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Home › NC › Rutherfordton › Trinity Preschool
299 Deter ST, Rutherfordton NC 28139 · License #8159003 · Child Care Center
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NC GS 110-90 · Violation
Name of Operation: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 5/8/2026 Number Present: 13 Completed Date: 5/8/2026 Age: From 3 To 5 Total Minutes: 195 Time In: 08:45 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. The visit was conducted with you, Beverly Early, Administrator. This program currently operates with a Notice of Compliance issued on February 17, 2011. Restrictions include first shift and uses corporal punishment. The last annual compliance visit was conducted on May 22, 2025. The most recent sanitation inspection for your facility was conducted on March 27, 2026 A superior sanitation classification was issued with six demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted on August 18, 2025 for daytime care only. The most recent monthly fire drill was conducted on April 29, 2026. The most recent quarterly lockdown drill was conducted on February 27, 2026. The most recent monthly playground inspection was completed on April 2, 2026. The center's compliance history was reviewed with the operator. The program’s compliance history was 87 percent as of May 8, 2026. The NC Secretary of State website was reviewed on May 8, 2026 and Trinity School, Inc. was listed as current-active. The facilities contact information was reviewed and confirmed with you. You visited each indoor and outdoor space with me. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free play activities indoors. The caregivers were interacting and meeting the developmental needs for each of the children. A checklist was used to note the requirements I monitored today. The analysis date for the most recent lead water test was September 25, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “exempt” for required asbestos and lead-based paint testing. You provided me with applicable program, staff, and children’s records for review. Files for two new staff, one existing staff, and applicable records for all staff were reviewed. All staff were listed on the ABCMS Provider Portal roster for this facility. A sample of four children’s records were reviewed. The following violations were observed: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report dated 3/25/26 and an incident report dated 5/4/26 did not list the time that the parent was notified of the incident. .0802 (e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The verification of the annual review of the Emergency Preparedness and Response plan by the trained staff member was dated 2/22/25. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. One staff member hired on 7/9/24 did not have verification of completion of a Health and Safety training on the topic of medication administration on file. .1102(a) 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. The violation(s) documented must be corrected immediately. On or before May 22, 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 legal documentation. If it is determined the information provided in the letter is not true, 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: Beth Archer, Child Care Consultant PO Box 64 Rutherfordton, NC 28139 beth.archer@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance was provided on the following: Incident reports must be completed each time that a child is injured and include all the required information including the time that the parent was notified of the incident. I suggested that all incident reports be returned to you for review at the time of completion to ensure all required information is included on the form. The staff member trained in Emergency Preparedness and Response must review and update the facility’s Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. I suggested you set a reminder in your calendar at least twice per year to review the Emergency Preparedness and Response Plan to ensure all of the information is up to date. I also suggested that you publish any changes and the first page of the document to verify the date the review was completed. You updated the EPR plan during today's visit and placed the verification on file. All staff members must complete all Health and Safety Trainings in the required topic areas within the first year of hire and every five (5) years thereafter. These training courses can be found on the DCDEE Moodle Training site. The Administration of Medication training is not listed with the other topic areas and staff will have to access this training in Moodle under its own training. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. I provided you with a copy of the Health and Safety Training Record during the visit. Consultation: We reviewed the requirements for the fall zone perimeter around the anchored play structure. I suggested that you notify all staff including custodial help about keeping the fall zone perimeter clear of portable equipment. The ABCMS provider portal facility roster should be updated in ABCMS on 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. Should you need assistance please contact the Criminal Background Check Unit at (919) 814- 6401. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Beth Archer Child Care Consultant 828-748-7893 Beth.Archer@dhhs.nc.gov or my supervisor, Tammy McGalliard Tammy.McGalliard@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
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.
G.S. 110-90 · Violation
Name of Operation: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 12/8/2025 Number Present: 15 Completed Date: 12/8/2025 Age: From 3 To 5 Total Minutes: 105 Time In: 09:30 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit, including health and safety. The visit was conducted with you, Beverly Earley, Administrator. This program currently operates with a Notice of Compliance issued February 17, 2011. The permit restrictions include 1st shift and uses corporal punishment. The last annual compliance visit was conducted May 22, 2025. The most recent sanitation inspection for your facility was conducted on September 2, 2025 A superior sanitation classification was issued with seven demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted on August 18, 2025 for daytime care only. The most recent monthly fire drill was conducted on November 24, 2025. The most recent shelter-in-place drill was conducted on November 25, 2025. The most recent monthly playground inspection was completed on November 10, 2025. The center's compliance history was reviewed with the operator. The program’s compliance history was 86 percent as of December 5, 2025. The NC Secretary of State website was reviewed on December 5, 2025 and Trinity School, Inc. was listed as current-active. The facilities contact information was reviewed and confirmed with you. You visited each indoor and outdoor space with me. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group story time, and group art time. The caregivers were interacting and meeting the developmental needs for each of the children. The analysis date for the most recent lead water test was September 25, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “enrollment started” for required asbestos and lead-based paint testing. You provided me with applicable program and staff records for review. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid and Special Training. The violation observed today was discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violation was observed: Violation Number Comment Rule 1757 A valid qualification letter was not on file and available to review at the facility. Gena Carpenter did not have a valid qualification letter on file for her current qualification date of September 16,2025. G.S. 110-90.2(b) & (d) & .2703(e) 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. The violation(s) documented must be corrected immediately. On or before December 22, 2025 , 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 legal documentation. If it is determined the information provided in the letter is not true, 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: Beth Archer, Child Care Consultant 356 Old Stonecutter Rd Rutherfordton, NC 28139 beth.archer@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: A valid qualification letter must be on file and available to review at the facility. Gena Carpenter did not have a valid qualification letter on file for her current qualification date of September 16,2025. I was able to verify her valid qualification status in the ABCMS system. You reported that the employee has not been able to retrieve her qualification letter from her personal NCID portal. I encouraged you and the employee to call the Criminal Background Unit and request assistance to obtain a copy of the qualification letter within the next two weeks. Consultation or other topics discussed today: The ABCMS provider portal facility roster should be updated in ABCMS on 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. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time and assistance today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance , you may contact me at (email address). 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.
NC GS 110-90 · Violation
Name of Operation: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 12/8/2025 Number Present: 15 Completed Date: 12/8/2025 Age: From 3 To 5 Total Minutes: 105 Time In: 09:30 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit, including health and safety. The visit was conducted with you, Beverly Earley, Administrator. This program currently operates with a Notice of Compliance issued February 17, 2011. The permit restrictions include 1st shift and uses corporal punishment. The last annual compliance visit was conducted May 22, 2025. The most recent sanitation inspection for your facility was conducted on September 2, 2025 A superior sanitation classification was issued with seven demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted on August 18, 2025 for daytime care only. The most recent monthly fire drill was conducted on November 24, 2025. The most recent shelter-in-place drill was conducted on November 25, 2025. The most recent monthly playground inspection was completed on November 10, 2025. The center's compliance history was reviewed with the operator. The program’s compliance history was 86 percent as of December 5, 2025. The NC Secretary of State website was reviewed on December 5, 2025 and Trinity School, Inc. was listed as current-active. The facilities contact information was reviewed and confirmed with you. You visited each indoor and outdoor space with me. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group story time, and group art time. The caregivers were interacting and meeting the developmental needs for each of the children. The analysis date for the most recent lead water test was September 25, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “enrollment started” for required asbestos and lead-based paint testing. You provided me with applicable program and staff records for review. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid and Special Training. The violation observed today was discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violation was observed: Violation Number Comment Rule 1757 A valid qualification letter was not on file and available to review at the facility. Gena Carpenter did not have a valid qualification letter on file for her current qualification date of September 16,2025. G.S. 110-90.2(b) & (d) & .2703(e) 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. The violation(s) documented must be corrected immediately. On or before December 22, 2025 , 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 legal documentation. If it is determined the information provided in the letter is not true, 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: Beth Archer, Child Care Consultant 356 Old Stonecutter Rd Rutherfordton, NC 28139 beth.archer@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: A valid qualification letter must be on file and available to review at the facility. Gena Carpenter did not have a valid qualification letter on file for her current qualification date of September 16,2025. I was able to verify her valid qualification status in the ABCMS system. You reported that the employee has not been able to retrieve her qualification letter from her personal NCID portal. I encouraged you and the employee to call the Criminal Background Unit and request assistance to obtain a copy of the qualification letter within the next two weeks. Consultation or other topics discussed today: The ABCMS provider portal facility roster should be updated in ABCMS on 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. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time and assistance today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance , you may contact me at (email address). 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: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/15/2025 Number Present: 17 Completed Date: 7/15/2025 Age: From 5 To 9 Total Minutes: 92 Time In: 09:58 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to monitor your compliance with all applicable child care requirements, including health and safety. The visit was conducted with you, Beverly Earley, Administrator. You provided me with applicable program and staff records for review. The NC Secretary of State website was viewed before the visit and Trinity School, Inc. was current/active as of July 10, 2025. The facilities contact information was reviewed and confirmed with you. Your program currently operates with a Notice of Compliance effective February 17, 2011. Restrictions include 1st shift and uses corporal punishment. The program’s compliance history was 76 percent prior to today’s visit. 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. A walk-through of the facility was completed today. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in free play in activity centers and snack. The following requirements were monitored: staff/child ratios, supervision, approved space, permit restrictions, criminal background checks, first aid & CPR training, special training, general safety, and program records. The following violation(s) were observed today: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 6/12/23 had First Aid training on file that expired 6/2025. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 6/12/23 had CPR training on file that expired 6/2025. .1102(d) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by July 29, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical assistance on violations was reviewed with you. Areas discussed included: CPR/First Aid Training: All staff must complete a certification in First Aid and CPR training appropriate to the age of children in care. Verification of training must be in the staff file. The staff member employed 6/12/23 reported that she did not realize that her First Aid/CPR certifications had expired. You stated that you will have the staff member to complete the required trainings within the next 2 weeks. We discussed using a calendaring system to track expiration dates to ensure compliance. Consultation or other topics discussed today: During the visit, you reported that the playground was complete. Space was monitored and approved for use. We discussed with you that an administrative action has been recommended due to repeated violations. Please call me when the administrative action paperwork is received, and a review will be completed. Follow up visits will be conducted. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 6/10/2025 Number Present: 20 Completed Date: 6/10/2025 Age: From 3 To 9 Total Minutes: 67 Time In: 12:53 PM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an annual compliance follow up visit. Upon arrival, the purpose of today’s visit was reviewed with you, Beverly Earley, Administrator pf Childhood Education. An annual compliance visit was conducted at your facility on May 27, 2025. Two violations regarding an expired qualifying letter were cited during the visit. The NC Secretary of State website was viewed before the visit and Trinity School, Inc. was current/active as of today. This program currently operates with a Notice of Compliance effective February 17, 2011. Restrictions include 1st shift and uses corporal punishment. The program’s compliance history was 75 percent prior to today’s visit. 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. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environments and found supervision and staff/child ratios in compliance. Children were participating in rest time. Limited Monitoring of Supervision, Staff Child Ratio, Adequate/Approved Space, Permit Restrictions and Criminal Background Checks were conducted. Due to printer issues, violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed during today’s visit Violation Number Comment Rule 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). David Sanders had a qualification letter on file that expired 9/18/24 and the first step for submitting the application for the five year process did not begin until May 25, 2025 G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letter on file for David Sanders expired 9/18/24. G.S. 110-90.2(b) & (d) & .2703(e) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by June 24, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Criminal Background Check: Prior to the expiration date of the qualification letter, all child care providers must complete a criminal background check. A valid qualification letter must be on file for review. We discussed that D. Sanders is required to have a current approved criminal background check as the Headmaster/Corporate Contact for Trinity School, Inc. that operates Trinity Preschool. You reported that D. Sanders had completed the application and fingerprinting for a new Criminal Background Check as of June 5, 2025. The ABCMS system was checked during today’s visit at 1:41pm. Per ABCMS, D. Sanders had a qualification letter that expired 9/18/24 and had a pending new CBC application. Please notify me when a valid qualification letter is received. Consultation: We discussed the following during the visit: -You showed me your new playground area that is still under construction. The fencing was being installed during today’s visit. I encouraged you to notify me as soon as the area is completed to schedule an appt to measure, monitor, and approve the new outdoor space. The new playground may not be used until it is approved. -We discussed transportation requirements, including permission forms. The program may decide to provide transportation for summer outings. I monitored the mini-bus for transportation requirements. You will need to send me proof of insurance and registration prior to providing any transportation to children in care. -We discussed the ABCMS provider portal and next steps to complete this requirement. -We discussed health and safety training requirements and trainings that are available through Moodle. To access the health and safety trainings available in Moodle, visit https://www.dcdee.moodle.nc.gov/ 1. Sign in using your NCID username & password 2. Scroll all the way down to the end of the page and click on ALL COURSES 3. Click on "Early Childhood Professional Development" 4. Select a category from the training options 5. For Health and Safety Trainings, click on "Regulatory" 6. Select "CCDF Health and Safety in Child Care” Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 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.
NC GS 110-90 · Violation
Name of Operation: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 6/10/2025 Number Present: 20 Completed Date: 6/10/2025 Age: From 3 To 9 Total Minutes: 67 Time In: 12:53 PM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an annual compliance follow up visit. Upon arrival, the purpose of today’s visit was reviewed with you, Beverly Earley, Administrator pf Childhood Education. An annual compliance visit was conducted at your facility on May 27, 2025. Two violations regarding an expired qualifying letter were cited during the visit. The NC Secretary of State website was viewed before the visit and Trinity School, Inc. was current/active as of today. This program currently operates with a Notice of Compliance effective February 17, 2011. Restrictions include 1st shift and uses corporal punishment. The program’s compliance history was 75 percent prior to today’s visit. 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. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environments and found supervision and staff/child ratios in compliance. Children were participating in rest time. Limited Monitoring of Supervision, Staff Child Ratio, Adequate/Approved Space, Permit Restrictions and Criminal Background Checks were conducted. Due to printer issues, violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed during today’s visit Violation Number Comment Rule 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). David Sanders had a qualification letter on file that expired 9/18/24 and the first step for submitting the application for the five year process did not begin until May 25, 2025 G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letter on file for David Sanders expired 9/18/24. G.S. 110-90.2(b) & (d) & .2703(e) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by June 24, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Criminal Background Check: Prior to the expiration date of the qualification letter, all child care providers must complete a criminal background check. A valid qualification letter must be on file for review. We discussed that D. Sanders is required to have a current approved criminal background check as the Headmaster/Corporate Contact for Trinity School, Inc. that operates Trinity Preschool. You reported that D. Sanders had completed the application and fingerprinting for a new Criminal Background Check as of June 5, 2025. The ABCMS system was checked during today’s visit at 1:41pm. Per ABCMS, D. Sanders had a qualification letter that expired 9/18/24 and had a pending new CBC application. Please notify me when a valid qualification letter is received. Consultation: We discussed the following during the visit: -You showed me your new playground area that is still under construction. The fencing was being installed during today’s visit. I encouraged you to notify me as soon as the area is completed to schedule an appt to measure, monitor, and approve the new outdoor space. The new playground may not be used until it is approved. -We discussed transportation requirements, including permission forms. The program may decide to provide transportation for summer outings. I monitored the mini-bus for transportation requirements. You will need to send me proof of insurance and registration prior to providing any transportation to children in care. -We discussed the ABCMS provider portal and next steps to complete this requirement. -We discussed health and safety training requirements and trainings that are available through Moodle. To access the health and safety trainings available in Moodle, visit https://www.dcdee.moodle.nc.gov/ 1. Sign in using your NCID username & password 2. Scroll all the way down to the end of the page and click on ALL COURSES 3. Click on "Early Childhood Professional Development" 4. Select a category from the training options 5. For Health and Safety Trainings, click on "Regulatory" 6. Select "CCDF Health and Safety in Child Care” Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 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: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 5/22/2025 Number Present: 34 Completed Date: 5/22/2025 Age: From 3 To 5 Total Minutes: 278 Time In: 09:52 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Beverly Earley, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and Trinity School, Inc. was current/active as of May 13, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Notice of Compliance effective February 17, 2011. Restrictions include 1st shift and uses corporal punishment. The program’s compliance history was 77 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. A walk-through of the facility was completed, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children and staff were participating in free play in activity areas and snack. The last monthly fire drill was practiced on April 30, 2025. The last shelter-in-place drill was practiced on May 9, 2025. The last monthly playground inspection was completed on May 8, 2025. A sample of seven children’s records were reviewed. Two new staff files and three existing staff files were reviewed. All three of the existing staff members have had changes in their employment roles within the program since the last monitoring visit. The most recent sanitation inspection for your facility was conducted on November 4, 2024. A superior sanitation classification was issued with 2 demerits noted on the grade card. The most recent lead water test results were completed on September 25, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “no results” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on August 20, 2024. Violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A summary of the NC Child Care Law was not given to the parents of one child 6 years of age and one child 7 years of age. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. On 4/30/25, 5/1/25, 5/8/25, 5/13/25, and 5/14/25, one child did not have a specific time of arrival recorded. On 4/25/25, 4/28/25, 4/30/25, 5/1/25, 5/2/25, 5/6/25, 5/13/25, 5/14/25, and 5/16/25, one child did not have a specific time of departure recorded. On 5/8/25, two children did not have specific times of departure recorded. 10A NCAC 09 .0302(d)(4) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. At the bottom of the fence there were three areas where the fencing was pulled out of shape and torn apart causing protrusions and openings large enough for children to crawl under. .0605(g) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #7, one aerosol can of Zep disinfectant and sanitizing spray was on the shelf above the sink accessible to children. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. On an incident report dated 3/3/25, there was no listed date/time that the parent was contacted. On the incident report dated 3/19/25 and an incident report dated 5/8/25, there was no listed date/time that the parent was contacted and no signature of the person who contacted the parent. There was an incident report for a 4 yr old child that did not have listed the date of the incident , the date/time the parent was contacted, or a signature for the person who contacted the parent. .0802 (e) 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. One staff member employed 7/9/24, had a medical report on file dated 7/16/24. 10A NCAC 09 .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). David Sanders had a qualification letter on file that expired 9/18/24 and the first step for submitting the application for the five year process did not begin until May 25, 2025 G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 8/15/21, had First Aid certifications that expired 1/2024. The new First Aid certification on file was completed on 5/14/25. One staff member employed 7/9/24, had verification of on-line First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 8/15/21, had CPR certification that expired 1/2024. The new CPR certification on file was completed on 5/14/25. One staff member employed 7/9/24, had verification of on-line CPR training on file. .1102(d) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Staff did not discuss operational policies with parents of one 6 year old child and two 7 year old children in afterschool care. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. The parent participation plan was not posted. Program staff did not discuss the parent participation plan with parent's of one 6 year old child and two 7 year old children in afterschool care. 10A NCAC 09 .0515(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child four years of age that enrolled on 1/20/25, had a medical exam on file that was completed 2/24/25. One child three years of age that enrolled 4/21/25, did not have a medical exam on file. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letter on file for David Sanders expired 9/18/24. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was completed 9/12/24. The next shelter-in-place drill was completed 5/9/25. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed 1/15/22, one staff member employed 10/23/23, and one staff member employed 7/19/24 did not have verification of completed Recognizing and Responding to Suspicions of Child Maltreatment training on file. .1102(g) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by June 5, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Criminal Background Check: Prior to the expiration date of the qualification letter, all child care providers must complete a criminal background check. A valid qualification letter must be on file for review. We discussed that D. Sanders is required to have a current approved criminal background check as the Headmaster/Corporate Contact for Trinity School, Inc. that operates Trinity Preschool. You contacted D. Sanders during the visit to discuss that a new criminal background check will need to be completed. The Criminal Background Check must be completed within the next two weeks. Please notify me when a valid qualification letter is received. North Carolina Summary of the Law: A summary of the NC Child Care Law must be given to a parent of every child enrolled in the center including school-age children. I encouraged you to use the child file checklist found on the DCDEE website under documents/forms to ensure all required information is provided at the time of enrollment. You stated that you plan to review all of the school-age children’s file to ensure compliance with this requirement. Arrival and Departure: Specific times of arrival and departure must be maintained for all children in care. You stated that you have noticed some parents have repeatedly forgotten to list the times of arrival and/or departure. I encouraged you to develop a plan to ensure that parents or staff record the needed information. Fencing: The fence surrounding the outdoor play area must be free from protrusions as noted in 10A NCAC 09.0605(i). Three areas of the fencing had pulled away from the ground and had metal pieces protruding. We discussed that in addition to possible injury to the children, the pulled apart area between the bottom of the fencing and the ground was large enough for a child to crawl under. You stated that you will talk with the Headmaster and maintenance and come up with a solution to correct this issue within the next two weeks. Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Prior to children arriving, have teachers check the classroom to make sure that hazardous items are stored properly. The Zep disinfectant and sanitizing spray was moved into locked storage during the visit. CPR/First Aid Training: CPR and First Aid training must be renewed on or before the expiration of the certification. The staff member employed 8/15/21, had CPR/First Aid certifications that expired 1/2024. The new CPR/First Aid certifications on file were completed on 5/14/25. I encouraged you to consider tracking expiration dates on a calendar to ensure compliance is met. Distance learning shall not be permitted for CPR or First Aid training. The staff member employed 7/9/24 had verification of CPR and First Aid training that was completed on-line. Verification of in person CPR/First Aid certifications must be provided within the next two weeks. Consider contacting local organizations and in nearby counties for training availability. Operational Policies/Parent Participation Plans: Operational policies and Parent Participation plans must be discussed with parents of all children in care before the child’s first day of attendance. I encouraged you to consider having a pre-enrollment orientation with parents, including school-age children in care, to ensure a review of required information before the child begins care. Incident Reports: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. We discussed the requirements for incident logs. I encouraged you to review all incident reports for accuracy before placement in the child’s file. Staff Medical: Staff must have a medical report on file prior to employment. We discussed that the staff member employed 7/9/24, now has a medical report on file but the report was not on file prior to employment. You reported the staff member was hired prior to assuming the director role. I encouraged you to make sure that the medical report is received during the hiring process and that a start date for employment is determined after the report is on file. Children’s Medical Exam: A medical exam or health assessment record must be on file within 30 days of enrollment. The child enrolled on 1/20/25 had a medical exam on file dated 2/24/25 to verify on-going compliance. The child enrolled 4/21/25, did not have a medical exam on file. We discussed that the child’s medical provider had faxed immunization information to the facility but no medical exam was included. You stated you will talk with the parent about obtaining this information. A medical exam will need to be on file within the next 2 weeks. Lockdown/Shelter-in-place Drills: There was not an lockdown or shelter-in-place drill practiced between 9/12/24 and 5/9/25. You stated that you were in process of completing EPR training and revising the plans during those months and did not get the drills completed. I encouraged you to calendar the drills to ensure compliance with the every three month requirement moving forward. Recognizing and Responding to Suspicions of Child Maltreatment Training: 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. You can access the training at https://www.preventchildabusenc.org/online-trainings/ The certificate of completion of this course must be maintained in the staff member's file. The staff members employed 1/15/22, 10/23/23, and 7/19/24 must complete this training and place the certificate of completion in their employee file within the next 2 weeks. Consultation: We discussed the following during the visit: -You reported that the program is building a new playground area. I reminded you that prior to the playground being used for children in care, I will need to measure, monitor, and approve the new outdoor space. Please contact me when the playground is completed. -You reported that the program is considering changing after-school care services for school-age children to an unlicensed component that would be housed in another building. We discussed that if the program decides to make this change, you will need email me the effective date of the change. As a reminder, children who are a part of unlicensed care are not eligible for subsidy reimbursement. Licensed space may only be used to care for children who are in licensed care. -We discussed that school-age children will continue to be served for summer care, even if changes are made to after-school care arrangements. I reminded you that school-age children who are a part of licensed care must have a separate child file with all required application and enrollment information. -Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. 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 on 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. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0514 · Violation
