Livingstone Head Start

NC GS 110-90 · Violation

Name of Operation: LIVINGSTONE HEAD START Facility ID: 80000258 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 3/6/2026 Number Present: 17 Completed Date: 3/6/2026 Age: From 3 To 5 Total Minutes: 147 Time In: 09:03 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements. Your last Annual Compliance visit was conducted on April 2, 2025. Your facility’s compliance history score prior to today’s visit was 94%. You, Brenda Davis, Center Manager, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, mailing address, administrator, or owner. You provided me with a written statement today requesting to change the email address in the system. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 60 children on first shift, ages 3-5 with an effective date of 11/7/2018. The following restrictions are listed: first shift, meets enhanced space, meets enhanced ratios, and reduced enhanced ratios minus 1. Your facility, owned by Salisbury-Rowan Community Action Agency Incorporated, was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website prior to today’s visit. I completed the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I monitored the following required postings: License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedules, activity plans, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in group time and free choice activities indoors. There were a variety of materials available to children. Materials and furnishings were found to be developmentally appropriate. All medications and accompanying documentation were monitored. You stated that this program does not provide transportation. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on September 29, 2025, with zero (0) demerits and a superior classification. A fire inspection was conducted on October 16, 2025. I verified that you completed the lead water testing required to be completed every three years. Today, I verified that those test results dated July 26, 2024, indicate that the facility’s water is within acceptable limits. I verified that the facility is exempt from lead-based paint and asbestos testing based on documents uploaded on June 3, 2025. You stated and I verified that your facility uses Creative Curriculum as the approved curriculum for a 5-Star facility serving children who are four and five years of age. There have been no new staff members hired since the last visit. I monitored a portion of existing staff files during today’s visit. I monitored health and safety requirements. There are 19 children enrolled. I monitored a portion of the children’s records. Rated License Discussion – I received the “Application for Assessment for a Rated License for Centers” on February 24, 2026. This program has chosen Accreditation and Head Start (Pathway 3). The following have been reviewed for Accreditation and Head Start (Pathway 3) 1) I received the Request to Use Accreditation and Head Start Licensure Pathway to Earn a Star Rated License document on February 24, 2026. This facility is a head start designation. I received the Head Start Verification for Livingstone Head Start and verified the head start designation on February 26, 2026. 2) I received the Classroom Staff to Child Ratio for Head Start documents on February 24, 2026. It was documented that the facility will meet Head Start staff / child ratios. The Head Start staff to child ratio for children three (3) years through five (5) years of age is 2:10. You stated that each classroom must have two staff members in the room at all times. This facility is eligible for a five-star license using the accreditation and head start licensure pathway. I will process the star rated license once I receive the compliance documentation indicating that violations are corrected. Star Rated License Child Care programs are expected to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent at all times [NC GS 110-90(4)(d)]. After today's visit the facility's compliance history is at 94% I reviewed the Quality Initiatives Recognition Form with you today. Quality initiatives are optional recognitions that may accompany the issuance of a two- through five-star rated license. Please note that quality initiatives are not part of the process to earn a star rating and are not required. If this facility chooses to participate in the recognition of quality initiatives, the completed Quality Initiatives Recognition Form, along with documentation verifying the initiatives will need to be submitted to me no later than March 20, 2026. Verification of the initiatives may include certificates of completion or designation, reviewing staff education and training, benefits packages outlined in the personnel procedure, posted ratios, observing options such as language immersion programs, verifying experience, and communication from an organization such as T.E.A.C.H noting the facility participates. The following violation was observed during today’s visit. Violation Number Comment Rule 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space 1, the permission to administer form for a Ventolin HFA inhaler was dated from 9/5/2025 to 3/5/2026. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) TECHNICAL ASSISTANCE: • Child Care Rule .0803(6) states that standing authorization for up to six months to administer a prescription medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. To ensure the health and safety of children, it is recommended that teachers and center manager maintain a list of medication authorization dates. This will serve as a reminder to have families complete a new Permission to Administer Medication form prior to the authorization expiring. CONSULTATION: • Per NC General Statute 110-102, the current version of Summary of North Carolina Child Care Law should be posted in a prominent place in the facility and included in the enrollment packet to be given to parents prior to the child’s first day of attendance. The most current Summary of North Carolina Child Care Law was published in November 2025. Today, I observed the date of the posted Summary of North Carolina Child Care Law was February 2025. Please print the updated version, post it in your lobby, and add it to your new enrollment packets. I also suggest you regularly check the DCDEE website for updated versions and especially when you receive notification of child care or sanitation rule updates. • When and if you update your fire evacuation route, shelter-in-place, and/or lock-down drill plan, you need to have the fire department approve your plan first BEFORE you put it in your Emergency Preparedness Response (EPR) Plan as an update. • We encourage you to visit the QRIS Modernization page on the DCDEE website at this link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more. • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. • Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License • Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development • Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings • Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy • DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New COMPLIANCE PLAN: All violations cited during today’s visit must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Your signature I must receive your compliance letter no later than March 20, 2026. Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@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. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education 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 Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (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 against the facility's license. Any violations cited during a visit may affect your score. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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: LIVINGSTONE HEAD START Facility ID: 80000258 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 25 Completed Date: 4/2/2025 Age: From 3 To 5 Total Minutes: 245 Time In: 09:30 AM Time Out: 01:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance visit. Your last Annual Compliance visit was conducted on May 2, 2024. Your facility’s compliance history score prior to today’s visit was 91%. You, Tashina Patterson, Center Manager, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 60 children on first shift, ages 3-5 with an effective date of 11/7/2018. The following restrictions are listed: first shift, meets enhanced space, meets enhanced ratios, and reduced enhanced ratios minus 1. Your facility, owned by Salisbury-Rowan Community Action Agency Incorporated was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed the Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedules, activity plans, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities indoors and outdoors. There were a variety of materials available to children. Materials and furnishings were found to be developmentally appropriate. All medications and accompanying documentation were monitored. This facility does not provide transportation, but Price Head Start does provide transportation to some of the children at this facility. You had the Transportation Service Log sheets, insurance, and registration available for review. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on November 26, 2024 with zero (0) demerits and a superior classification. A fire inspection was conducted on October 7, 2024. There has been one new staff member hired since the last visit. I monitored their file and a portion of existing staff files during today’s visit. There are 28 children enrolled. I monitored a portion of the children’s records. The following violations were observed during today’s visit. Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 2, the prescription for an Albuterol inhaler expired on 2/5/2025 and was not returned to the parent or discarded. In Space 2, the authorization for an Albuterol inhaler expired on 3/16/2025 and was not returned to the parent or discarded. In Space 2, the authorization for a Symbicort inhaler expired on 3/13/2025 and was not returned to the parent or discarded. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical report signed by a health care professional was not on file for a staff member hired on 3/17/2025. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A TB test was not on file for a staff member hired on 3/17/2025. .0701(a) Technical Assistance: • To ensure that leftover medications are returned to the parent or discarded within 72 hours of authorization expiration, I recommended that a member of the administrative team conduct a monthly review of all medications on site. During the monthly review, they should document any medications set to expire within the month to ensure a follow-up check is conducted. • All medical reports and TB test documentation need to be thoroughly reviewed for completeness prior to a new staff member beginning work. This includes confirming that TB results are clearly documented and that the medical report is signed by a licensed healthcare provider. You stated that the main office completes the intake of all new hire paperwork prior to sending it to the facility. You stated that moving forward you will review incoming paperwork for completeness upon the receipt of the file. Consultation: • NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which includes moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for ITERS, ECERS, and FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025 and after will be assessed using the ERS-3 versions. • DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. 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 as stated in G.S. 110-90.2 & .2703(r) 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. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to 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. • Due to the recent impacts of Hurricane Helene and other natural disasters, the Clean Classrooms for Carolina Kids enrollment deadline has been revised statewide. Child care facilities that have not yet enrolled should complete the online process by May 31, 2025. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (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 against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 4/16/2025. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@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. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education 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 Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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: LIVINGSTONE HEAD START Facility ID: 80000258 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 25 Completed Date: 4/2/2025 Age: From 3 To 5 Total Minutes: 245 Time In: 09:30 AM Time Out: 01:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance visit. Your last Annual Compliance visit was conducted on May 2, 2024. Your facility’s compliance history score prior to today’s visit was 91%. You, Tashina Patterson, Center Manager, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 60 children on first shift, ages 3-5 with an effective date of 11/7/2018. The following restrictions are listed: first shift, meets enhanced space, meets enhanced ratios, and reduced enhanced ratios minus 1. Your facility, owned by Salisbury-Rowan Community Action Agency Incorporated was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed the Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedules, activity plans, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities indoors and outdoors. There were a variety of materials available to children. Materials and furnishings were found to be developmentally appropriate. All medications and accompanying documentation were monitored. This facility does not provide transportation, but Price Head Start does provide transportation to some of the children at this facility. You had the Transportation Service Log sheets, insurance, and registration available for review. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on November 26, 2024 with zero (0) demerits and a superior classification. A fire inspection was conducted on October 7, 2024. There has been one new staff member hired since the last visit. I monitored their file and a portion of existing staff files during today’s visit. There are 28 children enrolled. I monitored a portion of the children’s records. The following violations were observed during today’s visit. Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 2, the prescription for an Albuterol inhaler expired on 2/5/2025 and was not returned to the parent or discarded. In Space 2, the authorization for an Albuterol inhaler expired on 3/16/2025 and was not returned to the parent or discarded. In Space 2, the authorization for a Symbicort inhaler expired on 3/13/2025 and was not returned to the parent or discarded. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical report signed by a health care professional was not on file for a staff member hired on 3/17/2025. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A TB test was not on file for a staff member hired on 3/17/2025. .0701(a) Technical Assistance: • To ensure that leftover medications are returned to the parent or discarded within 72 hours of authorization expiration, I recommended that a member of the administrative team conduct a monthly review of all medications on site. During the monthly review, they should document any medications set to expire within the month to ensure a follow-up check is conducted. • All medical reports and TB test documentation need to be thoroughly reviewed for completeness prior to a new staff member beginning work. This includes confirming that TB results are clearly documented and that the medical report is signed by a licensed healthcare provider. You stated that the main office completes the intake of all new hire paperwork prior to sending it to the facility. You stated that moving forward you will review incoming paperwork for completeness upon the receipt of the file. Consultation: • NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which includes moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for ITERS, ECERS, and FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025 and after will be assessed using the ERS-3 versions. • DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. 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 as stated in G.S. 110-90.2 & .2703(r) 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. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to 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. • Due to the recent impacts of Hurricane Helene and other natural disasters, the Clean Classrooms for Carolina Kids enrollment deadline has been revised statewide. Child care facilities that have not yet enrolled should complete the online process by May 31, 2025. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (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 against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 4/16/2025. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@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. