, which she asked them to put up. Ms. Black stated that normally the children lay down after lunch/toileting/handwashing but that this had not been working very well, so today reading a book as a large group before rest time was new in the routine for the children. Once the children were on their cots and quiet, Ms. Slade left for the day. Ms. Slade is currently acting as a floater in the classroom and is not always the assigned person each day. I discussed with Ms. Black and Ms. Pickard that while reading a book after lunch today was a new routine for the children as evidenced by their behavior, I had also observed that some children with Ms. Dickerson and Ms. Slade were not finishing their food, toileting and/or handwashing and several of the children were not going to the carpet to sit. We discussed that responsibilities of each of the 3 caregivers in the classroom should be understood during this transition time, transition activities should be used, and to consider that there may be times when we need to take cues from the children’s behavior and adapt- maybe the children need a music and dance/yoga activity. After rest time, the staff members woke the children gently one at a time, assisted with toileting/handwashing and snack was served. This was a staggered process where some children remained asleep, while others were already eating snacks. The activity after snack was free choice activities and then the children prepare for departure. As some children finished their snacks, they went to activity areas where other children remained asleep on their cots, or several children went to one activity area and there was competition for materials. We again talked about a transition activity to allow time for all the children to be awake and off their cots, and for the cots to be put away before children go to activity centers. Waking all of the children at the same time allows the children to transition as a group, lessening the time children are waiting on each other. Ms. Black instructed the children to clean up the centers they were in and turned on a cleanup song on the smart board. The song was also accompanied by visual cartoon characters singing and cleaning. I discussed with Ms. Pickard that this was considered screen time and would have to be logged daily and part of the lesson plan, and a better option might be the music without the visuals. Ms. Black and Ms. Dickerson assisted the children in cleaning up and writing their names on drawings. Children migrated alone to the large carpet where the smartboard is located. One child, without being instructed to do so, turned the cleanup song off and played a song with dancing characters on the screen. The majority of the children were very interested in and familiar with the song and dance and went to the carpet to participate. During this time, one child was at his cubby alone and worked for several minutes at putting on his sweatshirt. This child then went to the window at the book center and looked outside. Ms. Black and Ms. Dickerson worked with the children on getting their belongings and getting in line to leave for the day. Two different children were designated as the head and the caboose of the train (line). While lining up, while walking to the front of the school and while waiting for parents the children were distracted, not staying in line, and were engaged in behaviors such as pushing/passing/falling on each other. While waiting for parents at the front of the school, a child(a) was observed rubbing his arm across the window in front of another child(b) who was looking out the window. Child(b) started screaming and child(a) would stop and then quickly start the behavior all over again with no intervention. Parents were observed to sign their child out on a log and engage in conversation with the teachers. Ms. Pickard and I talked about how transition activities during the whole departure time period (cleanup, getting belongings, lining up, walking up the hallway and gathering at the front door) would be helpful for the children and the teachers. The following violations were cited during today’s visit: Violation Number Comment Rule 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. An enrolled child was present on October 11, 2023 and October 12, 2023 and the sign-in and sign-out log had a parent or responsible signature, but an arrival and departure time was not documented for either day. 10A NCAC 09 .0302(d)(4) All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by October 30, 2023. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1. Name of your facility and ID# 2. Date of the Visit 3. Date of the Documentation you are submitting 4. Each Item Number of the Violations Cited 5. Date of when each item number was corrected 6. How the item was corrected and how you will prevent the violation from reoccurring 7. Signature of the person submitting the documentation Failure to submit the documentation so that it may be received by Ms. Childress by October 30, 2023, will result in a follow-up visit where uncorrected violations will again be cited. Submitting inaccurate or false information in the documentation submitted to Ms. Childress will be considered a falsification which could result in the issuance of an administrative action. At a future visit and through email communication we will discuss in more depth preparing for the rated license assessment process and the environmental rating scale assessment. However, staff could begin reviewing the Early Childhood Environment Rating Scale (revised edition) booklet ECERS-R, visit the North Carolina Rated License Assessment Project website at www.ncrlap.org and review resource guides/additional notes/ informational videos. Staff can also request technical assistance in preparing for the Environment Rating Scale Assessment, by partnering with the local resource and referral agency at: Rockingham County Partnership for Children 7572 NC-87 Reidsville, NC 27320 336-342-9676 https://rockinghamkids.org/ It is imperative that staff maintain compliance with child care rules and requirements at all times. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: -Maintain copies of each monthly playground inspection for 12 months. 10A NCAC 09 .0605(q) -Screen time must be logged for each child who participates in viewing any electronic device with a visual display, whether as free choice or part of a group activity such as cleaning up activity centers. Screen time cannot exceed 30 minutes a day and 2.5 hours a week for each child, must meet a developmental domain and shown on the activity/lesson plan. This would include playing songs with characters, graphics, objects, and/or performances on the smart board. 10A NCAC 09 .2508(e) -Ensure that children are supervised at all times, being aware of each child’s activities and whereabouts. Staff must also be able to see and hear children aged birth to five years old while children are eating. 10A NCAC 09 .1801(a) -Daily records of arrival and departure times at the center for each child shall be maintained as children arrive and depart. 10A NCAC 09 .0302(d) -A daily schedule and current activity plan must be posted for each group of children for reference by parents and caregivers. It is recommended when parents are dropping off and picking up children in an area other than the classroom, that the activity plan be posted in the classroom and staff should provide parents with a hard copy or digital copy. 10A NCAC 09 .0508(a) -Explore ways to make transition times clearly understood, short in length, meaningful and fun. Reach out for technical assistance if needed from Head Start, Smart Start and Ms. Childress. Moving from one activity to the next can be a time of confusion, frustration, and challenging behaviors for some children. Consider some of the techniques below and as with all things with preschool children, try out several ideas and stick with what works for them. Use what gets their attention, even if that is being a silly/dancing/singing teacher! -Explain It: Before going into an activity, talk with children as a group and use “first” and “then” language. In simple, short terms tell the children what they are doing first and what they are doing then. -Use Visual Supports: Create picture daily schedule cards, showing actual pictures of the children and/or actual objects in the classroom demonstrating the first and then. -Use Verbal or other Audible Prompts: Timers, bells, verbal warnings that we are moving from one activity to the next and use first and then language. -Make it Fun: Use simple games (like I Spy or hop to the carpet like a ____, when your area is clean, wave your hands above your head like a tree in the wind after your hands are washed, etc.) songs (sing them together or use applications like Spotify) to avoid children being distracted/more interested in the visual display on the smart board. Use songs as you line up for hallway transitions ( Google it- there are some great ones! Hallway Rap, Marshmallow Mouths and Toes) and have a plan for an activity when you get where you are going. -Praise and Encourage: I observed Ms. Black doing this throughout my visit so keep it up! -Double Check the Daily Schedule: Consider and reconsider if the times allotted for transitions and activities work- are transition times too long? Do we leave too early for departure? -Visit the DCDEE website at https://ncchildcare.ncdhhs.gov. From the home screen, hover your cursor over the “Provider” tab at the top of the page, from the drop down options hover over “Training and Professional Development” and lastly select (click on) “DCDEE Moodle” from the option menu to your right. Login to Moodle using your NCID username and password. From the carousel of pictures at the top of the page, select “View Early Childhood Professional Development.” Then select “Regulatory” and finally select “Child Care Rule Rollout” as a way to become more familiar with child care center rules. Also, on the DCDEE website home page, under the “Provider” tab, you can select “Child Care Rules” and on the next page select “Chapter 9- Child Care Rules.” You should download the rules for easier access. When needing to review a rule for quick reference you can use the keyboard keys “Ctrl” + “F” at the same time to prompt a search bar to appear and you can enter keywords for any rule. The keywords are then highlighted throughout the rules, and you can navigate through them using the up and down arrows. -Sensory Play The use of shaving cream by children in child care centers is not recommended under any circumstances. Research completed by regional children’s environmental health specialist found that specifically Barbasol Shaving Cream, could cause nausea, vomiting and diarrhea from ingestion, minor eye irritation from eye contact, and irritation from prolonged skin contact. Pfizer Consumer Health Care Division, maker of Barbasol Shaving Cream, indicated that shaving cream was not formulated or tested for use in child care settings and therefore could not recommend it for use. This research and statement position by environmental health applies to any brand of shaving cream. We discussed other alternatives such as whipped cream and googling taste safe sensory foam that you can make with only a few ingredients. -There are various materials that meet requirements in place of sand play, which are often seen in sensory bins filled with items such as rice, lentils, birdseed, cornmeal, wet