Name of Operation: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 5/22/2025 Number Present: 34 Completed Date: 5/22/2025 Age: From 3 To 5 Total Minutes: 278 Time In: 09:52 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Beverly Earley, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and Trinity School, Inc. was current/active as of May 13, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Notice of Compliance effective February 17, 2011. Restrictions include 1st shift and uses corporal punishment. The program’s compliance history was 77 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. A walk-through of the facility was completed, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children and staff were participating in free play in activity areas and snack. The last monthly fire drill was practiced on April 30, 2025. The last shelter-in-place drill was practiced on May 9, 2025. The last monthly playground inspection was completed on May 8, 2025. A sample of seven children’s records were reviewed. Two new staff files and three existing staff files were reviewed. All three of the existing staff members have had changes in their employment roles within the program since the last monitoring visit. The most recent sanitation inspection for your facility was conducted on November 4, 2024. A superior sanitation classification was issued with 2 demerits noted on the grade card. The most recent lead water test results were completed on September 25, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “no results” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on August 20, 2024. Violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A summary of the NC Child Care Law was not given to the parents of one child 6 years of age and one child 7 years of age. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. On 4/30/25, 5/1/25, 5/8/25, 5/13/25, and 5/14/25, one child did not have a specific time of arrival recorded. On 4/25/25, 4/28/25, 4/30/25, 5/1/25, 5/2/25, 5/6/25, 5/13/25, 5/14/25, and 5/16/25, one child did not have a specific time of departure recorded. On 5/8/25, two children did not have specific times of departure recorded. 10A NCAC 09 .0302(d)(4) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. At the bottom of the fence there were three areas where the fencing was pulled out of shape and torn apart causing protrusions and openings large enough for children to crawl under. .0605(g) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #7, one aerosol can of Zep disinfectant and sanitizing spray was on the shelf above the sink accessible to children. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. On an incident report dated 3/3/25, there was no listed date/time that the parent was contacted. On the incident report dated 3/19/25 and an incident report dated 5/8/25, there was no listed date/time that the parent was contacted and no signature of the person who contacted the parent. There was an incident report for a 4 yr old child that did not have listed the date of the incident , the date/time the parent was contacted, or a signature for the person who contacted the parent. .0802 (e) 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. One staff member employed 7/9/24, had a medical report on file dated 7/16/24. 10A NCAC 09 .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). David Sanders had a qualification letter on file that expired 9/18/24 and the first step for submitting the application for the five year process did not begin until May 25, 2025 G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 8/15/21, had First Aid certifications that expired 1/2024. The new First Aid certification on file was completed on 5/14/25. One staff member employed 7/9/24, had verification of on-line First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 8/15/21, had CPR certification that expired 1/2024. The new CPR certification on file was completed on 5/14/25. One staff member employed 7/9/24, had verification of on-line CPR training on file. .1102(d) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Staff did not discuss operational policies with parents of one 6 year old child and two 7 year old children in afterschool care. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. The parent participation plan was not posted. Program staff did not discuss the parent participation plan with parent's of one 6 year old child and two 7 year old children in afterschool care. 10A NCAC 09 .0515(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child four years of age that enrolled on 1/20/25, had a medical exam on file that was completed 2/24/25. One child three years of age that enrolled 4/21/25, did not have a medical exam on file. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letter on file for David Sanders expired 9/18/24. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was completed 9/12/24. The next shelter-in-place drill was completed 5/9/25. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed 1/15/22, one staff member employed 10/23/23, and one staff member employed 7/19/24 did not have verification of completed Recognizing and Responding to Suspicions of Child Maltreatment training on file. .1102(g) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by June 5, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Criminal Background Check: Prior to the expiration date of the qualification letter, all child care providers must complete a criminal background check. A valid qualification letter must be on file for review. We discussed that D. Sanders is required to have a current approved criminal background check as the Headmaster/Corporate Contact for Trinity School, Inc. that operates Trinity Preschool. You contacted D. Sanders during the visit to discuss that a new criminal background check will need to be completed. The Criminal Background Check must be completed within the next two weeks. Please notify me when a valid qualification letter is received. North Carolina Summary of the Law: A summary of the NC Child Care Law must be given to a parent of every child enrolled in the center including school-age children. I encouraged you to use the child file checklist found on the DCDEE website under documents/forms to ensure all required information is provided at the time of enrollment. You stated that you plan to review all of the school-age children’s file to ensure compliance with this requirement. Arrival and Departure: Specific times of arrival and departure must be maintained for all children in care. You stated that you have noticed some parents have repeatedly forgotten to list the times of arrival and/or departure. I encouraged you to develop a plan to ensure that parents or staff record the needed information. Fencing: The fence surrounding the outdoor play area must be free from protrusions as noted in 10A NCAC 09.0605(i). Three areas of the fencing had pulled away from the ground and had metal pieces protruding. We discussed that in addition to possible injury to the children, the pulled apart area between the bottom of the fencing and the ground was large enough for a child to crawl under. You stated that you will talk with the Headmaster and maintenance and come up with a solution to correct this issue within the next two weeks. Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Prior to children arriving, have teachers check the classroom to make sure that hazardous items are stored properly. The Zep disinfectant and sanitizing spray was moved into locked storage during the visit. CPR/First Aid Training: CPR and First Aid training must be renewed on or before the expiration of the certification. The staff member employed 8/15/21, had CPR/First Aid certifications that expired 1/2024. The new CPR/First Aid certifications on file were completed on 5/14/25. I encouraged you to consider tracking expiration dates on a calendar to ensure compliance is met. Distance learning shall not be permitted for CPR or First Aid training. The staff member employed 7/9/24 had verification of CPR and First Aid training that was completed on-line. Verification of in person CPR/First Aid certifications must be provided within the next two weeks. Consider contacting local organizations and in nearby counties for training availability. Operational Policies/Parent Participation Plans: Operational policies and Parent Participation plans must be discussed with parents of all children in care before the child’s first day of attendance. I encouraged you to consider having a pre-enrollment orientation with parents, including school-age children in care, to ensure a review of required information before the child begins care. Incident Reports: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. We discussed the requirements for incident logs. I encouraged you to review all incident reports for accuracy before placement in the child’s file. Staff Medical: Staff must have a medical report on file prior to employment. We discussed that the staff member employed 7/9/24, now has a medical report on file but the report was not on file prior to employment. You reported the staff member was hired prior to assuming the director role. I encouraged you to make sure that the medical report is received during the hiring process and that a start date for employment is determined after the report is on file. Children’s Medical Exam: A medical exam or health assessment record must be on file within 30 days of enrollment. The child enrolled on 1/20/25 had a medical exam on file dated 2/24/25 to verify on-going compliance. The child enrolled 4/21/25, did not have a medical exam on file. We discussed that the child’s medical provider had faxed immunization information to the facility but no medical exam was included. You stated you will talk with the parent about obtaining this information. A medical exam will need to be on file within the next 2 weeks. Lockdown/Shelter-in-place Drills: There was not an lockdown or shelter-in-place drill practiced between 9/12/24 and 5/9/25. You stated that you were in process of completing EPR training and revising the plans during those months and did not get the drills completed. I encouraged you to calendar the drills to ensure compliance with the every three month requirement moving forward. Recognizing and Responding to Suspicions of Child Maltreatment Training: 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. You can access the training at https://www.preventchildabusenc.org/online-trainings/ The certificate of completion of this course must be maintained in the staff member's file. The staff members employed 1/15/22, 10/23/23, and 7/19/24 must complete this training and place the certificate of completion in their employee file within the next 2 weeks. Consultation: We discussed the following during the visit: -You reported that the program is building a new playground area. I reminded you that prior to the playground being used for children in care, I will need to measure, monitor, and approve the new outdoor space. Please contact me when the playground is completed. -You reported that the program is considering changing after-school care services for school-age children to an unlicensed component that would be housed in another building. We discussed that if the program decides to make this change, you will need email me the effective date of the change. As a reminder, children who are a part of unlicensed care are not eligible for subsidy reimbursement. Licensed space may only be used to care for children who are in licensed care. -We discussed that school-age children will continue to be served for summer care, even if changes are made to after-school care arrangements. I reminded you that school-age children who are a part of licensed care must have a separate child file with all required application and enrollment information. -Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. 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 on 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. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 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 .0515 · Violation
Name of Operation: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 5/22/2025 Number Present: 34 Completed Date: 5/22/2025 Age: From 3 To 5 Total Minutes: 278 Time In: 09:52 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Beverly Earley, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and Trinity School, Inc. was current/active as of May 13, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Notice of Compliance effective February 17, 2011. Restrictions include 1st shift and uses corporal punishment. The program’s compliance history was 77 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. A walk-through of the facility was completed, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children and staff were participating in free play in activity areas and snack. The last monthly fire drill was practiced on April 30, 2025. The last shelter-in-place drill was practiced on May 9, 2025. The last monthly playground inspection was completed on May 8, 2025. A sample of seven children’s records were reviewed. Two new staff files and three existing staff files were reviewed. All three of the existing staff members have had changes in their employment roles within the program since the last monitoring visit. The most recent sanitation inspection for your facility was conducted on November 4, 2024. A superior sanitation classification was issued with 2 demerits noted on the grade card. The most recent lead water test results were completed on September 25, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “no results” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on August 20, 2024. Violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A summary of the NC Child Care Law was not given to the parents of one child 6 years of age and one child 7 years of age. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. On 4/30/25, 5/1/25, 5/8/25, 5/13/25, and 5/14/25, one child did not have a specific time of arrival recorded. On 4/25/25, 4/28/25, 4/30/25, 5/1/25, 5/2/25, 5/6/25, 5/13/25, 5/14/25, and 5/16/25, one child did not have a specific time of departure recorded. On 5/8/25, two children did not have specific times of departure recorded. 10A NCAC 09 .0302(d)(4) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. At the bottom of the fence there were three areas where the fencing was pulled out of shape and torn apart causing protrusions and openings large enough for children to crawl under. .0605(g) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #7, one aerosol can of Zep disinfectant and sanitizing spray was on the shelf above the sink accessible to children. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. On an incident report dated 3/3/25, there was no listed date/time that the parent was contacted. On the incident report dated 3/19/25 and an incident report dated 5/8/25, there was no listed date/time that the parent was contacted and no signature of the person who contacted the parent. There was an incident report for a 4 yr old child that did not have listed the date of the incident , the date/time the parent was contacted, or a signature for the person who contacted the parent. .0802 (e) 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. One staff member employed 7/9/24, had a medical report on file dated 7/16/24. 10A NCAC 09 .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). David Sanders had a qualification letter on file that expired 9/18/24 and the first step for submitting the application for the five year process did not begin until May 25, 2025 G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 8/15/21, had First Aid certifications that expired 1/2024. The new First Aid certification on file was completed on 5/14/25. One staff member employed 7/9/24, had verification of on-line First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 8/15/21, had CPR certification that expired 1/2024. The new CPR certification on file was completed on 5/14/25. One staff member employed 7/9/24, had verification of on-line CPR training on file. .1102(d) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Staff did not discuss operational policies with parents of one 6 year old child and two 7 year old children in afterschool care. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. The parent participation plan was not posted. Program staff did not discuss the parent participation plan with parent's of one 6 year old child and two 7 year old children in afterschool care. 10A NCAC 09 .0515(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child four years of age that enrolled on 1/20/25, had a medical exam on file that was completed 2/24/25. One child three years of age that enrolled 4/21/25, did not have a medical exam on file. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letter on file for David Sanders expired 9/18/24. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was completed 9/12/24. The next shelter-in-place drill was completed 5/9/25. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed 1/15/22, one staff member employed 10/23/23, and one staff member employed 7/19/24 did not have verification of completed Recognizing and Responding to Suspicions of Child Maltreatment training on file. .1102(g) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by June 5, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Criminal Background Check: Prior to the expiration date of the qualification letter, all child care providers must complete a criminal background check. A valid qualification letter must be on file for review. We discussed that D. Sanders is required to have a current approved criminal background check as the Headmaster/Corporate Contact for Trinity School, Inc. that operates Trinity Preschool. You contacted D. Sanders during the visit to discuss that a new criminal background check will need to be completed. The Criminal Background Check must be completed within the next two weeks. Please notify me when a valid qualification letter is received. North Carolina Summary of the Law: A summary of the NC Child Care Law must be given to a parent of every child enrolled in the center including school-age children. I encouraged you to use the child file checklist found on the DCDEE website under documents/forms to ensure all required information is provided at the time of enrollment. You stated that you plan to review all of the school-age children’s file to ensure compliance with this requirement. Arrival and Departure: Specific times of arrival and departure must be maintained for all children in care. You stated that you have noticed some parents have repeatedly forgotten to list the times of arrival and/or departure. I encouraged you to develop a plan to ensure that parents or staff record the needed information. Fencing: The fence surrounding the outdoor play area must be free from protrusions as noted in 10A NCAC 09.0605(i). Three areas of the fencing had pulled away from the ground and had metal pieces protruding. We discussed that in addition to possible injury to the children, the pulled apart area between the bottom of the fencing and the ground was large enough for a child to crawl under. You stated that you will talk with the Headmaster and maintenance and come up with a solution to correct this issue within the next two weeks. Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Prior to children arriving, have teachers check the classroom to make sure that hazardous items are stored properly. The Zep disinfectant and sanitizing spray was moved into locked storage during the visit. CPR/First Aid Training: CPR and First Aid training must be renewed on or before the expiration of the certification. The staff member employed 8/15/21, had CPR/First Aid certifications that expired 1/2024. The new CPR/First Aid certifications on file were completed on 5/14/25. I encouraged you to consider tracking expiration dates on a calendar to ensure compliance is met. Distance learning shall not be permitted for CPR or First Aid training. The staff member employed 7/9/24 had verification of CPR and First Aid training that was completed on-line. Verification of in person CPR/First Aid certifications must be provided within the next two weeks. Consider contacting local organizations and in nearby counties for training availability. Operational Policies/Parent Participation Plans: Operational policies and Parent Participation plans must be discussed with parents of all children in care before the child’s first day of attendance. I encouraged you to consider having a pre-enrollment orientation with parents, including school-age children in care, to ensure a review of required information before the child begins care. Incident Reports: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. We discussed the requirements for incident logs. I encouraged you to review all incident reports for accuracy before placement in the child’s file. Staff Medical: Staff must have a medical report on file prior to employment. We discussed that the staff member employed 7/9/24, now has a medical report on file but the report was not on file prior to employment. You reported the staff member was hired prior to assuming the director role. I encouraged you to make sure that the medical report is received during the hiring process and that a start date for employment is determined after the report is on file. Children’s Medical Exam: A medical exam or health assessment record must be on file within 30 days of enrollment. The child enrolled on 1/20/25 had a medical exam on file dated 2/24/25 to verify on-going compliance. The child enrolled 4/21/25, did not have a medical exam on file. We discussed that the child’s medical provider had faxed immunization information to the facility but no medical exam was included. You stated you will talk with the parent about obtaining this information. A medical exam will need to be on file within the next 2 weeks. Lockdown/Shelter-in-place Drills: There was not an lockdown or shelter-in-place drill practiced between 9/12/24 and 5/9/25. You stated that you were in process of completing EPR training and revising the plans during those months and did not get the drills completed. I encouraged you to calendar the drills to ensure compliance with the every three month requirement moving forward. Recognizing and Responding to Suspicions of Child Maltreatment Training: 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. You can access the training at https://www.preventchildabusenc.org/online-trainings/ The certificate of completion of this course must be maintained in the staff member's file. The staff members employed 1/15/22, 10/23/23, and 7/19/24 must complete this training and place the certificate of completion in their employee file within the next 2 weeks. Consultation: We discussed the following during the visit: -You reported that the program is building a new playground area. I reminded you that prior to the playground being used for children in care, I will need to measure, monitor, and approve the new outdoor space. Please contact me when the playground is completed. -You reported that the program is considering changing after-school care services for school-age children to an unlicensed component that would be housed in another building. We discussed that if the program decides to make this change, you will need email me the effective date of the change. As a reminder, children who are a part of unlicensed care are not eligible for subsidy reimbursement. Licensed space may only be used to care for children who are in licensed care. -We discussed that school-age children will continue to be served for summer care, even if changes are made to after-school care arrangements. I reminded you that school-age children who are a part of licensed care must have a separate child file with all required application and enrollment information. -Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. 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 on 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. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 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: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 5/22/2025 Number Present: 34 Completed Date: 5/22/2025 Age: From 3 To 5 Total Minutes: 278 Time In: 09:52 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Beverly Earley, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and Trinity School, Inc. was current/active as of May 13, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Notice of Compliance effective February 17, 2011. Restrictions include 1st shift and uses corporal punishment. The program’s compliance history was 77 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. A walk-through of the facility was completed, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children and staff were participating in free play in activity areas and snack. The last monthly fire drill was practiced on April 30, 2025. The last shelter-in-place drill was practiced on May 9, 2025. The last monthly playground inspection was completed on May 8, 2025. A sample of seven children’s records were reviewed. Two new staff files and three existing staff files were reviewed. All three of the existing staff members have had changes in their employment roles within the program since the last monitoring visit. The most recent sanitation inspection for your facility was conducted on November 4, 2024. A superior sanitation classification was issued with 2 demerits noted on the grade card. The most recent lead water test results were completed on September 25, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “no results” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on August 20, 2024. Violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A summary of the NC Child Care Law was not given to the parents of one child 6 years of age and one child 7 years of age. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. On 4/30/25, 5/1/25, 5/8/25, 5/13/25, and 5/14/25, one child did not have a specific time of arrival recorded. On 4/25/25, 4/28/25, 4/30/25, 5/1/25, 5/2/25, 5/6/25, 5/13/25, 5/14/25, and 5/16/25, one child did not have a specific time of departure recorded. On 5/8/25, two children did not have specific times of departure recorded. 10A NCAC 09 .0302(d)(4) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. At the bottom of the fence there were three areas where the fencing was pulled out of shape and torn apart causing protrusions and openings large enough for children to crawl under. .0605(g) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #7, one aerosol can of Zep disinfectant and sanitizing spray was on the shelf above the sink accessible to children. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. On an incident report dated 3/3/25, there was no listed date/time that the parent was contacted. On the incident report dated 3/19/25 and an incident report dated 5/8/25, there was no listed date/time that the parent was contacted and no signature of the person who contacted the parent. There was an incident report for a 4 yr old child that did not have listed the date of the incident , the date/time the parent was contacted, or a signature for the person who contacted the parent. .0802 (e) 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. One staff member employed 7/9/24, had a medical report on file dated 7/16/24. 10A NCAC 09 .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). David Sanders had a qualification letter on file that expired 9/18/24 and the first step for submitting the application for the five year process did not begin until May 25, 2025 G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 8/15/21, had First Aid certifications that expired 1/2024. The new First Aid certification on file was completed on 5/14/25. One staff member employed 7/9/24, had verification of on-line First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 8/15/21, had CPR certification that expired 1/2024. The new CPR certification on file was completed on 5/14/25. One staff member employed 7/9/24, had verification of on-line CPR training on file. .1102(d) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Staff did not discuss operational policies with parents of one 6 year old child and two 7 year old children in afterschool care. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. The parent participation plan was not posted. Program staff did not discuss the parent participation plan with parent's of one 6 year old child and two 7 year old children in afterschool care. 10A NCAC 09 .0515(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child four years of age that enrolled on 1/20/25, had a medical exam on file that was completed 2/24/25. One child three years of age that enrolled 4/21/25, did not have a medical exam on file. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letter on file for David Sanders expired 9/18/24. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was completed 9/12/24. The next shelter-in-place drill was completed 5/9/25. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed 1/15/22, one staff member employed 10/23/23, and one staff member employed 7/19/24 did not have verification of completed Recognizing and Responding to Suspicions of Child Maltreatment training on file. .1102(g) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by June 5, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Criminal Background Check: Prior to the expiration date of the qualification letter, all child care providers must complete a criminal background check. A valid qualification letter must be on file for review. We discussed that D. Sanders is required to have a current approved criminal background check as the Headmaster/Corporate Contact for Trinity School, Inc. that operates Trinity Preschool. You contacted D. Sanders during the visit to discuss that a new criminal background check will need to be completed. The Criminal Background Check must be completed within the next two weeks. Please notify me when a valid qualification letter is received. North Carolina Summary of the Law: A summary of the NC Child Care Law must be given to a parent of every child enrolled in the center including school-age children. I encouraged you to use the child file checklist found on the DCDEE website under documents/forms to ensure all required information is provided at the time of enrollment. You stated that you plan to review all of the school-age children’s file to ensure compliance with this requirement. Arrival and Departure: Specific times of arrival and departure must be maintained for all children in care. You stated that you have noticed some parents have repeatedly forgotten to list the times of arrival and/or departure. I encouraged you to develop a plan to ensure that parents or staff record the needed information. Fencing: The fence surrounding the outdoor play area must be free from protrusions as noted in 10A NCAC 09.0605(i). Three areas of the fencing had pulled away from the ground and had metal pieces protruding. We discussed that in addition to possible injury to the children, the pulled apart area between the bottom of the fencing and the ground was large enough for a child to crawl under. You stated that you will talk with the Headmaster and maintenance and come up with a solution to correct this issue within the next two weeks. Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Prior to children arriving, have teachers check the classroom to make sure that hazardous items are stored properly. The Zep disinfectant and sanitizing spray was moved into locked storage during the visit. CPR/First Aid Training: CPR and First Aid training must be renewed on or before the expiration of the certification. The staff member employed 8/15/21, had CPR/First Aid certifications that expired 1/2024. The new CPR/First Aid certifications on file were completed on 5/14/25. I encouraged you to consider tracking expiration dates on a calendar to ensure compliance is met. Distance learning shall not be permitted for CPR or First Aid training. The staff member employed 7/9/24 had verification of CPR and First Aid training that was completed on-line. Verification of in person CPR/First Aid certifications must be provided within the next two weeks. Consider contacting local organizations and in nearby counties for training availability. Operational Policies/Parent Participation Plans: Operational policies and Parent Participation plans must be discussed with parents of all children in care before the child’s first day of attendance. I encouraged you to consider having a pre-enrollment orientation with parents, including school-age children in care, to ensure a review of required information before the child begins care. Incident Reports: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. We discussed the requirements for incident logs. I encouraged you to review all incident reports for accuracy before placement in the child’s file. Staff Medical: Staff must have a medical report on file prior to employment. We discussed that the staff member employed 7/9/24, now has a medical report on file but the report was not on file prior to employment. You reported the staff member was hired prior to assuming the director role. I encouraged you to make sure that the medical report is received during the hiring process and that a start date for employment is determined after the report is on file. Children’s Medical Exam: A medical exam or health assessment record must be on file within 30 days of enrollment. The child enrolled on 1/20/25 had a medical exam on file dated 2/24/25 to verify on-going compliance. The child enrolled 4/21/25, did not have a medical exam on file. We discussed that the child’s medical provider had faxed immunization information to the facility but no medical exam was included. You stated you will talk with the parent about obtaining this information. A medical exam will need to be on file within the next 2 weeks. Lockdown/Shelter-in-place Drills: There was not an lockdown or shelter-in-place drill practiced between 9/12/24 and 5/9/25. You stated that you were in process of completing EPR training and revising the plans during those months and did not get the drills completed. I encouraged you to calendar the drills to ensure compliance with the every three month requirement moving forward. Recognizing and Responding to Suspicions of Child Maltreatment Training: 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. You can access the training at https://www.preventchildabusenc.org/online-trainings/ The certificate of completion of this course must be maintained in the staff member's file. The staff members employed 1/15/22, 10/23/23, and 7/19/24 must complete this training and place the certificate of completion in their employee file within the next 2 weeks. Consultation: We discussed the following during the visit: -You reported that the program is building a new playground area. I reminded you that prior to the playground being used for children in care, I will need to measure, monitor, and approve the new outdoor space. Please contact me when the playground is completed. -You reported that the program is considering changing after-school care services for school-age children to an unlicensed component that would be housed in another building. We discussed that if the program decides to make this change, you will need email me the effective date of the change. As a reminder, children who are a part of unlicensed care are not eligible for subsidy reimbursement. Licensed space may only be used to care for children who are in licensed care. -We discussed that school-age children will continue to be served for summer care, even if changes are made to after-school care arrangements. I reminded you that school-age children who are a part of licensed care must have a separate child file with all required application and enrollment information. -Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. 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 on 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. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 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: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 5/22/2025 Number Present: 34 Completed Date: 5/22/2025 Age: From 3 To 5 Total Minutes: 278 Time In: 09:52 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Beverly Earley, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and Trinity School, Inc. was current/active as of May 13, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Notice of Compliance effective February 17, 2011. Restrictions include 1st shift and uses corporal punishment. The program’s compliance history was 77 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. A walk-through of the facility was completed, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children and staff were participating in free play in activity areas and snack. The last monthly fire drill was practiced on April 30, 2025. The last shelter-in-place drill was practiced on May 9, 2025. The last monthly playground inspection was completed on May 8, 2025. A sample of seven children’s records were reviewed. Two new staff files and three existing staff files were reviewed. All three of the existing staff members have had changes in their employment roles within the program since the last monitoring visit. The most recent sanitation inspection for your facility was conducted on November 4, 2024. A superior sanitation classification was issued with 2 demerits noted on the grade card. The most recent lead water test results were completed on September 25, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “no results” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on August 20, 2024. Violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A summary of the NC Child Care Law was not given to the parents of one child 6 years of age and one child 7 years of age. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. On 4/30/25, 5/1/25, 5/8/25, 5/13/25, and 5/14/25, one child did not have a specific time of arrival recorded. On 4/25/25, 4/28/25, 4/30/25, 5/1/25, 5/2/25, 5/6/25, 5/13/25, 5/14/25, and 5/16/25, one child did not have a specific time of departure recorded. On 5/8/25, two children did not have specific times of departure recorded. 10A NCAC 09 .0302(d)(4) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. At the bottom of the fence there were three areas where the fencing was pulled out of shape and torn apart causing protrusions and openings large enough for children to crawl under. .0605(g) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #7, one aerosol can of Zep disinfectant and sanitizing spray was on the shelf above the sink accessible to children. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. On an incident report dated 3/3/25, there was no listed date/time that the parent was contacted. On the incident report dated 3/19/25 and an incident report dated 5/8/25, there was no listed date/time that the parent was contacted and no signature of the person who contacted the parent. There was an incident report for a 4 yr old child that did not have listed the date of the incident , the date/time the parent was contacted, or a signature for the person who contacted the parent. .0802 (e) 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. One staff member employed 7/9/24, had a medical report on file dated 7/16/24. 10A NCAC 09 .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). David Sanders had a qualification letter on file that expired 9/18/24 and the first step for submitting the application for the five year process did not begin until May 25, 2025 G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 8/15/21, had First Aid certifications that expired 1/2024. The new First Aid certification on file was completed on 5/14/25. One staff member employed 7/9/24, had verification of on-line First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 8/15/21, had CPR certification that expired 1/2024. The new CPR certification on file was completed on 5/14/25. One staff member employed 7/9/24, had verification of on-line CPR training on file. .1102(d) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Staff did not discuss operational policies with parents of one 6 year old child and two 7 year old children in afterschool care. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. The parent participation plan was not posted. Program staff did not discuss the parent participation plan with parent's of one 6 year old child and two 7 year old children in afterschool care. 10A NCAC 09 .0515(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child four years of age that enrolled on 1/20/25, had a medical exam on file that was completed 2/24/25. One child three years of age that enrolled 4/21/25, did not have a medical exam on file. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letter on file for David Sanders expired 9/18/24. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was completed 9/12/24. The next shelter-in-place drill was completed 5/9/25. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed 1/15/22, one staff member employed 10/23/23, and one staff member employed 7/19/24 did not have verification of completed Recognizing and Responding to Suspicions of Child Maltreatment training on file. .1102(g) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by June 5, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Criminal Background Check: Prior to the expiration date of the qualification letter, all child care providers must complete a criminal background check. A valid qualification letter must be on file for review. We discussed that D. Sanders is required to have a current approved criminal background check as the Headmaster/Corporate Contact for Trinity School, Inc. that operates Trinity Preschool. You contacted D. Sanders during the visit to discuss that a new criminal background check will need to be completed. The Criminal Background Check must be completed within the next two weeks. Please notify me when a valid qualification letter is received. North Carolina Summary of the Law: A summary of the NC Child Care Law must be given to a parent of every child enrolled in the center including school-age children. I encouraged you to use the child file checklist found on the DCDEE website under documents/forms to ensure all required information is provided at the time of enrollment. You stated that you plan to review all of the school-age children’s file to ensure compliance with this requirement. Arrival and Departure: Specific times of arrival and departure must be maintained for all children in care. You stated that you have noticed some parents have repeatedly forgotten to list the times of arrival and/or departure. I encouraged you to develop a plan to ensure that parents or staff record the needed information. Fencing: The fence surrounding the outdoor play area must be free from protrusions as noted in 10A NCAC 09.0605(i). Three areas of the fencing had pulled away from the ground and had metal pieces protruding. We discussed that in addition to possible injury to the children, the pulled apart area between the bottom of the fencing and the ground was large enough for a child to crawl under. You stated that you will talk with the Headmaster and maintenance and come up with a solution to correct this issue within the next two weeks. Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Prior to children arriving, have teachers check the classroom to make sure that hazardous items are stored properly. The Zep disinfectant and sanitizing spray was moved into locked storage during the visit. CPR/First Aid Training: CPR and First Aid training must be renewed on or before the expiration of the certification. The staff member employed 8/15/21, had CPR/First Aid certifications that expired 1/2024. The new CPR/First Aid certifications on file were completed on 5/14/25. I encouraged you to consider tracking expiration dates on a calendar to ensure compliance is met. Distance learning shall not be permitted for CPR or First Aid training. The staff member employed 7/9/24 had verification of CPR and First Aid training that was completed on-line. Verification of in person CPR/First Aid certifications must be provided within the next two weeks. Consider contacting local organizations and in nearby counties for training availability. Operational Policies/Parent Participation Plans: Operational policies and Parent Participation plans must be discussed with parents of all children in care before the child’s first day of attendance. I encouraged you to consider having a pre-enrollment orientation with parents, including school-age children in care, to ensure a review of required information before the child begins care. Incident Reports: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. We discussed the requirements for incident logs. I encouraged you to review all incident reports for accuracy before placement in the child’s file. Staff Medical: Staff must have a medical report on file prior to employment. We discussed that the staff member employed 7/9/24, now has a medical report on file but the report was not on file prior to employment. You reported the staff member was hired prior to assuming the director role. I encouraged you to make sure that the medical report is received during the hiring process and that a start date for employment is determined after the report is on file. Children’s Medical Exam: A medical exam or health assessment record must be on file within 30 days of enrollment. The child enrolled on 1/20/25 had a medical exam on file dated 2/24/25 to verify on-going compliance. The child enrolled 4/21/25, did not have a medical exam on file. We discussed that the child’s medical provider had faxed immunization information to the facility but no medical exam was included. You stated you will talk with the parent about obtaining this information. A medical exam will need to be on file within the next 2 weeks. Lockdown/Shelter-in-place Drills: There was not an lockdown or shelter-in-place drill practiced between 9/12/24 and 5/9/25. You stated that you were in process of completing EPR training and revising the plans during those months and did not get the drills completed. I encouraged you to calendar the drills to ensure compliance with the every three month requirement moving forward. Recognizing and Responding to Suspicions of Child Maltreatment Training: 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. You can access the training at https://www.preventchildabusenc.org/online-trainings/ The certificate of completion of this course must be maintained in the staff member's file. The staff members employed 1/15/22, 10/23/23, and 7/19/24 must complete this training and place the certificate of completion in their employee file within the next 2 weeks. Consultation: We discussed the following during the visit: -You reported that the program is building a new playground area. I reminded you that prior to the playground being used for children in care, I will need to measure, monitor, and approve the new outdoor space. Please contact me when the playground is completed. -You reported that the program is considering changing after-school care services for school-age children to an unlicensed component that would be housed in another building. We discussed that if the program decides to make this change, you will need email me the effective date of the change. As a reminder, children who are a part of unlicensed care are not eligible for subsidy reimbursement. Licensed space may only be used to care for children who are in licensed care. -We discussed that school-age children will continue to be served for summer care, even if changes are made to after-school care arrangements. I reminded you that school-age children who are a part of licensed care must have a separate child file with all required application and enrollment information. -Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. 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 on 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. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 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 .1102 · Violation
