10A NCAC 09 .2902 · Violation

Name of Operation: SHAWBORO ELEMENTARY PRESCHOOL Facility ID: 27000126 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 12/11/2024 Number Present: 9 Completed Date: 12/11/2024 Age: From 3 To 5 Total Minutes: 240 Time In: 08:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s Annual Compliance visit was to monitor compliance with applicable child care requirements. Monitoring included Developmental Day requirements in the NC Child Care Rules Section .2900 which are applicable to Room 300. The facility is approved for NCPre-K but currently has no NCPre-K slots. Room 407 is approved primary space but is not currently being used for Pre-K. Last Annual Compliance visit – 1/24/24 18-month compliance history from 6/7/23 – 12/6/24 = 97% Last Sanitation Inspection – 10/9/24 - Superior Last Fire Inspection – 5/16/24 – Satisfactory Daytime Care Only *Sanitation and fire inspections are required at least annually by the date of the previous inspection. Send fire inspections to me within seven (7) days of the inspection. Required Water, Lead Paint, and Asbestos Testing - The Clean Classrooms for Carolina Kids website reflects the following information about your center’s required three-year water testing and one-time lead paint testing, and asbestos testing: Three-year Water Testing – 3-year water testing was due 4/14/24; sample kit has been shipped to facility but water testing has not been completed – Determine where sample kit is or contact RTI to request new sample kit Lead Paint Testing – exempt per RTI Asbestos Testing – exempt per RTI Maintain any paperwork received by mail or email in your Program Records file. *Because program is part of a larger DPI school, water testing for the school may count as testing for the licensed Pre-K; however, the Pre-K program should enroll separately for the lead paint testing and asbestos testing to take advantage of the 100% reimbursement for mitigation if lead paint or asbestos is found. *For more information check out the FAQ page at https://www.cleanwaterforuskids.org/en/carolina/. G. Nelson, Administrator, was present, but the Pre-K staff assisted me with the visit. The facility currently operates with a Five-Star Center License, issued 3/1/2023, earning points in the following components: Program (7 PTS) + Education (7 PTS) + Quality Point (1 PT) = 15 Points = 5 Stars *Quality Point met and remains in effect: 75% of teachers have an AAS or higher in ECE/CD. The next rated license assessment is due by 3/1/26, but changes to the rated license process may change the due date as the new Quality Rating Improvement System (QRIS) is developed and implemented. Note that the current program assessment tool is changing from the Early Childhood Environment Rating Scale – Revised (ECERS-R) to the Early Childhood Environment Rating Scale – 3 (ECERS-3). Information and training on the new program assessment tool is available on the NC Rating License Assessment Project website at https://ncrlap.org/. See Additional Comments for information sessions on the modernized QRIS. This facility is owned by Currituck County Schools. Please contact me prior to any information change regarding the ownership of this facility. License information was current. Contact me to make any changes to address, phone, or email or to request changes to the license. I monitored the classrooms and spaces used for child care and outdoor play area for applicable child care center requirements using the Child Care Center Requirements, effective 11/1/2024 and Item Numbers Listing, effective 3/2024. I monitored two staff records, two children’s records and all program records. The facility meets DPI requirements for transportation. The developmental day requirements in Section .2900 of the child care rules were monitored for compliance. Staff-child ratios were 1:6, or 2:12 or better, as required in Child Care Rule 10A NCAC 09 .2902(f). DDPK Teacher assigned to the classroom (A. Powell) has a NC B-K License; the administrator holds a Principal License with a NCECAC III. The program operates 7:30am – 2:30am Monday – Friday on a school-year schedule. Some children have modified schedules. Children’ three years of age leave after lunch. Children’s individual plans for care and developmentally appropriate activities are followed and opportunities for inclusion with children who are typically developing are offered. The facility provides all six of the following family involvement: monthly newsletters, parent/teacher conferences/IEP meetings at least twice a year, communicating with parents individually through daily notes, progress reports, opportunities for parent volunteers, providing families with referral information on community programs and resources. The program completed an Early Childhood Environment Rating Scale – Revised (ECERS-R) in the NCPreK classroom on 11/1/2022 and scored 5.24 points. Center Observations: Nine children, three through five years of age, were present with two teachers and a one-on-one assistant. They had played outdoors before the rain started and were gathered in circle time, welcoming each other with a choice of a high-five, fist bump or hug. Hugs were popular. They talked about the weather and transitioned to free play. A therapist came into the classroom to work with a child. Children worked two at a time with the teacher assistant making and decorating their Christmas trees. Skills included painting, gluing, and picking out different color sequins and bows for Christmas tree decorations. They played with puppets, looked at books, and rested in the cozy area when needed. They washed hands before lunch. Lunch was choice of Salisbury steak with mashed potatoes and gravy with roll or corndog nuggets, choice of carrots, salad, bananas, or diced peaches, and milk. Children who brought lunches from home had nutrition opt-out forms. After lunch, they returned to the classroom, washed hands and played an indoor gross motor ring toss game since it had started raining. The children, three years of age, departed at 11:45am while the older children continued to play before taking a nap. I observed and documented the following violation during today’s visit. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A pump bottle of Boogie diaper spray was stored in a low drawer with diapers and pull-ups in the bathroom within reach of children. 15A NCAC 18A .2820(d) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4)(d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and provided a printed copy of it to you, G. Nelson. I will email an electronic version to R. Palumbo, Pre-K Coordinator. We reviewed the visit summary and violation documented during today’s visit. The violation was corrected during the visit so no further action is required except to ensure that all potentially hazardous products or medications are stored correctly If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199. Technical Assistance With Documented Violation: , Storage of Medication - Improper storage of medications results in millions of accidental poisonings in children annually. In the bathroom, a diapering product, Boogie Pump Diaper Spray, was stored in a diaper drawer that was not out of reach of children. The teacher immediately corrected this by hanging the diaper spray in a bag so that it was out of reach of children. All medications (topical ointments and creams, OTC, and prescription) must be inaccessible to children. Diaper creams and lotions may be stored out of reach, on a shelf or in a cabinet at least five feet or higher. OTC and prescription medications must be locked. This violation was corrected so no further action is required except to safely store diaper products out of reach. General Visit Information: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The most recent versions of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. You can also review the “What’s New” section and download a copy of the Items Number Listing which you can use as a checklist for your program. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Encourage your staff to sign up for What’s New Information. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies and Child Care Health Consultants provide general training to meet on-going training hours, health and safety training requirements, Environment Rating Scale training and training specific to your center’s needs. They can also work with you to provide on-site technical assistance. *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone – (252) 333-1233; website - www.aacfnc.org . *Child Care Health Consultant – C. Smith - (252) 340-0212 or cindy@aacfnc.org *Healthy Behaviors Specialist: P. White – Phone (252) 333-1233; pam@aacfnc.org Reminders: ABCMS Portal - The process of notifying the Division when you have new staff (or household members for family child care homes and centers licensed in a residence) has changed and is now captured in ABCMS, the new Criminal Background Check portal. R. Palumbo, Pre-K Coordinator, has completed the ABCMS Provider Portal Training and has received facility codes for each Currituck County Pre-K program to access the ABCMS Provider Portal where she can verify each facility roster to ensure current staff are listed. If staff are not listed, provide them with the facility code so they can log into complete a Connecting Application (no fee) and be added to your rosters. You can “remove” staff listed on your roster who are no longer working at your programs. Moving forward, you will update this information in ABCMS within five days as staff members are hired or terminated. Staff can be connected to multiple facilities. A staff person who manages multiple facilities can receive multiple facility access codes. • This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. • If you need assistance, contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • I will review your facility roster to verify that current staff are listed at your next visit. Staff Worksheets – We reviewed your staff worksheet. I highlighted items that are coming due in the next year. See below. Health and Safety Training and Five (5) Year Cycle Tracking Requirements – Review Row 17 on Staff Worksheet for five-year H&S Training renewal dates. *A. Powell– 5 year H&S renewal - due 5/31/25 – Has completed some topic areas; the following topic areas are to be completed by 5/31/25 Prevention and control of infectious diseases, including immunizations : Precautions in transporting children (if applicable) Prevention of Shaken Baby Syndrome/Abusive Head Trauma and child maltreatment On-going Training Hours – Review Row 18 (# hours to carry over) on the Staff Worksheets to determine how many on-going training hours returning staff will need by 12/11/25 (anniversary to today’s Annual Compliance visit). School Critical Incident Plan - Licensed DPI programs are not required to complete a separate Emergency Preparedness Plan if they follow the school’s Critical Incident Plan (or similar type of plan for emergency responses). They are expected to have documentation of monthly fire drills and quarterly emergency drills – shelter-in-place or lock-down). Fire drills must be completed for any month or partial month the Pre-K or ASEP is operating. An emergency drill must be completed every 3 months (August - ). If the school does not complete quarterly emergency drills, the Pre-K classrooms need to conduct their own drills. *Consider having a “soft” emergency drill in September to discuss the fire and emergency drills and practice going to the safe spaces without the noise and commotion of a school-wide drill. Additional Comments: I shared information on the following topics and emailed the information to you after the visit: 1. QRIS Information Sessions 2. Environment Rating Scales – Get Ready for the 3’s! 3. Free Webinar – Choice vs Preference – Tuesday, 12/17/24 4. November Rule Changes – Training Modules in Moodle 5. Moodle Support 6. NCID – Keep it active! Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today, and I encourage you to share with staff and use the information as a teaching tool. If you have any questions, do not hesitate to call or email me at the contact information listed above. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: SHAWBORO ELEMENTARY PRESCHOOL Facility ID: 27000126 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 12/11/2024 Number Present: 9 Completed Date: 12/11/2024 Age: From 3 To 5 Total Minutes: 240 Time In: 08:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s Annual Compliance visit was to monitor compliance with applicable child care requirements. Monitoring included Developmental Day requirements in the NC Child Care Rules Section .2900 which are applicable to Room 300. The facility is approved for NCPre-K but currently has no NCPre-K slots. Room 407 is approved primary space but is not currently being used for Pre-K. Last Annual Compliance visit – 1/24/24 18-month compliance history from 6/7/23 – 12/6/24 = 97% Last Sanitation Inspection – 10/9/24 - Superior Last Fire Inspection – 5/16/24 – Satisfactory Daytime Care Only *Sanitation and fire inspections are required at least annually by the date of the previous inspection. Send fire inspections to me within seven (7) days of the inspection. Required Water, Lead Paint, and Asbestos Testing - The Clean Classrooms for Carolina Kids website reflects the following information about your center’s required three-year water testing and one-time lead paint testing, and asbestos testing: Three-year Water Testing – 3-year water testing was due 4/14/24; sample kit has been shipped to facility but water testing has not been completed – Determine where sample kit is or contact RTI to request new sample kit Lead Paint Testing – exempt per RTI Asbestos Testing – exempt per RTI Maintain any paperwork received by mail or email in your Program Records file. *Because program is part of a larger DPI school, water testing for the school may count as testing for the licensed Pre-K; however, the Pre-K program should enroll separately for the lead paint testing and asbestos testing to take advantage of the 100% reimbursement for mitigation if lead paint or asbestos is found. *For more information check out the FAQ page at https://www.cleanwaterforuskids.org/en/carolina/. G. Nelson, Administrator, was present, but the Pre-K staff assisted me with the visit. The facility currently operates with a Five-Star Center License, issued 3/1/2023, earning points in the following components: Program (7 PTS) + Education (7 PTS) + Quality Point (1 PT) = 15 Points = 5 Stars *Quality Point met and remains in effect: 75% of teachers have an AAS or higher in ECE/CD. The next rated license assessment is due by 3/1/26, but changes to the rated license process may change the due date as the new Quality Rating Improvement System (QRIS) is developed and implemented. Note that the current program assessment tool is changing from the Early Childhood Environment Rating Scale – Revised (ECERS-R) to the Early Childhood Environment Rating Scale – 3 (ECERS-3). Information and training on the new program assessment tool is available on the NC Rating License Assessment Project website at https://ncrlap.org/. See Additional Comments for information sessions on the modernized QRIS. This facility is owned by Currituck County Schools. Please contact me prior to any information change regarding the ownership of this facility. License information was current. Contact me to make any changes to address, phone, or email or to request changes to the license. I monitored the classrooms and spaces used for child care and outdoor play area for applicable child care center requirements using the Child Care Center Requirements, effective 11/1/2024 and Item Numbers Listing, effective 3/2024. I monitored two staff records, two children’s records and all program records. The facility meets DPI requirements for transportation. The developmental day requirements in Section .2900 of the child care rules were monitored for compliance. Staff-child ratios were 1:6, or 2:12 or better, as required in Child Care Rule 10A NCAC 09 .2902(f). DDPK Teacher assigned to the classroom (A. Powell) has a NC B-K License; the administrator holds a Principal License with a NCECAC III. The program operates 7:30am – 2:30am Monday – Friday on a school-year schedule. Some children have modified schedules. Children’ three years of age leave after lunch. Children’s individual plans for care and developmentally appropriate activities are followed and opportunities for inclusion with children who are typically developing are offered. The facility provides all six of the following family involvement: monthly newsletters, parent/teacher conferences/IEP meetings at least twice a year, communicating with parents individually through daily notes, progress reports, opportunities for parent volunteers, providing families with referral information on community programs and resources. The program completed an Early Childhood Environment Rating Scale – Revised (ECERS-R) in the NCPreK classroom on 11/1/2022 and scored 5.24 points. Center Observations: Nine children, three through five years of age, were present with two teachers and a one-on-one assistant. They had played outdoors before the rain started and were gathered in circle time, welcoming each other with a choice of a high-five, fist bump or hug. Hugs were popular. They talked about the weather and transitioned to free play. A therapist came into the classroom to work with a child. Children worked two at a time with the teacher assistant making and decorating their Christmas trees. Skills included painting, gluing, and picking out different color sequins and bows for Christmas tree decorations. They played with puppets, looked at books, and rested in the cozy area when needed. They washed hands before lunch. Lunch was choice of Salisbury steak with mashed potatoes and gravy with roll or corndog nuggets, choice of carrots, salad, bananas, or diced peaches, and milk. Children who brought lunches from home had nutrition opt-out forms. After lunch, they returned to the classroom, washed hands and played an indoor gross motor ring toss game since it had started raining. The children, three years of age, departed at 11:45am while the older children continued to play before taking a nap. I observed and documented the following violation during today’s visit. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A pump bottle of Boogie diaper spray was stored in a low drawer with diapers and pull-ups in the bathroom within reach of children. 15A NCAC 18A .2820(d) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4)(d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and provided a printed copy of it to you, G. Nelson. I will email an electronic version to R. Palumbo, Pre-K Coordinator. We reviewed the visit summary and violation documented during today’s visit. The violation was corrected during the visit so no further action is required except to ensure that all potentially hazardous products or medications are stored correctly If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199. Technical Assistance With Documented Violation: , Storage of Medication - Improper storage of medications results in millions of accidental poisonings in children annually. In the bathroom, a diapering product, Boogie Pump Diaper Spray, was stored in a diaper drawer that was not out of reach of children. The teacher immediately corrected this by hanging the diaper spray in a bag so that it was out of reach of children. All medications (topical ointments and creams, OTC, and prescription) must be inaccessible to children. Diaper creams and lotions may be stored out of reach, on a shelf or in a cabinet at least five feet or higher. OTC and prescription medications must be locked. This violation was corrected so no further action is required except to safely store diaper products out of reach. General Visit Information: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The most recent versions of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. You can also review the “What’s New” section and download a copy of the Items Number Listing which you can use as a checklist for your program. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Encourage your staff to sign up for What’s New Information. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies and Child Care Health Consultants provide general training to meet on-going training hours, health and safety training requirements, Environment Rating Scale training and training specific to your center’s needs. They can also work with you to provide on-site technical assistance. *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone – (252) 333-1233; website - www.aacfnc.org . *Child Care Health Consultant – C. Smith - (252) 340-0212 or cindy@aacfnc.org *Healthy Behaviors Specialist: P. White – Phone (252) 333-1233; pam@aacfnc.org Reminders: ABCMS Portal - The process of notifying the Division when you have new staff (or household members for family child care homes and centers licensed in a residence) has changed and is now captured in ABCMS, the new Criminal Background Check portal. R. Palumbo, Pre-K Coordinator, has completed the ABCMS Provider Portal Training and has received facility codes for each Currituck County Pre-K program to access the ABCMS Provider Portal where she can verify each facility roster to ensure current staff are listed. If staff are not listed, provide them with the facility code so they can log into complete a Connecting Application (no fee) and be added to your rosters. You can “remove” staff listed on your roster who are no longer working at your programs. Moving forward, you will update this information in ABCMS within five days as staff members are hired or terminated. Staff can be connected to multiple facilities. A staff person who manages multiple facilities can receive multiple facility access codes. • This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. • If you need assistance, contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • I will review your facility roster to verify that current staff are listed at your next visit. Staff Worksheets – We reviewed your staff worksheet. I highlighted items that are coming due in the next year. See below. Health and Safety Training and Five (5) Year Cycle Tracking Requirements – Review Row 17 on Staff Worksheet for five-year H&S Training renewal dates. *A. Powell– 5 year H&S renewal - due 5/31/25 – Has completed some topic areas; the following topic areas are to be completed by 5/31/25 Prevention and control of infectious diseases, including immunizations : Precautions in transporting children (if applicable) Prevention of Shaken Baby Syndrome/Abusive Head Trauma and child maltreatment On-going Training Hours – Review Row 18 (# hours to carry over) on the Staff Worksheets to determine how many on-going training hours returning staff will need by 12/11/25 (anniversary to today’s Annual Compliance visit). School Critical Incident Plan - Licensed DPI programs are not required to complete a separate Emergency Preparedness Plan if they follow the school’s Critical Incident Plan (or similar type of plan for emergency responses). They are expected to have documentation of monthly fire drills and quarterly emergency drills – shelter-in-place or lock-down). Fire drills must be completed for any month or partial month the Pre-K or ASEP is operating. An emergency drill must be completed every 3 months (August - ). If the school does not complete quarterly emergency drills, the Pre-K classrooms need to conduct their own drills. *Consider having a “soft” emergency drill in September to discuss the fire and emergency drills and practice going to the safe spaces without the noise and commotion of a school-wide drill. Additional Comments: I shared information on the following topics and emailed the information to you after the visit: 1. QRIS Information Sessions 2. Environment Rating Scales – Get Ready for the 3’s! 3. Free Webinar – Choice vs Preference – Tuesday, 12/17/24 4. November Rule Changes – Training Modules in Moodle 5. Moodle Support 6. NCID – Keep it active! Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today, and I encourage you to share with staff and use the information as a teaching tool. If you have any questions, do not hesitate to call or email me at the contact information listed above. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: SHAWBORO ELEMENTARY PRESCHOOL Facility ID: 27000126 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 9/11/2023 Number Present: 3 Completed Date: 9/11/2023 Age: From 3 To 4 Total Minutes: 170 Time In: 09:00 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced * The purpose of today’s Routine Unannounced visit was to monitor compliance with applicable child care requirements. Monitoring included Developmental Day requirements in the NC Child Care Rules Section .2900. Last Annual Compliance visit – 3/1/2023 Last Sanitation Inspection – 5/2/2023 with Superior Rating; expires 5/2/2024 Last Fire Inspection – 8/16/2023 with Satisfactory rating; approved for daytime only; expires 8/16/2024 *Sanitation and fire inspections are required at least annually by the date of the previous inspection. Send fire inspections to me within seven (7) days of the inspection. 18-month compliance history from 3/8/2022 – 9/7/2023 = 95% G. Nelson, Administrator, was present, but the Pre-K staff assisted me with the visit. The facility currently operates with a Five-Star Center License, issued 3/1/2023, earning points in the following components: Program (7 PTS) + Education (7 PTS) + Quality Point (1 PT) = 15 Points = 5 Stars *Quality Point met and remains in effect: 75% of teachers have an AAS or higher in ECE/CD. The program was also monitored for compliance with implementing an approved curriculum (High Scope) as required for all four and five star facilities where four-year old children are enrolled. The next rated license assessment is due by 3/1/2026. See below for more information about the Division’s plan to return to rated license assessments. This facility is owned by Currituck County Schools. Please contact me prior to any information change regarding the ownership of this facility. Facility contact information and license information were current. Contact me to make any changes to address, phone, or email or to request changes to the license. I monitored the classrooms and spaces used for child care and outdoor play area for applicable child care center requirements using the Child Care Center Requirements, effective 7/1/2023 and Item Number Listing, effective 6/2022. There were no new staff to monitor. I monitored program records. The facility offers transportation and meets DPI requirements. The developmental day requirements in Section .2900 of the child care rules were monitored for compliance. Staff-child ratios were 1:6, or 2:12 or better, as required in Child Care Rule 10A NCAC 09 .2902(f). DDPK Teacher assigned to the classroom (A. Powell) has completed her NC B-K License and submitted it to DPI for approval but needs to upload it to Works; the administrator holds a Principals License and has applied for a NCECAC III. The program operates 7:30am – 2:30am Monday – Friday on a school-year schedule. Children’s individual plans for care and developmentally appropriate activities are followed and opportunities for inclusion with children who are typically developing are offered. The facility provides all six of the following family involvement: monthly newsletters, parent/teacher conferences/IEP meetings at least twice a year, communicating with parents individually through daily notes, progress reports, opportunities for parent volunteers, providing families with referral information on community programs and resources. The program completed an Early Childhood Environment Rating Scale – Revised (ECERS-R) in the NCPreK classroom on 11/1/2022 and scored 5.24 points. Center Observations: Two teachers were present with three children, three and four years of age. They had been outside earlier when it was cooler and were engaged in free play. On the playground they could play on a complex climber and a smaller tube climber. A portable slide was also available for children who were not quite confident enough for the larger slide. Cozy coupes provided a mode of transportation around the playground. Toys were available for dramatic and sand play. Indoors, the teachers worked with the children as they played with toys, encouraging their language and cognitive skills. One child stepped onto a little stage and danced to some music. Before lunch they washed hands and used the hand rope to walk to the cafeteria. They ate at an appropriately sized table with small chairs. Lunch was choice of bacon cheeseburger on whole grain bun or peanut butter and jelly sandwich, choice of fruit juice or fresh orange slices, and green beans and sweet potato tots, and milk. One child brought lunch. The teacher stated that he as a Nutrition Opt-Out form in his file. Interactions were positive and nurturing. I observed and documented the following violation during today’s visit. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A current medication permission form for an asthma inhaler was not available. An expired medication permission form from the previous school year for the same medication was available in the child's file. Staff have not administered the medication. 10A NCAC 09 .0803(1)(a & b) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4)(d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and provided a printed copy of it to A. Powell, DDPre-K Teacher. We reviewed the visit summary and violation(s) documented during today’s visit. Correct these immediately. Send evidence of correction to me so that I receive it no later than 9/25/2023. The compliance verification letter needs to state the facility name and license number and list each violation by Item # and describe in detail when and how each violation has been corrected. Send compliance verification letter in an email from the center’s official email address, rpalumbo@currituck.k12.nc.us to my email address, Marjorie.White@dhhs.nc.gov. If sent from another email address, the center’s official address must be Cc’d in the compliance email. You may include the compliance verification as an attachment or in the body of the email. If sufficient information is not received by the due date, a follow-up visit may be conducted. *I will email a sample compliance verification letter to you. *Please be aware that any information submitted by you is legal documentation. If it is determined the information provided in the compliance letter is not true, this may be considered falsification of information. If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199 or Jennifer.Linhardt@dhhs.nc.gov. TECHNICAL ASSISTANCE WITH DOCUMENTED VIOLATION: Medication Permission Forms - All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. A medication form for an Advair HCL inhaler for LJ was accompanied by a medical action plan, but the medication permission form was not available. The teacher checked with the nurse. She stated that the mother had brought in a permission form but did not complete it correctly, and she returned the form to be completed. An expired medication permission form was available in the child’s file from last year’s medication. Medication permission forms for OTC, prescription, and emergency medication have an administration log as part of the form. This must be completed any time the medication is given. Medication permission forms are valid for a defined length of time and must be updated, if needed. I shared a copy of the DCDEE medication permission forms for medications for chronic conditions. This form is valid for six months so will need to be renewed by March 2023 if