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education 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 Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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: LIVINGSTONE HEAD START Facility ID: 80000258 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 25 Completed Date: 4/2/2025 Age: From 3 To 5 Total Minutes: 245 Time In: 09:30 AM Time Out: 01:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance visit. Your last Annual Compliance visit was conducted on May 2, 2024. Your facility’s compliance history score prior to today’s visit was 91%. You, Tashina Patterson, Center Manager, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 60 children on first shift, ages 3-5 with an effective date of 11/7/2018. The following restrictions are listed: first shift, meets enhanced space, meets enhanced ratios, and reduced enhanced ratios minus 1. Your facility, owned by Salisbury-Rowan Community Action Agency Incorporated was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed the Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedules, activity plans, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities indoors and outdoors. There were a variety of materials available to children. Materials and furnishings were found to be developmentally appropriate. All medications and accompanying documentation were monitored. This facility does not provide transportation, but Price Head Start does provide transportation to some of the children at this facility. You had the Transportation Service Log sheets, insurance, and registration available for review. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on November 26, 2024 with zero (0) demerits and a superior classification. A fire inspection was conducted on October 7, 2024. There has been one new staff member hired since the last visit. I monitored their file and a portion of existing staff files during today’s visit. There are 28 children enrolled. I monitored a portion of the children’s records. The following violations were observed during today’s visit. Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 2, the prescription for an Albuterol inhaler expired on 2/5/2025 and was not returned to the parent or discarded. In Space 2, the authorization for an Albuterol inhaler expired on 3/16/2025 and was not returned to the parent or discarded. In Space 2, the authorization for a Symbicort inhaler expired on 3/13/2025 and was not returned to the parent or discarded. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical report signed by a health care professional was not on file for a staff member hired on 3/17/2025. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A TB test was not on file for a staff member hired on 3/17/2025. .0701(a) Technical Assistance: • To ensure that leftover medications are returned to the parent or discarded within 72 hours of authorization expiration, I recommended that a member of the administrative team conduct a monthly review of all medications on site. During the monthly review, they should document any medications set to expire within the month to ensure a follow-up check is conducted. • All medical reports and TB test documentation need to be thoroughly reviewed for completeness prior to a new staff member beginning work. This includes confirming that TB results are clearly documented and that the medical report is signed by a licensed healthcare provider. You stated that the main office completes the intake of all new hire paperwork prior to sending it to the facility. You stated that moving forward you will review incoming paperwork for completeness upon the receipt of the file. Consultation: • NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which includes moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for ITERS, ECERS, and FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025 and after will be assessed using the ERS-3 versions. • DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. 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 as stated in G.S. 110-90.2 & .2703(r) 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. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to 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. • Due to the recent impacts of Hurricane Helene and other natural disasters, the Clean Classrooms for Carolina Kids enrollment deadline has been revised statewide. Child care facilities that have not yet enrolled should complete the online process by May 31, 2025. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (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 against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 4/16/2025. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@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. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education 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 Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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 .2200 · Violation

Name of Operation: LIVINGSTONE HEAD START Facility ID: 80000258 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 5/2/2024 Number Present: 12 Completed Date: 5/2/2024 Age: From 3 To 5 Total Minutes: 175 Time In: 09:05 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 this visit is to monitor compliance with applicable child care. Ashlynn Vaughan, Child Care Consultant, accompanied me during today’s visit. The last Annual Compliance visit was conducted on May 10, 2023. This facility has a five-star license with the following restrictions listed: daytime care only and meets enhanced ratios minus one and enhanced space. The Environmental Rating Scale (ERS) assessments were conducted in October 2018. This program is part of cohort one and will be part of the Rated License and ERS assessment between July 1, 2024, to June 30, 2025. The 18-month compliance history was at 90% prior to today’s visit. Upon arrival, we were greeted by you, Tashina Patterson, Center Manager. The Secretary of State’s website was monitored and SALISBURY-ROWAN COMMUNITY ACTION AGENCY, INC. is current and active. We used the "Annual Compliance Monitoring