Name of Operation: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 5/22/2025 Number Present: 34 Completed Date: 5/22/2025 Age: From 3 To 5 Total Minutes: 278 Time In: 09:52 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Beverly Earley, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and Trinity School, Inc. was current/active as of May 13, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Notice of Compliance effective February 17, 2011. Restrictions include 1st shift and uses corporal punishment. The program’s compliance history was 77 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. A walk-through of the facility was completed, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children and staff were participating in free play in activity areas and snack. The last monthly fire drill was practiced on April 30, 2025. The last shelter-in-place drill was practiced on May 9, 2025. The last monthly playground inspection was completed on May 8, 2025. A sample of seven children’s records were reviewed. Two new staff files and three existing staff files were reviewed. All three of the existing staff members have had changes in their employment roles within the program since the last monitoring visit. The most recent sanitation inspection for your facility was conducted on November 4, 2024. A superior sanitation classification was issued with 2 demerits noted on the grade card. The most recent lead water test results were completed on September 25, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “no results” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on August 20, 2024. Violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A summary of the NC Child Care Law was not given to the parents of one child 6 years of age and one child 7 years of age. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. On 4/30/25, 5/1/25, 5/8/25, 5/13/25, and 5/14/25, one child did not have a specific time of arrival recorded. On 4/25/25, 4/28/25, 4/30/25, 5/1/25, 5/2/25, 5/6/25, 5/13/25, 5/14/25, and 5/16/25, one child did not have a specific time of departure recorded. On 5/8/25, two children did not have specific times of departure recorded. 10A NCAC 09 .0302(d)(4) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. At the bottom of the fence there were three areas where the fencing was pulled out of shape and torn apart causing protrusions and openings large enough for children to crawl under. .0605(g) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #7, one aerosol can of Zep disinfectant and sanitizing spray was on the shelf above the sink accessible to children. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. On an incident report dated 3/3/25, there was no listed date/time that the parent was contacted. On the incident report dated 3/19/25 and an incident report dated 5/8/25, there was no listed date/time that the parent was contacted and no signature of the person who contacted the parent. There was an incident report for a 4 yr old child that did not have listed the date of the incident , the date/time the parent was contacted, or a signature for the person who contacted the parent. .0802 (e) 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. One staff member employed 7/9/24, had a medical report on file dated 7/16/24. 10A NCAC 09 .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). David Sanders had a qualification letter on file that expired 9/18/24 and the first step for submitting the application for the five year process did not begin until May 25, 2025 G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 8/15/21, had First Aid certifications that expired 1/2024. The new First Aid certification on file was completed on 5/14/25. One staff member employed 7/9/24, had verification of on-line First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 8/15/21, had CPR certification that expired 1/2024. The new CPR certification on file was completed on 5/14/25. One staff member employed 7/9/24, had verification of on-line CPR training on file. .1102(d) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Staff did not discuss operational policies with parents of one 6 year old child and two 7 year old children in afterschool care. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. The parent participation plan was not posted. Program staff did not discuss the parent participation plan with parent's of one 6 year old child and two 7 year old children in afterschool care. 10A NCAC 09 .0515(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child four years of age that enrolled on 1/20/25, had a medical exam on file that was completed 2/24/25. One child three years of age that enrolled 4/21/25, did not have a medical exam on file. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letter on file for David Sanders expired 9/18/24. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was completed 9/12/24. The next shelter-in-place drill was completed 5/9/25. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed 1/15/22, one staff member employed 10/23/23, and one staff member employed 7/19/24 did not have verification of completed Recognizing and Responding to Suspicions of Child Maltreatment training on file. .1102(g) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by June 5, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Criminal Background Check: Prior to the expiration date of the qualification letter, all child care providers must complete a criminal background check. A valid qualification letter must be on file for review. We discussed that D. Sanders is required to have a current approved criminal background check as the Headmaster/Corporate Contact for Trinity School, Inc. that operates Trinity Preschool. You contacted D. Sanders during the visit to discuss that a new criminal background check will need to be completed. The Criminal Background Check must be completed within the next two weeks. Please notify me when a valid qualification letter is received. North Carolina Summary of the Law: A summary of the NC Child Care Law must be given to a parent of every child enrolled in the center including school-age children. I encouraged you to use the child file checklist found on the DCDEE website under documents/forms to ensure all required information is provided at the time of enrollment. You stated that you plan to review all of the school-age children’s file to ensure compliance with this requirement. Arrival and Departure: Specific times of arrival and departure must be maintained for all children in care. You stated that you have noticed some parents have repeatedly forgotten to list the times of arrival and/or departure. I encouraged you to develop a plan to ensure that parents or staff record the needed information. Fencing: The fence surrounding the outdoor play area must be free from protrusions as noted in 10A NCAC 09.0605(i). Three areas of the fencing had pulled away from the ground and had metal pieces protruding. We discussed that in addition to possible injury to the children, the pulled apart area between the bottom of the fencing and the ground was large enough for a child to crawl under. You stated that you will talk with the Headmaster and maintenance and come up with a solution to correct this issue within the next two weeks. Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Prior to children arriving, have teachers check the classroom to make sure that hazardous items are stored properly. The Zep disinfectant and sanitizing spray was moved into locked storage during the visit. CPR/First Aid Training: CPR and First Aid training must be renewed on or before the expiration of the certification. The staff member employed 8/15/21, had CPR/First Aid certifications that expired 1/2024. The new CPR/First Aid certifications on file were completed on 5/14/25. I encouraged you to consider tracking expiration dates on a calendar to ensure compliance is met. Distance learning shall not be permitted for CPR or First Aid training. The staff member employed 7/9/24 had verification of CPR and First Aid training that was completed on-line. Verification of in person CPR/First Aid certifications must be provided within the next two weeks. Consider contacting local organizations and in nearby counties for training availability. Operational Policies/Parent Participation Plans: Operational policies and Parent Participation plans must be discussed with parents of all children in care before the child’s first day of attendance. I encouraged you to consider having a pre-enrollment orientation with parents, including school-age children in care, to ensure a review of required information before the child begins care. Incident Reports: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. We discussed the requirements for incident logs. I encouraged you to review all incident reports for accuracy before placement in the child’s file. Staff Medical: Staff must have a medical report on file prior to employment. We discussed that the staff member employed 7/9/24, now has a medical report on file but the report was not on file prior to employment. You reported the staff member was hired prior to assuming the director role. I encouraged you to make sure that the medical report is received during the hiring process and that a start date for employment is determined after the report is on file. Children’s Medical Exam: A medical exam or health assessment record must be on file within 30 days of enrollment. The child enrolled on 1/20/25 had a medical exam on file dated 2/24/25 to verify on-going compliance. The child enrolled 4/21/25, did not have a medical exam on file. We discussed that the child’s medical provider had faxed immunization information to the facility but no medical exam was included. You stated you will talk with the parent about obtaining this information. A medical exam will need to be on file within the next 2 weeks. Lockdown/Shelter-in-place Drills: There was not an lockdown or shelter-in-place drill practiced between 9/12/24 and 5/9/25. You stated that you were in process of completing EPR training and revising the plans during those months and did not get the drills completed. I encouraged you to calendar the drills to ensure compliance with the every three month requirement moving forward. Recognizing and Responding to Suspicions of Child Maltreatment Training: 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. You can access the training at https://www.preventchildabusenc.org/online-trainings/ The certificate of completion of this course must be maintained in the staff member's file. The staff members employed 1/15/22, 10/23/23, and 7/19/24 must complete this training and place the certificate of completion in their employee file within the next 2 weeks. Consultation: We discussed the following during the visit: -You reported that the program is building a new playground area. I reminded you that prior to the playground being used for children in care, I will need to measure, monitor, and approve the new outdoor space. Please contact me when the playground is completed. -You reported that the program is considering changing after-school care services for school-age children to an unlicensed component that would be housed in another building. We discussed that if the program decides to make this change, you will need email me the effective date of the change. As a reminder, children who are a part of unlicensed care are not eligible for subsidy reimbursement. Licensed space may only be used to care for children who are in licensed care. -We discussed that school-age children will continue to be served for summer care, even if changes are made to after-school care arrangements. I reminded you that school-age children who are a part of licensed care must have a separate child file with all required application and enrollment information. -Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. 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 on 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. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 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: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 5/22/2025 Number Present: 34 Completed Date: 5/22/2025 Age: From 3 To 5 Total Minutes: 278 Time In: 09:52 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Beverly Earley, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and Trinity School, Inc. was current/active as of May 13, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Notice of Compliance effective February 17, 2011. Restrictions include 1st shift and uses corporal punishment. The program’s compliance history was 77 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. A walk-through of the facility was completed, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children and staff were participating in free play in activity areas and snack. The last monthly fire drill was practiced on April 30, 2025. The last shelter-in-place drill was practiced on May 9, 2025. The last monthly playground inspection was completed on May 8, 2025. A sample of seven children’s records were reviewed. Two new staff files and three existing staff files were reviewed. All three of the existing staff members have had changes in their employment roles within the program since the last monitoring visit. The most recent sanitation inspection for your facility was conducted on November 4, 2024. A superior sanitation classification was issued with 2 demerits noted on the grade card. The most recent lead water test results were completed on September 25, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “no results” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on August 20, 2024. Violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A summary of the NC Child Care Law was not given to the parents of one child 6 years of age and one child 7 years of age. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. On 4/30/25, 5/1/25, 5/8/25, 5/13/25, and 5/14/25, one child did not have a specific time of arrival recorded. On 4/25/25, 4/28/25, 4/30/25, 5/1/25, 5/2/25, 5/6/25, 5/13/25, 5/14/25, and 5/16/25, one child did not have a specific time of departure recorded. On 5/8/25, two children did not have specific times of departure recorded. 10A NCAC 09 .0302(d)(4) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. At the bottom of the fence there were three areas where the fencing was pulled out of shape and torn apart causing protrusions and openings large enough for children to crawl under. .0605(g) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #7, one aerosol can of Zep disinfectant and sanitizing spray was on the shelf above the sink accessible to children. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. On an incident report dated 3/3/25, there was no listed date/time that the parent was contacted. On the incident report dated 3/19/25 and an incident report dated 5/8/25, there was no listed date/time that the parent was contacted and no signature of the person who contacted the parent. There was an incident report for a 4 yr old child that did not have listed the date of the incident , the date/time the parent was contacted, or a signature for the person who contacted the parent. .0802 (e) 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. One staff member employed 7/9/24, had a medical report on file dated 7/16/24. 10A NCAC 09 .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). David Sanders had a qualification letter on file that expired 9/18/24 and the first step for submitting the application for the five year process did not begin until May 25, 2025 G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 8/15/21, had First Aid certifications that expired 1/2024. The new First Aid certification on file was completed on 5/14/25. One staff member employed 7/9/24, had verification of on-line First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 8/15/21, had CPR certification that expired 1/2024. The new CPR certification on file was completed on 5/14/25. One staff member employed 7/9/24, had verification of on-line CPR training on file. .1102(d) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Staff did not discuss operational policies with parents of one 6 year old child and two 7 year old children in afterschool care. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. The parent participation plan was not posted. Program staff did not discuss the parent participation plan with parent's of one 6 year old child and two 7 year old children in afterschool care. 10A NCAC 09 .0515(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child four years of age that enrolled on 1/20/25, had a medical exam on file that was completed 2/24/25. One child three years of age that enrolled 4/21/25, did not have a medical exam on file. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letter on file for David Sanders expired 9/18/24. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was completed 9/12/24. The next shelter-in-place drill was completed 5/9/25. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed 1/15/22, one staff member employed 10/23/23, and one staff member employed 7/19/24 did not have verification of completed Recognizing and Responding to Suspicions of Child Maltreatment training on file. .1102(g) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by June 5, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Criminal Background Check: Prior to the expiration date of the qualification letter, all child care providers must complete a criminal background check. A valid qualification letter must be on file for review. We discussed that D. Sanders is required to have a current approved criminal background check as the Headmaster/Corporate Contact for Trinity School, Inc. that operates Trinity Preschool. You contacted D. Sanders during the visit to discuss that a new criminal background check will need to be completed. The Criminal Background Check must be completed within the next two weeks. Please notify me when a valid qualification letter is received. North Carolina Summary of the Law: A summary of the NC Child Care Law must be given to a parent of every child enrolled in the center including school-age children. I encouraged you to use the child file checklist found on the DCDEE website under documents/forms to ensure all required information is provided at the time of enrollment. You stated that you plan to review all of the school-age children’s file to ensure compliance with this requirement. Arrival and Departure: Specific times of arrival and departure must be maintained for all children in care. You stated that you have noticed some parents have repeatedly forgotten to list the times of arrival and/or departure. I encouraged you to develop a plan to ensure that parents or staff record the needed information. Fencing: The fence surrounding the outdoor play area must be free from protrusions as noted in 10A NCAC 09.0605(i). Three areas of the fencing had pulled away from the ground and had metal pieces protruding. We discussed that in addition to possible injury to the children, the pulled apart area between the bottom of the fencing and the ground was large enough for a child to crawl under. You stated that you will talk with the Headmaster and maintenance and come up with a solution to correct this issue within the next two weeks. Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Prior to children arriving, have teachers check the classroom to make sure that hazardous items are stored properly. The Zep disinfectant and sanitizing spray was moved into locked storage during the visit. CPR/First Aid Training: CPR and First Aid training must be renewed on or before the expiration of the certification. The staff member employed 8/15/21, had CPR/First Aid certifications that expired 1/2024. The new CPR/First Aid certifications on file were completed on 5/14/25. I encouraged you to consider tracking expiration dates on a calendar to ensure compliance is met. Distance learning shall not be permitted for CPR or First Aid training. The staff member employed 7/9/24 had verification of CPR and First Aid training that was completed on-line. Verification of in person CPR/First Aid certifications must be provided within the next two weeks. Consider contacting local organizations and in nearby counties for training availability. Operational Policies/Parent Participation Plans: Operational policies and Parent Participation plans must be discussed with parents of all children in care before the child’s first day of attendance. I encouraged you to consider having a pre-enrollment orientation with parents, including school-age children in care, to ensure a review of required information before the child begins care. Incident Reports: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. We discussed the requirements for incident logs. I encouraged you to review all incident reports for accuracy before placement in the child’s file. Staff Medical: Staff must have a medical report on file prior to employment. We discussed that the staff member employed 7/9/24, now has a medical report on file but the report was not on file prior to employment. You reported the staff member was hired prior to assuming the director role. I encouraged you to make sure that the medical report is received during the hiring process and that a start date for employment is determined after the report is on file. Children’s Medical Exam: A medical exam or health assessment record must be on file within 30 days of enrollment. The child enrolled on 1/20/25 had a medical exam on file dated 2/24/25 to verify on-going compliance. The child enrolled 4/21/25, did not have a medical exam on file. We discussed that the child’s medical provider had faxed immunization information to the facility but no medical exam was included. You stated you will talk with the parent about obtaining this information. A medical exam will need to be on file within the next 2 weeks. Lockdown/Shelter-in-place Drills: There was not an lockdown or shelter-in-place drill practiced between 9/12/24 and 5/9/25. You stated that you were in process of completing EPR training and revising the plans during those months and did not get the drills completed. I encouraged you to calendar the drills to ensure compliance with the every three month requirement moving forward. Recognizing and Responding to Suspicions of Child Maltreatment Training: 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. You can access the training at https://www.preventchildabusenc.org/online-trainings/ The certificate of completion of this course must be maintained in the staff member's file. The staff members employed 1/15/22, 10/23/23, and 7/19/24 must complete this training and place the certificate of completion in their employee file within the next 2 weeks. Consultation: We discussed the following during the visit: -You reported that the program is building a new playground area. I reminded you that prior to the playground being used for children in care, I will need to measure, monitor, and approve the new outdoor space. Please contact me when the playground is completed. -You reported that the program is considering changing after-school care services for school-age children to an unlicensed component that would be housed in another building. We discussed that if the program decides to make this change, you will need email me the effective date of the change. As a reminder, children who are a part of unlicensed care are not eligible for subsidy reimbursement. Licensed space may only be used to care for children who are in licensed care. -We discussed that school-age children will continue to be served for summer care, even if changes are made to after-school care arrangements. I reminded you that school-age children who are a part of licensed care must have a separate child file with all required application and enrollment information. -Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. 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 on 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. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 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. 110-90 · Violation
Name of Operation: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 5/22/2025 Number Present: 34 Completed Date: 5/22/2025 Age: From 3 To 5 Total Minutes: 278 Time In: 09:52 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Beverly Earley, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and Trinity School, Inc. was current/active as of May 13, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Notice of Compliance effective February 17, 2011. Restrictions include 1st shift and uses corporal punishment. The program’s compliance history was 77 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. A walk-through of the facility was completed, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children and staff were participating in free play in activity areas and snack. The last monthly fire drill was practiced on April 30, 2025. The last shelter-in-place drill was practiced on May 9, 2025. The last monthly playground inspection was completed on May 8, 2025. A sample of seven children’s records were reviewed. Two new staff files and three existing staff files were reviewed. All three of the existing staff members have had changes in their employment roles within the program since the last monitoring visit. The most recent sanitation inspection for your facility was conducted on November 4, 2024. A superior sanitation classification was issued with 2 demerits noted on the grade card. The most recent lead water test results were completed on September 25, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “no results” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on August 20, 2024. Violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A summary of the NC Child Care Law was not given to the parents of one child 6 years of age and one child 7 years of age. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. On 4/30/25, 5/1/25, 5/8/25, 5/13/25, and 5/14/25, one child did not have a specific time of arrival recorded. On 4/25/25, 4/28/25, 4/30/25, 5/1/25, 5/2/25, 5/6/25, 5/13/25, 5/14/25, and 5/16/25, one child did not have a specific time of departure recorded. On 5/8/25, two children did not have specific times of departure recorded. 10A NCAC 09 .0302(d)(4) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. At the bottom of the fence there were three areas where the fencing was pulled out of shape and torn apart causing protrusions and openings large enough for children to crawl under. .0605(g) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #7, one aerosol can of Zep disinfectant and sanitizing spray was on the shelf above the sink accessible to children. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. On an incident report dated 3/3/25, there was no listed date/time that the parent was contacted. On the incident report dated 3/19/25 and an incident report dated 5/8/25, there was no listed date/time that the parent was contacted and no signature of the person who contacted the parent. There was an incident report for a 4 yr old child that did not have listed the date of the incident , the date/time the parent was contacted, or a signature for the person who contacted the parent. .0802 (e) 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. One staff member employed 7/9/24, had a medical report on file dated 7/16/24. 10A NCAC 09 .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). David Sanders had a qualification letter on file that expired 9/18/24 and the first step for submitting the application for the five year process did not begin until May 25, 2025 G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 8/15/21, had First Aid certifications that expired 1/2024. The new First Aid certification on file was completed on 5/14/25. One staff member employed 7/9/24, had verification of on-line First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 8/15/21, had CPR certification that expired 1/2024. The new CPR certification on file was completed on 5/14/25. One staff member employed 7/9/24, had verification of on-line CPR training on file. .1102(d) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Staff did not discuss operational policies with parents of one 6 year old child and two 7 year old children in afterschool care. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. The parent participation plan was not posted. Program staff did not discuss the parent participation plan with parent's of one 6 year old child and two 7 year old children in afterschool care. 10A NCAC 09 .0515(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child four years of age that enrolled on 1/20/25, had a medical exam on file that was completed 2/24/25. One child three years of age that enrolled 4/21/25, did not have a medical exam on file. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letter on file for David Sanders expired 9/18/24. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was completed 9/12/24. The next shelter-in-place drill was completed 5/9/25. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed 1/15/22, one staff member employed 10/23/23, and one staff member employed 7/19/24 did not have verification of completed Recognizing and Responding to Suspicions of Child Maltreatment training on file. .1102(g) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by June 5, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Criminal Background Check: Prior to the expiration date of the qualification letter, all child care providers must complete a criminal background check. A valid qualification letter must be on file for review. We discussed that D. Sanders is required to have a current approved criminal background check as the Headmaster/Corporate Contact for Trinity School, Inc. that operates Trinity Preschool. You contacted D. Sanders during the visit to discuss that a new criminal background check will need to be completed. The Criminal Background Check must be completed within the next two weeks. Please notify me when a valid qualification letter is received. North Carolina Summary of the Law: A summary of the NC Child Care Law must be given to a parent of every child enrolled in the center including school-age children. I encouraged you to use the child file checklist found on the DCDEE website under documents/forms to ensure all required information is provided at the time of enrollment. You stated that you plan to review all of the school-age children’s file to ensure compliance with this requirement. Arrival and Departure: Specific times of arrival and departure must be maintained for all children in care. You stated that you have noticed some parents have repeatedly forgotten to list the times of arrival and/or departure. I encouraged you to develop a plan to ensure that parents or staff record the needed information. Fencing: The fence surrounding the outdoor play area must be free from protrusions as noted in 10A NCAC 09.0605(i). Three areas of the fencing had pulled away from the ground and had metal pieces protruding. We discussed that in addition to possible injury to the children, the pulled apart area between the bottom of the fencing and the ground was large enough for a child to crawl under. You stated that you will talk with the Headmaster and maintenance and come up with a solution to correct this issue within the next two weeks. Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Prior to children arriving, have teachers check the classroom to make sure that hazardous items are stored properly. The Zep disinfectant and sanitizing spray was moved into locked storage during the visit. CPR/First Aid Training: CPR and First Aid training must be renewed on or before the expiration of the certification. The staff member employed 8/15/21, had CPR/First Aid certifications that expired 1/2024. The new CPR/First Aid certifications on file were completed on 5/14/25. I encouraged you to consider tracking expiration dates on a calendar to ensure compliance is met. Distance learning shall not be permitted for CPR or First Aid training. The staff member employed 7/9/24 had verification of CPR and First Aid training that was completed on-line. Verification of in person CPR/First Aid certifications must be provided within the next two weeks. Consider contacting local organizations and in nearby counties for training availability. Operational Policies/Parent Participation Plans: Operational policies and Parent Participation plans must be discussed with parents of all children in care before the child’s first day of attendance. I encouraged you to consider having a pre-enrollment orientation with parents, including school-age children in care, to ensure a review of required information before the child begins care. Incident Reports: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. We discussed the requirements for incident logs. I encouraged you to review all incident reports for accuracy before placement in the child’s file. Staff Medical: Staff must have a medical report on file prior to employment. We discussed that the staff member employed 7/9/24, now has a medical report on file but the report was not on file prior to employment. You reported the staff member was hired prior to assuming the director role. I encouraged you to make sure that the medical report is received during the hiring process and that a start date for employment is determined after the report is on file. Children’s Medical Exam: A medical exam or health assessment record must be on file within 30 days of enrollment. The child enrolled on 1/20/25 had a medical exam on file dated 2/24/25 to verify on-going compliance. The child enrolled 4/21/25, did not have a medical exam on file. We discussed that the child’s medical provider had faxed immunization information to the facility but no medical exam was included. You stated you will talk with the parent about obtaining this information. A medical exam will need to be on file within the next 2 weeks. Lockdown/Shelter-in-place Drills: There was not an lockdown or shelter-in-place drill practiced between 9/12/24 and 5/9/25. You stated that you were in process of completing EPR training and revising the plans during those months and did not get the drills completed. I encouraged you to calendar the drills to ensure compliance with the every three month requirement moving forward. Recognizing and Responding to Suspicions of Child Maltreatment Training: 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. You can access the training at https://www.preventchildabusenc.org/online-trainings/ The certificate of completion of this course must be maintained in the staff member's file. The staff members employed 1/15/22, 10/23/23, and 7/19/24 must complete this training and place the certificate of completion in their employee file within the next 2 weeks. Consultation: We discussed the following during the visit: -You reported that the program is building a new playground area. I reminded you that prior to the playground being used for children in care, I will need to measure, monitor, and approve the new outdoor space. Please contact me when the playground is completed. -You reported that the program is considering changing after-school care services for school-age children to an unlicensed component that would be housed in another building. We discussed that if the program decides to make this change, you will need email me the effective date of the change. As a reminder, children who are a part of unlicensed care are not eligible for subsidy reimbursement. Licensed space may only be used to care for children who are in licensed care. -We discussed that school-age children will continue to be served for summer care, even if changes are made to after-school care arrangements. I reminded you that school-age children who are a part of licensed care must have a separate child file with all required application and enrollment information. -Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. 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 on 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. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
GS 110-102 · Violation
