10A NCAC 09 .0701 · Violation

Name of Operation: Foundations Christian Academy, LLC Facility ID: 78000476 Consultant: LEISA A. BENSON Operation Type: Center Case Number: Visit Date: 4/10/2024 Number Present: 17 Completed Date: 4/10/2024 Age: From 0 To 5 Total Minutes: 270 Time In: 11:30 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to the first Temporary Time Period Visit. This program currently operates with a temporary license effective March 4, 2024, to September 4, 2024. Applicable childcare requirements were discussed with Mrs. Stephanie Pearsall, Owner. Mrs. Pearsall accompanied me as I conducted a walkthrough of the indoor and outdoor spaces used for child care. They are approved to use nine (9) classrooms; however, because of a shortage in staff they are only operating four (4) classrooms. I monitored all indoor spaces approved for child care except for the classrooms that were not open. I monitored the outdoor play spaces. The children observed today, were interacting with assigned staff, playing in free choice areas such as fine motor materials, books, blocks, and dramatic play materials. They were observed resting on individual cots with linens. For lunch the children were served beef ravioli, mixed vegetables, sliced peaches, slice of bread, and milk. During the visit seven (7) staff files, including the administrator’s, and three (3) children’s files were reviewed. In addition, required center program records were also monitored. It is your responsibility to review all files to ensure they are complete and accurate. The following were also observed during today’s visit: staff/child ratios; CPR/FA; storage of hazardous products; adequate/approved space; posted license and permit restrictions. Overall attendance and enrollment were collected today. The attached space, capacity and enrollment worksheet reflects the enrollment and attendance information along with the staff that were present and caring for children today. At the completion of the visit, I reviewed the Visit Summary with Mrs. Pearsall and computerized copy was given to her. Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One teacher was employed prior to receiving their medical assessment. This was corrected because their medical assessment is on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. This was not on file prior to employment for one teacher. This was corrected during the visit because it is on file. .0701(a) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The enrollment date was not included on the parent's statement. This was corrected during the visit when it was added to the statement. .1804(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. This was not on file prior to caring for children for one teacher. The was corrected during the visit when the policy was reviewed with the teacher and signed acknowledgement was on file. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Medical information was not maintained separately from staff member's personnel file for all staff. This was corrected during the visit when the medical information for all staff was maintained separate from their personnel file. .0701(d) Because the violations were corrected during the visit you are not required to submit a compliance letter to me. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Violations cited during today’s visit, may negatively affect your compliance score. As of today’s, visit your compliance history is 93%. Mrs. Pearsall also operates a child care center in Cumberland County; Foundations Learning Center ID#26002456 in which she is the administrator. She is required to be on site at that location for at least twenty-five (25) hours a week. I discussed with her that she is required to be on site at this location for at least thirty (30) hours a week. She stated that she is in the process of hiring an administrator for this location. Mrs. Pearsall was required to submit a schedule of how she will meet those hours at both locations to me by April 17, 2024. Rated License Assessment: In order to maintain subsidy payments at the end of the temporary time period, the facility must transition to a three to five star rated license. Education Standards: The education of the Administrator, Lead Teachers, Teachers, and Group Leaders will be assessed for points for the star rated license. It is imperative to submit official transcripts directly to DCDEE and have employees submit all other information using “WORKS” (Workforce online reporting and knowledge system). All staff education should be current before the fifth month of the temporary time period (August 1, 2024) as a rated license will need to be processed before the end date of the temporary license. Program Standards: The center may receive 2 points in program standards by meeting enhanced staff child ratios or enhanced space and by providing the required activity centers and supplemental centers. To receive more than 2 points in program standards, the facility will need to have an Environment Rating Scale (ERS) assessment and score at least a 4.0 on each of the scales. Be sure to visit www.ncrlap.org to familiarize you and your staff with the different assessments. Also, if you meet the requirements for a 4-5 star rated license and plan to provide care to 4 year old’s you will be required to have a curriculum that has been approved by DCDEE. You can review the approved curriculum by visit: https://ncchildcare.ncdhhs.gov/Read/nc-child-care-commission-approved-early-childhood-four-year-old-curricula-2018 Quality Bonus Point: While the facility may meet more than one possible quality point, the facility can only earn a maximum of one quality bonus point. Total points and Star Rated License Information: The total points received in both education and program standards and the quality bonus point will determine the star license issued to your center. To receive a three star license the facility must earn at least seven points. To receive a four star license the facility must earn at least ten points. To receive a five star license the facility must earn at least thirteen points. If you decide to apply for a star rated license you will need to complete the Initial Application for Assessment for a Two Through Five Star Rated License. If you decide to have the ERS assessment conducted, you will need to complete the Rated License Assessment Request Review. These forms were given to you during the visit. They should be completed and submitted to me by April 24, 2024. I also gave you a copy of the Quality Point Form for your review. Technical Assistance: Whether you work with paper documents, electronic files, or a mixture of both, it's vital to keep them organized and accessible. That way you can save time looking for things, and always have the right information to hand when you need it. Ways to organize files: Follow a consistent method for naming your files and folders. Store related documents together, whatever their type. Organize documents by date. Also, for the most current information provided by DCDEE you can visit: https://ncchildcare.ncdhhs.gov/Whats-New REMINDERS: You can visit the DCDEE website at www.ncchildcare.nc.gov for updated information, resources, and provider forms. Please contact me at 919-819-9348 or, email leisa.benson@dhhs.nc.gov if you have any 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