sand, sterilized potting soil, and woodchips, whole and dried corn kernels. It is important not to use any items that could be considered choking hazards for preschoolers, such as larger dried beans, acorns. When using an approved sand substitute make sure that there is enough of the material to allow children to dig, scoop, pour and fill and that there are accessory items such as cups and spoons. The “measuring” types of toys can be alternated with items such as cars, trucks, people, animals, tools for making designs in sand, etcetera, but if using in rotation the measuring types of toys must be available to be monitored. Some suggestions for water play include added color and objects to the water with the same types of accessory items. Water play can also include bathing dolls, dishes for housekeeping, or trucks and cars at a car wash. Be creative, but also allow children opportunities to gain experience and explore with sand and water. Please feel free to contact me with any questions or needed assistance. If you have any questions about this visit, please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding this visit. Because the program day was over, the content of this visit summary was reviewed with Ms. Black and Ms. Pickard and a copy will be emailed to them. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Monroeton Head Start Facility ID: 79000330 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 15 Completed Date: 10/18/2023 Age: From 3 To 5 Total Minutes: 185 Time In: 11:20 AM Time Out: 02:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time visit. The visit was conducted with Amelya Black, Lead Teacher, and Nancy Dickerson, Teacher, by Tammy Childress, Lead Child Care Consultant. Courtney Slade, Head Start Health/Mental Health Coordinator, was also present in the classroom assisting with caregiving. Currently this center operates with a Temporary License, issued on August 31, 2023, to operate first shift, with a capacity of 18, and to serve children ages 3-5 years old. Restrictions include daytime care only and meets all enhanced requirements and enhanced reduced ratios. The program operates in one classroom within Monroeton Elementary School. Rockingham County Schools is the designated owner of the program. If any changes to the corporation need to be made or you decide to sale your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A sampling of staff and children’s files were monitored during the visit. Staff file set-up and documentation of training, orientation and annual reviews were discussed with Ms. Pickard, Education Manager, who arrived during the visit. All program records and documents required to be posted and the outdoor learning environment were monitored. Parents are required to provide transportation for all enrolled children. Meals and snacks are prepared in the school cafeteria and served to the children in the classrooms. During today’s visit children present were observed to be engaged eating lunch, toileting/handwashing, large group, napping, free choice activities and departure. All child care rules applicable to this visit were monitored today. Activity centers and materials were observed and the teachers, Ms. Pickard and I all talked about adding more materials, a living thing, sensory play and sand and water play. Implementation of the daily schedule, the activity plan and staff/child interaction were observed during today’s visit. As the children finished lunch, the children were to wash their hands and go to the large carpet in front of the classroom with Ms. Black. Ms. Dickerson went to the bathroom to assist children that needed to use the restroom, and Ms. Slade remained with the children who were still eating and assisted those children with handwashing at the sink in the classroom. During this time, Ms. Black was attempting to talk with the children about a book that she was going to read to them before rest time. Some of the children left the lunch table and went to activity centers, some of the children went to the carpet while still chewing food, some children remained at the lunch tables and some children were in the bathroom. Ms. Black was instructing the children to return to the table if they still had food in their mouths, to wash their hands, and to sit on the carpet. Some of the children went to the book area and were choosing their own books, which she asked them to put up. Ms. Black stated that normally the children lay down after lunch/toileting/handwashing but that this had not been working very well, so today reading a book as a large group before rest time was new in the routine for the children. Once the children were on their cots and quiet, Ms. Slade left for the day. Ms. Slade is currently acting as a floater in the classroom and is not always the assigned person each day. I discussed with Ms. Black and Ms. Pickard that while reading a book after lunch today was a new routine for the children as evidenced by their behavior, I had also observed that some children with Ms. Dickerson and Ms. Slade were not finishing their food, toileting and/or handwashing and several of the children were not going to the carpet to sit. We discussed that responsibilities of each of the 3 caregivers in the classroom should be understood during this transition time, transition activities should be used, and to consider that there may be times when we need to take cues from the children’s behavior and adapt- maybe the children need a music and dance/yoga activity. After rest time, the staff members woke the children gently one at a time, assisted with toileting/handwashing and snack was served. This was a staggered process where some children remained asleep, while others were already