Name of Operation: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 5/22/2025 Number Present: 34 Completed Date: 5/22/2025 Age: From 3 To 5 Total Minutes: 278 Time In: 09:52 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Beverly Earley, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and Trinity School, Inc. was current/active as of May 13, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Notice of Compliance effective February 17, 2011. Restrictions include 1st shift and uses corporal punishment. The program’s compliance history was 77 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. A walk-through of the facility was completed, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children and staff were participating in free play in activity areas and snack. The last monthly fire drill was practiced on April 30, 2025. The last shelter-in-place drill was practiced on May 9, 2025. The last monthly playground inspection was completed on May 8, 2025. A sample of seven children’s records were reviewed. Two new staff files and three existing staff files were reviewed. All three of the existing staff members have had changes in their employment roles within the program since the last monitoring visit. The most recent sanitation inspection for your facility was conducted on November 4, 2024. A superior sanitation classification was issued with 2 demerits noted on the grade card. The most recent lead water test results were completed on September 25, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “no results” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on August 20, 2024. Violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A summary of the NC Child Care Law was not given to the parents of one child 6 years of age and one child 7 years of age. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. On 4/30/25, 5/1/25, 5/8/25, 5/13/25, and 5/14/25, one child did not have a specific time of arrival recorded. On 4/25/25, 4/28/25, 4/30/25, 5/1/25, 5/2/25, 5/6/25, 5/13/25, 5/14/25, and 5/16/25, one child did not have a specific time of departure recorded. On 5/8/25, two children did not have specific times of departure recorded. 10A NCAC 09 .0302(d)(4) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. At the bottom of the fence there were three areas where the fencing was pulled out of shape and torn apart causing protrusions and openings large enough for children to crawl under. .0605(g) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #7, one aerosol can of Zep disinfectant and sanitizing spray was on the shelf above the sink accessible to children. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. On an incident report dated 3/3/25, there was no listed date/time that the parent was contacted. On the incident report dated 3/19/25 and an incident report dated 5/8/25, there was no listed date/time that the parent was contacted and no signature of the person who contacted the parent. There was an incident report for a 4 yr old child that did not have listed the date of the incident , the date/time the parent was contacted, or a signature for the person who contacted the parent. .0802 (e) 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. One staff member employed 7/9/24, had a medical report on file dated 7/16/24. 10A NCAC 09 .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). David Sanders had a qualification letter on file that expired 9/18/24 and the first step for submitting the application for the five year process did not begin until May 25, 2025 G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 8/15/21, had First Aid certifications that expired 1/2024. The new First Aid certification on file was completed on 5/14/25. One staff member employed 7/9/24, had verification of on-line First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 8/15/21, had CPR certification that expired 1/2024. The new CPR certification on file was completed on 5/14/25. One staff member employed 7/9/24, had verification of on-line CPR training on file. .1102(d) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Staff did not discuss operational policies with parents of one 6 year old child and two 7 year old children in afterschool care. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. The parent participation plan was not posted. Program staff did not discuss the parent participation plan with parent's of one 6 year old child and two 7 year old children in afterschool care. 10A NCAC 09 .0515(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child four years of age that enrolled on 1/20/25, had a medical exam on file that was completed 2/24/25. One child three years of age that enrolled 4/21/25, did not have a medical exam on file. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letter on file for David Sanders expired 9/18/24. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was completed 9/12/24. The next shelter-in-place drill was completed 5/9/25. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed 1/15/22, one staff member employed 10/23/23, and one staff member employed 7/19/24 did not have verification of completed Recognizing and Responding to Suspicions of Child Maltreatment training on file. .1102(g) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by June 5, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Criminal Background Check: Prior to the expiration date of the qualification letter, all child care providers must complete a criminal background check. A valid qualification letter must be on file for review. We discussed that D. Sanders is required to have a current approved criminal background check as the Headmaster/Corporate Contact for Trinity School, Inc. that operates Trinity Preschool. You contacted D. Sanders during the visit to discuss that a new criminal background check will need to be completed. The Criminal Background Check must be completed within the next two weeks. Please notify me when a valid qualification letter is received. North Carolina Summary of the Law: A summary of the NC Child Care Law must be given to a parent of every child enrolled in the center including school-age children. I encouraged you to use the child file checklist found on the DCDEE website under documents/forms to ensure all required information is provided at the time of enrollment. You stated that you plan to review all of the school-age children’s file to ensure compliance with this requirement. Arrival and Departure: Specific times of arrival and departure must be maintained for all children in care. You stated that you have noticed some parents have repeatedly forgotten to list the times of arrival and/or departure. I encouraged you to develop a plan to ensure that parents or staff record the needed information. Fencing: The fence surrounding the outdoor play area must be free from protrusions as noted in 10A NCAC 09.0605(i). Three areas of the fencing had pulled away from the ground and had metal pieces protruding. We discussed that in addition to possible injury to the children, the pulled apart area between the bottom of the fencing and the ground was large enough for a child to crawl under. You stated that you will talk with the Headmaster and maintenance and come up with a solution to correct this issue within the next two weeks. Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Prior to children arriving, have teachers check the classroom to make sure that hazardous items are stored properly. The Zep disinfectant and sanitizing spray was moved into locked storage during the visit. CPR/First Aid Training: CPR and First Aid training must be renewed on or before the expiration of the certification. The staff member employed 8/15/21, had CPR/First Aid certifications that expired 1/2024. The new CPR/First Aid certifications on file were completed on 5/14/25. I encouraged you to consider tracking expiration dates on a calendar to ensure compliance is met. Distance learning shall not be permitted for CPR or First Aid training. The staff member employed 7/9/24 had verification of CPR and First Aid training that was completed on-line. Verification of in person CPR/First Aid certifications must be provided within the next two weeks. Consider contacting local organizations and in nearby counties for training availability. Operational Policies/Parent Participation Plans: Operational policies and Parent Participation plans must be discussed with parents of all children in care before the child’s first day of attendance. I encouraged you to consider having a pre-enrollment orientation with parents, including school-age children in care, to ensure a review of required information before the child begins care. Incident Reports: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. We discussed the requirements for incident logs. I encouraged you to review all incident reports for accuracy before placement in the child’s file. Staff Medical: Staff must have a medical report on file prior to employment. We discussed that the staff member employed 7/9/24, now has a medical report on file but the report was not on file prior to employment. You reported the staff member was hired prior to assuming the director role. I encouraged you to make sure that the medical report is received during the hiring process and that a start date for employment is determined after the report is on file. Children’s Medical Exam: A medical exam or health assessment record must be on file within 30 days of enrollment. The child enrolled on 1/20/25 had a medical exam on file dated 2/24/25 to verify on-going compliance. The child enrolled 4/21/25, did not have a medical exam on file. We discussed that the child’s medical provider had faxed immunization information to the facility but no medical exam was included. You stated you will talk with the parent about obtaining this information. A medical exam will need to be on file within the next 2 weeks. Lockdown/Shelter-in-place Drills: There was not an lockdown or shelter-in-place drill practiced between 9/12/24 and 5/9/25. You stated that you were in process of completing EPR training and revising the plans during those months and did not get the drills completed. I encouraged you to calendar the drills to ensure compliance with the every three month requirement moving forward. Recognizing and Responding to Suspicions of Child Maltreatment Training: 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. You can access the training at https://www.preventchildabusenc.org/online-trainings/ The certificate of completion of this course must be maintained in the staff member's file. The staff members employed 1/15/22, 10/23/23, and 7/19/24 must complete this training and place the certificate of completion in their employee file within the next 2 weeks. Consultation: We discussed the following during the visit: -You reported that the program is building a new playground area. I reminded you that prior to the playground being used for children in care, I will need to measure, monitor, and approve the new outdoor space. Please contact me when the playground is completed. -You reported that the program is considering changing after-school care services for school-age children to an unlicensed component that would be housed in another building. We discussed that if the program decides to make this change, you will need email me the effective date of the change. As a reminder, children who are a part of unlicensed care are not eligible for subsidy reimbursement. Licensed space may only be used to care for children who are in licensed care. -We discussed that school-age children will continue to be served for summer care, even if changes are made to after-school care arrangements. I reminded you that school-age children who are a part of licensed care must have a separate child file with all required application and enrollment information. -Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. 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 on 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. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
GS110-91 · Violation
Name of Operation: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 5/22/2025 Number Present: 34 Completed Date: 5/22/2025 Age: From 3 To 5 Total Minutes: 278 Time In: 09:52 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Beverly Earley, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and Trinity School, Inc. was current/active as of May 13, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Notice of Compliance effective February 17, 2011. Restrictions include 1st shift and uses corporal punishment. The program’s compliance history was 77 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. A walk-through of the facility was completed, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children and staff were participating in free play in activity areas and snack. The last monthly fire drill was practiced on April 30, 2025. The last shelter-in-place drill was practiced on May 9, 2025. The last monthly playground inspection was completed on May 8, 2025. A sample of seven children’s records were reviewed. Two new staff files and three existing staff files were reviewed. All three of the existing staff members have had changes in their employment roles within the program since the last monitoring visit. The most recent sanitation inspection for your facility was conducted on November 4, 2024. A superior sanitation classification was issued with 2 demerits noted on the grade card. The most recent lead water test results were completed on September 25, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “no results” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on August 20, 2024. Violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A summary of the NC Child Care Law was not given to the parents of one child 6 years of age and one child 7 years of age. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. On 4/30/25, 5/1/25, 5/8/25, 5/13/25, and 5/14/25, one child did not have a specific time of arrival recorded. On 4/25/25, 4/28/25, 4/30/25, 5/1/25, 5/2/25, 5/6/25, 5/13/25, 5/14/25, and 5/16/25, one child did not have a specific time of departure recorded. On 5/8/25, two children did not have specific times of departure recorded. 10A NCAC 09 .0302(d)(4) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. At the bottom of the fence there were three areas where the fencing was pulled out of shape and torn apart causing protrusions and openings large enough for children to crawl under. .0605(g) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #7, one aerosol can of Zep disinfectant and sanitizing spray was on the shelf above the sink accessible to children. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. On an incident report dated 3/3/25, there was no listed date/time that the parent was contacted. On the incident report dated 3/19/25 and an incident report dated 5/8/25, there was no listed date/time that the parent was contacted and no signature of the person who contacted the parent. There was an incident report for a 4 yr old child that did not have listed the date of the incident , the date/time the parent was contacted, or a signature for the person who contacted the parent. .0802 (e) 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. One staff member employed 7/9/24, had a medical report on file dated 7/16/24. 10A NCAC 09 .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). David Sanders had a qualification letter on file that expired 9/18/24 and the first step for submitting the application for the five year process did not begin until May 25, 2025 G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 8/15/21, had First Aid certifications that expired 1/2024. The new First Aid certification on file was completed on 5/14/25. One staff member employed 7/9/24, had verification of on-line First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 8/15/21, had CPR certification that expired 1/2024. The new CPR certification on file was completed on 5/14/25. One staff member employed 7/9/24, had verification of on-line CPR training on file. .1102(d) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Staff did not discuss operational policies with parents of one 6 year old child and two 7 year old children in afterschool care. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. The parent participation plan was not posted. Program staff did not discuss the parent participation plan with parent's of one 6 year old child and two 7 year old children in afterschool care. 10A NCAC 09 .0515(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child four years of age that enrolled on 1/20/25, had a medical exam on file that was completed 2/24/25. One child three years of age that enrolled 4/21/25, did not have a medical exam on file. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letter on file for David Sanders expired 9/18/24. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was completed 9/12/24. The next shelter-in-place drill was completed 5/9/25. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed 1/15/22, one staff member employed 10/23/23, and one staff member employed 7/19/24 did not have verification of completed Recognizing and Responding to Suspicions of Child Maltreatment training on file. .1102(g) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by June 5, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Criminal Background Check: Prior to the expiration date of the qualification letter, all child care providers must complete a criminal background check. A valid qualification letter must be on file for review. We discussed that D. Sanders is required to have a current approved criminal background check as the Headmaster/Corporate Contact for Trinity School, Inc. that operates Trinity Preschool. You contacted D. Sanders during the visit to discuss that a new criminal background check will need to be completed. The Criminal Background Check must be completed within the next two weeks. Please notify me when a valid qualification letter is received. North Carolina Summary of the Law: A summary of the NC Child Care Law must be given to a parent of every child enrolled in the center including school-age children. I encouraged you to use the child file checklist found on the DCDEE website under documents/forms to ensure all required information is provided at the time of enrollment. You stated that you plan to review all of the school-age children’s file to ensure compliance with this requirement. Arrival and Departure: Specific times of arrival and departure must be maintained for all children in care. You stated that you have noticed some parents have repeatedly forgotten to list the times of arrival and/or departure. I encouraged you to develop a plan to ensure that parents or staff record the needed information. Fencing: The fence surrounding the outdoor play area must be free from protrusions as noted in 10A NCAC 09.0605(i). Three areas of the fencing had pulled away from the ground and had metal pieces protruding. We discussed that in addition to possible injury to the children, the pulled apart area between the bottom of the fencing and the ground was large enough for a child to crawl under. You stated that you will talk with the Headmaster and maintenance and come up with a solution to correct this issue within the next two weeks. Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Prior to children arriving, have teachers check the classroom to make sure that hazardous items are stored properly. The Zep disinfectant and sanitizing spray was moved into locked storage during the visit. CPR/First Aid Training: CPR and First Aid training must be renewed on or before the expiration of the certification. The staff member employed 8/15/21, had CPR/First Aid certifications that expired 1/2024. The new CPR/First Aid certifications on file were completed on 5/14/25. I encouraged you to consider tracking expiration dates on a calendar to ensure compliance is met. Distance learning shall not be permitted for CPR or First Aid training. The staff member employed 7/9/24 had verification of CPR and First Aid training that was completed on-line. Verification of in person CPR/First Aid certifications must be provided within the next two weeks. Consider contacting local organizations and in nearby counties for training availability. Operational Policies/Parent Participation Plans: Operational policies and Parent Participation plans must be discussed with parents of all children in care before the child’s first day of attendance. I encouraged you to consider having a pre-enrollment orientation with parents, including school-age children in care, to ensure a review of required information before the child begins care. Incident Reports: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. We discussed the requirements for incident logs. I encouraged you to review all incident reports for accuracy before placement in the child’s file. Staff Medical: Staff must have a medical report on file prior to employment. We discussed that the staff member employed 7/9/24, now has a medical report on file but the report was not on file prior to employment. You reported the staff member was hired prior to assuming the director role. I encouraged you to make sure that the medical report is received during the hiring process and that a start date for employment is determined after the report is on file. Children’s Medical Exam: A medical exam or health assessment record must be on file within 30 days of enrollment. The child enrolled on 1/20/25 had a medical exam on file dated 2/24/25 to verify on-going compliance. The child enrolled 4/21/25, did not have a medical exam on file. We discussed that the child’s medical provider had faxed immunization information to the facility but no medical exam was included. You stated you will talk with the parent about obtaining this information. A medical exam will need to be on file within the next 2 weeks. Lockdown/Shelter-in-place Drills: There was not an lockdown or shelter-in-place drill practiced between 9/12/24 and 5/9/25. You stated that you were in process of completing EPR training and revising the plans during those months and did not get the drills completed. I encouraged you to calendar the drills to ensure compliance with the every three month requirement moving forward. Recognizing and Responding to Suspicions of Child Maltreatment Training: 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. You can access the training at https://www.preventchildabusenc.org/online-trainings/ The certificate of completion of this course must be maintained in the staff member's file. The staff members employed 1/15/22, 10/23/23, and 7/19/24 must complete this training and place the certificate of completion in their employee file within the next 2 weeks. Consultation: We discussed the following during the visit: -You reported that the program is building a new playground area. I reminded you that prior to the playground being used for children in care, I will need to measure, monitor, and approve the new outdoor space. Please contact me when the playground is completed. -You reported that the program is considering changing after-school care services for school-age children to an unlicensed component that would be housed in another building. We discussed that if the program decides to make this change, you will need email me the effective date of the change. As a reminder, children who are a part of unlicensed care are not eligible for subsidy reimbursement. Licensed space may only be used to care for children who are in licensed care. -We discussed that school-age children will continue to be served for summer care, even if changes are made to after-school care arrangements. I reminded you that school-age children who are a part of licensed care must have a separate child file with all required application and enrollment information. -Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. 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 on 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. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 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: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 5/22/2025 Number Present: 34 Completed Date: 5/22/2025 Age: From 3 To 5 Total Minutes: 278 Time In: 09:52 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Beverly Earley, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and Trinity School, Inc. was current/active as of May 13, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Notice of Compliance effective February 17, 2011. Restrictions include 1st shift and uses corporal punishment. The program’s compliance history was 77 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. A walk-through of the facility was completed, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children and staff were participating in free play in activity areas and snack. The last monthly fire drill was practiced on April 30, 2025. The last shelter-in-place drill was practiced on May 9, 2025. The last monthly playground inspection was completed on May 8, 2025. A sample of seven children’s records were reviewed. Two new staff files and three existing staff files were reviewed. All three of the existing staff members have had changes in their employment roles within the program since the last monitoring visit. The most recent sanitation inspection for your facility was conducted on November 4, 2024. A superior sanitation classification was issued with 2 demerits noted on the grade card. The most recent lead water test results were completed on September 25, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “no results” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on August 20, 2024. Violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A summary of the NC Child Care Law was not given to the parents of one child 6 years of age and one child 7 years of age. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. On 4/30/25, 5/1/25, 5/8/25, 5/13/25, and 5/14/25, one child did not have a specific time of arrival recorded. On 4/25/25, 4/28/25, 4/30/25, 5/1/25, 5/2/25, 5/6/25, 5/13/25, 5/14/25, and 5/16/25, one child did not have a specific time of departure recorded. On 5/8/25, two children did not have specific times of departure recorded. 10A NCAC 09 .0302(d)(4) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. At the bottom of the fence there were three areas where the fencing was pulled out of shape and torn apart causing protrusions and openings large enough for children to crawl under. .0605(g) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #7, one aerosol can of Zep disinfectant and sanitizing spray was on the shelf above the sink accessible to children. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. On an incident report dated 3/3/25, there was no listed date/time that the parent was contacted. On the incident report dated 3/19/25 and an incident report dated 5/8/25, there was no listed date/time that the parent was contacted and no signature of the person who contacted the parent. There was an incident report for a 4 yr old child that did not have listed the date of the incident , the date/time the parent was contacted, or a signature for the person who contacted the parent. .0802 (e) 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. One staff member employed 7/9/24, had a medical report on file dated 7/16/24. 10A NCAC 09 .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). David Sanders had a qualification letter on file that expired 9/18/24 and the first step for submitting the application for the five year process did not begin until May 25, 2025 G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 8/15/21, had First Aid certifications that expired 1/2024. The new First Aid certification on file was completed on 5/14/25. One staff member employed 7/9/24, had verification of on-line First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 8/15/21, had CPR certification that expired 1/2024. The new CPR certification on file was completed on 5/14/25. One staff member employed 7/9/24, had verification of on-line CPR training on file. .1102(d) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Staff did not discuss operational policies with parents of one 6 year old child and two 7 year old children in afterschool care. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. The parent participation plan was not posted. Program staff did not discuss the parent participation plan with parent's of one 6 year old child and two 7 year old children in afterschool care. 10A NCAC 09 .0515(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child four years of age that enrolled on 1/20/25, had a medical exam on file that was completed 2/24/25. One child three years of age that enrolled 4/21/25, did not have a medical exam on file. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letter on file for David Sanders expired 9/18/24. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was completed 9/12/24. The next shelter-in-place drill was completed 5/9/25. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed 1/15/22, one staff member employed 10/23/23, and one staff member employed 7/19/24 did not have verification of completed Recognizing and Responding to Suspicions of Child Maltreatment training on file. .1102(g) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by June 5, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Criminal Background Check: Prior to the expiration date of the qualification letter, all child care providers must complete a criminal background check. A valid qualification letter must be on file for review. We discussed that D. Sanders is required to have a current approved criminal background check as the Headmaster/Corporate Contact for Trinity School, Inc. that operates Trinity Preschool. You contacted D. Sanders during the visit to discuss that a new criminal background check will need to be completed. The Criminal Background Check must be completed within the next two weeks. Please notify me when a valid qualification letter is received. North Carolina Summary of the Law: A summary of the NC Child Care Law must be given to a parent of every child enrolled in the center including school-age children. I encouraged you to use the child file checklist found on the DCDEE website under documents/forms to ensure all required information is provided at the time of enrollment. You stated that you plan to review all of the school-age children’s file to ensure compliance with this requirement. Arrival and Departure: Specific times of arrival and departure must be maintained for all children in care. You stated that you have noticed some parents have repeatedly forgotten to list the times of arrival and/or departure. I encouraged you to develop a plan to ensure that parents or staff record the needed information. Fencing: The fence surrounding the outdoor play area must be free from protrusions as noted in 10A NCAC 09.0605(i). Three areas of the fencing had pulled away from the ground and had metal pieces protruding. We discussed that in addition to possible injury to the children, the pulled apart area between the bottom of the fencing and the ground was large enough for a child to crawl under. You stated that you will talk with the Headmaster and maintenance and come up with a solution to correct this issue within the next two weeks. Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Prior to children arriving, have teachers check the classroom to make sure that hazardous items are stored properly. The Zep disinfectant and sanitizing spray was moved into locked storage during the visit. CPR/First Aid Training: CPR and First Aid training must be renewed on or before the expiration of the certification. The staff member employed 8/15/21, had CPR/First Aid certifications that expired 1/2024. The new CPR/First Aid certifications on file were completed on 5/14/25. I encouraged you to consider tracking expiration dates on a calendar to ensure compliance is met. Distance learning shall not be permitted for CPR or First Aid training. The staff member employed 7/9/24 had verification of CPR and First Aid training that was completed on-line. Verification of in person CPR/First Aid certifications must be provided within the next two weeks. Consider contacting local organizations and in nearby counties for training availability. Operational Policies/Parent Participation Plans: Operational policies and Parent Participation plans must be discussed with parents of all children in care before the child’s first day of attendance. I encouraged you to consider having a pre-enrollment orientation with parents, including school-age children in care, to ensure a review of required information before the child begins care. Incident Reports: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. We discussed the requirements for incident logs. I encouraged you to review all incident reports for accuracy before placement in the child’s file. Staff Medical: Staff must have a medical report on file prior to employment. We discussed that the staff member employed 7/9/24, now has a medical report on file but the report was not on file prior to employment. You reported the staff member was hired prior to assuming the director role. I encouraged you to make sure that the medical report is received during the hiring process and that a start date for employment is determined after the report is on file. Children’s Medical Exam: A medical exam or health assessment record must be on file within 30 days of enrollment. The child enrolled on 1/20/25 had a medical exam on file dated 2/24/25 to verify on-going compliance. The child enrolled 4/21/25, did not have a medical exam on file. We discussed that the child’s medical provider had faxed immunization information to the facility but no medical exam was included. You stated you will talk with the parent about obtaining this information. A medical exam will need to be on file within the next 2 weeks. Lockdown/Shelter-in-place Drills: There was not an lockdown or shelter-in-place drill practiced between 9/12/24 and 5/9/25. You stated that you were in process of completing EPR training and revising the plans during those months and did not get the drills completed. I encouraged you to calendar the drills to ensure compliance with the every three month requirement moving forward. Recognizing and Responding to Suspicions of Child Maltreatment Training: 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. You can access the training at https://www.preventchildabusenc.org/online-trainings/ The certificate of completion of this course must be maintained in the staff member's file. The staff members employed 1/15/22, 10/23/23, and 7/19/24 must complete this training and place the certificate of completion in their employee file within the next 2 weeks. Consultation: We discussed the following during the visit: -You reported that the program is building a new playground area. I reminded you that prior to the playground being used for children in care, I will need to measure, monitor, and approve the new outdoor space. Please contact me when the playground is completed. -You reported that the program is considering changing after-school care services for school-age children to an unlicensed component that would be housed in another building. We discussed that if the program decides to make this change, you will need email me the effective date of the change. As a reminder, children who are a part of unlicensed care are not eligible for subsidy reimbursement. Licensed space may only be used to care for children who are in licensed care. -We discussed that school-age children will continue to be served for summer care, even if changes are made to after-school care arrangements. I reminded you that school-age children who are a part of licensed care must have a separate child file with all required application and enrollment information. -Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. 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 on 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. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 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: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/2/2024 Number Present: 14 Completed Date: 7/2/2024 Age: From 3 To 8 Total Minutes: 235 Time In: 09:05 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 today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Gena Carpenter, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a G.S. 110-106 notice of compliance effective February 17, 2011. The permit restrictions were in compliance including 1st shift and uses corporal punishment. The Secretary of State website was checked on June 26, 2024, and your business Trinity Preschool Inc., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, 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 walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group story time, transitions and outdoor playtime. The caregivers were interacting and responsive to the children’s needs in a nurturing manner. The center's compliance history was at 84% prior to today’s visit. 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. A sample of two children’s files were reviewed. No new staff have been hired since the last monitoring visit. A sample of one existing staff file was reviewed. The last monthly fire drill was practiced on 6/24/24. The last lockdown drill was practiced on 6/26/24.. The last monthly playground inspection was completed on 6/20/24. The most recent lead water testing results were completed on March 23, 2021. Lead testing must be completed every three years. The most recent sanitation inspection for your facility was conducted on April 23, 2024. This inspection was provisional and is not an approved inspection. The most recent approved sanitation inspection was completed October 26, 2023. A superior sanitation classification was issued with six demerits. We discussed that you are expecting the environmental health specialist back soon to re-inspect. The most recent fire inspection for your facility was conducted on August 8, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One school age child that enrolled 6/5/24, did not have verification that the NC Child Care Law was given to the parent. GS 110-102 125 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. On 6/19/24, one child did not have a specific time of arrival or departure documented. 10A NCAC 09 .0302(d)(4) 853 Incident logs were not completed and maintained as required. The last recorded incident log on file was dated 9/2023. .0802(g)(1-6) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child, three years of age and one school aged child, that enrolled 6/5/24, did not have verification that operational policies were discussed with parents. 10A NCAC 09 .0514(b) 1314 Emergency information did not name childs health care professional. One school age child, enrolled 6/5/24, did not have the child's health care professional listed in the file. .0802(c)(2) 1317 Authorization for emergency medical care information was not signed by child's parent. One child, three years of age and one school aged child did not have emergency medical care information that was signed by the child's parent on file. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One child, three years of age and one school age child enrolled 6/5/24, did not have a signed and dated statement by the parent that the discipline policy was received. .1804(c) 1329 Application for enrollment did not include all required information. One child, three years of age, did not have information about allergies, fears, or behaviors for the child listed on the application. .0801(a)(1-7) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Lockdown drills were completed 6/13/23, 11/30/23, 3/25/24, and 6/26/24. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed 9/13/23, did not have verification of completion of the Recognizing and Responding to Suspicions of Child Maltreatment training on file. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child, three years of age, enrolled on 6/5/25, did not have receipt of review of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) The violation(s) documented must be corrected immediately. On or before July 16, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. 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. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Item #114 A summary of the NC Child Care Law must be given to a parent of every child enrolled in the center. We discussed making a pre-enrollment packet to give parents needed forms and obtain required signatures. Item #125 A specific time of arrival and departure is needed for each child. We discussed that a parent had signed their name on the log for the child but did not list a time of arrival or a time of departure, I encouraged staff to review the log at least twice per day to capture any missing times. Item #853 An incident log, recording all incidents that have occurred must be maintained. Incident reports are to be kept in the children’s file. An incident log should be files with program records and be available for review. The last recorded incident log was completed 9/2023. We discussed that incidents should be recorded on the log after being signed by the parent and then filed in the child’s file. Item #1203 Operational policies must be discussed with parents on or before the child's first day. You reported that typically a handbook with policies are given to parents at the time of enrollment. I encouraged you to include this handbook and signature page in your pre-enrollment packet. Item #1314 Emergency Information including a parent’s choice of health care professional must be listed in the child’s file. I encouraged you to have the parent complete this information on the application. Item #1317 Authorization for Medical Treatment Parents must signed authorizing the center to obtain emergency medical care for the child. We discussed that the application should be completed by the parent but reviewed by staff before completion to ensure all needed information is included. Item #1324 A parent must sign and date a statement that the discipline policy was received and explained at the time of enrollment. This statement must be in the child's file as verification. You reported that you reviewed the policy with the parent of the three year old child but cannot find the verification form. The school age child's application was the only information in this child's file. We discussed that when children are enrolled in care, regardless of preschool or school age status, all required information must be on file. Item #1329 The application for enrollment must include allergies, fears and any specific behaviors of children. The application should be reviewed by center staff to ensure that all required information is completed. Item #1811 Shelter-in-place or lockdown drills must practiced every three months and the drill recorded with required information. There were drills practice 6/13/23, 11/30/23, 3/25/24, and 6/26/24. There were more than three months between practiced drills. There has been a current drill completed 6/26/24; therefore, this violation was corrected during the visit. Item # 1897 All staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within the first 90 days of employment. The staff member employed 9/13/24, said she must have missed this required training but will complete it soon. The training must be completed within the next 2 weeks. Item #1908 There must be a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file in the child’s record. You reported that the parent must have taken the authorization home rather than leaving it for the file. You plan to have the parent sign the authorization and place it in the file as soon as possible. Consultation or other topics discussed today: There is a bolt that is protruding out of the plastic mulch barrier. I encouraged you to use rubber mallet hit the bolt back into the ground. We discussed that school age children, when they are signed into childcare services, are onlly allowed to use approved space, including the outdoor play space. The school’s playground is not a part of the approved space for childcare and should not be used during hours that the school age children are in licensed childcare. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0514 · Violation
