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Home › NC › Rich Square › Lizzy'S Educational Center
401 East Jackson Street, Rich Square NC 27869 · License #66000121 · Center · Child Care Center
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NC GS 110-90 · Violation
Name of Operation: Lizzy's Educational Center Facility ID: 66000121 Consultant: MARQUITTA HOLLOMAN Operation Type: Center Case Number: Visit Date: 5/21/2026 Number Present: 2 Completed Date: 5/21/2026 Age: From 2 To 3 Total Minutes: 205 Time In: 09:35 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced visit was to monitor this program with applicable child care requirements during an annual compliance visit. This facility operates with a Three Star License issued June 27, 2025. The last sanitation inspection was completed on November 4, 2025 with a “Superior” rating. The last fire inspection was completed on November 4, 2025, and yielded a “Satisfactory” rating. P. Cary, Owner/Operator was present a available to assist. Two (2) children ages two (2) to three (3) were present during the visit. The children were observed in free choice play, teacher directed activities and handwashing and toiletings routines, and lunch. Lunch consisted of hot dogs, baked beans, pineapple, and milk and water were offered. The caregivers interacted with the child in a positive manner. You stated you do not provide transportation. I used the Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility. Ten percent of staff records and ten percent of children’s records, and all program records were monitored. All children’s records were found to be in compliance. Four (4) violations were documented for staff record keeping, and one (1) violation was documented for program recordkeeping. The following violations of child care requirements were documented today. Violation Number Comment Rule 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The EPR for the facility was not completed and on record for review. .0607(c) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. EPR review documentation for L. Parker was not on file. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not record for review for P. Cary. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Recognizing and Responding to Suspicions of Child Maltreatment were not on record for review. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Health and Safety Trainings were not completed for P. Cary. .1102(a) Child Care Licensing Requirements are established to ensure a safe, healthy, and developmentally appropriate environment for all child care facilities. Therefore, it is important for you to be knowledgeable of all licensing requirements that apply to your facility. 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. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education (DCDEE) website. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 4, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is accurate documentation. If any information provided in the letter is not accurate, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Marquitta Holloman, Child Care Consultant PO Box 644 Murfreesboro, NC 27855 marquitta.holloman@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. COMPLIANCE HISTORY Prior to today's visit, this facility maintained an 18-month compliance score of 96%. A copy of the most current compliance history score was printed and left with you at the conclusion of the visit. TECHNICAL ASSISTANCE/ CONSULTATION STAFF RECORDKEEPING Health and Safety Trainings, Recognizing and Responding to Maltreatment, and Shaken Baby and Abusive Head Trauma policy for P. Cary were not on record for review. EPR plan review documentation was not on record for volunteer, L. Parker. PROGRAM RECORDKEEPING The facility’s EPR plan was not on record for review. RESOURCES The Division of Child Development and Early Education's (DCDEE) website is https://ncchildcare.ncdhhs.gov/. Visit this website for the most up-to-date child care forms, resources related to child care, and new child care rules/laws. QRIS/STAR RATED LICENSE During the visit conducted on 3/5/2026, we discussed the different pathway options for the new QRIS system. You decided to complete Pathway 2-Classroom and Instructional Quality Pathway. We completed an in-depth review of the forms and requirements specific to Pathway 2 and you were given the opportunity to ask questions. Today, you were given an opportunity to ask any further questions pertaining to your pathway choice. RECALLED ITEMS You can visit the U.S. Consumer Product Safety Commission website at www.cpsc.gov for more information on recently recalled items. CONTACTS • Halifax-Warren Smart Start www.hwss.org (252) 537-5621 • I encourage you to contact Halifax County Health Department, 252-583-5021, if additional assistance regarding applicable health and safety practices is needed. If you have questions related to this visit or if I can be of additional assistance, I can be reached at 252-370-0207 or marquitta.holloman@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Generated from this facility's specific inspection record