eating snacks. The activity after snack was free choice activities and then the children prepare for departure. As some children finished their snacks, they went to activity areas where other children remained asleep on their cots, or several children went to one activity area and there was competition for materials. We again talked about a transition activity to allow time for all the children to be awake and off their cots, and for the cots to be put away before children go to activity centers. Waking all of the children at the same time allows the children to transition as a group, lessening the time children are waiting on each other. Ms. Black instructed the children to clean up the centers they were in and turned on a cleanup song on the smart board. The song was also accompanied by visual cartoon characters singing and cleaning. I discussed with Ms. Pickard that this was considered screen time and would have to be logged daily and part of the lesson plan, and a better option might be the music without the visuals. Ms. Black and Ms. Dickerson assisted the children in cleaning up and writing their names on drawings. Children migrated alone to the large carpet where the smartboard is located. One child, without being instructed to do so, turned the cleanup song off and played a song with dancing characters on the screen. The majority of the children were very interested in and familiar with the song and dance and went to the carpet to participate. During this time, one child was at his cubby alone and worked for several minutes at putting on his sweatshirt. This child then went to the window at the book center and looked outside. Ms. Black and Ms. Dickerson worked with the children on getting their belongings and getting in line to leave for the day. Two different children were designated as the head and the caboose of the train (line). While lining up, while walking to the front of the school and while waiting for parents the children were distracted, not staying in line, and were engaged in behaviors such as pushing/passing/falling on each other. While waiting for parents at the front of the school, a child(a) was observed rubbing his arm across the window in front of another child(b) who was looking out the window. Child(b) started screaming and child(a) would stop and then quickly start the behavior all over again with no intervention. Parents were observed to sign their child out on a log and engage in conversation with the teachers. Ms. Pickard and I talked about how transition activities during the whole departure time period (cleanup, getting belongings, lining up, walking up the hallway and gathering at the front door) would be helpful for the children and the teachers. The following violations were cited during today’s visit: Violation Number Comment Rule 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. An enrolled child was present on October 11, 2023 and October 12, 2023 and the sign-in and sign-out log had a parent or responsible signature, but an arrival and departure time was not documented for either day. 10A NCAC 09 .0302(d)(4) All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by October 30, 2023. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1. Name of your facility and ID# 2. Date of the Visit 3. Date of the Documentation you are submitting 4. Each Item Number of the Violations Cited 5. Date of when each item number was corrected 6. How the item was corrected and how you will prevent the violation from reoccurring 7. Signature of the person submitting the documentation Failure to submit the documentation so that it may be received by Ms. Childress by October 30, 2023, will result in a follow-up visit where uncorrected violations will again be cited. Submitting inaccurate or false information in the documentation submitted to Ms. Childress will be considered a falsification which could result in the issuance of an administrative action. At a future visit and through email communication we will discuss in more depth preparing for the rated license assessment process and the environmental rating scale assessment. However, staff could begin reviewing the Early Childhood Environment Rating Scale (revised edition) booklet ECERS-R, visit the North Carolina Rated License Assessment Project website at www.ncrlap.org and review resource guides/additional notes/ informational videos. Staff can also request technical assistance in preparing for the Environment Rating Scale Assessment, by partnering with the local resource and referral agency at: Rockingham County Partnership for Children 7572 NC-87 Reidsville, NC 27320 336-342-9676 https://rockinghamkids.org/ It is imperative that staff maintain compliance with child care rules and requirements at all times. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: -Maintain copies of each monthly playground inspection for 12 months. 10A NCAC 09 .0605(q) -Screen time must be logged for each child who participates in viewing any electronic device with a visual display, whether as free choice or part of a group activity such as cleaning up activity centers. Screen time cannot exceed 30 minutes a day and 2.5 hours a week for each child, must meet a developmental domain and shown on the activity/lesson plan. This would include playing songs with characters, graphics, objects, and/or performances on the smart board. 10A NCAC 09 .2508(e) -Ensure that children are supervised at all times, being aware of each child’s activities and whereabouts. Staff must also be able to see and hear children aged birth to five years old while children are eating. 10A NCAC 09 .1801(a) -Daily records of arrival and departure times at the center for each child shall be maintained as children arrive and depart. 