Name of Operation: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/2/2024 Number Present: 14 Completed Date: 7/2/2024 Age: From 3 To 8 Total Minutes: 235 Time In: 09:05 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 today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Gena Carpenter, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a G.S. 110-106 notice of compliance effective February 17, 2011. The permit restrictions were in compliance including 1st shift and uses corporal punishment. The Secretary of State website was checked on June 26, 2024, and your business Trinity Preschool Inc., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, 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 walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group story time, transitions and outdoor playtime. The caregivers were interacting and responsive to the children’s needs in a nurturing manner. The center's compliance history was at 84% prior to today’s visit. 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. A sample of two children’s files were reviewed. No new staff have been hired since the last monitoring visit. A sample of one existing staff file was reviewed. The last monthly fire drill was practiced on 6/24/24. The last lockdown drill was practiced on 6/26/24.. The last monthly playground inspection was completed on 6/20/24. The most recent lead water testing results were completed on March 23, 2021. Lead testing must be completed every three years. The most recent sanitation inspection for your facility was conducted on April 23, 2024. This inspection was provisional and is not an approved inspection. The most recent approved sanitation inspection was completed October 26, 2023. A superior sanitation classification was issued with six demerits. We discussed that you are expecting the environmental health specialist back soon to re-inspect. The most recent fire inspection for your facility was conducted on August 8, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One school age child that enrolled 6/5/24, did not have verification that the NC Child Care Law was given to the parent. GS 110-102 125 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. On 6/19/24, one child did not have a specific time of arrival or departure documented. 10A NCAC 09 .0302(d)(4) 853 Incident logs were not completed and maintained as required. The last recorded incident log on file was dated 9/2023. .0802(g)(1-6) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child, three years of age and one school aged child, that enrolled 6/5/24, did not have verification that operational policies were discussed with parents. 10A NCAC 09 .0514(b) 1314 Emergency information did not name childs health care professional. One school age child, enrolled 6/5/24, did not have the child's health care professional listed in the file. .0802(c)(2) 1317 Authorization for emergency medical care information was not signed by child's parent. One child, three years of age and one school aged child did not have emergency medical care information that was signed by the child's parent on file. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One child, three years of age and one school age child enrolled 6/5/24, did not have a signed and dated statement by the parent that the discipline policy was received. .1804(c) 1329 Application for enrollment did not include all required information. One child, three years of age, did not have information about allergies, fears, or behaviors for the child listed on the application. .0801(a)(1-7) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Lockdown drills were completed 6/13/23, 11/30/23, 3/25/24, and 6/26/24. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed 9/13/23, did not have verification of completion of the Recognizing and Responding to Suspicions of Child Maltreatment training on file. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child, three years of age, enrolled on 6/5/25, did not have receipt of review of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) The violation(s) documented must be corrected immediately. On or before July 16, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. 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. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Item #114 A summary of the NC Child Care Law must be given to a parent of every child enrolled in the center. We discussed making a pre-enrollment packet to give parents needed forms and obtain required signatures. Item #125 A specific time of arrival and departure is needed for each child. We discussed that a parent had signed their name on the log for the child but did not list a time of arrival or a time of departure, I encouraged staff to review the log at least twice per day to capture any missing times. Item #853 An incident log, recording all incidents that have occurred must be maintained. Incident reports are to be kept in the children’s file. An incident log should be files with program records and be available for review. The last recorded incident log was completed 9/2023. We discussed that incidents should be recorded on the log after being signed by the parent and then filed in the child’s file. Item #1203 Operational policies must be discussed with parents on or before the child's first day. You reported that typically a handbook with policies are given to parents at the time of enrollment. I encouraged you to include this handbook and signature page in your pre-enrollment packet. Item #1314 Emergency Information including a parent’s choice of health care professional must be listed in the child’s file. I encouraged you to have the parent complete this information on the application. Item #1317 Authorization for Medical Treatment Parents must signed authorizing the center to obtain emergency medical care for the child. We discussed that the application should be completed by the parent but reviewed by staff before completion to ensure all needed information is included. Item #1324 A parent must sign and date a statement that the discipline policy was received and explained at the time of enrollment. This statement must be in the child's file as verification. You reported that you reviewed the policy with the parent of the three year old child but cannot find the verification form. The school age child's application was the only information in this child's file. We discussed that when children are enrolled in care, regardless of preschool or school age status, all required information must be on file. Item #1329 The application for enrollment must include allergies, fears and any specific behaviors of children. The application should be reviewed by center staff to ensure that all required information is completed. Item #1811 Shelter-in-place or lockdown drills must practiced every three months and the drill recorded with required information. There were drills practice 6/13/23, 11/30/23, 3/25/24, and 6/26/24. There were more than three months between practiced drills. There has been a current drill completed 6/26/24; therefore, this violation was corrected during the visit. Item # 1897 All staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within the first 90 days of employment. The staff member employed 9/13/24, said she must have missed this required training but will complete it soon. The training must be completed within the next 2 weeks. Item #1908 There must be a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file in the child’s record. You reported that the parent must have taken the authorization home rather than leaving it for the file. You plan to have the parent sign the authorization and place it in the file as soon as possible. Consultation or other topics discussed today: There is a bolt that is protruding out of the plastic mulch barrier. I encouraged you to use rubber mallet hit the bolt back into the ground. We discussed that school age children, when they are signed into childcare services, are onlly allowed to use approved space, including the outdoor play space. The school’s playground is not a part of the approved space for childcare and should not be used during hours that the school age children are in licensed childcare. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 09.0304 · Violation
Name of Operation: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/2/2024 Number Present: 14 Completed Date: 7/2/2024 Age: From 3 To 8 Total Minutes: 235 Time In: 09:05 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 today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Gena Carpenter, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a G.S. 110-106 notice of compliance effective February 17, 2011. The permit restrictions were in compliance including 1st shift and uses corporal punishment. The Secretary of State website was checked on June 26, 2024, and your business Trinity Preschool Inc., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, 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 walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group story time, transitions and outdoor playtime. The caregivers were interacting and responsive to the children’s needs in a nurturing manner. The center's compliance history was at 84% prior to today’s visit. 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. A sample of two children’s files were reviewed. No new staff have been hired since the last monitoring visit. A sample of one existing staff file was reviewed. The last monthly fire drill was practiced on 6/24/24. The last lockdown drill was practiced on 6/26/24.. The last monthly playground inspection was completed on 6/20/24. The most recent lead water testing results were completed on March 23, 2021. Lead testing must be completed every three years. The most recent sanitation inspection for your facility was conducted on April 23, 2024. This inspection was provisional and is not an approved inspection. The most recent approved sanitation inspection was completed October 26, 2023. A superior sanitation classification was issued with six demerits. We discussed that you are expecting the environmental health specialist back soon to re-inspect. The most recent fire inspection for your facility was conducted on August 8, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One school age child that enrolled 6/5/24, did not have verification that the NC Child Care Law was given to the parent. GS 110-102 125 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. On 6/19/24, one child did not have a specific time of arrival or departure documented. 10A NCAC 09 .0302(d)(4) 853 Incident logs were not completed and maintained as required. The last recorded incident log on file was dated 9/2023. .0802(g)(1-6) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child, three years of age and one school aged child, that enrolled 6/5/24, did not have verification that operational policies were discussed with parents. 10A NCAC 09 .0514(b) 1314 Emergency information did not name childs health care professional. One school age child, enrolled 6/5/24, did not have the child's health care professional listed in the file. .0802(c)(2) 1317 Authorization for emergency medical care information was not signed by child's parent. One child, three years of age and one school aged child did not have emergency medical care information that was signed by the child's parent on file. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One child, three years of age and one school age child enrolled 6/5/24, did not have a signed and dated statement by the parent that the discipline policy was received. .1804(c) 1329 Application for enrollment did not include all required information. One child, three years of age, did not have information about allergies, fears, or behaviors for the child listed on the application. .0801(a)(1-7) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Lockdown drills were completed 6/13/23, 11/30/23, 3/25/24, and 6/26/24. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed 9/13/23, did not have verification of completion of the Recognizing and Responding to Suspicions of Child Maltreatment training on file. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child, three years of age, enrolled on 6/5/25, did not have receipt of review of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) The violation(s) documented must be corrected immediately. On or before July 16, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. 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. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Item #114 A summary of the NC Child Care Law must be given to a parent of every child enrolled in the center. We discussed making a pre-enrollment packet to give parents needed forms and obtain required signatures. Item #125 A specific time of arrival and departure is needed for each child. We discussed that a parent had signed their name on the log for the child but did not list a time of arrival or a time of departure, I encouraged staff to review the log at least twice per day to capture any missing times. Item #853 An incident log, recording all incidents that have occurred must be maintained. Incident reports are to be kept in the children’s file. An incident log should be files with program records and be available for review. The last recorded incident log was completed 9/2023. We discussed that incidents should be recorded on the log after being signed by the parent and then filed in the child’s file. Item #1203 Operational policies must be discussed with parents on or before the child's first day. You reported that typically a handbook with policies are given to parents at the time of enrollment. I encouraged you to include this handbook and signature page in your pre-enrollment packet. Item #1314 Emergency Information including a parent’s choice of health care professional must be listed in the child’s file. I encouraged you to have the parent complete this information on the application. Item #1317 Authorization for Medical Treatment Parents must signed authorizing the center to obtain emergency medical care for the child. We discussed that the application should be completed by the parent but reviewed by staff before completion to ensure all needed information is included. Item #1324 A parent must sign and date a statement that the discipline policy was received and explained at the time of enrollment. This statement must be in the child's file as verification. You reported that you reviewed the policy with the parent of the three year old child but cannot find the verification form. The school age child's application was the only information in this child's file. We discussed that when children are enrolled in care, regardless of preschool or school age status, all required information must be on file. Item #1329 The application for enrollment must include allergies, fears and any specific behaviors of children. The application should be reviewed by center staff to ensure that all required information is completed. Item #1811 Shelter-in-place or lockdown drills must practiced every three months and the drill recorded with required information. There were drills practice 6/13/23, 11/30/23, 3/25/24, and 6/26/24. There were more than three months between practiced drills. There has been a current drill completed 6/26/24; therefore, this violation was corrected during the visit. Item # 1897 All staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within the first 90 days of employment. The staff member employed 9/13/24, said she must have missed this required training but will complete it soon. The training must be completed within the next 2 weeks. Item #1908 There must be a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file in the child’s record. You reported that the parent must have taken the authorization home rather than leaving it for the file. You plan to have the parent sign the authorization and place it in the file as soon as possible. Consultation or other topics discussed today: There is a bolt that is protruding out of the plastic mulch barrier. I encouraged you to use rubber mallet hit the bolt back into the ground. We discussed that school age children, when they are signed into childcare services, are onlly allowed to use approved space, including the outdoor play space. The school’s playground is not a part of the approved space for childcare and should not be used during hours that the school age children are in licensed childcare. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-106 · Violation
Name of Operation: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/2/2024 Number Present: 14 Completed Date: 7/2/2024 Age: From 3 To 8 Total Minutes: 235 Time In: 09:05 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 today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Gena Carpenter, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a G.S. 110-106 notice of compliance effective February 17, 2011. The permit restrictions were in compliance including 1st shift and uses corporal punishment. The Secretary of State website was checked on June 26, 2024, and your business Trinity Preschool Inc., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, 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 walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group story time, transitions and outdoor playtime. The caregivers were interacting and responsive to the children’s needs in a nurturing manner. The center's compliance history was at 84% prior to today’s visit. 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. A sample of two children’s files were reviewed. No new staff have been hired since the last monitoring visit. A sample of one existing staff file was reviewed. The last monthly fire drill was practiced on 6/24/24. The last lockdown drill was practiced on 6/26/24.. The last monthly playground inspection was completed on 6/20/24. The most recent lead water testing results were completed on March 23, 2021. Lead testing must be completed every three years. The most recent sanitation inspection for your facility was conducted on April 23, 2024. This inspection was provisional and is not an approved inspection. The most recent approved sanitation inspection was completed October 26, 2023. A superior sanitation classification was issued with six demerits. We discussed that you are expecting the environmental health specialist back soon to re-inspect. The most recent fire inspection for your facility was conducted on August 8, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One school age child that enrolled 6/5/24, did not have verification that the NC Child Care Law was given to the parent. GS 110-102 125 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. On 6/19/24, one child did not have a specific time of arrival or departure documented. 10A NCAC 09 .0302(d)(4) 853 Incident logs were not completed and maintained as required. The last recorded incident log on file was dated 9/2023. .0802(g)(1-6) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child, three years of age and one school aged child, that enrolled 6/5/24, did not have verification that operational policies were discussed with parents. 10A NCAC 09 .0514(b) 1314 Emergency information did not name childs health care professional. One school age child, enrolled 6/5/24, did not have the child's health care professional listed in the file. .0802(c)(2) 1317 Authorization for emergency medical care information was not signed by child's parent. One child, three years of age and one school aged child did not have emergency medical care information that was signed by the child's parent on file. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One child, three years of age and one school age child enrolled 6/5/24, did not have a signed and dated statement by the parent that the discipline policy was received. .1804(c) 1329 Application for enrollment did not include all required information. One child, three years of age, did not have information about allergies, fears, or behaviors for the child listed on the application. .0801(a)(1-7) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Lockdown drills were completed 6/13/23, 11/30/23, 3/25/24, and 6/26/24. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed 9/13/23, did not have verification of completion of the Recognizing and Responding to Suspicions of Child Maltreatment training on file. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child, three years of age, enrolled on 6/5/25, did not have receipt of review of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) The violation(s) documented must be corrected immediately. On or before July 16, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. 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. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Item #114 A summary of the NC Child Care Law must be given to a parent of every child enrolled in the center. We discussed making a pre-enrollment packet to give parents needed forms and obtain required signatures. Item #125 A specific time of arrival and departure is needed for each child. We discussed that a parent had signed their name on the log for the child but did not list a time of arrival or a time of departure, I encouraged staff to review the log at least twice per day to capture any missing times. Item #853 An incident log, recording all incidents that have occurred must be maintained. Incident reports are to be kept in the children’s file. An incident log should be files with program records and be available for review. The last recorded incident log was completed 9/2023. We discussed that incidents should be recorded on the log after being signed by the parent and then filed in the child’s file. Item #1203 Operational policies must be discussed with parents on or before the child's first day. You reported that typically a handbook with policies are given to parents at the time of enrollment. I encouraged you to include this handbook and signature page in your pre-enrollment packet. Item #1314 Emergency Information including a parent’s choice of health care professional must be listed in the child’s file. I encouraged you to have the parent complete this information on the application. Item #1317 Authorization for Medical Treatment Parents must signed authorizing the center to obtain emergency medical care for the child. We discussed that the application should be completed by the parent but reviewed by staff before completion to ensure all needed information is included. Item #1324 A parent must sign and date a statement that the discipline policy was received and explained at the time of enrollment. This statement must be in the child's file as verification. You reported that you reviewed the policy with the parent of the three year old child but cannot find the verification form. The school age child's application was the only information in this child's file. We discussed that when children are enrolled in care, regardless of preschool or school age status, all required information must be on file. Item #1329 The application for enrollment must include allergies, fears and any specific behaviors of children. The application should be reviewed by center staff to ensure that all required information is completed. Item #1811 Shelter-in-place or lockdown drills must practiced every three months and the drill recorded with required information. There were drills practice 6/13/23, 11/30/23, 3/25/24, and 6/26/24. There were more than three months between practiced drills. There has been a current drill completed 6/26/24; therefore, this violation was corrected during the visit. Item # 1897 All staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within the first 90 days of employment. The staff member employed 9/13/24, said she must have missed this required training but will complete it soon. The training must be completed within the next 2 weeks. Item #1908 There must be a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file in the child’s record. You reported that the parent must have taken the authorization home rather than leaving it for the file. You plan to have the parent sign the authorization and place it in the file as soon as possible. Consultation or other topics discussed today: There is a bolt that is protruding out of the plastic mulch barrier. I encouraged you to use rubber mallet hit the bolt back into the ground. We discussed that school age children, when they are signed into childcare services, are onlly allowed to use approved space, including the outdoor play space. The school’s playground is not a part of the approved space for childcare and should not be used during hours that the school age children are in licensed childcare. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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
GS 110-102 · Violation
Name of Operation: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/2/2024 Number Present: 14 Completed Date: 7/2/2024 Age: From 3 To 8 Total Minutes: 235 Time In: 09:05 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 today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Gena Carpenter, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a G.S. 110-106 notice of compliance effective February 17, 2011. The permit restrictions were in compliance including 1st shift and uses corporal punishment. The Secretary of State website was checked on June 26, 2024, and your business Trinity Preschool Inc., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, 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 walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group story time, transitions and outdoor playtime. The caregivers were interacting and responsive to the children’s needs in a nurturing manner. The center's compliance history was at 84% prior to today’s visit. 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. A sample of two children’s files were reviewed. No new staff have been hired since the last monitoring visit. A sample of one existing staff file was reviewed. The last monthly fire drill was practiced on 6/24/24. The last lockdown drill was practiced on 6/26/24.. The last monthly playground inspection was completed on 6/20/24. The most recent lead water testing results were completed on March 23, 2021. Lead testing must be completed every three years. The most recent sanitation inspection for your facility was conducted on April 23, 2024. This inspection was provisional and is not an approved inspection. The most recent approved sanitation inspection was completed October 26, 2023. A superior sanitation classification was issued with six demerits. We discussed that you are expecting the environmental health specialist back soon to re-inspect. The most recent fire inspection for your facility was conducted on August 8, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One school age child that enrolled 6/5/24, did not have verification that the NC Child Care Law was given to the parent. GS 110-102 125 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. On 6/19/24, one child did not have a specific time of arrival or departure documented. 10A NCAC 09 .0302(d)(4) 853 Incident logs were not completed and maintained as required. The last recorded incident log on file was dated 9/2023. .0802(g)(1-6) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child, three years of age and one school aged child, that enrolled 6/5/24, did not have verification that operational policies were discussed with parents. 10A NCAC 09 .0514(b) 1314 Emergency information did not name childs health care professional. One school age child, enrolled 6/5/24, did not have the child's health care professional listed in the file. .0802(c)(2) 1317 Authorization for emergency medical care information was not signed by child's parent. One child, three years of age and one school aged child did not have emergency medical care information that was signed by the child's parent on file. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One child, three years of age and one school age child enrolled 6/5/24, did not have a signed and dated statement by the parent that the discipline policy was received. .1804(c) 1329 Application for enrollment did not include all required information. One child, three years of age, did not have information about allergies, fears, or behaviors for the child listed on the application. .0801(a)(1-7) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Lockdown drills were completed 6/13/23, 11/30/23, 3/25/24, and 6/26/24. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed 9/13/23, did not have verification of completion of the Recognizing and Responding to Suspicions of Child Maltreatment training on file. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child, three years of age, enrolled on 6/5/25, did not have receipt of review of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) The violation(s) documented must be corrected immediately. On or before July 16, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. 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. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Item #114 A summary of the NC Child Care Law must be given to a parent of every child enrolled in the center. We discussed making a pre-enrollment packet to give parents needed forms and obtain required signatures. Item #125 A specific time of arrival and departure is needed for each child. We discussed that a parent had signed their name on the log for the child but did not list a time of arrival or a time of departure, I encouraged staff to review the log at least twice per day to capture any missing times. Item #853 An incident log, recording all incidents that have occurred must be maintained. Incident reports are to be kept in the children’s file. An incident log should be files with program records and be available for review. The last recorded incident log was completed 9/2023. We discussed that incidents should be recorded on the log after being signed by the parent and then filed in the child’s file. Item #1203 Operational policies must be discussed with parents on or before the child's first day. You reported that typically a handbook with policies are given to parents at the time of enrollment. I encouraged you to include this handbook and signature page in your pre-enrollment packet. Item #1314 Emergency Information including a parent’s choice of health care professional must be listed in the child’s file. I encouraged you to have the parent complete this information on the application. Item #1317 Authorization for Medical Treatment Parents must signed authorizing the center to obtain emergency medical care for the child. We discussed that the application should be completed by the parent but reviewed by staff before completion to ensure all needed information is included. Item #1324 A parent must sign and date a statement that the discipline policy was received and explained at the time of enrollment. This statement must be in the child's file as verification. You reported that you reviewed the policy with the parent of the three year old child but cannot find the verification form. The school age child's application was the only information in this child's file. We discussed that when children are enrolled in care, regardless of preschool or school age status, all required information must be on file. Item #1329 The application for enrollment must include allergies, fears and any specific behaviors of children. The application should be reviewed by center staff to ensure that all required information is completed. Item #1811 Shelter-in-place or lockdown drills must practiced every three months and the drill recorded with required information. There were drills practice 6/13/23, 11/30/23, 3/25/24, and 6/26/24. There were more than three months between practiced drills. There has been a current drill completed 6/26/24; therefore, this violation was corrected during the visit. Item # 1897 All staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within the first 90 days of employment. The staff member employed 9/13/24, said she must have missed this required training but will complete it soon. The training must be completed within the next 2 weeks. Item #1908 There must be a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file in the child’s record. You reported that the parent must have taken the authorization home rather than leaving it for the file. You plan to have the parent sign the authorization and place it in the file as soon as possible. Consultation or other topics discussed today: There is a bolt that is protruding out of the plastic mulch barrier. I encouraged you to use rubber mallet hit the bolt back into the ground. We discussed that school age children, when they are signed into childcare services, are onlly allowed to use approved space, including the outdoor play space. The school’s playground is not a part of the approved space for childcare and should not be used during hours that the school age children are in licensed childcare. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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
NC GS 110-90 · Violation
Name of Operation: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/2/2024 Number Present: 14 Completed Date: 7/2/2024 Age: From 3 To 8 Total Minutes: 235 Time In: 09:05 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 today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Gena Carpenter, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a G.S. 110-106 notice of compliance effective February 17, 2011. The permit restrictions were in compliance including 1st shift and uses corporal punishment. The Secretary of State website was checked on June 26, 2024, and your business Trinity Preschool Inc., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, 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 walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group story time, transitions and outdoor playtime. The caregivers were interacting and responsive to the children’s needs in a nurturing manner. The center's compliance history was at 84% prior to today’s visit. 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. A sample of two children’s files were reviewed. No new staff have been hired since the last monitoring visit. A sample of one existing staff file was reviewed. The last monthly fire drill was practiced on 6/24/24. The last lockdown drill was practiced on 6/26/24.. The last monthly playground inspection was completed on 6/20/24. The most recent lead water testing results were completed on March 23, 2021. Lead testing must be completed every three years. The most recent sanitation inspection for your facility was conducted on April 23, 2024. This inspection was provisional and is not an approved inspection. The most recent approved sanitation inspection was completed October 26, 2023. A superior sanitation classification was issued with six demerits. We discussed that you are expecting the environmental health specialist back soon to re-inspect. The most recent fire inspection for your facility was conducted on August 8, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One school age child that enrolled 6/5/24, did not have verification that the NC Child Care Law was given to the parent. GS 110-102 125 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. On 6/19/24, one child did not have a specific time of arrival or departure documented. 10A NCAC 09 .0302(d)(4) 853 Incident logs were not completed and maintained as required. The last recorded incident log on file was dated 9/2023. .0802(g)(1-6) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child, three years of age and one school aged child, that enrolled 6/5/24, did not have verification that operational policies were discussed with parents. 10A NCAC 09 .0514(b) 1314 Emergency information did not name childs health care professional. One school age child, enrolled 6/5/24, did not have the child's health care professional listed in the file. .0802(c)(2) 1317 Authorization for emergency medical care information was not signed by child's parent. One child, three years of age and one school aged child did not have emergency medical care information that was signed by the child's parent on file. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One child, three years of age and one school age child enrolled 6/5/24, did not have a signed and dated statement by the parent that the discipline policy was received. .1804(c) 1329 Application for enrollment did not include all required information. One child, three years of age, did not have information about allergies, fears, or behaviors for the child listed on the application. .0801(a)(1-7) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Lockdown drills were completed 6/13/23, 11/30/23, 3/25/24, and 6/26/24. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed 9/13/23, did not have verification of completion of the Recognizing and Responding to Suspicions of Child Maltreatment training on file. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child, three years of age, enrolled on 6/5/25, did not have receipt of review of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) The violation(s) documented must be corrected immediately. On or before July 16, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. 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. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Item #114 A summary of the NC Child Care Law must be given to a parent of every child enrolled in the center. We discussed making a pre-enrollment packet to give parents needed forms and obtain required signatures. Item #125 A specific time of arrival and departure is needed for each child. We discussed that a parent had signed their name on the log for the child but did not list a time of arrival or a time of departure, I encouraged staff to review the log at least twice per day to capture any missing times. Item #853 An incident log, recording all incidents that have occurred must be maintained. Incident reports are to be kept in the children’s file. An incident log should be files with program records and be available for review. The last recorded incident log was completed 9/2023. We discussed that incidents should be recorded on the log after being signed by the parent and then filed in the child’s file. Item #1203 Operational policies must be discussed with parents on or before the child's first day. You reported that typically a handbook with policies are given to parents at the time of enrollment. I encouraged you to include this handbook and signature page in your pre-enrollment packet. Item #1314 Emergency Information including a parent’s choice of health care professional must be listed in the child’s file. I encouraged you to have the parent complete this information on the application. Item #1317 Authorization for Medical Treatment Parents must signed authorizing the center to obtain emergency medical care for the child. We discussed that the application should be completed by the parent but reviewed by staff before completion to ensure all needed information is included. Item #1324 A parent must sign and date a statement that the discipline policy was received and explained at the time of enrollment. This statement must be in the child's file as verification. You reported that you reviewed the policy with the parent of the three year old child but cannot find the verification form. The school age child's application was the only information in this child's file. We discussed that when children are enrolled in care, regardless of preschool or school age status, all required information must be on file. Item #1329 The application for enrollment must include allergies, fears and any specific behaviors of children. The application should be reviewed by center staff to ensure that all required information is completed. Item #1811 Shelter-in-place or lockdown drills must practiced every three months and the drill recorded with required information. There were drills practice 6/13/23, 11/30/23, 3/25/24, and 6/26/24. There were more than three months between practiced drills. There has been a current drill completed 6/26/24; therefore, this violation was corrected during the visit. Item # 1897 All staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within the first 90 days of employment. The staff member employed 9/13/24, said she must have missed this required training but will complete it soon. The training must be completed within the next 2 weeks. Item #1908 There must be a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file in the child’s record. You reported that the parent must have taken the authorization home rather than leaving it for the file. You plan to have the parent sign the authorization and place it in the file as soon as possible. Consultation or other topics discussed today: There is a bolt that is protruding out of the plastic mulch barrier. I encouraged you to use rubber mallet hit the bolt back into the ground. We discussed that school age children, when they are signed into childcare services, are onlly allowed to use approved space, including the outdoor play space. The school’s playground is not a part of the approved space for childcare and should not be used during hours that the school age children are in licensed childcare. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 .0302 · Violation