Data synced from North Carolina's child care licensing agency on Jul 9, 2026 · Report an error
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0701 · Violation
Name of Operation: Lizzy's Educational Center Facility ID: 66000121 Consultant: RAMIE DOLL Operation Type: Center Case Number: Visit Date: 10/20/2025 Number Present: 2 Completed Date: 10/20/2025 Age: From 2 To 3 Total Minutes: 240 Time In: 10:15 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a second temporary time period visit. This program currently operates with a Temporary License issued June 27, 2025. The temporary license is valid through December 27, 2025. This facility is owned and operated by you, Peggy Cary. You are serving as this facility’s administrator/lead teacher for a center located in a residence. Upon arrival, two (2) children were present and being cared for in Room 1 by you. You had a staff member, M.Joyner, working with you today that was preparing meals and snacks. You stated today was her first day. Today was the first day of care for one (1) of the children. You interacted with the children and cared for them while they rested today. When asked, you and Ms. Joyner are currently the only staff members currently working at the facility. Two (2) rooms are approved for use in addition to a room that you would use if a child became sick. The rooms approved for use remain set up for child care with materials and required posted items. Continue to ensure all required posted items are available for review and are current. Continue conducting monthly fire drills and outdoor playground inspections even if children are not enrolled. I reviewed the file for Ms. Joyner today but did not complete the staff and training worksheet. Please make sure to add her information to the staff and training worksheet and maintain on file. You will continue to complete/update the worksheet, and this will be used during annual compliance visits when monitoring staff files. As you hire staff, complete the form and add new employees’ information. After the last temporary time period visit, you had a copy of the Staff Record’s Checklist on file for Ms. Joyner. Continue to reference the checklist and applicable NC Child Care rules to ensure all applicable information is on file. You stated Ms. Joyner is serving as the facility’s cook. The following violations were documented today: 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. A medical report was not on file for an employee whose hire date was October 20, 2025. 10A NCAC 09 .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for one staff member whose first day of employment was October 20, 2025. G.S. 110-90.2(b) & (d) & .2703(e) The above violations must be corrected immediately. Email or mail me a letter addressing the correction of the violations on or before November 3, 2025. If you need an extension for correcting a violation, email me as soon as possible for approval. A sample compliance letter will be emailed to you today for you to reference if you need assistance when writing your compliance letter. I am also available if you need assistance. REPEAT VIOLATIONS: One (1) of the violations documented today was a repeat violation. We discussed making sure violations are not repeated. Repeat violations may lead to some type of administrative action being imposed. COMPLIANCE HISTORY: The compliance history for this facility as of today was 93%. The violations documented today may affect this facility’s current Compliance History score. Technical Assistance/Consultation/Reminders Specific to Today’s Visit: INSPECTIONS: -The facility’s last sanitation inspection was completed September 30, 2025. You and I have discussed the completion of a sanitation inspection during previous phone conversations and emails. You contacted the local Environmental Health Specialist and explained that a sanitation inspection was due for your facility; however, you were told that an inspection cannot be completed if no children are enrolled. A child’s first day of enrollment was today and this child will be attending each day, Monday through Friday. You are going to contact the local EHS to let her know about your enrollment status. Once the inspection is completed, please email me the inspection. The EHS can also email the inspection to me. -The facility’s last fire inspection was completed October 8, 2025. Contact the local fire inspector to schedule a fire inspection. Print the Child Care Center Fire Inspection form from DCDEE’s website and have on file for the inspector. The fire inspection must be completed on or before October 31, 2025. Once the inspection is completed, mail me the original inspection with 7 days of completion. You can also scan and email the inspection to me. MEDICAL INFORMATION: -We reviewed that a health assessment is required to be completed and on file prior to a person’s first day of employment. According to the file for one (1) staff member, she did not have a health assessment on file. A blank staff medical report was printed and provided to the employee today. Ms. Joyner