10A NCAC 09 .0302(d) -A daily schedule and current activity plan must be posted for each group of children for reference by parents and caregivers. It is recommended when parents are dropping off and picking up children in an area other than the classroom, that the activity plan be posted in the classroom and staff should provide parents with a hard copy or digital copy. 10A NCAC 09 .0508(a) -Explore ways to make transition times clearly understood, short in length, meaningful and fun. Reach out for technical assistance if needed from Head Start, Smart Start and Ms. Childress. Moving from one activity to the next can be a time of confusion, frustration, and challenging behaviors for some children. Consider some of the techniques below and as with all things with preschool children, try out several ideas and stick with what works for them. Use what gets their attention, even if that is being a silly/dancing/singing teacher! -Explain It: Before going into an activity, talk with children as a group and use “first” and “then” language. In simple, short terms tell the children what they are doing first and what they are doing then. -Use Visual Supports: Create picture daily schedule cards, showing actual pictures of the children and/or actual objects in the classroom demonstrating the first and then. -Use Verbal or other Audible Prompts: Timers, bells, verbal warnings that we are moving from one activity to the next and use first and then language. -Make it Fun: Use simple games (like I Spy or hop to the carpet like a ____, when your area is clean, wave your hands above your head like a tree in the wind after your hands are washed, etc.) songs (sing them together or use applications like Spotify) to avoid children being distracted/more interested in the visual display on the smart board. Use songs as you line up for hallway transitions ( Google it- there are some great ones! Hallway Rap, Marshmallow Mouths and Toes) and have a plan for an activity when you get where you are going. -Praise and Encourage: I observed Ms. Black doing this throughout my visit so keep it up! -Double Check the Daily Schedule: Consider and reconsider if the times allotted for transitions and activities work- are transition times too long? Do we leave too early for departure? -Visit the DCDEE website at https://ncchildcare.ncdhhs.gov. From the home screen, hover your cursor over the “Provider” tab at the top of the page, from the drop down options hover over “Training and Professional Development” and lastly select (click on) “DCDEE Moodle” from the option menu to your right. Login to Moodle using your NCID username and password. From the carousel of pictures at the top of the page, select “View Early Childhood Professional Development.” Then select “Regulatory” and finally select “Child Care Rule Rollout” as a way to become more familiar with child care center rules. Also, on the DCDEE website home page, under the “Provider” tab, you can select “Child Care Rules” and on the next page select “Chapter 9- Child Care Rules.” You should download the rules for easier access. When needing to review a rule for quick reference you can use the keyboard keys “Ctrl” + “F” at the same time to prompt a search bar to appear and you can enter keywords for any rule. The keywords are then highlighted throughout the rules, and you can navigate through them using the up and down arrows. -Sensory Play The use of shaving cream by children in child care centers is not recommended under any circumstances. Research completed by regional children’s environmental health specialist found that specifically Barbasol Shaving Cream, could cause nausea, vomiting and diarrhea from ingestion, minor eye irritation from eye contact, and irritation from prolonged skin contact. Pfizer Consumer Health Care Division, maker of Barbasol Shaving Cream, indicated that shaving cream was not formulated or tested for use in child care settings and therefore could not recommend it for use. This research and statement position by environmental health applies to any brand of shaving cream. We discussed other alternatives such as whipped cream and googling taste safe sensory foam that you can make with only a few ingredients. -There are various materials that meet requirements in place of sand play, which are often seen in sensory bins filled with items such as rice, lentils, birdseed, cornmeal, wet sand, sterilized potting soil, and woodchips, whole and dried corn kernels. It is important not to use any items that could be considered choking hazards for preschoolers, such as larger dried beans, acorns. When using an approved sand substitute make sure that there is enough of the material to allow children to dig, scoop, pour and fill and that there are accessory items such as cups and spoons. The “measuring” types of toys can be alternated with items such as cars, trucks, people, animals, tools for making designs in sand, etcetera, but if using in rotation the measuring types of toys must be available to be monitored. Some suggestions for water play include added color and objects to the water with the same types of accessory items. Water play can also include bathing dolls, dishes for housekeeping, or trucks and cars at a car wash. Be creative, but also allow children opportunities to gain experience and explore with sand and water. Please feel free to contact me with any questions or needed assistance. If you have any questions about this visit, please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding this visit. Because the program day was over, the content of this visit summary was reviewed with Ms. Black and Ms. Pickard and a copy will be emailed to them. 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