10A NCAC 09 .1102 · Violation

Name of Operation: A KID'S PLACE Facility ID: 38000004 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 26 Completed Date: 2/8/2024 Age: From 3 To 5 Total Minutes: 140 Time In: 09:50 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Dianne Wiggins, Lead Teacher, during the visit. Lacy Orr, Pre-K Administrator, works off site and was not present during this visit. An electronic signed copy of the visit summary was electronically emailed to Ms. Orr , for a signature. Ms. Wiggins, signed the visit summary during the visit to confirm the visit was conducted and reviewed with her. Today, Ms. Wiggins, assisted me during my visit in her classroom and Ms. Tina Thach, Lead Teacher, assisted me in her classroom. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety five percent as of 02/07/2024 This program is owned and operated by Graham County Public Schools. Permit type – Five (5) Star license issued on June 13, 2019 Special Services/Restrictions – 1st shift (Daytime Care), meets reduced ratios. This facility is approved to provide NC Pre-K. This facility serves children with special needs. The last annual compliance visit was conducted on 02/15/24. The last fire drill was practiced on 02/02/24. The last shelter-in-place drill was practiced on 11/16/23. The last playground inspection was documented on 02/02/24. The last fire inspection was approved on 05/22/2023. The last sanitation inspection was conducted on 08/11/23 with zero (0) demerits for a Superior rating. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Teaching Strategies Gold. The approved assessment is Dial 4. Upon arrival I introduced my presence to Ms. Wiggins and explained the reason for my visit. I observed the children in the classroom for children three-through-five years of age during free play and outside play time. The children in classroom # 2 for children three-through-five years old were observed during group time, routine care needs and outside free play. Supervision was adequate. Interactions were positive and nurturing. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 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. After review of two (2) new teachers' files it was noted that one (1) teacher (RW) did not signed statement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauam policy had been reviewed with her. .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. After review of two (2) new teachers' files (TT and RW) were hired in August 2023. One (1) teacher (TT) completed the training in February 2024. One (1) teacher (RW) did not have a certificate noting completion of the training available for review. .1102(g) Technical Assistance: Item 1874-All staff must sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma prior to caring for children. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Item 1897- The child care administrator and all staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement and a copy of your fire inspection by 2/22/2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. Each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. Consultation: Reminder if substitutes work in this licensed program for more than ten (10) days in a twelve (12) month period then they will need to completed the Health and Safety Training Requirements listed below. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. (b) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and Child Care Consultants are required to observe one (1) fire drill or shelter-in-place drill each year. A safety drill was not observed today. On your next visit, your Consultant may ask to observe a fire drill or a shelter-in-place drill during the visit. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: A KID'S PLACE Facility ID: 38000004 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 26 Completed Date: 2/8/2024 Age: From 3 To 5 Total Minutes: 140 Time In: 09:50 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Dianne Wiggins, Lead Teacher, during the visit. Lacy Orr, Pre-K Administrator, works off site and was not present during this visit. An electronic signed copy of the visit summary was electronically emailed to Ms. Orr , for a signature. Ms. Wiggins, signed the visit summary during the visit to confirm the visit was conducted and reviewed with her. Today, Ms. Wiggins, assisted me during my visit in her classroom and Ms. Tina Thach, Lead Teacher, assisted me in her classroom. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety five percent as of 02/07/2024 This program is owned and operated by Graham County Public Schools. Permit type – Five (5) Star license issued on June 13, 2019 Special Services/Restrictions – 1st shift (Daytime Care), meets reduced ratios. This facility is approved to provide NC Pre-K. This facility serves children with special needs. The last annual compliance visit was conducted on 02/15/24. The last fire drill was practiced on 02/02/24. The last shelter-in-place drill was practiced on 11/16/23. The last playground inspection was documented on 02/02/24. The last fire inspection was approved on 05/22/2023. The last sanitation inspection was conducted on 08/11/23 with zero (0) demerits for a Superior rating. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Teaching Strategies Gold. The approved assessment is Dial 4. Upon arrival I introduced my presence to Ms. Wiggins and explained the reason for my visit. I observed the children in the classroom for children three-through-five years of age during free play and outside play time. The children in classroom # 2 for children three-through-five years old were observed during group time, routine care needs and outside free play. Supervision was adequate. Interactions were positive and nurturing. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 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. After review of two (2) new teachers' files it was noted that one (1) teacher (RW) did not signed statement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauam policy had been reviewed with her. .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. After review of two (2) new teachers' files (TT and RW) were hired in August 2023. One (1) teacher (TT) completed the training in February 2024. One (1) teacher (RW) did not have a certificate noting completion of the training available for review. .1102(g) Technical Assistance: Item 1874-All staff must sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma prior to caring for children. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Item 1897- The child care administrator and all staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement and a copy of your fire inspection by 2/22/2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. Each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. Consultation: Reminder if substitutes work in this licensed program for more than ten (10) days in a twelve (12) month period then they will need to completed the Health and Safety Training Requirements listed below. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. (b) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and Child Care Consultants are required to observe one (1) fire drill or shelter-in-place drill each year. A safety drill was not observed today. On your next visit, your Consultant may ask to observe a fire drill or a shelter-in-place drill during the visit. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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.