stated she has a doctor’s appointment on Wednesday, October 22, 2025, and will have her physician complete the form at the visit. Once completed, bring a copy to maintain on file. -Continue keeping all medical related information: health assessment, TB skin test information, and health questionnaires for staff separate from their regular staff file. You have a separate file for employee medical information. FIRE DRILLS AND OUTDOOR INSPECTIONS: Continue conducting fire drills are each month and when children are enrolled and present. RATED LICENSE ASSESSMENT: You completed and signed the Application for the Rated License as of June 30, 2025, to be evaluated during the previous Two Component Rated License. Effective July 1, 2025, a new QRIS (Quality Rating and Improvement System) was implemented and will be used for the current Rated License system. We will further review the components for the previous Two Component Rated License during this facility’s next temporary time period visit. You can also find more information regarding the QRIS system via DCDEE’s website under the “What’s New” tab. It would be beneficial to begin reviewing this information and forms. You stated you are currently enrolled in EDU 119 virtually. We discussed contacting the Workforce Education Unit at DCDEE regarding how to verify our child care work experience. You may need to log into your WORKS account using your individual NCID and password to see if you can find out more information by applying for a “lead teacher” position. Depending on your work experience, it may qualify you for lead teacher status. For more information about NCID and WORKS, visit the DCDEE website at www.ncchildcare.ncdhhs.gov to view more information under the DCDEE WORKS tab http://ncchildcare.ncdhhs.gov/general/mb_dcdeeworks.asp. You can also contact the Workforce Education Unit at 1-800-859-0829 for more information concerning WORKS. The total points for the Child Care Star Rated License will be determined around the 5th month (November) before the end of the temporary time period. To earn a Three-star license and continue receiving subsidy funds, the facility must earn at least a total of seven (7) points. We reviewed the importance of hiring staff that have already completed and earned the North Carolina Early Childhood Credential or the equivalent and some experience and possibly additional coursework in Early Childhood Education. DCDEE’s WEBSITE: Continue reviewing the Division of Child Development and Early Education’s website for the most up to date information regarding child care requirements. DCDEE’s website is: https://ncchildcare.ncdhhs.gov/. You can access the most current NC Child Care rules, (January 1, 2024), resources, forms, sanitation rules, laws, etc. from DCDEE’s website. If you have questions, please contact me at: (252)373-3074 or ramie.doll@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller, with any questions at (252)373-9809 or via email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-90 · Violation
Name of Operation: Lizzy's Educational Center Facility ID: 66000121 Consultant: RAMIE DOLL Operation Type: Center Case Number: Visit Date: 10/20/2025 Number Present: 2 Completed Date: 10/20/2025 Age: From 2 To 3 Total Minutes: 240 Time In: 10:15 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a second temporary time period visit. This program currently operates with a Temporary License issued June 27, 2025. The temporary license is valid through December 27, 2025. This facility is owned and operated by you, Peggy Cary. You are serving as this facility’s administrator/lead teacher for a center located in a residence. Upon arrival, two (2) children were present and being cared for in Room 1 by you. You had a staff member, M.Joyner, working with you today that was preparing meals and snacks. You stated today was her first day. Today was the first day of care for one (1) of the children. You interacted with the children and cared for them while they rested today. When asked, you and Ms. Joyner are currently the only staff members currently working at the facility. Two (2) rooms are approved for use in addition to a room that you would use if a child became sick. The rooms approved for use remain set up for child care with materials and required posted items. Continue to ensure all required posted items are available for review and are current. Continue conducting monthly fire drills and outdoor playground inspections even if children are not enrolled. I reviewed the file for Ms. Joyner today but did not complete the staff and training worksheet. Please make sure to add her information to the staff and training worksheet and maintain on file. You will continue to complete/update the worksheet, and this will be used during annual compliance visits when monitoring staff files. As you hire staff, complete the form and add new employees’ information. After the last temporary time period visit, you had a copy of the Staff Record’s Checklist on file for Ms. Joyner. Continue to reference the checklist and applicable NC Child Care rules to ensure all applicable information is on file. You stated Ms. Joyner is serving as the facility’s cook. The following violations were documented today: 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. A medical report was not on file for an employee whose hire date was October 20, 2025. 