completed this month. You may also choose to use the school’s medication permission form that I saw in another child’s file because it includes all required information. I encourage you to review the section in the NC Child Care Requirements on medication: 10A NCAC 09 .0803 Administering Medication in Child Care Centers. *This is a repeated violation from last year. Put a system in place that parents may not leave medication until the required documents (Medical Action Plan, if needed, and medication permission form) are received and reviewed to include all required information. GENERAL VISIT INFORMATION: Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated 7/1/23) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies are available to assist you with technical assistance and training on a multitude of topics including but not limited to: Environment Rating Scales, healthy behaviors and classroom management, developmentally appropriate practice, EPR plans, activity plans, NC Foundations for Early Learning (developmental domains), etc. Child Care Health Consultants can provide training and technical assistance on topics related to health and safety such as sanitation, handwashing, diapering, illness policies, etc. *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone (252) 333-1233; website - www.aacfnc.org . *Child Care Health Consultant: C. Smith – Phone (252) 340-0212 or cindy@aacfnc.org REMINDERS: Off-site Verification Records – I provided you with a copy of DPI Off-site Children’s Records, Off-site Staff Records, and Transportation forms and will email them to you also. Have the person who is designated to ensure that all records are received to complete and return these to me by October 15, 2023. Criminal Background Checks (CBC) – Federal requirements require all staff who work in licensed afterschool or pre-k programs operated by public schools complete a DCDEE Criminal Background Check (CBC) before hire and then every five years. This includes administrators, teachers, teacher assistants, program coordinators, group leaders, assistant group leaders, substitutes, one-on-one assistants, therapists if therapy does not take place in the classroom, and bus drivers. *If therapists take children out of the classroom for therapy, they are required to have a criminal background check. If therapy is completed in the classroom under the supervision of the teachers, a criminal background check is not required. Health and Safety Training and Five (5) Year Cycle Tracking Requirements – Review Row 17 on Staff Worksheet for staff members needing initial H&S Training or five-year renewal. New staff are required to complete Health & Safety Training (H&S Training) within one year of hire (CPR/First Aid and Recognizing and Responding to Suspicions of Child Maltreatment within 3 months of hire) and then complete training in all topic areas every five years. *L. Brothers – five-year renewal due 10/31/2023; completed – I will review at annual compliance visit. Staff Education and Works – A. Powell needs to update her Works account. Complete a DPI Teacher Education Form and upload it with her Initial B-K License to Works. Request to be approved as a DPI Teacher/Lead Teacher. Ms. Powell was working on this. Critical Incident Plan and Emergency Medical Care Plan (EMCP) - • Licensed DPI programs are not required to complete a separate Emergency Preparedness Plan if they follow the school’s Critical Incident Plan (or similar type of plan for emergency responses). They are expected to have documentation of monthly fire drills and quarterly emergency drills – shelter-in-place or lock-down). Fire drills must be completed for any month or partial month the Pre-K or ASEP is operating. A quarterly emergency drill must be completed each quarter (July – September; October – December, January – March; April – June). • A current Emergency Medical Care Plan is required to be posted in a central location and updated to reflect current staff and assigned duties in a medical emergency. At least one person listed on EMCP must be on site. • Review the Emergency Medical Care Plan School Critical Incident Plan/Response Plan with staff at hire and annually. Spray Bottles in Bathroom - The disinfectant was hanging on a bar over the diaper table in the bathroom where it was out of reach of children from the floor but not out of reach from a child on the diaper table. Install hooks or shelves near the diaper table but not over the diaper table to hang detergent solution, sanitizer and disinfectant out of reach of children but easily accessible for staff needing to clean and disinfectant the diaper table and spray the sink after being used for diaper changing and toileting and before being used for other handwashing. ADDITIONAL COMMENTS: I shared information on the following topics: 1. Environmental Health Rules Update 2. New Rules – July 2023 – enhanced outdoor space, cooperative arrangements, multi-age grouping 3. New Challenging Behaviors Helpline! 4. NC Rated License Assessment Project (NCRLAP) Resources 5. NCID TRANSITION BACK TO RATED LICENSE ASSESSMENTS AND COHORTS To transition back to rated license assessments, the Division has created a two-year Cohort Model. All facilities are assigned to one of three cohorts based on their current rated license assessment due date. Each cohort will have a year for preparation and a year for assessment. (However, you are encouraged to begin preparations now so that you are ready when your cohort group is due!) Your is due for a three-year rated license reassessment by 3/1/2026 and has been assigned to Cohort 3. The Cohort 3 Rated License Preparation Year is from 7/1/2025 – 6/30/2026. During your preparation year, if you are interested in having the Environment Rating Scales completed, review the ECERS-R by obtaining the manuals for each classroom and looking for assessment related resources at ncrlap.org. Request technical assistance and training for your staff from Albemarle Alliance for Children and Families (AACF) You can request and complete an ECERS-R during your preparation year. If your scores help you meet or exceed your current star rating and you are ready to move forward with your rated license assessment, you may choose to do so during your preparation year. Your preparation year is also the time to continue to work on staff education and ensure that Works accounts are completed and up to date for staff members. The Cohort 3 Rated License Assessment Year is from 7/1/2026 – 6/30/2027. During your assessment year you may choose to complete the ECERS-R again at no cost even if you completed them during your preparation year. Use the feedback from your preparation year scores to create a plan to improve your scores. During this year, all education needs to be posted in Works. At some point during that year, you will have your rated license assessed. Technical Assistance to Improve ECERS-R Scores – The website for the NC Rated License Assessment Project (NCRLAP), www.ncrlap.org , has a wealth of resources and training opportunities to help you intentionally prepare for your upcoming ECERS-R assessment. From the main webpage, you can access self-assessment tools to review each subscale in detail and determine how you can make improvements in each area. See “Thinking More About Space and Furnishing,” “Thinking More About Personal Care Routines,” “Thinking More About Language and Interactions,” “Thinking More About Activities,” and “Thinking More About Program Structure.” Taking the time to work through these activities with your staff and using that self-reflection to purchase materials, rearrange your classrooms, work on interactions, improve daily routines, etc. will help you improve your environment and your scores. Also check out the training options under the training tab. Trainings are both self-guided and live (virtual). You and your staff can earn training credit for participating in these trainings. In 2022, you scored lowest on Subscale 2 of the ECERS-R: Personal Care Routines. Look at the following and consider ways to improve your scores: Item #10: Meals/snacks – Children are required to wash their hands before meals and snacks. Once they wash their hands in the classroom, they need to move to the cafeteria without recontaminating their hands by touching each other, the walls and the floor. This requires a lot of reminders and practice. Consider having meals in the classroom where a sink is available and avoid the transition to and from the cafeteria. Item #12: Toileting/diapering – When a sink is used for both handwashing after diapering/toileting and for other purposes (upon arrival, before and after meals and snacks, upon return from the playground, after messy play), it must be disinfected after being used for toileting and diapering before it is used for other handwashing. Have a disinfectant spray bottle available out of reach near the sink, and spray after the sink is used for handwashing after toileting or diapering. Maintaining sanitary conditions during diapering reduces the spread of contamination from one child to another. Review diaper changing procedures and practice so that they become habit. 1. Wash hands and prepare for diapering by gathering supplies (diapers, wipes, diaper crème, bag for dirty clothes, clean clothes). Remove enough wipes from container and place a dab of diaper crème, if needed, on a disposable piece of paper or tissue. Put on gloves, if needed. 2. Place child on diapering surface and remove clothes to access diaper. If soiled place clothes in a plastic bag. 3. Remove soiled diaper and place into lined hands-free trash container. (A plastic bag may be used to further reduce odor.) 4. Use disposable wipes to clean child’s bottom, wiping front to back. Dispose of wipes and gloves into lined hands-free trash container. 5. Use a wipe to remove soil from your hands and use another wipe to remove soil from child’s hands. Dispose of soiled wipes in a lined hands-free trash container. 6. Use diaper products if needed by applying them with tissue, put on a clean diaper, and redress the child. 7. Place the child at the sink and wash hands with soap and running water. If child is unable to support her or his head, clean the child's hands with a wipe. Return the child to a supervised area. Do not touch anything, including toys, until you have washed your hands. 