Name of Operation: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 21 Completed Date: 1/29/2024 Age: From 3 To 5 Total Minutes: 278 Time In: 09:18 AM Time Out: 01:56 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Gena Carpenter, Administrator. Your program currently operates with a Notice of Compliance effective February 17, 2011. The permit restrictions were in compliance including 1st shift and uses corporal punishment. The Secretary of State website was checked on January 26, 2024, and your business Trinity School, Inc., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, 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 walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in large group time, a fire drill, transitions, handwashing protocols, lunchtime and rest time. The center’s compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 92 percent as of January 26, 2024. 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. Three new staff have been hired since the annual compliance visit on July 19, 2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Special Training including Health and Safety Training and Criminal Background Checks. The most recent sanitation inspection for your facility was conducted on October 26, 2023. A supervisor sanitation classification was issued with six demerits. The most recent fire inspection for your facility was conducted on August 8, 2023. The facility was approved for daytime care. The following violation(s) were observed today: 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. On 1/22/24, one child was not signed out. On 1/223/24, one child was not signed out. On 1/24/24 two children were not signed out. On 1/25/24, one child was not signed in and two children were not signed out. On 1/26/24, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In the facility’s kitchen, multiple ceiling tiles were soiled with rainwater and one ceiling tile was missing. 15A NCAC 18A .2825(a) 838 The EMC plan did not name the person responsible for taking the authorization for treatment, accompanying the ill or injured person, notifying contact persons and/or obtaining substitutes. The Emergency Medical Care Plan did not have a person and an alternate person on site listed to handle emergency needs. .0802(a)(2)(A-D) 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. One staff member employed 9/13/23 had verification of a medical report on file 9/14/23. One staff member employed 10/23/23 had a medical report on file dated 5/5/21, from a previous employment. No current medical report was on file. 10A NCAC 09 .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have emergency information on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One staff member employed 8/7/23 did not have a approved criminal background check until 9/1/23. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of completed new staff orientation. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 8/7/23, one staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of completed First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member employed 8/7/23 did not have a qualification letter on file until 9/1/23. G.S. 110-90.2(b) & (d) & .2703(e) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. There is not a currently employed staff member who has verification of EPR training on file. The previously trained individual left the facility in 8/2023. .0607(b) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. No medical action plan was on file for a child with allergies that has an Epi-pen at the facility. .0801(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. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of review of the Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. There was no permission to administer medication form completed with the required information for one Epi-pen stored in space #6. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before February 12, 2024, 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 considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Arrival and Departure: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. 10A NCAC 09 .0302(d)(4) Walls and Ceilings: All walls and ceilings, including doors and windows, must be kept clean and in good repair. 15A NCAC 18A.2825(a). You reported that replacement ceiling tiles will be placed in the facility kitchen in the next few days. I reminded you that replacement ceiling tiles must be fire retardant. Contact the fire inspector for additional guidance regarding replacing ceiling tiles. Emergency Medical Care Plan: The Emergency Medical Care Plan must name a person and an alternate person that are present at the facility, who will be responsible for taking the authorization for treatment, accompanying the ill or injured person, notifying contact persons and/or obtaining substitutes. 10A NCAC 09.0802(a)(2)(a-d). I encouraged you to update the emergency medical care plan to reflect current staff members. Staff Medical Report: Staff must have a medical report on file prior to employment that was signed by a health care professional. 10A NCAC 09 .0701(a) The Staff File Checklist can be used as a guide and tool to ensure all documents are received within the required timeframes. Emergency Information: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers, must have an Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional on file on or before the first day of work. The emergency information must be updated as changes occur and at least annually. I suggested you create a new employee packet and collect all required information from new staff members prior to their first day of work. 10A NCAC 09 .0701(a) Criminal Background Check: Prior to employment a Criminal Background Check must be completed. I reminded you that employees may not begin working until a valid CBC is on file at the facility. G.S. 110-90.2(b). I suggested that you use the Staff File Checklist on DCDEE’s website under provider documents as a guideline for staff requirements and when documents are due. The approved qualification letter for the employee hired 8/7/23 is on file as of 9/1/23. This violation was corrected at visit. Staff Orientation: New staff who have contact with children must receive at least sixteen (16) hours of orientation within the first six (6) weeks. Six (6) of those hours must be within the first two (2) weeks. Childcare Requirement .1101(a). A sample of orientation documentation was emailed to you with the visit summary. CPR/First Aid Training: All staff must successfully complete certification in CPR and First Aid training appropriate to the age of the children in care within 90 days of hire. 10A NCAC 09.1102(d) Training certificates must indicate that both CPR and First Aid training were completed. EPR: The center must have a person on staff who has completed the EPR in Child Care training within the required timeframe and have documentation of completion of the training on file. 10A NCAC 09.0607(b). I encouraged you to contact Child Care Connections in Burke or Cleveland counties to find training options, as there are no current local trainings available. Medication Permission: Medication authorization must meet the requirements in child care rule 10A NCAC 09.0803(7). I emailed you a copy of the Permission to Administer Medication for Chronic Medical Conditions form along with this visit summary. Medical Action Plan: For children with health care needs such as allergies, asthma or other chronic conditions a medical action plan must be attached to the child’s application. 10A NCAC 09 .0801(b). A DCDEE sample medical action was emailed to you along with this visit summary. Shaken Baby: Prior to staff caring for children under five years of age, you must review the Shaken Baby Head Trauma Policy with them, and they must sign that they acknowledge receipt of the policy. I suggested that you review all policies and procedures with staff during orientation. 10A NCAC 09 .0609(d)(1-4) Consultation or other topics discussed today: We discussed that when a yearly fire inspection is completed, you are required to send the inspection form to me within one week of completion. This requirement is found in 10A NCAC 09.0304(a). Environmental Health will be contacted for clarification on sand requirements and kitchen requirements. We reviewed the minimum staff/child ratio requirements from 10A NCAC 09 .0713(a)(10). Staff/child ratios applicable to each group must be posted in each classroom. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was reviewed and a copy was given to you for your records. A computer generated visit summary was emailed to you on January 30, 2024. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0609 · Violation
Name of Operation: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 21 Completed Date: 1/29/2024 Age: From 3 To 5 Total Minutes: 278 Time In: 09:18 AM Time Out: 01:56 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Gena Carpenter, Administrator. Your program currently operates with a Notice of Compliance effective February 17, 2011. The permit restrictions were in compliance including 1st shift and uses corporal punishment. The Secretary of State website was checked on January 26, 2024, and your business Trinity School, Inc., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, 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 walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in large group time, a fire drill, transitions, handwashing protocols, lunchtime and rest time. The center’s compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 92 percent as of January 26, 2024. 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. Three new staff have been hired since the annual compliance visit on July 19, 2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Special Training including Health and Safety Training and Criminal Background Checks. The most recent sanitation inspection for your facility was conducted on October 26, 2023. A supervisor sanitation classification was issued with six demerits. The most recent fire inspection for your facility was conducted on August 8, 2023. The facility was approved for daytime care. The following violation(s) were observed today: 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. On 1/22/24, one child was not signed out. On 1/223/24, one child was not signed out. On 1/24/24 two children were not signed out. On 1/25/24, one child was not signed in and two children were not signed out. On 1/26/24, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In the facility’s kitchen, multiple ceiling tiles were soiled with rainwater and one ceiling tile was missing. 15A NCAC 18A .2825(a) 838 The EMC plan did not name the person responsible for taking the authorization for treatment, accompanying the ill or injured person, notifying contact persons and/or obtaining substitutes. The Emergency Medical Care Plan did not have a person and an alternate person on site listed to handle emergency needs. .0802(a)(2)(A-D) 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. One staff member employed 9/13/23 had verification of a medical report on file 9/14/23. One staff member employed 10/23/23 had a medical report on file dated 5/5/21, from a previous employment. No current medical report was on file. 10A NCAC 09 .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have emergency information on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One staff member employed 8/7/23 did not have a approved criminal background check until 9/1/23. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of completed new staff orientation. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 8/7/23, one staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of completed First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member employed 8/7/23 did not have a qualification letter on file until 9/1/23. G.S. 110-90.2(b) & (d) & .2703(e) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. There is not a currently employed staff member who has verification of EPR training on file. The previously trained individual left the facility in 8/2023. .0607(b) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. No medical action plan was on file for a child with allergies that has an Epi-pen at the facility. .0801(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. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of review of the Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. There was no permission to administer medication form completed with the required information for one Epi-pen stored in space #6. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before February 12, 2024, 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 considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Arrival and Departure: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. 10A NCAC 09 .0302(d)(4) Walls and Ceilings: All walls and ceilings, including doors and windows, must be kept clean and in good repair. 15A NCAC 18A.2825(a). You reported that replacement ceiling tiles will be placed in the facility kitchen in the next few days. I reminded you that replacement ceiling tiles must be fire retardant. Contact the fire inspector for additional guidance regarding replacing ceiling tiles. Emergency Medical Care Plan: The Emergency Medical Care Plan must name a person and an alternate person that are present at the facility, who will be responsible for taking the authorization for treatment, accompanying the ill or injured person, notifying contact persons and/or obtaining substitutes. 10A NCAC 09.0802(a)(2)(a-d). I encouraged you to update the emergency medical care plan to reflect current staff members. Staff Medical Report: Staff must have a medical report on file prior to employment that was signed by a health care professional. 10A NCAC 09 .0701(a) The Staff File Checklist can be used as a guide and tool to ensure all documents are received within the required timeframes. Emergency Information: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers, must have an Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional on file on or before the first day of work. The emergency information must be updated as changes occur and at least annually. I suggested you create a new employee packet and collect all required information from new staff members prior to their first day of work. 10A NCAC 09 .0701(a) Criminal Background Check: Prior to employment a Criminal Background Check must be completed. I reminded you that employees may not begin working until a valid CBC is on file at the facility. G.S. 110-90.2(b). I suggested that you use the Staff File Checklist on DCDEE’s website under provider documents as a guideline for staff requirements and when documents are due. The approved qualification letter for the employee hired 8/7/23 is on file as of 9/1/23. This violation was corrected at visit. Staff Orientation: New staff who have contact with children must receive at least sixteen (16) hours of orientation within the first six (6) weeks. Six (6) of those hours must be within the first two (2) weeks. Childcare Requirement .1101(a). A sample of orientation documentation was emailed to you with the visit summary. CPR/First Aid Training: All staff must successfully complete certification in CPR and First Aid training appropriate to the age of the children in care within 90 days of hire. 10A NCAC 09.1102(d) Training certificates must indicate that both CPR and First Aid training were completed. EPR: The center must have a person on staff who has completed the EPR in Child Care training within the required timeframe and have documentation of completion of the training on file. 10A NCAC 09.0607(b). I encouraged you to contact Child Care Connections in Burke or Cleveland counties to find training options, as there are no current local trainings available. Medication Permission: Medication authorization must meet the requirements in child care rule 10A NCAC 09.0803(7). I emailed you a copy of the Permission to Administer Medication for Chronic Medical Conditions form along with this visit summary. Medical Action Plan: For children with health care needs such as allergies, asthma or other chronic conditions a medical action plan must be attached to the child’s application. 10A NCAC 09 .0801(b). A DCDEE sample medical action was emailed to you along with this visit summary. Shaken Baby: Prior to staff caring for children under five years of age, you must review the Shaken Baby Head Trauma Policy with them, and they must sign that they acknowledge receipt of the policy. I suggested that you review all policies and procedures with staff during orientation. 10A NCAC 09 .0609(d)(1-4) Consultation or other topics discussed today: We discussed that when a yearly fire inspection is completed, you are required to send the inspection form to me within one week of completion. This requirement is found in 10A NCAC 09.0304(a). Environmental Health will be contacted for clarification on sand requirements and kitchen requirements. We reviewed the minimum staff/child ratio requirements from 10A NCAC 09 .0713(a)(10). Staff/child ratios applicable to each group must be posted in each classroom. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was reviewed and a copy was given to you for your records. A computer generated visit summary was emailed to you on January 30, 2024. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 21 Completed Date: 1/29/2024 Age: From 3 To 5 Total Minutes: 278 Time In: 09:18 AM Time Out: 01:56 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Gena Carpenter, Administrator. Your program currently operates with a Notice of Compliance effective February 17, 2011. The permit restrictions were in compliance including 1st shift and uses corporal punishment. The Secretary of State website was checked on January 26, 2024, and your business Trinity School, Inc., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, 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 walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in large group time, a fire drill, transitions, handwashing protocols, lunchtime and rest time. The center’s compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 92 percent as of January 26, 2024. 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. Three new staff have been hired since the annual compliance visit on July 19, 2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Special Training including Health and Safety Training and Criminal Background Checks. The most recent sanitation inspection for your facility was conducted on October 26, 2023. A supervisor sanitation classification was issued with six demerits. The most recent fire inspection for your facility was conducted on August 8, 2023. The facility was approved for daytime care. The following violation(s) were observed today: 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. On 1/22/24, one child was not signed out. On 1/223/24, one child was not signed out. On 1/24/24 two children were not signed out. On 1/25/24, one child was not signed in and two children were not signed out. On 1/26/24, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In the facility’s kitchen, multiple ceiling tiles were soiled with rainwater and one ceiling tile was missing. 15A NCAC 18A .2825(a) 838 The EMC plan did not name the person responsible for taking the authorization for treatment, accompanying the ill or injured person, notifying contact persons and/or obtaining substitutes. The Emergency Medical Care Plan did not have a person and an alternate person on site listed to handle emergency needs. .0802(a)(2)(A-D) 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. One staff member employed 9/13/23 had verification of a medical report on file 9/14/23. One staff member employed 10/23/23 had a medical report on file dated 5/5/21, from a previous employment. No current medical report was on file. 10A NCAC 09 .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have emergency information on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One staff member employed 8/7/23 did not have a approved criminal background check until 9/1/23. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of completed new staff orientation. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 8/7/23, one staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of completed First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member employed 8/7/23 did not have a qualification letter on file until 9/1/23. G.S. 110-90.2(b) & (d) & .2703(e) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. There is not a currently employed staff member who has verification of EPR training on file. The previously trained individual left the facility in 8/2023. .0607(b) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. No medical action plan was on file for a child with allergies that has an Epi-pen at the facility. .0801(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. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of review of the Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. There was no permission to administer medication form completed with the required information for one Epi-pen stored in space #6. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before February 12, 2024, 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 considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Arrival and Departure: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. 10A NCAC 09 .0302(d)(4) Walls and Ceilings: All walls and ceilings, including doors and windows, must be kept clean and in good repair. 15A NCAC 18A.2825(a). You reported that replacement ceiling tiles will be placed in the facility kitchen in the next few days. I reminded you that replacement ceiling tiles must be fire retardant. Contact the fire inspector for additional guidance regarding replacing ceiling tiles. Emergency Medical Care Plan: The Emergency Medical Care Plan must name a person and an alternate person that are present at the facility, who will be responsible for taking the authorization for treatment, accompanying the ill or injured person, notifying contact persons and/or obtaining substitutes. 10A NCAC 09.0802(a)(2)(a-d). I encouraged you to update the emergency medical care plan to reflect current staff members. Staff Medical Report: Staff must have a medical report on file prior to employment that was signed by a health care professional. 10A NCAC 09 .0701(a) The Staff File Checklist can be used as a guide and tool to ensure all documents are received within the required timeframes. Emergency Information: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers, must have an Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional on file on or before the first day of work. The emergency information must be updated as changes occur and at least annually. I suggested you create a new employee packet and collect all required information from new staff members prior to their first day of work. 10A NCAC 09 .0701(a) Criminal Background Check: Prior to employment a Criminal Background Check must be completed. I reminded you that employees may not begin working until a valid CBC is on file at the facility. G.S. 110-90.2(b). I suggested that you use the Staff File Checklist on DCDEE’s website under provider documents as a guideline for staff requirements and when documents are due. The approved qualification letter for the employee hired 8/7/23 is on file as of 9/1/23. This violation was corrected at visit. Staff Orientation: New staff who have contact with children must receive at least sixteen (16) hours of orientation within the first six (6) weeks. Six (6) of those hours must be within the first two (2) weeks. Childcare Requirement .1101(a). A sample of orientation documentation was emailed to you with the visit summary. CPR/First Aid Training: All staff must successfully complete certification in CPR and First Aid training appropriate to the age of the children in care within 90 days of hire. 10A NCAC 09.1102(d) Training certificates must indicate that both CPR and First Aid training were completed. EPR: The center must have a person on staff who has completed the EPR in Child Care training within the required timeframe and have documentation of completion of the training on file. 10A NCAC 09.0607(b). I encouraged you to contact Child Care Connections in Burke or Cleveland counties to find training options, as there are no current local trainings available. Medication Permission: Medication authorization must meet the requirements in child care rule 10A NCAC 09.0803(7). I emailed you a copy of the Permission to Administer Medication for Chronic Medical Conditions form along with this visit summary. Medical Action Plan: For children with health care needs such as allergies, asthma or other chronic conditions a medical action plan must be attached to the child’s application. 10A NCAC 09 .0801(b). A DCDEE sample medical action was emailed to you along with this visit summary. Shaken Baby: Prior to staff caring for children under five years of age, you must review the Shaken Baby Head Trauma Policy with them, and they must sign that they acknowledge receipt of the policy. I suggested that you review all policies and procedures with staff during orientation. 10A NCAC 09 .0609(d)(1-4) Consultation or other topics discussed today: We discussed that when a yearly fire inspection is completed, you are required to send the inspection form to me within one week of completion. This requirement is found in 10A NCAC 09.0304(a). Environmental Health will be contacted for clarification on sand requirements and kitchen requirements. We reviewed the minimum staff/child ratio requirements from 10A NCAC 09 .0713(a)(10). Staff/child ratios applicable to each group must be posted in each classroom. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was reviewed and a copy was given to you for your records. A computer generated visit summary was emailed to you on January 30, 2024. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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 .0713 · Violation
Name of Operation: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 21 Completed Date: 1/29/2024 Age: From 3 To 5 Total Minutes: 278 Time In: 09:18 AM Time Out: 01:56 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Gena Carpenter, Administrator. Your program currently operates with a Notice of Compliance effective February 17, 2011. The permit restrictions were in compliance including 1st shift and uses corporal punishment. The Secretary of State website was checked on January 26, 2024, and your business Trinity School, Inc., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, 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 walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in large group time, a fire drill, transitions, handwashing protocols, lunchtime and rest time. The center’s compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 92 percent as of January 26, 2024. 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. Three new staff have been hired since the annual compliance visit on July 19, 2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Special Training including Health and Safety Training and Criminal Background Checks. The most recent sanitation inspection for your facility was conducted on October 26, 2023. A supervisor sanitation classification was issued with six demerits. The most recent fire inspection for your facility was conducted on August 8, 2023. The facility was approved for daytime care. The following violation(s) were observed today: 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. On 1/22/24, one child was not signed out. On 1/223/24, one child was not signed out. On 1/24/24 two children were not signed out. On 1/25/24, one child was not signed in and two children were not signed out. On 1/26/24, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In the facility’s kitchen, multiple ceiling tiles were soiled with rainwater and one ceiling tile was missing. 15A NCAC 18A .2825(a) 838 The EMC plan did not name the person responsible for taking the authorization for treatment, accompanying the ill or injured person, notifying contact persons and/or obtaining substitutes. The Emergency Medical Care Plan did not have a person and an alternate person on site listed to handle emergency needs. .0802(a)(2)(A-D) 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. One staff member employed 9/13/23 had verification of a medical report on file 9/14/23. One staff member employed 10/23/23 had a medical report on file dated 5/5/21, from a previous employment. No current medical report was on file. 10A NCAC 09 .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have emergency information on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One staff member employed 8/7/23 did not have a approved criminal background check until 9/1/23. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of completed new staff orientation. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 8/7/23, one staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of completed First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member employed 8/7/23 did not have a qualification letter on file until 9/1/23. G.S. 110-90.2(b) & (d) & .2703(e) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. There is not a currently employed staff member who has verification of EPR training on file. The previously trained individual left the facility in 8/2023. .0607(b) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. No medical action plan was on file for a child with allergies that has an Epi-pen at the facility. .0801(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. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of review of the Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. There was no permission to administer medication form completed with the required information for one Epi-pen stored in space #6. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before February 12, 2024, 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 considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Arrival and Departure: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. 10A NCAC 09 .0302(d)(4) Walls and Ceilings: All walls and ceilings, including doors and windows, must be kept clean and in good repair. 15A NCAC 18A.2825(a). You reported that replacement ceiling tiles will be placed in the facility kitchen in the next few days. I reminded you that replacement ceiling tiles must be fire retardant. Contact the fire inspector for additional guidance regarding replacing ceiling tiles. Emergency Medical Care Plan: The Emergency Medical Care Plan must name a person and an alternate person that are present at the facility, who will be responsible for taking the authorization for treatment, accompanying the ill or injured person, notifying contact persons and/or obtaining substitutes. 10A NCAC 09.0802(a)(2)(a-d). I encouraged you to update the emergency medical care plan to reflect current staff members. Staff Medical Report: Staff must have a medical report on file prior to employment that was signed by a health care professional. 10A NCAC 09 .0701(a) The Staff File Checklist can be used as a guide and tool to ensure all documents are received within the required timeframes. Emergency Information: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers, must have an Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional on file on or before the first day of work. The emergency information must be updated as changes occur and at least annually. I suggested you create a new employee packet and collect all required information from new staff members prior to their first day of work. 10A NCAC 09 .0701(a) Criminal Background Check: Prior to employment a Criminal Background Check must be completed. I reminded you that employees may not begin working until a valid CBC is on file at the facility. G.S. 110-90.2(b). I suggested that you use the Staff File Checklist on DCDEE’s website under provider documents as a guideline for staff requirements and when documents are due. The approved qualification letter for the employee hired 8/7/23 is on file as of 9/1/23. This violation was corrected at visit. Staff Orientation: New staff who have contact with children must receive at least sixteen (16) hours of orientation within the first six (6) weeks. Six (6) of those hours must be within the first two (2) weeks. Childcare Requirement .1101(a). A sample of orientation documentation was emailed to you with the visit summary. CPR/First Aid Training: All staff must successfully complete certification in CPR and First Aid training appropriate to the age of the children in care within 90 days of hire. 10A NCAC 09.1102(d) Training certificates must indicate that both CPR and First Aid training were completed. EPR: The center must have a person on staff who has completed the EPR in Child Care training within the required timeframe and have documentation of completion of the training on file. 10A NCAC 09.0607(b). I encouraged you to contact Child Care Connections in Burke or Cleveland counties to find training options, as there are no current local trainings available. Medication Permission: Medication authorization must meet the requirements in child care rule 10A NCAC 09.0803(7). I emailed you a copy of the Permission to Administer Medication for Chronic Medical Conditions form along with this visit summary. Medical Action Plan: For children with health care needs such as allergies, asthma or other chronic conditions a medical action plan must be attached to the child’s application. 10A NCAC 09 .0801(b). A DCDEE sample medical action was emailed to you along with this visit summary. Shaken Baby: Prior to staff caring for children under five years of age, you must review the Shaken Baby Head Trauma Policy with them, and they must sign that they acknowledge receipt of the policy. I suggested that you review all policies and procedures with staff during orientation. 10A NCAC 09 .0609(d)(1-4) Consultation or other topics discussed today: We discussed that when a yearly fire inspection is completed, you are required to send the inspection form to me within one week of completion. This requirement is found in 10A NCAC 09.0304(a). Environmental Health will be contacted for clarification on sand requirements and kitchen requirements. We reviewed the minimum staff/child ratio requirements from 10A NCAC 09 .0713(a)(10). Staff/child ratios applicable to each group must be posted in each classroom. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was reviewed and a copy was given to you for your records. A computer generated visit summary was emailed to you on January 30, 2024. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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 .0801 · Violation
Name of Operation: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 21 Completed Date: 1/29/2024 Age: From 3 To 5 Total Minutes: 278 Time In: 09:18 AM Time Out: 01:56 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Gena Carpenter, Administrator. Your program currently operates with a Notice of Compliance effective February 17, 2011. The permit restrictions were in compliance including 1st shift and uses corporal punishment. The Secretary of State website was checked on January 26, 2024, and your business Trinity School, Inc., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, 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 walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in large group time, a fire drill, transitions, handwashing protocols, lunchtime and rest time. The center’s compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 92 percent as of January 26, 2024. 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. Three new staff have been hired since the annual compliance visit on July 19, 2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Special Training including Health and Safety Training and Criminal Background Checks. The most recent sanitation inspection for your facility was conducted on October 26, 2023. A supervisor sanitation classification was issued with six demerits. The most recent fire inspection for your facility was conducted on August 8, 2023. The facility was approved for daytime care. The following violation(s) were observed today: 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. On 1/22/24, one child was not signed out. On 1/223/24, one child was not signed out. On 1/24/24 two children were not signed out. On 1/25/24, one child was not signed in and two children were not signed out. On 1/26/24, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In the facility’s kitchen, multiple ceiling tiles were soiled with rainwater and one ceiling tile was missing. 15A NCAC 18A .2825(a) 838 The EMC plan did not name the person responsible for taking the authorization for treatment, accompanying the ill or injured person, notifying contact persons and/or obtaining substitutes. The Emergency Medical Care Plan did not have a person and an alternate person on site listed to handle emergency needs. .0802(a)(2)(A-D) 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. One staff member employed 9/13/23 had verification of a medical report on file 9/14/23. One staff member employed 10/23/23 had a medical report on file dated 5/5/21, from a previous employment. No current medical report was on file. 10A NCAC 09 .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have emergency information on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One staff member employed 8/7/23 did not have a approved criminal background check until 9/1/23. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of completed new staff orientation. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 8/7/23, one staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of completed First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member employed 8/7/23 did not have a qualification letter on file until 9/1/23. G.S. 110-90.2(b) & (d) & .2703(e) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. There is not a currently employed staff member who has verification of EPR training on file. The previously trained individual left the facility in 8/2023. .0607(b) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. No medical action plan was on file for a child with allergies that has an Epi-pen at the facility. .0801(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. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of review of the Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. There was no permission to administer medication form completed with the required information for one Epi-pen stored in space #6. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before February 12, 2024, 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 considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Arrival and Departure: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. 10A NCAC 09 .0302(d)(4) Walls and Ceilings: All walls and ceilings, including doors and windows, must be kept clean and in good repair. 15A NCAC 18A.2825(a). You reported that replacement ceiling tiles will be placed in the facility kitchen in the next few days. I reminded you that replacement ceiling tiles must be fire retardant. Contact the fire inspector for additional guidance regarding replacing ceiling tiles. Emergency Medical Care Plan: The Emergency Medical Care Plan must name a person and an alternate person that are present at the facility, who will be responsible for taking the authorization for treatment, accompanying the ill or injured person, notifying contact persons and/or obtaining substitutes. 10A NCAC 09.0802(a)(2)(a-d). I encouraged you to update the emergency medical care plan to reflect current staff members. Staff Medical Report: Staff must have a medical report on file prior to employment that was signed by a health care professional. 10A NCAC 09 .0701(a) The Staff File Checklist can be used as a guide and tool to ensure all documents are received within the required timeframes. Emergency Information: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers, must have an Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional on file on or before the first day of work. The emergency information must be updated as changes occur and at least annually. I suggested you create a new employee packet and collect all required information from new staff members prior to their first day of work. 10A NCAC 09 .0701(a) Criminal Background Check: Prior to employment a Criminal Background Check must be completed. I reminded you that employees may not begin working until a valid CBC is on file at the facility. G.S. 110-90.2(b). I suggested that you use the Staff File Checklist on DCDEE’s website under provider documents as a guideline for staff requirements and when documents are due. The approved qualification letter for the employee hired 8/7/23 is on file as of 9/1/23. This violation was corrected at visit. Staff Orientation: New staff who have contact with children must receive at least sixteen (16) hours of orientation within the first six (6) weeks. Six (6) of those hours must be within the first two (2) weeks. Childcare Requirement .1101(a). A sample of orientation documentation was emailed to you with the visit summary. CPR/First Aid Training: All staff must successfully complete certification in CPR and First Aid training appropriate to the age of the children in care within 90 days of hire. 10A NCAC 09.1102(d) Training certificates must indicate that both CPR and First Aid training were completed. EPR: The center must have a person on staff who has completed the EPR in Child Care training within the required timeframe and have documentation of completion of the training on file. 10A NCAC 09.0607(b). I encouraged you to contact Child Care Connections in Burke or Cleveland counties to find training options, as there are no current local trainings available. Medication Permission: Medication authorization must meet the requirements in child care rule 10A NCAC 09.0803(7). I emailed you a copy of the Permission to Administer Medication for Chronic Medical Conditions form along with this visit summary. Medical Action Plan: For children with health care needs such as allergies, asthma or other chronic conditions a medical action plan must be attached to the child’s application. 10A NCAC 09 .0801(b). A DCDEE sample medical action was emailed to you along with this visit summary. Shaken Baby: Prior to staff caring for children under five years of age, you must review the Shaken Baby Head Trauma Policy with them, and they must sign that they acknowledge receipt of the policy. I suggested that you review all policies and procedures with staff during orientation. 10A NCAC 09 .0609(d)(1-4) Consultation or other topics discussed today: We discussed that when a yearly fire inspection is completed, you are required to send the inspection form to me within one week of completion. This requirement is found in 10A NCAC 09.0304(a). Environmental Health will be contacted for clarification on sand requirements and kitchen requirements. We reviewed the minimum staff/child ratio requirements from 10A NCAC 09 .0713(a)(10). Staff/child ratios applicable to each group must be posted in each classroom. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was reviewed and a copy was given to you for your records. A computer generated visit summary was emailed to you on January 30, 2024. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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 09.0304 · Violation