10A NCAC 09 .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for one staff member whose first day of employment was October 20, 2025. G.S. 110-90.2(b) & (d) & .2703(e) The above violations must be corrected immediately. Email or mail me a letter addressing the correction of the violations on or before November 3, 2025. If you need an extension for correcting a violation, email me as soon as possible for approval. A sample compliance letter will be emailed to you today for you to reference if you need assistance when writing your compliance letter. I am also available if you need assistance. REPEAT VIOLATIONS: One (1) of the violations documented today was a repeat violation. We discussed making sure violations are not repeated. Repeat violations may lead to some type of administrative action being imposed. COMPLIANCE HISTORY: The compliance history for this facility as of today was 93%. The violations documented today may affect this facility’s current Compliance History score. Technical Assistance/Consultation/Reminders Specific to Today’s Visit: INSPECTIONS: -The facility’s last sanitation inspection was completed September 30, 2025. You and I have discussed the completion of a sanitation inspection during previous phone conversations and emails. You contacted the local Environmental Health Specialist and explained that a sanitation inspection was due for your facility; however, you were told that an inspection cannot be completed if no children are enrolled. A child’s first day of enrollment was today and this child will be attending each day, Monday through Friday. You are going to contact the local EHS to let her know about your enrollment status. Once the inspection is completed, please email me the inspection. The EHS can also email the inspection to me. -The facility’s last fire inspection was completed October 8, 2025. Contact the local fire inspector to schedule a fire inspection. Print the Child Care Center Fire Inspection form from DCDEE’s website and have on file for the inspector. The fire inspection must be completed on or before October 31, 2025. Once the inspection is completed, mail me the original inspection with 7 days of completion. You can also scan and email the inspection to me. MEDICAL INFORMATION: -We reviewed that a health assessment is required to be completed and on file prior to a person’s first day of employment. According to the file for one (1) staff member, she did not have a health assessment on file. A blank staff medical report was printed and provided to the employee today. Ms. Joyner stated she has a doctor’s appointment on Wednesday, October 22, 2025, and will have her physician complete the form at the visit. Once completed, bring a copy to maintain on file. -Continue keeping all medical related information: health assessment, TB skin test information, and health questionnaires for staff separate from their regular staff file. You have a separate file for employee medical information. FIRE DRILLS AND OUTDOOR INSPECTIONS: Continue conducting fire drills are each month and when children are enrolled and present. RATED LICENSE ASSESSMENT: You completed and signed the Application for the Rated License as of June 30, 2025, to be evaluated during the previous Two Component Rated License. Effective July 1, 2025, a new QRIS (Quality Rating and Improvement System) was implemented and will be used for the current Rated License system. We will further review the components for the previous Two Component Rated License during this facility’s next temporary time period visit. You can also find more information regarding the QRIS system via DCDEE’s website under the “What’s New” tab. It would be beneficial to begin reviewing this information and forms. You stated you are currently enrolled in EDU 119 virtually. We discussed contacting the Workforce Education Unit at DCDEE regarding how to verify our child care work experience. You may need to log into your WORKS account using your individual NCID and password to see if you can find out more information by applying for a “lead teacher” position. Depending on your work experience, it may qualify you for lead teacher status. For more information about NCID and WORKS, visit the DCDEE website at www.ncchildcare.ncdhhs.gov to view more information under the DCDEE WORKS tab http://ncchildcare.ncdhhs.gov/general/mb_dcdeeworks.asp. You can also contact the Workforce Education Unit at 1-800-859-0829 for more information concerning WORKS. The total points for the Child Care Star Rated License will be determined around the 5th month (November) before the end of the temporary time period. To earn a Three-star license and continue receiving subsidy funds, the facility must earn at least a total of seven (7) points. We reviewed the importance of hiring staff that have already completed and earned