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: Foundations Christian Academy, LLC Facility ID: 78000476 Consultant: LEISA A. BENSON Operation Type: Center Case Number: Visit Date: 4/10/2024 Number Present: 17 Completed Date: 4/10/2024 Age: From 0 To 5 Total Minutes: 270 Time In: 11:30 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to the first Temporary Time Period Visit. This program currently operates with a temporary license effective March 4, 2024, to September 4, 2024. Applicable childcare requirements were discussed with Mrs. Stephanie Pearsall, Owner. Mrs. Pearsall accompanied me as I conducted a walkthrough of the indoor and outdoor spaces used for child care. They are approved to use nine (9) classrooms; however, because of a shortage in staff they are only operating four (4) classrooms. I monitored all indoor spaces approved for child care except for the classrooms that were not open. I monitored the outdoor play spaces. The children observed today, were interacting with assigned staff, playing in free choice areas such as fine motor materials, books, blocks, and dramatic play materials. They were observed resting on individual cots with linens. For lunch the children were served beef ravioli, mixed vegetables, sliced peaches, slice of bread, and milk. During the visit seven (7) staff files, including the administrator’s, and three (3) children’s files were reviewed. In addition, required center program records were also monitored. It is your responsibility to review all files to ensure they are complete and accurate. The following were also observed during today’s visit: staff/child ratios; CPR/FA; storage of hazardous products; adequate/approved space; posted license and permit restrictions. Overall attendance and enrollment were collected today. The attached space, capacity and enrollment worksheet reflects the enrollment and attendance information along with the staff that were present and caring for children today. At the completion of the visit, I reviewed the Visit Summary with Mrs. Pearsall and computerized copy was given to her. Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One teacher was employed prior to receiving their medical assessment. This was corrected because their medical assessment is on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. This was not on file prior to employment for one teacher. This was corrected during the visit because it is on file. .0701(a) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The enrollment date was not included on the parent's statement. This was corrected during the visit when it was added to the statement. .1804(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. This was not on file prior to caring for children for one teacher. The was corrected during the visit when the policy was reviewed with the teacher and signed acknowledgement was on file. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Medical information was not maintained separately from staff member's personnel file for all staff. This was corrected during the visit when the medical information for all staff was maintained separate from their personnel file. .0701(d) Because the violations were corrected during the visit you are not required to submit a compliance letter to me. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Violations cited during today’s visit, may negatively affect your compliance score. As of today’s, visit your compliance history is 93%. Mrs. Pearsall also operates a child care center in Cumberland County; Foundations Learning Center ID#26002456 in which she is the administrator. She is required to be on site at that location for at least twenty-five (25) hours a week. I discussed with her that she is required to be on site at this location for at least thirty (30) hours a week. She stated that she is in the process of hiring an administrator for this location. Mrs. Pearsall was required to submit a schedule of how she will meet those hours at both locations to me by April 17, 2024. Rated License Assessment: In order to maintain subsidy payments at the end of the temporary time period, the facility must transition to a three to five star rated license. Education Standards: The education of the Administrator, Lead Teachers, Teachers, and Group Leaders will be assessed for points for the star rated license. It is imperative to submit official transcripts directly to DCDEE and have employees submit all other information using “WORKS” (Workforce online reporting and knowledge system). All staff education should be current before the fifth month of the temporary time period (August 1, 2024) as a rated license will need to be processed before the end date of the temporary license. Program Standards: The center may receive 2 points in program standards by meeting enhanced staff child ratios or enhanced space and by providing the required activity centers and supplemental centers. To receive more than 2 points in program standards, the facility will need to have an Environment Rating Scale (ERS) assessment and score at least a 4.0 on each of the scales. Be sure to visit www.ncrlap.org to familiarize you and your staff with the different assessments. Also, if you meet the requirements for a 4-5 star rated license and plan to provide care to 4 year old’s you will be required to have a curriculum that has been approved by DCDEE. You can review the approved curriculum by visit: https://ncchildcare.ncdhhs.gov/Read/nc-child-care-commission-approved-early-childhood-four-year-old-curricula-2018 Quality Bonus Point: While the facility may meet more than one possible quality point, the facility can only earn a maximum of one quality bonus point. Total points and Star Rated License Information: The total points received in both education and program standards and the quality bonus point will determine the star license issued to your center. To receive a three star license the facility must earn at least seven points. To receive a four star license the facility must earn at least ten points. To receive a five star license the facility must earn at least thirteen points. If you decide to apply for a star rated license you will need to complete the Initial Application for Assessment for a Two Through Five Star Rated License. If you decide to have the ERS assessment conducted, you will need to complete the Rated License Assessment Request Review. These forms were given to you during the visit. They should be completed and submitted to me by April 24, 2024. I also gave you a copy of the Quality Point Form for your review. Technical Assistance: Whether you work with paper documents, electronic files, or a mixture of both, it's vital to keep them organized and accessible. That way you can save time looking for things, and always have the right information to hand when you need it. Ways to organize files: Follow a consistent method for naming your files and folders. Store related documents together, whatever their type. Organize documents by date. Also, for the most current information provided by DCDEE you can visit: https://ncchildcare.ncdhhs.gov/Whats-New REMINDERS: You can visit the DCDEE website at www.ncchildcare.nc.gov for updated information, resources, and provider forms. Please contact me at 919-819-9348 or, email leisa.benson@dhhs.nc.gov if you have any 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