Checklist for Centers" during today's visit. The children were observed during free choice activities and hand washing routines. Positive interactions between staff and children took place during today’s visit. Staff/child ratios, group size and supervision were monitored. The outdoor play area, outdoor inspections and emergency drill report were monitored. The last sanitation inspection was conducted on December 20, 2023, with two demerits and a superior classification. A fire inspection was conducted on February 6, 2024. This facility does not provide transportation but Price Head Start does provide transportation to some of the children at this facility. You had the Transportation Service Log Sheets, insurance, and registration available for review. Health and Safety was monitored. There are fourteen children enrolled. A portion of the children’s records were monitored. There is one new staff hired since my last visit. We monitored their file and a portion of the staffs’ files. We observed the following violations during the visit. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The yellow paint on the stairs and flooring of the two pieces of playground structures have areas in which the paint is chipping, flaking and peeling. G.S. 110-91(6); .0601(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member that began employment on 10/2/23 signed that she had reviewed the above policy on 4/22/24. .0608(d)(1-4) TECHNICAL ASSITANCE: -Monitor the outdoor play area daily for hazards, this includes checking the stationary equipment for rust and chipping paint. Remind staff to bring it to your attention if they have concerns so that it can be repaired or replaced in a timely manner. -We discussed that it is important to monitor the paperwork that families turn in to ensure that they have given you all the information needed. If there is a blank space families should be writing something. If it doesn't apply to their child, they can write “NA”. An example is families are required to write what their hospital preference is an case of emergency. -We discussed using the staff file checklist when hiring new staff to ensure that the staff member has all the required documents reviewed and signed before working with the children. This includes the Shaken Baby Prevention Policy. Consultation: -Contact Betty Trujillo, Early Education Program Lead at Smart Start Rowan, at (704) 603-3351 for technical assistance as you prepare for the rated license process. -Visit the North Carolina Rated License Assessment Project’s website: ncrlap.org. There are trainings and resources available for the Environmental Rating Scale (ERS) assessments. REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed, and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by May 16, 2024. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or the interim supervisor, Erin Pickard at erin.pickard@dhhs.nc.gov. Carolyn Conley Lead Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: LIVINGSTONE HEAD START Facility ID: 80000258 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 5/2/2024 Number Present: 12 Completed Date: 5/2/2024 Age: From 3 To 5 Total Minutes: 175 Time In: 09:05 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 this visit is to monitor compliance with applicable child care. Ashlynn Vaughan, Child Care Consultant, accompanied me during today’s visit. The last Annual Compliance visit was conducted on May 10, 2023. This facility has a five-star license with the following restrictions listed: daytime care only and meets enhanced ratios minus one and enhanced space. The Environmental Rating Scale (ERS) assessments were conducted in October 2018. This program is part of cohort one and will be part of the Rated License and ERS assessment between July 1, 2024, to June 30, 2025. The 18-month compliance history was at 90% prior to today’s visit. Upon arrival, we were greeted by you, Tashina Patterson, Center Manager. The Secretary of State’s website was monitored and SALISBURY-ROWAN COMMUNITY ACTION AGENCY, INC. is current and active. We used the "Annual Compliance Monitoring Checklist for Centers" during today's visit. The children were observed during free choice activities and hand washing routines. Positive interactions between staff and children took place during today’s visit. Staff/child ratios, group size and supervision were monitored. The outdoor play area, outdoor inspections and emergency drill report were monitored. The last sanitation inspection was conducted on December 20, 2023, with two demerits and a superior classification. A fire inspection was conducted on February 6, 2024. This facility does not provide transportation but Price Head Start does provide transportation to some of the children at this facility. You had the Transportation Service Log Sheets, insurance, and registration available for review. Health and Safety was monitored. There are fourteen children enrolled. A portion of the children’s records were monitored. There is one new staff hired since my last visit. We monitored their file and a portion of the staffs’ files. We observed the following violations during the visit. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The yellow paint on the stairs and flooring of the two pieces of playground structures have areas in which the paint is chipping, flaking and peeling. G.S. 110-91(6); .0601(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member that began employment on 10/2/23 signed that she had reviewed the above policy on 4/22/24. .0608(d)(1-4) TECHNICAL ASSITANCE: -Monitor the outdoor play area daily for hazards, this includes checking the stationary equipment for rust and chipping paint. Remind staff to bring it to your attention if they have concerns so that it can be repaired or replaced in a timely manner. -We discussed that it is important to monitor the paperwork that families turn in to ensure that they have given you all the information needed. If there is a blank space families should be writing something. If it doesn't apply to their child, they can write “NA”. An example is families are required to write what their hospital preference is an case of emergency. -We discussed using the staff file checklist when hiring new staff to ensure that the staff member has all the required documents reviewed and signed before working with the children. This includes the Shaken Baby Prevention Policy. Consultation: -Contact Betty Trujillo, Early Education Program Lead at Smart Start Rowan, at (704) 603-3351 for technical assistance as you prepare for the rated license process. -Visit the North Carolina Rated License Assessment Project’s website: ncrlap.org. There are trainings and resources available for the Environmental Rating Scale (ERS) assessments. REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed, and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by May 16, 2024. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or the interim supervisor, Erin Pickard at erin.pickard@dhhs.nc.gov. Carolyn Conley Lead Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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 .0901 · Violation

Name of Operation: LIVINGSTONE HEAD START Facility ID: 80000258 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 11/20/2023 Number Present: 12 Completed Date: 11/20/2023 Age: From 3 To 5 Total Minutes: 105 Time In: 11:30 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor applicable child care requirements. The last Annual Compliance visit was conducted on May 10, 2023. This facility has a five-star license with the following restrictions listed: daytime care only and meets enhanced ratios minus one and enhanced space. The Environmental Rating Scale (ERS) assessments were conducted in October 2018. This program is part of cohort one and will be part of the Rated License and ERS assessment between July 1, 2024 to June 30, 2025. The 18-month compliance history was at 92% prior to today’s visit. Upon arrival, I was greeted by Angela Robinson, FDS, and I stated the reason for my visit and asked if Brenda Davis, Interim Center Manager, was at the facility. She stated that you, Tashina Patterson, Center Manager, was in the kitchen. I introduced myself to you and you stated that you were promoted and took this position in August. We discussed that a Preservice for Administrators form will need to be completed and submitted to me. I stated that I would email you the form. The 18-month compliance history prior to today’s visit was at 93%. I observed the children during hand washing routines and eating lunch. The menu posted had fish sticks, pinto beans, and mixed fruit for today’s lunch. You prepared and served the children turkey wraps, salad, and oranges. I provided technical assistance on menu planning and the importance of revising the menu prior to serving the children. Review the menu prior to the new week to ensure that it is accurate. The following items were monitored: supervision, staff/child ratios, CPR and First Aid, special training, criminal background checks completed, general safety, discipline, Emergency Medical Care Plan, storage of hazardous products, adequate/approved space, program records, posted license and restrictions met. You stated that you have completed the EPR training and have updated the EPR plan which was monitored today. Emergency drills and outdoor inspections were monitored and are occurring as required. You stated that you are in the process of finding playground safety training. In the meantime, you have two staff members that have had the training and have been conducting the inspections. A sanitation inspection was completed on February 27, 2d 023 with six demerits. The last fire inspection was completed on December 19, 2022. I provided technical assistance and state that it is best practice to contact the fire inspector sixty days prior to the anniversary of last year’s inspection. I encouraged you to contact the inspector as soon as possible. This will ensure that your inspection is completed within twelve months. There was one new staff hired since the last visit conducted. You and one other staff member have transferred from other Head Start programs. The following violations were observed corrected during today’s visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan posted was for the week of 11/13/23. GS 110-91(12); .0508(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu posted had fish sticks, pinto beans, and mixed fruit for today’s lunch. You prepared and served the children turkey wraps, salad, and oranges. 10A NCAC 09 .0901(b) 9995 A violation was found for which there is no item number. A violation was found for which there is no item number. .2820(c) Non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent (soapy water) solutions. Hand soap other than that which is in bulk containers is not required to be kept out of reach of children or in locked storage. The sanitizer and disinfectant spray were hanging from a shelf above the hand washing sink and they were not at least five feet from the floor. TECHNICAL ASSISTANCE/RESOURCES: -Are you wondering about the assessment process or what options there are during the preparation (prep) year for Cohorts 1, 2, or 3? Please visit the North Carolina Rated License Assessment Project (NCRLAP) website: ncrlap.org and encourage your staff to visit as well. -The Summary of Law brochure and poster have been updated and can be found on the DCDEE website under “Provider Documents”. Please make sure to give enrolling families the revised brochure and post the revised poster. -Remind staff to keep cleaning solutions at least five feet from the floor. When they are hung on the shelf, they are not five feet from the floor. -Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. -Kimberly Cruz, Child Care Health Consultant, is available for assistance with health education for staff and children. You can reach her at kimberly.cruz@rowancountync.gov or704-216-8806. -The North Carolina child Care Resource and Referral Council (CCR&R) now has a challenging behavior helpline that staff can call and speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classrooms: 1-888-600-1685 option 1. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or Erin Pickard, Supervisor, erin.pickard@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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: LIVINGSTONE HEAD START Facility ID: 80000258 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 11/20/2023 Number Present: 12 Completed Date: 11/20/2023 Age: From 3 To 5 Total Minutes: 105 Time In: 11:30 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor applicable child care requirements. The last Annual Compliance visit was conducted on May 10, 2023. This facility has a five-star license with the following restrictions listed: daytime care only and meets enhanced ratios minus one and enhanced space. The Environmental Rating Scale (ERS) assessments were conducted in October 2018. This program is part of cohort one and will be part of the Rated License and ERS assessment between July 1, 2024 to June 30, 2025. The 18-month compliance history was at 92% prior to today’s visit. Upon arrival, I was greeted by Angela Robinson, FDS, and I stated the reason for my visit and asked if Brenda Davis, Interim Center Manager, was at the facility. She stated that you, Tashina Patterson, Center Manager, was in the kitchen. I introduced myself to you and you stated that you were promoted and took this position in August. We discussed that a Preservice for Administrators form will need to be completed and submitted to me. I stated that I would email you the form. The 18-month compliance history prior to today’s visit was at 93%. I observed the children during hand washing routines and eating lunch. The menu posted had fish sticks, pinto beans, and mixed fruit for today’s lunch. You prepared and served the children turkey wraps, salad, and oranges. I provided technical assistance on menu planning and the importance of revising the menu prior to serving the children. Review the menu prior to the new week to ensure that it is accurate. The following items were monitored: supervision, staff/child ratios, CPR and First Aid, special training, criminal background checks completed, general safety, discipline, Emergency Medical Care Plan, storage of hazardous products, adequate/approved space, program records, posted license and restrictions met. You stated that you have completed the EPR training and have updated the EPR plan which was monitored today. Emergency drills and outdoor inspections were monitored and are occurring as required. You stated that you are in the process of finding playground safety training. In the meantime, you have two staff members that have had the training and have been conducting the inspections. A sanitation inspection was completed on February 27, 2d 023 with six demerits. The last fire inspection was completed on December 19, 2022. I provided technical assistance and state that it is best practice to contact the fire inspector sixty days prior to the anniversary of last year’s inspection. I encouraged you to contact the inspector as soon as possible. This will ensure that your inspection is completed within twelve months. There was one new staff hired since the last visit conducted. You and one other staff member have transferred from other Head Start programs. The following violations were observed corrected during today’s visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan posted was for the week of 11/13/23. GS 110-91(12); .0508(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu posted had fish sticks, pinto beans, and mixed fruit for today’s lunch. You prepared and served the children turkey wraps, salad, and oranges. 10A NCAC 09 .0901(b) 9995 A violation was found for which there is no item number. A violation was found for which there is no item number. .2820(c) Non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent (soapy water) solutions. Hand soap other than that which is in bulk containers is not required to be kept out of reach of children or in locked storage. The sanitizer and disinfectant spray were hanging from a shelf above the hand washing sink and they were not at least five feet from the floor. TECHNICAL ASSISTANCE/RESOURCES: -Are you wondering about the assessment process or what options there are during the preparation (prep) year for Cohorts 1, 2, or 3? Please visit the North Carolina Rated License Assessment Project (NCRLAP) website: ncrlap.org and encourage your staff to visit as well. -The Summary of Law brochure and poster have been updated and can be found on the DCDEE website under “Provider Documents”. Please make sure to give enrolling families the revised brochure and post the revised poster. -Remind staff to keep cleaning solutions at least five feet from the floor. When they are hung on the shelf, they are not five feet from the floor. -Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. -Kimberly Cruz, Child Care Health Consultant, is available for assistance with health education for staff and children. You can reach her at kimberly.cruz@rowancountync.gov or704-216-8806. -The North Carolina child Care Resource and Referral Council (CCR&R) now has a challenging behavior helpline that staff can call and speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classrooms: 1-888-600-1685 option 1. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or Erin Pickard, Supervisor, erin.pickard@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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