the North Carolina Early Childhood Credential or the equivalent and some experience and possibly additional coursework in Early Childhood Education. DCDEE’s WEBSITE: Continue reviewing the Division of Child Development and Early Education’s website for the most up to date information regarding child care requirements. DCDEE’s website is: https://ncchildcare.ncdhhs.gov/. You can access the most current NC Child Care rules, (January 1, 2024), resources, forms, sanitation rules, laws, etc. from DCDEE’s website. If you have questions, please contact me at: (252)373-3074 or ramie.doll@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller, with any questions at (252)373-9809 or via email at susan.fuller@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: Lizzy's Educational Center Facility ID: 66000121 Consultant: RAMIE DOLL Operation Type: Center Case Number: Visit Date: 8/25/2025 Number Present: 1 Completed Date: 8/25/2025 Age: From 3 To 3 Total Minutes: 200 Time In: 10:10 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a first temporary time period visit. This program currently operates with a Temporary License issued June 27, 2025. The temporary license is valid through December 27, 2025. This facility is owned and operated by you, Peggy Cary. You are serving as this facility’s administrator/lead teacher for a center located in a residence. Upon arrival, one (1) child was present and being cared for in Room 1 with one (1) staff member. You were also present and assisted me during the visit. The staff member present interacted and played with the child. He played with trucks and cars while sitting in a carpeted area. You prepared and served lunch today as well. The staff member present today will leave at 12:00 PM today and another staff member will arrival at 1PM. You and two (2) other staff members are currently working at the facility. We discussed providing care in the afternoons, if needed, provided the child(ren) are not older than five (5) years. You are currently licensed to care for children from two (2) through five (5) years of age. The child you have enrolled will be going to Head Start in the near future. We discussed the child attending in the afternoons. You stated he could ride the bus from the Head Start facility to your facility in the afternoons. You will inquire about this and talk with the child’s parents. No other children are currently enrolled. Two (2) rooms are approved for use in addition to a room that you would use if a child became sick. The rooms approved for use remain set up for child care with materials and required posted items. Continue to ensure all required posted items are available for review and are current. Continue conducting monthly fire drills and outdoor playground inspections even if children are not enrolled. Document on the log that no children were enrolled for those particular months. I provided you with a copy of the completed floor plan reflecting approved rooms and space measurements and the two (2) approved outdoor play areas. I previously provided you with a copy of the space calculation worksheet that reflects the measurements and square footage for both the indoor and outdoor areas. I completed the attached staff and training worksheet today to reflect the two staff you currently have employed. I emailed you a copy of the completed worksheet to begin using when staff are hired and to use when updating information. You will continue to complete/update the worksheet, and this will be used during annual compliance visits when monitoring staff files. As you hire staff, complete the form and add new employees’ information. I reviewed the one child’s file during a visit. All required information was completed and on file for the child today. Please reference the staff and children’s records checklists to ensure all required information is on file and obtained within the required timeframe. When asked, you are familiar with where to obtain forms related to child care from DCDEE’s website. I showed you where the checklists were under the Provider Documents tab. You had the Children’s Record Checklist in the file for the one child, but no Staff Record’s Checklist for either staff member was available. The following violations were documented today: 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. A medical report was not on file for a staff member whose date of hire was August 1, 2025. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Documentation was not on file verifying one (1) staff member had proof of a negative TB skin test, screening form, or a chest x-ray completed prior to their hire date, which was August 1, 2025. .0701(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Documentation was not on file verifying six (6) hours of orientation training was completed within the first two (2) weeks of employment. Both staff were employed as of August 1, 2025. .1101(a)(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A signed acknowledgement was not on file for two (2) staff verifying they reviewed and the facility's Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) The above violations must be corrected immediately. Email or mail me a letter addressing the correction of the violations on or before September 8, 2025. If you need an extension for correcting a violation, email me as soon as possible for approval. A sample compliance letter will be emailed to you today for you to reference if you need assistance when writing your compliance letter. I am also available if you need assistance. COMPLIANCE HISTORY: The compliance history for this facility will be reviewed after today’s visit. We reviewed that all facilities must maintain at least a 75% compliance history score over an eighteen-month time frame to be in good standing with DCDEE. If a facility’s compliance history falls below 75% over an eighteen-month time frame, some type of administrative action may be issued. The violations documented may affect the facility’s compliance history score. Technical Assistance/Consultation/Reminders Specific to Today’s Visit: STAFF ORIENTATION: Any person that has contact with the children is required to complete sixteen hours of orientation training and maintain verification of the training on file for review. Complete documentation was not on file for two (2) staff members verifying they have completed the required 6 hours in the first two weeks of hire. You stated you have reviewed the information required for orientation training with these two (2) staff members but have not documented the information on the orientation forms. A violation regarding orientation training was documented today. When you complete orientation training with staff, ensure you document the date, hours, and signature for each applicable topic when reviewed. If you have not documented this information on the orientation form, completion of the review cannot be verified. You can turn the orientation form sideways in the file or make a note as a reminder to complete the form during orientation training. MEDICAL INFORMATION: -We reviewed that a health assessment and proof of a negative TB skin test or chest x-ray are required to be completed and on file prior to a person’s first day of employment. According to the file for one staff member, neither a health assessment nor proof of a negative TB skin test or chest x-ray were available. You contacted this employee during the visit, and the staff member was not sure if she had this information completed or available. She was going to see if she had the information and bring it today, if possible. If she has a health assessment and proof of a negative TB skin test or chest x-ray that was completed within the last twelve months, she can provide that and bring copies to you. If not, she will need to get an appointment to have these things completed. We discussed if you need an extension due to an appointment, email me a request for an extension as soon as possible. I will have to get the extension approved. You stated this staff member has an appointment for Wednesday, August 27, 2025 to get a health assessment and the TB skin test/screening form completed. -Continue keeping all medical related information: health assessment, TB skin test information, and health questionnaires for staff separate from their regular staff file. You have a separate file for employee medical information. SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA POLICY: We referenced the developed Shaken Baby Syndrome and Abusive Head Trauma policy from DCDEE’s website today. We reviewed that both staff and parents can sign the acknowledgement form and maintain that signed form on file for review. Give parents a copy of the policy after you review it and keep their acknowledgement form on file. You stated you were not aware you had to have this policy on file since you are not licensed to care for infants; however, we reviewed the policy is required for all facilities serving children from birth to five (5) years of age. HEALTH AND SAFETY TRAININGS: Health and Safety training topics must be completed within the first year and every five years thereafter. The health and safety trainings are offered for free via DCDEE Moodle. Staff have to use their individual NCID and password to log into Moodle. 1. Go to the DCDEE website: https://ncchildcare.ncdhhs.gov and click on Provider, Training and Professional Development, DCDEE Moodle. OR go directly to the Moodle site - https://www.dcdee.moodle.nc.gov 2. In the upper right corner click login and type in your individual NCID and password 3. Scroll down to the bottom of the page until you see a search bar 4. Type in ”2025 CCDF health and safety in child care” 5. The training module will come up, click “self-enroll.” 6. Eight different trainings will show that you can take 7. A 9th training has been added regarding medication. Go back to the search bar and type 2024 Part 1: Medications in child care to access. 