8. Spray entire diapering surface with soapy solution and wipe clean, using disposable paper towels. Spray entire diapering surface with approved disinfecting solution. Wait two minutes before wiping with a clean paper towel or allow surface to air dry. 9. Wash your hands even if disposable gloves are used. Diapers/pull-ups must be visually checked (put on the changing table and open the diaper) at least every two hours to ensure that they are not soiled. Consider having a whiteboard and clock near the diaper table to record diaper/pull-up checks and the two-hour due time. Item #13: Health practices - Hand washing is the best way to reduce disease transmission. Staff wash their hands thoroughly before beginning work, before and after handling food, before bottle feeding or feeding children, before handling clean utensils or equipment, after toileting or handing body fluids e.g., saliva, nasal secretions, vomit, feces, urine, blood, secretions from sores), after diaper changing, after handling soiled items such as garbage, mops, cloths and clothing, after being outdoors, after handling animals or animal cages, and after removing disposable gloves, after handling body fluids, and after diaper changing and handling soiled items. Children must wash their hands upon arrival at the center, after diapering or each visit to the toilet, before eating (and after eating for ECERS-R), after outdoor activity, after handling animals or animal cages, and before and after water play. Infants’ hands should be washed at the sink with soap and running water after diaper changing. If the infant is not able to hold up her head, you may use a wipe to wash her hands. Individual sanitary towels and liquid soap must be available for hand washing. Starting the year off with handwashing instruction and modeling and continuous practice helps staff and children make it a habit. Item #14: Safety practices – Child care rules only require stationary playground equipment to have fall zones; however, CPSC standards used in the ECERS-R assessment require all playground equipment over 18 inches in height to have a six foot fall zone on all sides. Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today, and I encourage you to share with staff and use the information as a teaching tool. If you have any questions, do not hesitate to call or email me at the contact information listed above. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2902 · Violation

Name of Operation: SHAWBORO ELEMENTARY PRESCHOOL Facility ID: 27000126 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 9/11/2023 Number Present: 3 Completed Date: 9/11/2023 Age: From 3 To 4 Total Minutes: 170 Time In: 09:00 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced * The purpose of today’s Routine Unannounced visit was to monitor compliance with applicable child care requirements. Monitoring included Developmental Day requirements in the NC Child Care Rules Section .2900. Last Annual Compliance visit – 3/1/2023 Last Sanitation Inspection – 5/2/2023 with Superior Rating; expires 5/2/2024 Last Fire Inspection – 8/16/2023 with Satisfactory rating; approved for daytime only; expires 8/16/2024 *Sanitation and fire inspections are required at least annually by the date of the previous inspection. Send fire inspections to me within seven (7) days of the inspection. 18-month compliance history from 3/8/2022 – 9/7/2023 = 95% G. Nelson, Administrator, was present, but the Pre-K staff assisted me with the visit. The facility currently operates with a Five-Star Center License, issued 3/1/2023, earning points in the following components: Program (7 PTS) + Education (7 PTS) + Quality Point (1 PT) = 15 Points = 5 Stars *Quality Point met and remains in effect: 75% of teachers have an AAS or higher in ECE/CD. The program was also monitored for compliance with implementing an approved curriculum (High Scope) as required for all four and five star facilities where four-year old children are enrolled. The next rated license assessment is due by 3/1/2026. See below for more information about the Division’s plan to return to rated license assessments. This facility is owned by Currituck County Schools. Please contact me prior to any information change regarding the ownership of this facility. Facility contact information and license information were current. Contact me to make any changes to address, phone, or email or to request changes to the license. I monitored the classrooms and spaces used for child care and outdoor play area for applicable child care center requirements using the Child Care Center Requirements, effective 7/1/2023 and Item Number Listing, effective 6/2022. There were no new staff to monitor. I monitored program records. The facility offers transportation and meets DPI requirements. The developmental day requirements in Section .2900 of the child care rules were monitored for compliance. Staff-child ratios were 1:6, or 2:12 or better, as required in Child Care Rule 10A NCAC 09 .2902(f). DDPK Teacher assigned to the classroom (A. Powell) has completed her NC B-K License and submitted it to DPI for approval but needs to upload it to Works; the administrator holds a Principals License and has applied for a NCECAC III. The program operates 7:30am – 2:30am Monday – Friday on a school-year schedule. Children’s individual plans for care and developmentally appropriate activities are followed and opportunities for inclusion with children who are typically developing are offered. The facility provides all six of the following family involvement: monthly newsletters, parent/teacher conferences/IEP meetings at least twice a year, communicating with parents individually through daily notes, progress reports, opportunities for parent volunteers, providing families with referral information on community programs and resources. The program completed an Early Childhood Environment Rating Scale – Revised (ECERS-R) in the NCPreK classroom on 11/1/2022 and scored 5.24 points. Center Observations: Two teachers were present with three children, three and four years of age. They had been outside earlier when it was cooler and were engaged in free play. On the playground they could play on a complex climber and a smaller tube climber. A portable slide was also available for children who were not quite confident enough for the larger slide. Cozy coupes provided a mode of transportation around the playground. Toys were available for dramatic and sand play. Indoors, the teachers worked with the children as they played with toys, encouraging their language and cognitive skills. One child stepped onto a little stage and danced to some music. Before lunch they washed hands and used the hand rope to walk to the cafeteria. They ate at an appropriately sized table with small chairs. Lunch was choice of bacon cheeseburger on whole grain bun or peanut butter and jelly sandwich, choice of fruit juice or fresh orange slices, and green beans and sweet potato tots, and milk. One child brought lunch. The teacher stated that he as a Nutrition Opt-Out form in his file. Interactions were positive and nurturing. I observed and documented the following violation during today’s visit. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A current medication permission form for an asthma inhaler was not available. An expired medication permission form from the previous school year for the same medication was available in the child's file. Staff have not administered the medication. 10A NCAC 09 .0803(1)(a & b) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4)(d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and provided a printed copy of it to A. Powell, DDPre-K Teacher. We reviewed the visit summary and violation(s) documented during today’s visit. Correct these immediately. Send evidence of correction to me so that I receive it no later than 9/25/2023. The compliance verification letter needs to state the facility name and license number and list each violation by Item # and describe in detail when and how each violation has been corrected. Send compliance verification letter in an email from the center’s official email address, rpalumbo@currituck.k12.nc.us to my email address, Marjorie.White@dhhs.nc.gov. If sent from another email address, the center’s official address must be Cc’d in the compliance email. You may include the compliance verification as an attachment or in the body of the email. If sufficient information is not received by the due date, a follow-up visit may be conducted. *I will email a sample compliance verification letter to you. *Please be aware that any information submitted by you is legal documentation. If it is determined the information provided in the compliance letter is not true, this may be considered falsification of information. If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199 or Jennifer.Linhardt@dhhs.nc.gov. TECHNICAL ASSISTANCE WITH DOCUMENTED VIOLATION: Medication Permission Forms - All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. A medication form for an Advair HCL inhaler for LJ was accompanied by a medical action plan, but the medication permission form was not available. The teacher checked with the nurse. She stated that the mother had brought in a permission form but did not complete it correctly, and she returned the form to be completed. An expired medication permission form was available in the child’s file from last year’s medication. Medication permission forms for OTC, prescription, and emergency medication have an administration log as part of the form. This must be completed any time the medication is given. Medication permission forms are valid for a defined length of time and must be updated, if needed. I shared a copy of the DCDEE medication permission forms for medications for chronic conditions. This form is valid for six months so will need to be renewed by March 2023 if completed this month. You may also choose to use the school’s medication permission form that I saw in another child’s file because it includes all required information. I encourage you to review the section in the NC Child Care Requirements on medication: 10A NCAC 09 .0803 Administering Medication in Child Care Centers. *This is a repeated violation from last year. Put a system in place that parents may not leave medication until the required documents (Medical Action Plan, if needed, and medication permission form) are received and reviewed to include all required information. GENERAL VISIT INFORMATION: Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated 7/1/23) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies are available to assist you with technical assistance and training on a multitude of topics including but not limited to: Environment Rating Scales, healthy behaviors and classroom management, developmentally appropriate practice, EPR plans, activity plans, NC Foundations for Early Learning (developmental domains), etc. Child