Name of Operation: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 21 Completed Date: 1/29/2024 Age: From 3 To 5 Total Minutes: 278 Time In: 09:18 AM Time Out: 01:56 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Gena Carpenter, Administrator. Your program currently operates with a Notice of Compliance effective February 17, 2011. The permit restrictions were in compliance including 1st shift and uses corporal punishment. The Secretary of State website was checked on January 26, 2024, and your business Trinity School, Inc., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, 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 walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in large group time, a fire drill, transitions, handwashing protocols, lunchtime and rest time. The center’s compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 92 percent as of January 26, 2024. 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. Three new staff have been hired since the annual compliance visit on July 19, 2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Special Training including Health and Safety Training and Criminal Background Checks. The most recent sanitation inspection for your facility was conducted on October 26, 2023. A supervisor sanitation classification was issued with six demerits. The most recent fire inspection for your facility was conducted on August 8, 2023. The facility was approved for daytime care. The following violation(s) were observed today: 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. On 1/22/24, one child was not signed out. On 1/223/24, one child was not signed out. On 1/24/24 two children were not signed out. On 1/25/24, one child was not signed in and two children were not signed out. On 1/26/24, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In the facility’s kitchen, multiple ceiling tiles were soiled with rainwater and one ceiling tile was missing. 15A NCAC 18A .2825(a) 838 The EMC plan did not name the person responsible for taking the authorization for treatment, accompanying the ill or injured person, notifying contact persons and/or obtaining substitutes. The Emergency Medical Care Plan did not have a person and an alternate person on site listed to handle emergency needs. .0802(a)(2)(A-D) 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. One staff member employed 9/13/23 had verification of a medical report on file 9/14/23. One staff member employed 10/23/23 had a medical report on file dated 5/5/21, from a previous employment. No current medical report was on file. 10A NCAC 09 .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have emergency information on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One staff member employed 8/7/23 did not have a approved criminal background check until 9/1/23. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of completed new staff orientation. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 8/7/23, one staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of completed First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member employed 8/7/23 did not have a qualification letter on file until 9/1/23. G.S. 110-90.2(b) & (d) & .2703(e) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. There is not a currently employed staff member who has verification of EPR training on file. The previously trained individual left the facility in 8/2023. .0607(b) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. No medical action plan was on file for a child with allergies that has an Epi-pen at the facility. .0801(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. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of review of the Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. There was no permission to administer medication form completed with the required information for one Epi-pen stored in space #6. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before February 12, 2024, 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 considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Arrival and Departure: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. 10A NCAC 09 .0302(d)(4) Walls and Ceilings: All walls and ceilings, including doors and windows, must be kept clean and in good repair. 15A NCAC 18A.2825(a). You reported that replacement ceiling tiles will be placed in the facility kitchen in the next few days. I reminded you that replacement ceiling tiles must be fire retardant. Contact the fire inspector for additional guidance regarding replacing ceiling tiles. Emergency Medical Care Plan: The Emergency Medical Care Plan must name a person and an alternate person that are present at the facility, who will be responsible for taking the authorization for treatment, accompanying the ill or injured person, notifying contact persons and/or obtaining substitutes. 10A NCAC 09.0802(a)(2)(a-d). I encouraged you to update the emergency medical care plan to reflect current staff members. Staff Medical Report: Staff must have a medical report on file prior to employment that was signed by a health care professional. 10A NCAC 09 .0701(a) The Staff File Checklist can be used as a guide and tool to ensure all documents are received within the required timeframes. Emergency Information: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers, must have an Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional on file on or before the first day of work. The emergency information must be updated as changes occur and at least annually. I suggested you create a new employee packet and collect all required information from new staff members prior to their first day of work. 10A NCAC 09 .0701(a) Criminal Background Check: Prior to employment a Criminal Background Check must be completed. I reminded you that employees may not begin working until a valid CBC is on file at the facility. G.S. 110-90.2(b). I suggested that you use the Staff File Checklist on DCDEE’s website under provider documents as a guideline for staff requirements and when documents are due. The approved qualification letter for the employee hired 8/7/23 is on file as of 9/1/23. This violation was corrected at visit. Staff Orientation: New staff who have contact with children must receive at least sixteen (16) hours of orientation within the first six (6) weeks. Six (6) of those hours must be within the first two (2) weeks. Childcare Requirement .1101(a). A sample of orientation documentation was emailed to you with the visit summary. CPR/First Aid Training: All staff must successfully complete certification in CPR and First Aid training appropriate to the age of the children in care within 90 days of hire. 10A NCAC 09.1102(d) Training certificates must indicate that both CPR and First Aid training were completed. EPR: The center must have a person on staff who has completed the EPR in Child Care training within the required timeframe and have documentation of completion of the training on file. 10A NCAC 09.0607(b). I encouraged you to contact Child Care Connections in Burke or Cleveland counties to find training options, as there are no current local trainings available. Medication Permission: Medication authorization must meet the requirements in child care rule 10A NCAC 09.0803(7). I emailed you a copy of the Permission to Administer Medication for Chronic Medical Conditions form along with this visit summary. Medical Action Plan: For children with health care needs such as allergies, asthma or other chronic conditions a medical action plan must be attached to the child’s application. 10A NCAC 09 .0801(b). A DCDEE sample medical action was emailed to you along with this visit summary. Shaken Baby: Prior to staff caring for children under five years of age, you must review the Shaken Baby Head Trauma Policy with them, and they must sign that they acknowledge receipt of the policy. I suggested that you review all policies and procedures with staff during orientation. 10A NCAC 09 .0609(d)(1-4) Consultation or other topics discussed today: We discussed that when a yearly fire inspection is completed, you are required to send the inspection form to me within one week of completion. This requirement is found in 10A NCAC 09.0304(a). Environmental Health will be contacted for clarification on sand requirements and kitchen requirements. We reviewed the minimum staff/child ratio requirements from 10A NCAC 09 .0713(a)(10). Staff/child ratios applicable to each group must be posted in each classroom. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was reviewed and a copy was given to you for your records. A computer generated visit summary was emailed to you on January 30, 2024. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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 09.0607 · Violation
Name of Operation: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 21 Completed Date: 1/29/2024 Age: From 3 To 5 Total Minutes: 278 Time In: 09:18 AM Time Out: 01:56 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Gena Carpenter, Administrator. Your program currently operates with a Notice of Compliance effective February 17, 2011. The permit restrictions were in compliance including 1st shift and uses corporal punishment. The Secretary of State website was checked on January 26, 2024, and your business Trinity School, Inc., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, 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 walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in large group time, a fire drill, transitions, handwashing protocols, lunchtime and rest time. The center’s compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 92 percent as of January 26, 2024. 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. Three new staff have been hired since the annual compliance visit on July 19, 2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Special Training including Health and Safety Training and Criminal Background Checks. The most recent sanitation inspection for your facility was conducted on October 26, 2023. A supervisor sanitation classification was issued with six demerits. The most recent fire inspection for your facility was conducted on August 8, 2023. The facility was approved for daytime care. The following violation(s) were observed today: 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. On 1/22/24, one child was not signed out. On 1/223/24, one child was not signed out. On 1/24/24 two children were not signed out. On 1/25/24, one child was not signed in and two children were not signed out. On 1/26/24, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In the facility’s kitchen, multiple ceiling tiles were soiled with rainwater and one ceiling tile was missing. 15A NCAC 18A .2825(a) 838 The EMC plan did not name the person responsible for taking the authorization for treatment, accompanying the ill or injured person, notifying contact persons and/or obtaining substitutes. The Emergency Medical Care Plan did not have a person and an alternate person on site listed to handle emergency needs. .0802(a)(2)(A-D) 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. One staff member employed 9/13/23 had verification of a medical report on file 9/14/23. One staff member employed 10/23/23 had a medical report on file dated 5/5/21, from a previous employment. No current medical report was on file. 10A NCAC 09 .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have emergency information on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One staff member employed 8/7/23 did not have a approved criminal background check until 9/1/23. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of completed new staff orientation. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 8/7/23, one staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of completed First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member employed 8/7/23 did not have a qualification letter on file until 9/1/23. G.S. 110-90.2(b) & (d) & .2703(e) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. There is not a currently employed staff member who has verification of EPR training on file. The previously trained individual left the facility in 8/2023. .0607(b) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. No medical action plan was on file for a child with allergies that has an Epi-pen at the facility. .0801(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. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of review of the Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. There was no permission to administer medication form completed with the required information for one Epi-pen stored in space #6. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before February 12, 2024, 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 considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Arrival and Departure: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. 10A NCAC 09 .0302(d)(4) Walls and Ceilings: All walls and ceilings, including doors and windows, must be kept clean and in good repair. 15A NCAC 18A.2825(a). You reported that replacement ceiling tiles will be placed in the facility kitchen in the next few days. I reminded you that replacement ceiling tiles must be fire retardant. Contact the fire inspector for additional guidance regarding replacing ceiling tiles. Emergency Medical Care Plan: The Emergency Medical Care Plan must name a person and an alternate person that are present at the facility, who will be responsible for taking the authorization for treatment, accompanying the ill or injured person, notifying contact persons and/or obtaining substitutes. 10A NCAC 09.0802(a)(2)(a-d). I encouraged you to update the emergency medical care plan to reflect current staff members. Staff Medical Report: Staff must have a medical report on file prior to employment that was signed by a health care professional. 10A NCAC 09 .0701(a) The Staff File Checklist can be used as a guide and tool to ensure all documents are received within the required timeframes. Emergency Information: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers, must have an Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional on file on or before the first day of work. The emergency information must be updated as changes occur and at least annually. I suggested you create a new employee packet and collect all required information from new staff members prior to their first day of work. 10A NCAC 09 .0701(a) Criminal Background Check: Prior to employment a Criminal Background Check must be completed. I reminded you that employees may not begin working until a valid CBC is on file at the facility. G.S. 110-90.2(b). I suggested that you use the Staff File Checklist on DCDEE’s website under provider documents as a guideline for staff requirements and when documents are due. The approved qualification letter for the employee hired 8/7/23 is on file as of 9/1/23. This violation was corrected at visit. Staff Orientation: New staff who have contact with children must receive at least sixteen (16) hours of orientation within the first six (6) weeks. Six (6) of those hours must be within the first two (2) weeks. Childcare Requirement .1101(a). A sample of orientation documentation was emailed to you with the visit summary. CPR/First Aid Training: All staff must successfully complete certification in CPR and First Aid training appropriate to the age of the children in care within 90 days of hire. 10A NCAC 09.1102(d) Training certificates must indicate that both CPR and First Aid training were completed. EPR: The center must have a person on staff who has completed the EPR in Child Care training within the required timeframe and have documentation of completion of the training on file. 10A NCAC 09.0607(b). I encouraged you to contact Child Care Connections in Burke or Cleveland counties to find training options, as there are no current local trainings available. Medication Permission: Medication authorization must meet the requirements in child care rule 10A NCAC 09.0803(7). I emailed you a copy of the Permission to Administer Medication for Chronic Medical Conditions form along with this visit summary. Medical Action Plan: For children with health care needs such as allergies, asthma or other chronic conditions a medical action plan must be attached to the child’s application. 10A NCAC 09 .0801(b). A DCDEE sample medical action was emailed to you along with this visit summary. Shaken Baby: Prior to staff caring for children under five years of age, you must review the Shaken Baby Head Trauma Policy with them, and they must sign that they acknowledge receipt of the policy. I suggested that you review all policies and procedures with staff during orientation. 10A NCAC 09 .0609(d)(1-4) Consultation or other topics discussed today: We discussed that when a yearly fire inspection is completed, you are required to send the inspection form to me within one week of completion. This requirement is found in 10A NCAC 09.0304(a). Environmental Health will be contacted for clarification on sand requirements and kitchen requirements. We reviewed the minimum staff/child ratio requirements from 10A NCAC 09 .0713(a)(10). Staff/child ratios applicable to each group must be posted in each classroom. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was reviewed and a copy was given to you for your records. A computer generated visit summary was emailed to you on January 30, 2024. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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 09.0802 · Violation
Name of Operation: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 21 Completed Date: 1/29/2024 Age: From 3 To 5 Total Minutes: 278 Time In: 09:18 AM Time Out: 01:56 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Gena Carpenter, Administrator. Your program currently operates with a Notice of Compliance effective February 17, 2011. The permit restrictions were in compliance including 1st shift and uses corporal punishment. The Secretary of State website was checked on January 26, 2024, and your business Trinity School, Inc., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, 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 walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in large group time, a fire drill, transitions, handwashing protocols, lunchtime and rest time. The center’s compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 92 percent as of January 26, 2024. 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. Three new staff have been hired since the annual compliance visit on July 19, 2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Special Training including Health and Safety Training and Criminal Background Checks. The most recent sanitation inspection for your facility was conducted on October 26, 2023. A supervisor sanitation classification was issued with six demerits. The most recent fire inspection for your facility was conducted on August 8, 2023. The facility was approved for daytime care. The following violation(s) were observed today: 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. On 1/22/24, one child was not signed out. On 1/223/24, one child was not signed out. On 1/24/24 two children were not signed out. On 1/25/24, one child was not signed in and two children were not signed out. On 1/26/24, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In the facility’s kitchen, multiple ceiling tiles were soiled with rainwater and one ceiling tile was missing. 15A NCAC 18A .2825(a) 838 The EMC plan did not name the person responsible for taking the authorization for treatment, accompanying the ill or injured person, notifying contact persons and/or obtaining substitutes. The Emergency Medical Care Plan did not have a person and an alternate person on site listed to handle emergency needs. .0802(a)(2)(A-D) 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. One staff member employed 9/13/23 had verification of a medical report on file 9/14/23. One staff member employed 10/23/23 had a medical report on file dated 5/5/21, from a previous employment. No current medical report was on file. 10A NCAC 09 .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have emergency information on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One staff member employed 8/7/23 did not have a approved criminal background check until 9/1/23. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of completed new staff orientation. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 8/7/23, one staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of completed First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member employed 8/7/23 did not have a qualification letter on file until 9/1/23. G.S. 110-90.2(b) & (d) & .2703(e) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. There is not a currently employed staff member who has verification of EPR training on file. The previously trained individual left the facility in 8/2023. .0607(b) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. No medical action plan was on file for a child with allergies that has an Epi-pen at the facility. .0801(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. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of review of the Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. There was no permission to administer medication form completed with the required information for one Epi-pen stored in space #6. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before February 12, 2024, 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 considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Arrival and Departure: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. 10A NCAC 09 .0302(d)(4) Walls and Ceilings: All walls and ceilings, including doors and windows, must be kept clean and in good repair. 15A NCAC 18A.2825(a). You reported that replacement ceiling tiles will be placed in the facility kitchen in the next few days. I reminded you that replacement ceiling tiles must be fire retardant. Contact the fire inspector for additional guidance regarding replacing ceiling tiles. Emergency Medical Care Plan: The Emergency Medical Care Plan must name a person and an alternate person that are present at the facility, who will be responsible for taking the authorization for treatment, accompanying the ill or injured person, notifying contact persons and/or obtaining substitutes. 10A NCAC 09.0802(a)(2)(a-d). I encouraged you to update the emergency medical care plan to reflect current staff members. Staff Medical Report: Staff must have a medical report on file prior to employment that was signed by a health care professional. 10A NCAC 09 .0701(a) The Staff File Checklist can be used as a guide and tool to ensure all documents are received within the required timeframes. Emergency Information: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers, must have an Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional on file on or before the first day of work. The emergency information must be updated as changes occur and at least annually. I suggested you create a new employee packet and collect all required information from new staff members prior to their first day of work. 10A NCAC 09 .0701(a) Criminal Background Check: Prior to employment a Criminal Background Check must be completed. I reminded you that employees may not begin working until a valid CBC is on file at the facility. G.S. 110-90.2(b). I suggested that you use the Staff File Checklist on DCDEE’s website under provider documents as a guideline for staff requirements and when documents are due. The approved qualification letter for the employee hired 8/7/23 is on file as of 9/1/23. This violation was corrected at visit. Staff Orientation: New staff who have contact with children must receive at least sixteen (16) hours of orientation within the first six (6) weeks. Six (6) of those hours must be within the first two (2) weeks. Childcare Requirement .1101(a). A sample of orientation documentation was emailed to you with the visit summary. CPR/First Aid Training: All staff must successfully complete certification in CPR and First Aid training appropriate to the age of the children in care within 90 days of hire. 10A NCAC 09.1102(d) Training certificates must indicate that both CPR and First Aid training were completed. EPR: The center must have a person on staff who has completed the EPR in Child Care training within the required timeframe and have documentation of completion of the training on file. 10A NCAC 09.0607(b). I encouraged you to contact Child Care Connections in Burke or Cleveland counties to find training options, as there are no current local trainings available. Medication Permission: Medication authorization must meet the requirements in child care rule 10A NCAC 09.0803(7). I emailed you a copy of the Permission to Administer Medication for Chronic Medical Conditions form along with this visit summary. Medical Action Plan: For children with health care needs such as allergies, asthma or other chronic conditions a medical action plan must be attached to the child’s application. 10A NCAC 09 .0801(b). A DCDEE sample medical action was emailed to you along with this visit summary. Shaken Baby: Prior to staff caring for children under five years of age, you must review the Shaken Baby Head Trauma Policy with them, and they must sign that they acknowledge receipt of the policy. I suggested that you review all policies and procedures with staff during orientation. 10A NCAC 09 .0609(d)(1-4) Consultation or other topics discussed today: We discussed that when a yearly fire inspection is completed, you are required to send the inspection form to me within one week of completion. This requirement is found in 10A NCAC 09.0304(a). Environmental Health will be contacted for clarification on sand requirements and kitchen requirements. We reviewed the minimum staff/child ratio requirements from 10A NCAC 09 .0713(a)(10). Staff/child ratios applicable to each group must be posted in each classroom. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was reviewed and a copy was given to you for your records. A computer generated visit summary was emailed to you on January 30, 2024. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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 09.0803 · Violation
Name of Operation: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 21 Completed Date: 1/29/2024 Age: From 3 To 5 Total Minutes: 278 Time In: 09:18 AM Time Out: 01:56 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Gena Carpenter, Administrator. Your program currently operates with a Notice of Compliance effective February 17, 2011. The permit restrictions were in compliance including 1st shift and uses corporal punishment. The Secretary of State website was checked on January 26, 2024, and your business Trinity School, Inc., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, 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 walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in large group time, a fire drill, transitions, handwashing protocols, lunchtime and rest time. The center’s compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 92 percent as of January 26, 2024. 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. Three new staff have been hired since the annual compliance visit on July 19, 2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Special Training including Health and Safety Training and Criminal Background Checks. The most recent sanitation inspection for your facility was conducted on October 26, 2023. A supervisor sanitation classification was issued with six demerits. The most recent fire inspection for your facility was conducted on August 8, 2023. The facility was approved for daytime care. The following violation(s) were observed today: 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. On 1/22/24, one child was not signed out. On 1/223/24, one child was not signed out. On 1/24/24 two children were not signed out. On 1/25/24, one child was not signed in and two children were not signed out. On 1/26/24, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In the facility’s kitchen, multiple ceiling tiles were soiled with rainwater and one ceiling tile was missing. 15A NCAC 18A .2825(a) 838 The EMC plan did not name the person responsible for taking the authorization for treatment, accompanying the ill or injured person, notifying contact persons and/or obtaining substitutes. The Emergency Medical Care Plan did not have a person and an alternate person on site listed to handle emergency needs. .0802(a)(2)(A-D) 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. One staff member employed 9/13/23 had verification of a medical report on file 9/14/23. One staff member employed 10/23/23 had a medical report on file dated 5/5/21, from a previous employment. No current medical report was on file. 10A NCAC 09 .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have emergency information on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One staff member employed 8/7/23 did not have a approved criminal background check until 9/1/23. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of completed new staff orientation. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 8/7/23, one staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of completed First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member employed 8/7/23 did not have a qualification letter on file until 9/1/23. G.S. 110-90.2(b) & (d) & .2703(e) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. There is not a currently employed staff member who has verification of EPR training on file. The previously trained individual left the facility in 8/2023. .0607(b) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. No medical action plan was on file for a child with allergies that has an Epi-pen at the facility. .0801(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. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of review of the Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. There was no permission to administer medication form completed with the required information for one Epi-pen stored in space #6. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before February 12, 2024, 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 considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Arrival and Departure: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. 10A NCAC 09 .0302(d)(4) Walls and Ceilings: All walls and ceilings, including doors and windows, must be kept clean and in good repair. 15A NCAC 18A.2825(a). You reported that replacement ceiling tiles will be placed in the facility kitchen in the next few days. I reminded you that replacement ceiling tiles must be fire retardant. Contact the fire inspector for additional guidance regarding replacing ceiling tiles. Emergency Medical Care Plan: The Emergency Medical Care Plan must name a person and an alternate person that are present at the facility, who will be responsible for taking the authorization for treatment, accompanying the ill or injured person, notifying contact persons and/or obtaining substitutes. 10A NCAC 09.0802(a)(2)(a-d). I encouraged you to update the emergency medical care plan to reflect current staff members. Staff Medical Report: Staff must have a medical report on file prior to employment that was signed by a health care professional. 10A NCAC 09 .0701(a) The Staff File Checklist can be used as a guide and tool to ensure all documents are received within the required timeframes. Emergency Information: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers, must have an Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional on file on or before the first day of work. The emergency information must be updated as changes occur and at least annually. I suggested you create a new employee packet and collect all required information from new staff members prior to their first day of work. 10A NCAC 09 .0701(a) Criminal Background Check: Prior to employment a Criminal Background Check must be completed. I reminded you that employees may not begin working until a valid CBC is on file at the facility. G.S. 110-90.2(b). I suggested that you use the Staff File Checklist on DCDEE’s website under provider documents as a guideline for staff requirements and when documents are due. The approved qualification letter for the employee hired 8/7/23 is on file as of 9/1/23. This violation was corrected at visit. Staff Orientation: New staff who have contact with children must receive at least sixteen (16) hours of orientation within the first six (6) weeks. Six (6) of those hours must be within the first two (2) weeks. Childcare Requirement .1101(a). A sample of orientation documentation was emailed to you with the visit summary. CPR/First Aid Training: All staff must successfully complete certification in CPR and First Aid training appropriate to the age of the children in care within 90 days of hire. 10A NCAC 09.1102(d) Training certificates must indicate that both CPR and First Aid training were completed. EPR: The center must have a person on staff who has completed the EPR in Child Care training within the required timeframe and have documentation of completion of the training on file. 10A NCAC 09.0607(b). I encouraged you to contact Child Care Connections in Burke or Cleveland counties to find training options, as there are no current local trainings available. Medication Permission: Medication authorization must meet the requirements in child care rule 10A NCAC 09.0803(7). I emailed you a copy of the Permission to Administer Medication for Chronic Medical Conditions form along with this visit summary. Medical Action Plan: For children with health care needs such as allergies, asthma or other chronic conditions a medical action plan must be attached to the child’s application. 10A NCAC 09 .0801(b). A DCDEE sample medical action was emailed to you along with this visit summary. Shaken Baby: Prior to staff caring for children under five years of age, you must review the Shaken Baby Head Trauma Policy with them, and they must sign that they acknowledge receipt of the policy. I suggested that you review all policies and procedures with staff during orientation. 10A NCAC 09 .0609(d)(1-4) Consultation or other topics discussed today: We discussed that when a yearly fire inspection is completed, you are required to send the inspection form to me within one week of completion. This requirement is found in 10A NCAC 09.0304(a). Environmental Health will be contacted for clarification on sand requirements and kitchen requirements. We reviewed the minimum staff/child ratio requirements from 10A NCAC 09 .0713(a)(10). Staff/child ratios applicable to each group must be posted in each classroom. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was reviewed and a copy was given to you for your records. A computer generated visit summary was emailed to you on January 30, 2024. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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 09.1102 · Violation