8. Reminder: print your training certificate upon completion and record onto your ongoing training log Child care staff are expected to be well informed about child abuse and neglect issues and adequately trained to prevent and recognize potential maltreatment. The “Recognizing and Responding to Child Abuse and Maltreatment” training must be completed within 90 days of hire and every five years. This training must be completed the first time via the Prevent Child Abuse NC website: www.preventchildabusenc.org. Documentation of training must be kept on file for review. Complete the health and safety training record as found on the DCDEE website. FIRE DRILLS AND OUTDOOR INSPECTIONS: Continue conducting fire drills are each month and when children are enrolled and present. When you conduct fire drills, conduct the drills at different times each month. Contact the fire alarm company to ask that the fire alarm system be put into “test” mode so the fire drill can be conducted. Once the drill is completed, call the fire alarm company to have the alarm taken out of “test” mode. Ensure outdoor inspections are completed using the inspection form that can be printed from the Provider Documents and Forms tab from DCDEE’s website. You can use a calendar or your phone to set reminders each month to complete both a fire drill and an outdoor inspection. ACCESS TO THE OUTDOOR PLAY AREA: Ensure children walk along the building to access the outdoor play areas by leaving Room 1. Continue to use the plastic cones as a barrier so children know where to walk with you. We discussed keeping children engaged while walking along the building to access the play areas and holding a child’s hand. The child you have enrolled at this time loves trucks and wants to see “big” trucks when outdoors. We discussed watching a “big” truck go by while you or another staff member holds the child’s hand for safety. RATED LICENSE ASSESSMENT: You completed and signed the Application for the Rated License as of June 30, 2025, to be evaluated during the previous Two Component Rated License. Effective July 1, 2025, a new QRIS (Quality Rating and Improvement System) was implemented and will be used for the current Rated License system. We will further review the components for the previous Two Component Rated License during this facility’s next temporary time period visit. You can also find more information regarding the QRIS system via DCDEE’s website under the “What’s New” tab. It would be beneficial to begin reviewing this information and forms. You stated you are currently enrolled in EDU 119 virtually. Education Standards: WORKS is a self-service applicant portal that will be used by an individual applicant to register and maintain their workforce information to support education requirements. The WORKS portal is available online and requires the user to maintain an individual North Carolina Identity Management (NCID) username and password. Electronic official transcripts can be submitted to the Workforce Education Unit from a person’s college or university provided the school participates with the National Clearing House. If not, then official transcripts must be mailed to the Workforce Education Unit at DCDEE for evaluation. Staff education should be current before the fifth month, (November 2025), of the temporary time period as a rated license will need to be processed before the end date of the temporary license. We reviewed any staff that are not listed and evaluated via WORKS to create a WORKS account and apply for the appropriate position before submitting an official transcript so that the Workforce Education Unit is aware of what needs to be evaluated for a person. Once you complete the EDU 119 course, you will need to submit an official transcript to the Workforce Education Unit for education evaluation. For more information about NCID and WORKS, visit the DCDEE website at www.ncchildcare.ncdhhs.gov to view more information under the DCDEE WORKS tab http://ncchildcare.ncdhhs.gov/general/mb_dcdeeworks.asp. You can also contact the Workforce Education Unit at 1-800-859-0829 for more information concerning WORKS. The total points for the Child Care Star Rated License will be determined around the 5th month (November) before the end of the temporary time period. To earn a Three-star license and continue receiving subsidy funds, the facility must earn at least a total of seven (7) points. We reviewed the importance of hiring staff that have already completed and earned the North Carolina Early Childhood Credential or the equivalent and some experience and possibly additional coursework in Early Childhood Education. When asked, you do not have any children enrolled that are receiving subsidy assistance via the Department of Social Services. DCDEE’s WEBSITE: Continue reviewing the Division of Child Development and Early Education’s website for the most up to date information regarding child care requirements. DCDEE’s website is: https://ncchildcare.ncdhhs.gov/. You can access the most current NC Child Care rules, (January 1, 2024), resources, forms, sanitation rules, laws, etc. from DCDEE’s website. If you have questions, please contact me at: (252)373-3074 or ramie.doll@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller, with any questions at (252)373-9809 or via email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.