Care Health Consultants can provide training and technical assistance on topics related to health and safety such as sanitation, handwashing, diapering, illness policies, etc. *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone (252) 333-1233; website - www.aacfnc.org . *Child Care Health Consultant: C. Smith – Phone (252) 340-0212 or cindy@aacfnc.org REMINDERS: Off-site Verification Records – I provided you with a copy of DPI Off-site Children’s Records, Off-site Staff Records, and Transportation forms and will email them to you also. Have the person who is designated to ensure that all records are received to complete and return these to me by October 15, 2023. Criminal Background Checks (CBC) – Federal requirements require all staff who work in licensed afterschool or pre-k programs operated by public schools complete a DCDEE Criminal Background Check (CBC) before hire and then every five years. This includes administrators, teachers, teacher assistants, program coordinators, group leaders, assistant group leaders, substitutes, one-on-one assistants, therapists if therapy does not take place in the classroom, and bus drivers. *If therapists take children out of the classroom for therapy, they are required to have a criminal background check. If therapy is completed in the classroom under the supervision of the teachers, a criminal background check is not required. Health and Safety Training and Five (5) Year Cycle Tracking Requirements – Review Row 17 on Staff Worksheet for staff members needing initial H&S Training or five-year renewal. New staff are required to complete Health & Safety Training (H&S Training) within one year of hire (CPR/First Aid and Recognizing and Responding to Suspicions of Child Maltreatment within 3 months of hire) and then complete training in all topic areas every five years. *L. Brothers – five-year renewal due 10/31/2023; completed – I will review at annual compliance visit. Staff Education and Works – A. Powell needs to update her Works account. Complete a DPI Teacher Education Form and upload it with her Initial B-K License to Works. Request to be approved as a DPI Teacher/Lead Teacher. Ms. Powell was working on this. Critical Incident Plan and Emergency Medical Care Plan (EMCP) - • Licensed DPI programs are not required to complete a separate Emergency Preparedness Plan if they follow the school’s Critical Incident Plan (or similar type of plan for emergency responses). They are expected to have documentation of monthly fire drills and quarterly emergency drills – shelter-in-place or lock-down). Fire drills must be completed for any month or partial month the Pre-K or ASEP is operating. A quarterly emergency drill must be completed each quarter (July – September; October – December, January – March; April – June). • A current Emergency Medical Care Plan is required to be posted in a central location and updated to reflect current staff and assigned duties in a medical emergency. At least one person listed on EMCP must be on site. • Review the Emergency Medical Care Plan School Critical Incident Plan/Response Plan with staff at hire and annually. Spray Bottles in Bathroom - The disinfectant was hanging on a bar over the diaper table in the bathroom where it was out of reach of children from the floor but not out of reach from a child on the diaper table. Install hooks or shelves near the diaper table but not over the diaper table to hang detergent solution, sanitizer and disinfectant out of reach of children but easily accessible for staff needing to clean and disinfectant the diaper table and spray the sink after being used for diaper changing and toileting and before being used for other handwashing. ADDITIONAL COMMENTS: I shared information on the following topics: 1. Environmental Health Rules Update 2. New Rules – July 2023 – enhanced outdoor space, cooperative arrangements, multi-age grouping 3. New Challenging Behaviors Helpline! 4. NC Rated License Assessment Project (NCRLAP) Resources 5. NCID TRANSITION BACK TO RATED LICENSE ASSESSMENTS AND COHORTS To transition back to rated license assessments, the Division has created a two-year Cohort Model. All facilities are assigned to one of three cohorts based on their current rated license assessment due date. Each cohort will have a year for preparation and a year for assessment. (However, you are encouraged to begin preparations now so that you are ready when your cohort group is due!) Your is due for a three-year rated license reassessment by 3/1/2026 and has been assigned to Cohort 3. The Cohort 3 Rated License Preparation Year is from 7/1/2025 – 6/30/2026. During your preparation year, if you are interested in having the Environment Rating Scales completed, review the ECERS-R by obtaining the manuals for each classroom and looking for assessment related resources at ncrlap.org. Request technical assistance and training for your staff from Albemarle Alliance for Children and Families (AACF) You can request and complete an ECERS-R during your preparation year. If your scores help you meet or exceed your current star rating and you are ready to move forward with your rated license assessment, you may choose to do so during your preparation year. Your preparation year is also the time to continue to work on staff education and ensure that Works accounts are completed and up to date for staff members. The Cohort 3 Rated License Assessment Year is from 7/1/2026 – 6/30/2027. During your assessment year you may choose to complete the ECERS-R again at no cost even if you completed them during your preparation year. Use the feedback from your preparation year scores to create a plan to improve your scores. During this year, all education needs to be posted in Works. At some point during that year, you will have your rated license assessed. Technical Assistance to Improve ECERS-R Scores – The website for the NC Rated License Assessment Project (NCRLAP), www.ncrlap.org , has a wealth of resources and training opportunities to help you intentionally prepare for your upcoming ECERS-R assessment. From the main webpage, you can access self-assessment tools to review each subscale in detail and determine how you can make improvements in each area. See “Thinking More About Space and Furnishing,” “Thinking More About Personal Care Routines,” “Thinking More About Language and Interactions,” “Thinking More About Activities,” and “Thinking More About Program Structure.” Taking the time to work through these activities with your staff and using that self-reflection to purchase materials, rearrange your classrooms, work on interactions, improve daily routines, etc. will help you improve your environment and your scores. Also check out the training options under the training tab. Trainings are both self-guided and live (virtual). You and your staff can earn training credit for participating in these trainings. In 2022, you scored lowest on Subscale 2 of the ECERS-R: Personal Care Routines. Look at the following and consider ways to improve your scores: Item #10: Meals/snacks – Children are required to wash their hands before meals and snacks. Once they wash their hands in the classroom, they need to move to the cafeteria without recontaminating their hands by touching each other, the walls and the floor. This requires a lot of reminders and practice. Consider having meals in the classroom where a sink is available and avoid the transition to and from the cafeteria. Item #12: Toileting/diapering – When a sink is used for both handwashing after diapering/toileting and for other purposes (upon arrival, before and after meals and snacks, upon return from the playground, after messy play), it must be disinfected after being used for toileting and diapering before it is used for other handwashing. Have a disinfectant spray bottle available out of reach near the sink, and spray after the sink is used for handwashing after toileting or diapering. Maintaining sanitary conditions during diapering reduces the spread of contamination from one child to another. Review diaper changing procedures and practice so that they become habit. 1. Wash hands and prepare for diapering by gathering supplies (diapers, wipes, diaper crème, bag for dirty clothes, clean clothes). Remove enough wipes from container and place a dab of diaper crème, if needed, on a disposable piece of paper or tissue. Put on gloves, if needed. 2. Place child on diapering surface and remove clothes to access diaper. If soiled place clothes in a plastic bag. 3. Remove soiled diaper and place into lined hands-free trash container. (A plastic bag may be used to further reduce odor.) 4. Use disposable wipes to clean child’s bottom, wiping front to back. Dispose of wipes and gloves into lined hands-free trash container. 5. Use a wipe to remove soil from your hands and use another wipe to remove soil from child’s hands. Dispose of soiled wipes in a lined hands-free trash container. 6. Use diaper products if needed by applying them with tissue, put on a clean diaper, and redress the child. 7. Place the child at the sink and wash hands with soap and running water. If child is unable to support her or his head, clean the child's hands with a wipe. Return the child to a supervised area. Do not touch anything, including toys, until you have washed your hands. 8. Spray entire diapering surface with soapy solution and wipe clean, using disposable paper towels. Spray entire diapering surface with approved disinfecting solution. Wait two minutes before wiping with a clean paper towel or allow surface to air dry. 9. Wash your hands even if disposable gloves are used. Diapers/pull-ups must be visually checked (put on the changing table and open the diaper) at least every two hours to ensure that they are not soiled. Consider having a whiteboard and clock near the diaper table to record diaper/pull-up checks and the two-hour due time. Item #13: Health practices - Hand washing is the best way to reduce disease transmission. Staff wash their hands thoroughly before beginning work, before and after handling food, before bottle feeding or feeding children, before handling clean utensils or equipment, after toileting or handing body fluids e.g., saliva, nasal secretions, vomit, feces, urine, blood, secretions from sores), after diaper changing, after handling soiled items such as garbage, mops, cloths and clothing, after being outdoors, after handling animals or animal cages, and after removing disposable gloves, after handling body fluids, and after diaper changing and handling soiled items. Children must wash their hands upon arrival at the center, after diapering or each visit to the toilet, before eating (and after eating for ECERS-R), after outdoor activity, after handling animals or animal cages, and before and after water play. Infants’ hands should be washed at the sink with soap and running water after diaper changing. If the infant is not able to hold up her head, you may use a wipe to wash her hands. Individual sanitary towels and liquid soap must be available for hand washing. Starting the year off with handwashing instruction and modeling and continuous practice helps staff and children make it a habit. Item #14: Safety practices – Child care rules only require stationary playground equipment to have fall zones; however, CPSC standards used in the ECERS-R assessment require all playground equipment over 18 inches in height to have a six foot fall zone on all sides. Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today, and I encourage you to share with staff and use the information as a teaching tool. If you have any questions, do not hesitate to call or email me at the contact information listed above. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: SHAWBORO ELEMENTARY PRESCHOOL Facility ID: 27000126 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 9/11/2023 Number Present: 3 Completed Date: 9/11/2023 Age: From 3 To 4 Total Minutes: 170 Time In: 09:00 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced * The purpose of today’s Routine Unannounced visit was to monitor compliance with applicable child care requirements. Monitoring included Developmental Day requirements in the NC Child Care Rules Section .2900. Last Annual Compliance visit – 3/1/2023 Last Sanitation Inspection – 5/2/2023 with Superior Rating; expires 5/2/2024 Last Fire Inspection – 8/16/2023 with Satisfactory rating; approved for daytime only; expires 8/16/2024 *Sanitation and fire inspections are required at least annually by the date of the previous inspection. Send fire inspections to me within seven (7) days of the inspection. 18-month compliance history from 3/8/2022 – 9/7/2023 = 95% G. Nelson, Administrator, was present, but the Pre-K staff assisted me with the visit. The facility currently operates with a Five-Star Center License, issued 3/1/2023, earning points in the following components: Program (7 PTS) + Education (7 PTS) + Quality Point (1 PT) = 15 Points = 5 Stars *Quality Point met and remains in effect: 75% of teachers have an AAS or higher in ECE/CD. The program was also monitored for compliance with implementing an approved curriculum (High Scope) as required for all four and five star facilities where four-year old children are enrolled. The next rated license assessment is due by 3/1/2026. See below for more information about the Division’s plan to return to rated license assessments. This facility is owned by Currituck County Schools. Please contact me prior to any information change regarding the ownership of this facility. Facility contact information and license information were current. Contact me to make any changes to address, phone, or email or to request changes to the license. I monitored the classrooms and spaces used for child care and outdoor play area for applicable child care center requirements using the Child Care Center Requirements, effective 7/1/2023 and Item Number Listing, effective 6/2022. There were no new staff to monitor. I monitored program records. The facility offers transportation and meets DPI requirements. The developmental day requirements in Section .2900 of the child care rules were monitored for compliance. Staff-child ratios were 1:6, or 2:12 or better, as required in Child Care Rule 10A NCAC 09 .2902(f). DDPK Teacher assigned to the classroom (A. Powell) has completed her NC B-K License and submitted it to DPI for approval but needs to upload it to Works; the administrator holds a Principals License and has applied for a NCECAC III. The program operates 7:30am – 2:30am Monday – Friday on a school-year schedule. Children’s individual plans for care and developmentally appropriate activities are followed and opportunities for inclusion with children who are typically developing are offered. The facility provides all six of the following family involvement: monthly newsletters, parent/teacher conferences/IEP meetings at least twice a year, communicating with parents individually through daily notes, progress reports, opportunities for parent volunteers, providing families with referral information on community programs and resources. The program completed an Early Childhood Environment Rating Scale – Revised (ECERS-R) in the NCPreK classroom on 11/1/2022 and scored 5.24 points. Center Observations: Two teachers were present with three children, three and four years of age. They had been outside earlier when it was cooler and were engaged in free play. On the playground they could play on a complex climber and a smaller tube climber. A portable slide was also available for children who were not quite confident enough for the larger slide. Cozy coupes provided a mode of transportation around the playground. Toys were available for dramatic and sand play. Indoors, the teachers worked with the children as they played with toys, encouraging their language and cognitive skills. One child stepped onto a little stage and danced to some music. Before lunch they washed hands and used the hand rope to walk to the cafeteria. They ate at an appropriately sized table with small chairs. Lunch was choice of bacon cheeseburger on whole grain bun or peanut butter and jelly sandwich, choice of fruit juice or fresh orange slices, and green beans and sweet potato tots, and milk. One child brought lunch. The teacher stated that he as a Nutrition Opt-Out form in his file. Interactions were positive and nurturing. I observed and documented the following violation during today’s visit. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A current medication permission form for an asthma inhaler was not available. An expired medication permission form from the previous school year for the same medication was available in the child's file. Staff have not administered the medication. 10A NCAC 09 .0803(1)(a & b) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4)(d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and provided a printed copy of it to A. Powell, DDPre-K Teacher. We reviewed the visit summary and violation(s) documented during today’s visit. Correct these immediately. Send evidence of correction to me so that I receive it no later than 9/25/2023. The compliance verification letter needs to state the facility name and license number and list each violation by Item # and describe in detail when and how each violation has been corrected. Send compliance verification letter in an email from the center’s official email address, rpalumbo@currituck.k12.nc.us to my email address, Marjorie.White@dhhs.nc.gov. If sent from another email address, the center’s official address must be Cc’d in the compliance email. You may include the compliance verification as an attachment or in the body of the email. If sufficient information is not received by the due date, a follow-up visit may be conducted. *I will email a sample compliance verification letter to you. *Please be aware that any information submitted by you is legal documentation. If it is determined the information provided in the compliance letter is not true, this may be considered falsification of information. If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199 or Jennifer.Linhardt@dhhs.nc.gov. TECHNICAL ASSISTANCE WITH DOCUMENTED VIOLATION: Medication Permission Forms - All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. A medication form for an Advair HCL inhaler for LJ was accompanied by a medical action plan, but the medication permission form was not available. The teacher checked with the nurse. She stated that the mother had brought in a permission form but did not complete it correctly, and she returned the form to be completed. An expired medication permission form was available in the child’s file from last year’s medication. Medication permission forms for OTC, prescription, and emergency medication have an administration log as part of the form. This must be completed any time the medication is given. Medication permission forms are valid for a defined length of time and must be updated, if needed. I shared a copy of the DCDEE medication permission forms for medications for chronic conditions. This form is valid for six months so will need to be renewed by March 2023 if completed this month. You may also choose to use the school’s medication permission form that I saw in another child’s file because it includes all required information. I encourage you to review the section in the NC Child Care Requirements on medication: 10A NCAC 09 .0803 Administering Medication in Child Care Centers. *This is a repeated violation from last year. Put a system in place that parents may not leave medication until the required documents (Medical Action Plan, if needed, and medication permission form) are received and reviewed to include all required information. GENERAL VISIT INFORMATION: Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated 7/1/23) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies are available to assist you with technical assistance and training on a multitude of topics including but not limited to: Environment Rating Scales, healthy behaviors and classroom management, developmentally appropriate practice, EPR plans, activity plans, NC Foundations for Early Learning (developmental domains), etc. Child Care Health Consultants can provide training and technical assistance on topics related to health and safety such as sanitation, handwashing, diapering, illness policies, etc. *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone (252) 333-1233; website - www.aacfnc.org . *Child Care Health Consultant: C. Smith – Phone (252) 340-0212 or cindy@aacfnc.org REMINDERS: Off-site Verification Records – I provided you with a copy of DPI Off-site Children’s Records, Off-site Staff Records, and Transportation forms and will email them to you also. Have the person who is designated to ensure that all records are received to complete and return these to me by October 15, 2023. Criminal Background Checks (CBC) – Federal requirements require all staff who work in licensed afterschool or pre-k programs operated by public schools complete a DCDEE Criminal Background Check (CBC) before hire and then every five years. This includes administrators, teachers, teacher assistants, program coordinators, group leaders, assistant group leaders, substitutes, one-on-one assistants, therapists if