Name of Operation: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 21 Completed Date: 1/29/2024 Age: From 3 To 5 Total Minutes: 278 Time In: 09:18 AM Time Out: 01:56 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Gena Carpenter, Administrator. Your program currently operates with a Notice of Compliance effective February 17, 2011. The permit restrictions were in compliance including 1st shift and uses corporal punishment. The Secretary of State website was checked on January 26, 2024, and your business Trinity School, Inc., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, 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 walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in large group time, a fire drill, transitions, handwashing protocols, lunchtime and rest time. The center’s compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 92 percent as of January 26, 2024. 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. Three new staff have been hired since the annual compliance visit on July 19, 2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Special Training including Health and Safety Training and Criminal Background Checks. The most recent sanitation inspection for your facility was conducted on October 26, 2023. A supervisor sanitation classification was issued with six demerits. The most recent fire inspection for your facility was conducted on August 8, 2023. The facility was approved for daytime care. The following violation(s) were observed today: 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. On 1/22/24, one child was not signed out. On 1/223/24, one child was not signed out. On 1/24/24 two children were not signed out. On 1/25/24, one child was not signed in and two children were not signed out. On 1/26/24, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In the facility’s kitchen, multiple ceiling tiles were soiled with rainwater and one ceiling tile was missing. 15A NCAC 18A .2825(a) 838 The EMC plan did not name the person responsible for taking the authorization for treatment, accompanying the ill or injured person, notifying contact persons and/or obtaining substitutes. The Emergency Medical Care Plan did not have a person and an alternate person on site listed to handle emergency needs. .0802(a)(2)(A-D) 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. One staff member employed 9/13/23 had verification of a medical report on file 9/14/23. One staff member employed 10/23/23 had a medical report on file dated 5/5/21, from a previous employment. No current medical report was on file. 10A NCAC 09 .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have emergency information on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One staff member employed 8/7/23 did not have a approved criminal background check until 9/1/23. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of completed new staff orientation. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 8/7/23, one staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of completed First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member employed 8/7/23 did not have a qualification letter on file until 9/1/23. G.S. 110-90.2(b) & (d) & .2703(e) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. There is not a currently employed staff member who has verification of EPR training on file. The previously trained individual left the facility in 8/2023. .0607(b) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. No medical action plan was on file for a child with allergies that has an Epi-pen at the facility. .0801(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. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of review of the Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. There was no permission to administer medication form completed with the required information for one Epi-pen stored in space #6. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before February 12, 2024, 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 considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Arrival and Departure: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. 10A NCAC 09 .0302(d)(4) Walls and Ceilings: All walls and ceilings, including doors and windows, must be kept clean and in good repair. 15A NCAC 18A.2825(a). You reported that replacement ceiling tiles will be placed in the facility kitchen in the next few days. I reminded you that replacement ceiling tiles must be fire retardant. Contact the fire inspector for additional guidance regarding replacing ceiling tiles. Emergency Medical Care Plan: The Emergency Medical Care Plan must name a person and an alternate person that are present at the facility, who will be responsible for taking the authorization for treatment, accompanying the ill or injured person, notifying contact persons and/or obtaining substitutes. 10A NCAC 09.0802(a)(2)(a-d). I encouraged you to update the emergency medical care plan to reflect current staff members. Staff Medical Report: Staff must have a medical report on file prior to employment that was signed by a health care professional. 10A NCAC 09 .0701(a) The Staff File Checklist can be used as a guide and tool to ensure all documents are received within the required timeframes. Emergency Information: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers, must have an Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional on file on or before the first day of work. The emergency information must be updated as changes occur and at least annually. I suggested you create a new employee packet and collect all required information from new staff members prior to their first day of work. 10A NCAC 09 .0701(a) Criminal Background Check: Prior to employment a Criminal Background Check must be completed. I reminded you that employees may not begin working until a valid CBC is on file at the facility. G.S. 110-90.2(b). I suggested that you use the Staff File Checklist on DCDEE’s website under provider documents as a guideline for staff requirements and when documents are due. The approved qualification letter for the employee hired 8/7/23 is on file as of 9/1/23. This violation was corrected at visit. Staff Orientation: New staff who have contact with children must receive at least sixteen (16) hours of orientation within the first six (6) weeks. Six (6) of those hours must be within the first two (2) weeks. Childcare Requirement .1101(a). A sample of orientation documentation was emailed to you with the visit summary. CPR/First Aid Training: All staff must successfully complete certification in CPR and First Aid training appropriate to the age of the children in care within 90 days of hire. 10A NCAC 09.1102(d) Training certificates must indicate that both CPR and First Aid training were completed. EPR: The center must have a person on staff who has completed the EPR in Child Care training within the required timeframe and have documentation of completion of the training on file. 10A NCAC 09.0607(b). I encouraged you to contact Child Care Connections in Burke or Cleveland counties to find training options, as there are no current local trainings available. Medication Permission: Medication authorization must meet the requirements in child care rule 10A NCAC 09.0803(7). I emailed you a copy of the Permission to Administer Medication for Chronic Medical Conditions form along with this visit summary. Medical Action Plan: For children with health care needs such as allergies, asthma or other chronic conditions a medical action plan must be attached to the child’s application. 10A NCAC 09 .0801(b). A DCDEE sample medical action was emailed to you along with this visit summary. Shaken Baby: Prior to staff caring for children under five years of age, you must review the Shaken Baby Head Trauma Policy with them, and they must sign that they acknowledge receipt of the policy. I suggested that you review all policies and procedures with staff during orientation. 10A NCAC 09 .0609(d)(1-4) Consultation or other topics discussed today: We discussed that when a yearly fire inspection is completed, you are required to send the inspection form to me within one week of completion. This requirement is found in 10A NCAC 09.0304(a). Environmental Health will be contacted for clarification on sand requirements and kitchen requirements. We reviewed the minimum staff/child ratio requirements from 10A NCAC 09 .0713(a)(10). Staff/child ratios applicable to each group must be posted in each classroom. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was reviewed and a copy was given to you for your records. A computer generated visit summary was emailed to you on January 30, 2024. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-90 · Violation
Name of Operation: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 21 Completed Date: 1/29/2024 Age: From 3 To 5 Total Minutes: 278 Time In: 09:18 AM Time Out: 01:56 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Gena Carpenter, Administrator. Your program currently operates with a Notice of Compliance effective February 17, 2011. The permit restrictions were in compliance including 1st shift and uses corporal punishment. The Secretary of State website was checked on January 26, 2024, and your business Trinity School, Inc., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, 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 walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in large group time, a fire drill, transitions, handwashing protocols, lunchtime and rest time. The center’s compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 92 percent as of January 26, 2024. 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. Three new staff have been hired since the annual compliance visit on July 19, 2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Special Training including Health and Safety Training and Criminal Background Checks. The most recent sanitation inspection for your facility was conducted on October 26, 2023. A supervisor sanitation classification was issued with six demerits. The most recent fire inspection for your facility was conducted on August 8, 2023. The facility was approved for daytime care. The following violation(s) were observed today: 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. On 1/22/24, one child was not signed out. On 1/223/24, one child was not signed out. On 1/24/24 two children were not signed out. On 1/25/24, one child was not signed in and two children were not signed out. On 1/26/24, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In the facility’s kitchen, multiple ceiling tiles were soiled with rainwater and one ceiling tile was missing. 15A NCAC 18A .2825(a) 838 The EMC plan did not name the person responsible for taking the authorization for treatment, accompanying the ill or injured person, notifying contact persons and/or obtaining substitutes. The Emergency Medical Care Plan did not have a person and an alternate person on site listed to handle emergency needs. .0802(a)(2)(A-D) 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. One staff member employed 9/13/23 had verification of a medical report on file 9/14/23. One staff member employed 10/23/23 had a medical report on file dated 5/5/21, from a previous employment. No current medical report was on file. 10A NCAC 09 .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have emergency information on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One staff member employed 8/7/23 did not have a approved criminal background check until 9/1/23. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of completed new staff orientation. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 8/7/23, one staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of completed First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member employed 8/7/23 did not have a qualification letter on file until 9/1/23. G.S. 110-90.2(b) & (d) & .2703(e) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. There is not a currently employed staff member who has verification of EPR training on file. The previously trained individual left the facility in 8/2023. .0607(b) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. No medical action plan was on file for a child with allergies that has an Epi-pen at the facility. .0801(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. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of review of the Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. There was no permission to administer medication form completed with the required information for one Epi-pen stored in space #6. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before February 12, 2024, 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 considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Arrival and Departure: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. 10A NCAC 09 .0302(d)(4) Walls and Ceilings: All walls and ceilings, including doors and windows, must be kept clean and in good repair. 15A NCAC 18A.2825(a). You reported that replacement ceiling tiles will be placed in the facility kitchen in the next few days. I reminded you that replacement ceiling tiles must be fire retardant. Contact the fire inspector for additional guidance regarding replacing ceiling tiles. Emergency Medical Care Plan: The Emergency Medical Care Plan must name a person and an alternate person that are present at the facility, who will be responsible for taking the authorization for treatment, accompanying the ill or injured person, notifying contact persons and/or obtaining substitutes. 10A NCAC 09.0802(a)(2)(a-d). I encouraged you to update the emergency medical care plan to reflect current staff members. Staff Medical Report: Staff must have a medical report on file prior to employment that was signed by a health care professional. 10A NCAC 09 .0701(a) The Staff File Checklist can be used as a guide and tool to ensure all documents are received within the required timeframes. Emergency Information: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers, must have an Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional on file on or before the first day of work. The emergency information must be updated as changes occur and at least annually. I suggested you create a new employee packet and collect all required information from new staff members prior to their first day of work. 10A NCAC 09 .0701(a) Criminal Background Check: Prior to employment a Criminal Background Check must be completed. I reminded you that employees may not begin working until a valid CBC is on file at the facility. G.S. 110-90.2(b). I suggested that you use the Staff File Checklist on DCDEE’s website under provider documents as a guideline for staff requirements and when documents are due. The approved qualification letter for the employee hired 8/7/23 is on file as of 9/1/23. This violation was corrected at visit. Staff Orientation: New staff who have contact with children must receive at least sixteen (16) hours of orientation within the first six (6) weeks. Six (6) of those hours must be within the first two (2) weeks. Childcare Requirement .1101(a). A sample of orientation documentation was emailed to you with the visit summary. CPR/First Aid Training: All staff must successfully complete certification in CPR and First Aid training appropriate to the age of the children in care within 90 days of hire. 10A NCAC 09.1102(d) Training certificates must indicate that both CPR and First Aid training were completed. EPR: The center must have a person on staff who has completed the EPR in Child Care training within the required timeframe and have documentation of completion of the training on file. 10A NCAC 09.0607(b). I encouraged you to contact Child Care Connections in Burke or Cleveland counties to find training options, as there are no current local trainings available. Medication Permission: Medication authorization must meet the requirements in child care rule 10A NCAC 09.0803(7). I emailed you a copy of the Permission to Administer Medication for Chronic Medical Conditions form along with this visit summary. Medical Action Plan: For children with health care needs such as allergies, asthma or other chronic conditions a medical action plan must be attached to the child’s application. 10A NCAC 09 .0801(b). A DCDEE sample medical action was emailed to you along with this visit summary. Shaken Baby: Prior to staff caring for children under five years of age, you must review the Shaken Baby Head Trauma Policy with them, and they must sign that they acknowledge receipt of the policy. I suggested that you review all policies and procedures with staff during orientation. 10A NCAC 09 .0609(d)(1-4) Consultation or other topics discussed today: We discussed that when a yearly fire inspection is completed, you are required to send the inspection form to me within one week of completion. This requirement is found in 10A NCAC 09.0304(a). Environmental Health will be contacted for clarification on sand requirements and kitchen requirements. We reviewed the minimum staff/child ratio requirements from 10A NCAC 09 .0713(a)(10). Staff/child ratios applicable to each group must be posted in each classroom. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was reviewed and a copy was given to you for your records. A computer generated visit summary was emailed to you on January 30, 2024. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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
NC GS 110-90 · Violation
Name of Operation: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 21 Completed Date: 1/29/2024 Age: From 3 To 5 Total Minutes: 278 Time In: 09:18 AM Time Out: 01:56 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Gena Carpenter, Administrator. Your program currently operates with a Notice of Compliance effective February 17, 2011. The permit restrictions were in compliance including 1st shift and uses corporal punishment. The Secretary of State website was checked on January 26, 2024, and your business Trinity School, Inc., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, 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 walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in large group time, a fire drill, transitions, handwashing protocols, lunchtime and rest time. The center’s compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 92 percent as of January 26, 2024. 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. Three new staff have been hired since the annual compliance visit on July 19, 2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Special Training including Health and Safety Training and Criminal Background Checks. The most recent sanitation inspection for your facility was conducted on October 26, 2023. A supervisor sanitation classification was issued with six demerits. The most recent fire inspection for your facility was conducted on August 8, 2023. The facility was approved for daytime care. The following violation(s) were observed today: 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. On 1/22/24, one child was not signed out. On 1/223/24, one child was not signed out. On 1/24/24 two children were not signed out. On 1/25/24, one child was not signed in and two children were not signed out. On 1/26/24, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In the facility’s kitchen, multiple ceiling tiles were soiled with rainwater and one ceiling tile was missing. 15A NCAC 18A .2825(a) 838 The EMC plan did not name the person responsible for taking the authorization for treatment, accompanying the ill or injured person, notifying contact persons and/or obtaining substitutes. The Emergency Medical Care Plan did not have a person and an alternate person on site listed to handle emergency needs. .0802(a)(2)(A-D) 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. One staff member employed 9/13/23 had verification of a medical report on file 9/14/23. One staff member employed 10/23/23 had a medical report on file dated 5/5/21, from a previous employment. No current medical report was on file. 10A NCAC 09 .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have emergency information on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One staff member employed 8/7/23 did not have a approved criminal background check until 9/1/23. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of completed new staff orientation. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 8/7/23, one staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of completed First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member employed 8/7/23 did not have a qualification letter on file until 9/1/23. G.S. 110-90.2(b) & (d) & .2703(e) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. There is not a currently employed staff member who has verification of EPR training on file. The previously trained individual left the facility in 8/2023. .0607(b) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. No medical action plan was on file for a child with allergies that has an Epi-pen at the facility. .0801(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. One staff member employed 9/13/23 and one staff member employed 10/23/23 did not have verification of review of the Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. There was no permission to administer medication form completed with the required information for one Epi-pen stored in space #6. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before February 12, 2024, 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 considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Arrival and Departure: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. 10A NCAC 09 .0302(d)(4) Walls and Ceilings: All walls and ceilings, including doors and windows, must be kept clean and in good repair. 15A NCAC 18A.2825(a). You reported that replacement ceiling tiles will be placed in the facility kitchen in the next few days. I reminded you that replacement ceiling tiles must be fire retardant. Contact the fire inspector for additional guidance regarding replacing ceiling tiles. Emergency Medical Care Plan: The Emergency Medical Care Plan must name a person and an alternate person that are present at the facility, who will be responsible for taking the authorization for treatment, accompanying the ill or injured person, notifying contact persons and/or obtaining substitutes. 10A NCAC 09.0802(a)(2)(a-d). I encouraged you to update the emergency medical care plan to reflect current staff members. Staff Medical Report: Staff must have a medical report on file prior to employment that was signed by a health care professional. 10A NCAC 09 .0701(a) The Staff File Checklist can be used as a guide and tool to ensure all documents are received within the required timeframes. Emergency Information: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers, must have an Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional on file on or before the first day of work. The emergency information must be updated as changes occur and at least annually. I suggested you create a new employee packet and collect all required information from new staff members prior to their first day of work. 10A NCAC 09 .0701(a) Criminal Background Check: Prior to employment a Criminal Background Check must be completed. I reminded you that employees may not begin working until a valid CBC is on file at the facility. G.S. 110-90.2(b). I suggested that you use the Staff File Checklist on DCDEE’s website under provider documents as a guideline for staff requirements and when documents are due. The approved qualification letter for the employee hired 8/7/23 is on file as of 9/1/23. This violation was corrected at visit. Staff Orientation: New staff who have contact with children must receive at least sixteen (16) hours of orientation within the first six (6) weeks. Six (6) of those hours must be within the first two (2) weeks. Childcare Requirement .1101(a). A sample of orientation documentation was emailed to you with the visit summary. CPR/First Aid Training: All staff must successfully complete certification in CPR and First Aid training appropriate to the age of the children in care within 90 days of hire. 10A NCAC 09.1102(d) Training certificates must indicate that both CPR and First Aid training were completed. EPR: The center must have a person on staff who has completed the EPR in Child Care training within the required timeframe and have documentation of completion of the training on file. 10A NCAC 09.0607(b). I encouraged you to contact Child Care Connections in Burke or Cleveland counties to find training options, as there are no current local trainings available. Medication Permission: Medication authorization must meet the requirements in child care rule 10A NCAC 09.0803(7). I emailed you a copy of the Permission to Administer Medication for Chronic Medical Conditions form along with this visit summary. Medical Action Plan: For children with health care needs such as allergies, asthma or other chronic conditions a medical action plan must be attached to the child’s application. 10A NCAC 09 .0801(b). A DCDEE sample medical action was emailed to you along with this visit summary. Shaken Baby: Prior to staff caring for children under five years of age, you must review the Shaken Baby Head Trauma Policy with them, and they must sign that they acknowledge receipt of the policy. I suggested that you review all policies and procedures with staff during orientation. 10A NCAC 09 .0609(d)(1-4) Consultation or other topics discussed today: We discussed that when a yearly fire inspection is completed, you are required to send the inspection form to me within one week of completion. This requirement is found in 10A NCAC 09.0304(a). Environmental Health will be contacted for clarification on sand requirements and kitchen requirements. We reviewed the minimum staff/child ratio requirements from 10A NCAC 09 .0713(a)(10). Staff/child ratios applicable to each group must be posted in each classroom. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was reviewed and a copy was given to you for your records. A computer generated visit summary was emailed to you on January 30, 2024. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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 .1101 · Violation
Name of Operation: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/19/2023 Number Present: 9 Completed Date: 7/19/2023 Age: From 3 To 6 Total Minutes: 319 Time In: 09:11 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Sandy Austin, Administrator. Your program currently operates with a G.S. 110-106 license effective February 17, 2011. The permit restrictions include 1st shift and uses corporal punishment. The NC Secretary of State website was reviewed on July 10, 2023 and Trinity School, Inc. was listed as current/active. You reported no changes to the ownership of the facility. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with us. We observed children in bthe indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time and outdoor playtime. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 91 percent as of July 10, 2023. 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. Four staff files were reviewed, with three new staff files. Two children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on March 9, 2023. A superior sanitation classification was issued with six demerits. The most recent fire inspection for your facility was conducted on August 11, 2022. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fencing around the outdoor play area is less than 4’ in height in one area of the fencing. One area of the fence is in poor repair and has an opening large enough for a child to get under. GS 110-91(6); .0605((i) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One employee, hired 2/7/22, did not have verification of having completed first aid training. .1102(c) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One employee, hired 6/26/23, did not have verification of 6 hours of orientation within the first 2 weeks of employment. .1101(a)(b) The violation(s) documented must be corrected immediately. On or before August 2, 2023, 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 considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Fencing: The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. We discussed that the fence is below 4’ in height in one area. The fencing area that is loose will need to be repaired. This will need to be repaired within the next 2 weeks. First Aid training: All staff must complete a certification in First Aid training appropriate to the age of the children in care. Verification of training from an approved training organization must be in the staff file. 10A NCAC 09 .1102(d). Staff Orientation: New employees must complete six clock hours of training in the required topic areas during the first two weeks of employment. 10A NCAC 09 .1101(a)(b). You reported that you will begin the orientation process with the new employee before the end of the week. Consultation or other topics discussed today (the following items reviewed were in compliance today): We discussed that Gena Carpenter will begin the full time role of administrator. A preservice administrator form was given to you for completion and return within the next 2 weeks. We discussed that the sand that is used in the outdoor sand box must be verified to be sand that is appropriate for use of children. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .1102 · Violation
Name of Operation: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/19/2023 Number Present: 9 Completed Date: 7/19/2023 Age: From 3 To 6 Total Minutes: 319 Time In: 09:11 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Sandy Austin, Administrator. Your program currently operates with a G.S. 110-106 license effective February 17, 2011. The permit restrictions include 1st shift and uses corporal punishment. The NC Secretary of State website was reviewed on July 10, 2023 and Trinity School, Inc. was listed as current/active. You reported no changes to the ownership of the facility. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with us. We observed children in bthe indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time and outdoor playtime. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 91 percent as of July 10, 2023. 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. Four staff files were reviewed, with three new staff files. Two children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on March 9, 2023. A superior sanitation classification was issued with six demerits. The most recent fire inspection for your facility was conducted on August 11, 2022. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fencing around the outdoor play area is less than 4’ in height in one area of the fencing. One area of the fence is in poor repair and has an opening large enough for a child to get under. GS 110-91(6); .0605((i) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One employee, hired 2/7/22, did not have verification of having completed first aid training. .1102(c) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One employee, hired 6/26/23, did not have verification of 6 hours of orientation within the first 2 weeks of employment. .1101(a)(b) The violation(s) documented must be corrected immediately. On or before August 2, 2023, 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 considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Fencing: The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. We discussed that the fence is below 4’ in height in one area. The fencing area that is loose will need to be repaired. This will need to be repaired within the next 2 weeks. First Aid training: All staff must complete a certification in First Aid training appropriate to the age of the children in care. Verification of training from an approved training organization must be in the staff file. 10A NCAC 09 .1102(d). Staff Orientation: New employees must complete six clock hours of training in the required topic areas during the first two weeks of employment. 10A NCAC 09 .1101(a)(b). You reported that you will begin the orientation process with the new employee before the end of the week. Consultation or other topics discussed today (the following items reviewed were in compliance today): We discussed that Gena Carpenter will begin the full time role of administrator. A preservice administrator form was given to you for completion and return within the next 2 weeks. We discussed that the sand that is used in the outdoor sand box must be verified to be sand that is appropriate for use of children. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-106 · Violation
Name of Operation: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/19/2023 Number Present: 9 Completed Date: 7/19/2023 Age: From 3 To 6 Total Minutes: 319 Time In: 09:11 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Sandy Austin, Administrator. Your program currently operates with a G.S. 110-106 license effective February 17, 2011. The permit restrictions include 1st shift and uses corporal punishment. The NC Secretary of State website was reviewed on July 10, 2023 and Trinity School, Inc. was listed as current/active. You reported no changes to the ownership of the facility. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with us. We observed children in bthe indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time and outdoor playtime. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 91 percent as of July 10, 2023. 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. Four staff files were reviewed, with three new staff files. Two children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on March 9, 2023. A superior sanitation classification was issued with six demerits. The most recent fire inspection for your facility was conducted on August 11, 2022. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fencing around the outdoor play area is less than 4’ in height in one area of the fencing. One area of the fence is in poor repair and has an opening large enough for a child to get under. GS 110-91(6); .0605((i) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One employee, hired 2/7/22, did not have verification of having completed first aid training. .1102(c) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One employee, hired 6/26/23, did not have verification of 6 hours of orientation within the first 2 weeks of employment. .1101(a)(b) The violation(s) documented must be corrected immediately. On or before August 2, 2023, 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 considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Fencing: The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. We discussed that the fence is below 4’ in height in one area. The fencing area that is loose will need to be repaired. This will need to be repaired within the next 2 weeks. First Aid training: All staff must complete a certification in First Aid training appropriate to the age of the children in care. Verification of training from an approved training organization must be in the staff file. 10A NCAC 09 .1102(d). Staff Orientation: New employees must complete six clock hours of training in the required topic areas during the first two weeks of employment. 10A NCAC 09 .1101(a)(b). You reported that you will begin the orientation process with the new employee before the end of the week. Consultation or other topics discussed today (the following items reviewed were in compliance today): We discussed that Gena Carpenter will begin the full time role of administrator. A preservice administrator form was given to you for completion and return within the next 2 weeks. We discussed that the sand that is used in the outdoor sand box must be verified to be sand that is appropriate for use of children. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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
GS 110-91 · Violation
Name of Operation: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/19/2023 Number Present: 9 Completed Date: 7/19/2023 Age: From 3 To 6 Total Minutes: 319 Time In: 09:11 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Sandy Austin, Administrator. Your program currently operates with a G.S. 110-106 license effective February 17, 2011. The permit restrictions include 1st shift and uses corporal punishment. The NC Secretary of State website was reviewed on July 10, 2023 and Trinity School, Inc. was listed as current/active. You reported no changes to the ownership of the facility. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with us. We observed children in bthe indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time and outdoor playtime. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 91 percent as of July 10, 2023. 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. Four staff files were reviewed, with three new staff files. Two children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on March 9, 2023. A superior sanitation classification was issued with six demerits. The most recent fire inspection for your facility was conducted on August 11, 2022. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fencing around the outdoor play area is less than 4’ in height in one area of the fencing. One area of the fence is in poor repair and has an opening large enough for a child to get under. GS 110-91(6); .0605((i) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One employee, hired 2/7/22, did not have verification of having completed first aid training. .1102(c) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One employee, hired 6/26/23, did not have verification of 6 hours of orientation within the first 2 weeks of employment. .1101(a)(b) The violation(s) documented must be corrected immediately. On or before August 2, 2023, 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 considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Fencing: The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. We discussed that the fence is below 4’ in height in one area. The fencing area that is loose will need to be repaired. This will need to be repaired within the next 2 weeks. First Aid training: All staff must complete a certification in First Aid training appropriate to the age of the children in care. Verification of training from an approved training organization must be in the staff file. 10A NCAC 09 .1102(d). Staff Orientation: New employees must complete six clock hours of training in the required topic areas during the first two weeks of employment. 10A NCAC 09 .1101(a)(b). You reported that you will begin the orientation process with the new employee before the end of the week. Consultation or other topics discussed today (the following items reviewed were in compliance today): We discussed that Gena Carpenter will begin the full time role of administrator. A preservice administrator form was given to you for completion and return within the next 2 weeks. We discussed that the sand that is used in the outdoor sand box must be verified to be sand that is appropriate for use of children. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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
NC GS 110-90 · Violation
Name of Operation: TRINITY PRESCHOOL Facility ID: 8159003 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/19/2023 Number Present: 9 Completed Date: 7/19/2023 Age: From 3 To 6 Total Minutes: 319 Time In: 09:11 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Sandy Austin, Administrator. Your program currently operates with a G.S. 110-106 license effective February 17, 2011. The permit restrictions include 1st shift and uses corporal punishment. The NC Secretary of State website was reviewed on July 10, 2023 and Trinity School, Inc. was listed as current/active. You reported no changes to the ownership of the facility. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with us. We observed children in bthe indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time and outdoor playtime. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 91 percent as of July 10, 2023. 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. Four staff files were reviewed, with three new staff files. Two children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on March 9, 2023. A superior sanitation classification was issued with six demerits. The most recent fire inspection for your facility was conducted on August 11, 2022. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fencing around the outdoor play area is less than 4’ in height in one area of the fencing. One area of the fence is in poor repair and has an opening large enough for a child to get under. GS 110-91(6); .0605((i) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One employee, hired 2/7/22, did not have verification of having completed first aid training. .1102(c) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One employee, hired 6/26/23, did not have verification of 6 hours of orientation within the first 2 weeks of employment. .1101(a)(b) The violation(s) documented must be corrected immediately. On or before August 2, 2023, 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 considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Fencing: The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. We discussed that the fence is below 4’ in height in one area. The fencing area that is loose will need to be repaired. This will need to be repaired within the next 2 weeks. First Aid training: All staff must complete a certification in First Aid training appropriate to the age of the children in care. Verification of training from an approved training organization must be in the staff file. 10A NCAC 09 .1102(d). Staff Orientation: New employees must complete six clock hours of training in the required topic areas during the first two weeks of employment. 10A NCAC 09 .1101(a)(b). You reported that you will begin the orientation process with the new employee before the end of the week. Consultation or other topics discussed today (the following items reviewed were in compliance today): We discussed that Gena Carpenter will begin the full time role of administrator. A preservice administrator form was given to you for completion and return within the next 2 weeks. We discussed that the sand that is used in the outdoor sand box must be verified to be sand that is appropriate for use of children. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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.
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.
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.
Open Not marked corrected in the state record
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Open Not marked corrected in the state record
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Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
Open Not marked corrected in the state record
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Open Not marked corrected in the state record
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Open Not marked corrected in the state record
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Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
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Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
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Category: supervision. Open / not marked corrected.
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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.