therapy does not take place in the classroom, and bus drivers. *If therapists take children out of the classroom for therapy, they are required to have a criminal background check. If therapy is completed in the classroom under the supervision of the teachers, a criminal background check is not required. Health and Safety Training and Five (5) Year Cycle Tracking Requirements – Review Row 17 on Staff Worksheet for staff members needing initial H&S Training or five-year renewal. New staff are required to complete Health & Safety Training (H&S Training) within one year of hire (CPR/First Aid and Recognizing and Responding to Suspicions of Child Maltreatment within 3 months of hire) and then complete training in all topic areas every five years. *L. Brothers – five-year renewal due 10/31/2023; completed – I will review at annual compliance visit. Staff Education and Works – A. Powell needs to update her Works account. Complete a DPI Teacher Education Form and upload it with her Initial B-K License to Works. Request to be approved as a DPI Teacher/Lead Teacher. Ms. Powell was working on this. Critical Incident Plan and Emergency Medical Care Plan (EMCP) - • Licensed DPI programs are not required to complete a separate Emergency Preparedness Plan if they follow the school’s Critical Incident Plan (or similar type of plan for emergency responses). They are expected to have documentation of monthly fire drills and quarterly emergency drills – shelter-in-place or lock-down). Fire drills must be completed for any month or partial month the Pre-K or ASEP is operating. A quarterly emergency drill must be completed each quarter (July – September; October – December, January – March; April – June). • A current Emergency Medical Care Plan is required to be posted in a central location and updated to reflect current staff and assigned duties in a medical emergency. At least one person listed on EMCP must be on site. • Review the Emergency Medical Care Plan School Critical Incident Plan/Response Plan with staff at hire and annually. Spray Bottles in Bathroom - The disinfectant was hanging on a bar over the diaper table in the bathroom where it was out of reach of children from the floor but not out of reach from a child on the diaper table. Install hooks or shelves near the diaper table but not over the diaper table to hang detergent solution, sanitizer and disinfectant out of reach of children but easily accessible for staff needing to clean and disinfectant the diaper table and spray the sink after being used for diaper changing and toileting and before being used for other handwashing. ADDITIONAL COMMENTS: I shared information on the following topics: 1. Environmental Health Rules Update 2. New Rules – July 2023 – enhanced outdoor space, cooperative arrangements, multi-age grouping 3. New Challenging Behaviors Helpline! 4. NC Rated License Assessment Project (NCRLAP) Resources 5. NCID TRANSITION BACK TO RATED LICENSE ASSESSMENTS AND COHORTS To transition back to rated license assessments, the Division has created a two-year Cohort Model. All facilities are assigned to one of three cohorts based on their current rated license assessment due date. Each cohort will have a year for preparation and a year for assessment. (However, you are encouraged to begin preparations now so that you are ready when your cohort group is due!) Your is due for a three-year rated license reassessment by 3/1/2026 and has been assigned to Cohort 3. The Cohort 3 Rated License Preparation Year is from 7/1/2025 – 6/30/2026. During your preparation year, if you are interested in having the Environment Rating Scales completed, review the ECERS-R by obtaining the manuals for each classroom and looking for assessment related resources at ncrlap.org. Request technical assistance and training for your staff from Albemarle Alliance for Children and Families (AACF) You can request and complete an ECERS-R during your preparation year. If your scores help you meet or exceed your current star rating and you are ready to move forward with your rated license assessment, you may choose to do so during your preparation year. Your preparation year is also the time to continue to work on staff education and ensure that Works accounts are completed and up to date for staff members. The Cohort 3 Rated License Assessment Year is from 7/1/2026 – 6/30/2027. During your assessment year you may choose to complete the ECERS-R again at no cost even if you completed them during your preparation year. Use the feedback from your preparation year scores to create a plan to improve your scores. During this year, all education needs to be posted in Works. At some point during that year, you will have your rated license assessed. Technical Assistance to Improve ECERS-R Scores – The website for the NC Rated License Assessment Project (NCRLAP), www.ncrlap.org , has a wealth of resources and training opportunities to help you intentionally prepare for your upcoming ECERS-R assessment. From the main webpage, you can access self-assessment tools to review each subscale in detail and determine how you can make improvements in each area. See “Thinking More About Space and Furnishing,” “Thinking More About Personal Care Routines,” “Thinking More About Language and Interactions,” “Thinking More About Activities,” and “Thinking More About Program Structure.” Taking the time to work through these activities with your staff and using that self-reflection to purchase materials, rearrange your classrooms, work on interactions, improve daily routines, etc. will help you improve your environment and your scores. Also check out the training options under the training tab. Trainings are both self-guided and live (virtual). You and your staff can earn training credit for participating in these trainings. In 2022, you scored lowest on Subscale 2 of the ECERS-R: Personal Care Routines. Look at the following and consider ways to improve your scores: Item #10: Meals/snacks – Children are required to wash their hands before meals and snacks. Once they wash their hands in the classroom, they need to move to the cafeteria without recontaminating their hands by touching each other, the walls and the floor. This requires a lot of reminders and practice. Consider having meals in the classroom where a sink is available and avoid the transition to and from the cafeteria. Item #12: Toileting/diapering – When a sink is used for both handwashing after diapering/toileting and for other purposes (upon arrival, before and after meals and snacks, upon return from the playground, after messy play), it must be disinfected after being used for toileting and diapering before it is used for other handwashing. Have a disinfectant spray bottle available out of reach near the sink, and spray after the sink is used for handwashing after toileting or diapering. Maintaining sanitary conditions during diapering reduces the spread of contamination from one child to another. Review diaper changing procedures and practice so that they become habit. 1. Wash hands and prepare for diapering by gathering supplies (diapers, wipes, diaper crème, bag for dirty clothes, clean clothes). Remove enough wipes from container and place a dab of diaper crème, if needed, on a disposable piece of paper or tissue. Put on gloves, if needed. 2. Place child on diapering surface and remove clothes to access diaper. If soiled place clothes in a plastic bag. 3. Remove soiled diaper and place into lined hands-free trash container. (A plastic bag may be used to further reduce odor.) 4. Use disposable wipes to clean child’s bottom, wiping front to back. Dispose of wipes and gloves into lined hands-free trash container. 5. Use a wipe to remove soil from your hands and use another wipe to remove soil from child’s hands. Dispose of soiled wipes in a lined hands-free trash container. 6. Use diaper products if needed by applying them with tissue, put on a clean diaper, and redress the child. 7. Place the child at the sink and wash hands with soap and running water. If child is unable to support her or his head, clean the child's hands with a wipe. Return the child to a supervised area. Do not touch anything, including toys, until you have washed your hands. 8. Spray entire diapering surface with soapy solution and wipe clean, using disposable paper towels. Spray entire diapering surface with approved disinfecting solution. Wait two minutes before wiping with a clean paper towel or allow surface to air dry. 9. Wash your hands even if disposable gloves are used. Diapers/pull-ups must be visually checked (put on the changing table and open the diaper) at least every two hours to ensure that they are not soiled. Consider having a whiteboard and clock near the diaper table to record diaper/pull-up checks and the two-hour due time. Item #13: Health practices - Hand washing is the best way to reduce disease transmission. Staff wash their hands thoroughly before beginning work, before and after handling food, before bottle feeding or feeding children, before handling clean utensils or equipment, after toileting or handing body fluids e.g., saliva, nasal secretions, vomit, feces, urine, blood, secretions from sores), after diaper changing, after handling soiled items such as garbage, mops, cloths and clothing, after being outdoors, after handling animals or animal cages, and after removing disposable gloves, after handling body fluids, and after diaper changing and handling soiled items. Children must wash their hands upon arrival at the center, after diapering or each visit to the toilet, before eating (and after eating for ECERS-R), after outdoor activity, after handling animals or animal cages, and before and after water play. Infants’ hands should be washed at the sink with soap and running water after diaper changing. If the infant is not able to hold up her head, you may use a wipe to wash her hands. Individual sanitary towels and liquid soap must be available for hand washing. Starting the year off with handwashing instruction and modeling and continuous practice helps staff and children make it a habit. Item #14: Safety practices – Child care rules only require stationary playground equipment to have fall zones; however, CPSC standards used in the ECERS-R assessment require all playground equipment over 18 inches in height to have a six foot fall zone on all sides. Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today, and I encourage you to share with staff and use the information as a teaching tool. If you have any questions, do not hesitate to call or email me at the contact information listed above. 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