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Home › NC › Sneads Ferry › Sneads Ferry Quality Childcare & Preschool
103 Ridge Field Avenue, Sneads Ferry NC 28460 · License #67001150 · Center · Child Care Center
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NC GS 110-90 · Violation
Name of Operation: SNEADS FERRY QUALITY CHILDCARE & PRESCHOOL Facility ID: 67001150 Consultant: HEATHER ELLIOTT Operation Type: Center Case Number: Visit Date: 6/16/2026 Number Present: 104 Completed Date: 6/16/2026 Age: From 0 To 5 Total Minutes: 225 Time In: 09:15 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your program currently operates with a Four-Star License, issued March 8, 2024. Restriction on your permit include a capacity of 165 for first shift care, age range from 0-12 year old, and meeting enhanced ratios. The license was posted and the restrictions were in compliance. Your last annual compliance visit was on January 6, 2026. The facility’s 18-month compliance history of 99% as of June 15, 2026, was reviewed with the operator. The NC Secretary of State website was reviewed today and Murf’s Munchkinland, LLC was listed as current/active. You, A. Poindexter, Program Coordinator, was present and accompanied during today’s walk-through and observations. S. Pope, administrator, arrived later and was available for consultation. All indoor and outdoor learning environments were monitored. Supervision and staff/ child ratios were in compliance. Today 133 children are enrolled and 103 children were present, ages ranging from 0-5 years of age. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. In space 1, infants were engaged in tummy time, napping, and personal care routines. Sleep checks were completed, recorded and maintained as required. In space 2, children were playing outside, engaged in a variety of gross motor activities including but not limited to running, playing with ride on toys, and exploring the playground. In space 3, children were engaged in circle time, where the teachers were reviewing the rules for outside. The children then participated in different songs and dances. In space 4, children were preparing to transition to outside to participate in water play. In space 5A, children were participating in free play including but not limited to playing with magnifying glasses, dressing up as superheroes, building with different materials, and painting. In space 5B, children were outside, participating in different activities including but not limited to climbing, going down the slide, and building with blocks. In space 6, children were outside participating in water play. In space 7, children were sitting listening to a special reader come and read them a story. In space 8, children were participating in free play. Activities including but not limited to playing in housekeeping, building with blocks, playing with manipulatives, and reading a book. In space 9, children were transitioning from the outside playground to inside to prepare for lunchtime. Handwashing was observed and found in compliance. As children were waiting, they were singing and dancing to music. All spaces were divided into centers including but not limited to blocks, dramatic play, manipulatives, art, and books. All caregivers were interacting and meeting the developmental needs for the children in care. Files for 3 new staff members and 1 new volunteer were reviewed and found in compliance. During today’s visit, child care requirements were monitored for compliance including supervision, staff/child ratios, CPR and First Aid, Criminal Background Checks, storage of hazardous materials, storage of medication, approved space, and other applicable requirements. There were 2 violations were observed today. The violations were as follows: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 5B, magic erasers were observed in an unlocked storage, accessible to children. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space 2, plastic trash bags were stored in unlocked storage accessible to one-year-old children. .0604(q) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented were corrected on site and no compliance letter is needed. Technical Assistance: In space 2, plastic trash bags were found unlocked in a cabinet accessible to one- year-old children. Today the trash bags were moved to a bin on a shelf that was over 5 feet off the ground. For the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under the age of three years old by keeping them at a minimum height of five feet off the floor. Today I also suggested that you remind staff to ensure that all trash bags are tied and not loose around the trash can and not accessible to children. In space 5B, Magic Erasers were observed in an unlocked cabinet accessible to children. Today I suggested reminding staff to look under their cabinets to ensure all materials that are stored in the unlocked storage are safe for children that are in care in that space. These items were removed from the classroom. Please remind staff that these cleaning items state keep out of reach of children. These items need to be locked or stored at least five feet off the ground. Today you stated that the materials to fix the surfacing on the playground that is used for three-year-old children have been ordered but the shipping has been delayed. Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. It is important for the “soft” resilient surfacing under and around stationary playground equipment to be in good repair. Please send an email, updating me when materials have arrived and the repairs have been made. Reminders: Just reminder for all three new staff members have 90 days to complete the Recognizing and Responding to Suspicions of Maltreatment training. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education’s website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, the visit summary was printed, reviewed, and a copy was left with you. Contact me at heather.elliott@dhhs.nc.gov / 910-364-8728 or my supervisor Kim Sherry, kim.sherry@dhhs.nc.gov / 910-824-0470 if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Generated from this facility's specific inspection record
Data synced from North Carolina's child care licensing agency on Jul 9, 2026 · Report an error
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-90 · Violation
Name of Operation: SNEADS FERRY QUALITY CHILDCARE & PRESCHOOL Facility ID: 67001150 Consultant: KIM SHERRY Operation Type: Center Case Number: Visit Date: 1/30/2025 Number Present: 108 Completed Date: 1/30/2025 Age: From 0 To 5 Total Minutes: 265 Time In: 09:40 AM Time Out: 02:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an Annual Compliance visit. The program currently operates with a 4 Star License, issued March 8, 2024. The restrictions on the permit include a capacity of 165 with an age range of 0- 12, first shift only. The center's compliance history was reviewed with the operator. The program’s compliance history was 91% percent as of January 30, 2025. The NC Secretary of State website was reviewed on and was listed as current- active. The center completed the last Fire Inspection on November 15, 2024. The center was approved for daytime care only. The last Sanitation inspection was completed on October 30, 2024 with a Superior Classification. The license was posted, and the restrictions were in compliance. You, Rubi Ventura, Staff Coach and Shannon Pope, Owner/ Director was present and assisted with the visit. Ten classrooms are operating with one hundred and thirty-two children enrolled and one hundred and fifteen children present. The center has replaced all the flooring throughout the facility. During the observation period, children were actively engaged in free play activities that were suitable for their age and developmental stage and all children were appropriately supervised. Indoor spaces provided opportunities for exploration and enjoyment. Infants were observed receiving personalized care, including being held, bottle-fed, crawling, and engaging in exploratory play on the floor, demonstrating responsiveness to individual needs. There were two groups of one-year olds. One group of one-year-olds were engaged in outdoor free play activities such as rocking on a rocking horse, catching bubbles, and playing with the activity cube. The second group was outdoors climbing through the play tunnels or indoors playing with puzzles. The two-year-olds were looking at letters and numbers, playing with horses and pretending to play doctor and the other groups with painting with blue paint. The five other groups were all of preschool age. They were either engaged in free play indoors or outdoors. Activities observed indoors included painting penguins using white paint and forks, painting their hands to make prints or painting with many colors to make rainbows. Outdoors, they were building with large blue foam blocks, climbing, sliding, playing in a castle, and/or drinking water. Lunch included corn dogs, corn, baked beans, and milk. The Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violations was observed today and must be corrected immediately: Violation Number Comment Rule 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff member completed Maltreatment training on January 21, 2020. .1103(b) A compliance letter including detailed information about how the violation has been corrected must be received by February 10, 2025. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that violation has been corrected, and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited: Health and safety training, specifically Maltreatment training, must be completed within five years of completing the previous topics. One staff member completed Maltreatment training on January 21, 2020. One other staff member must completed the maltreatment training by February 1, 2025. Other Information: Encourage you to define the reading/library area in space 5A, as this space should be protected and quiet. Children are constantly walking through the area to wash hands which interrupts the center. Rated License Information- the “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System (QRIS) standards are put in place. This means that you will not be required to have a reassessment according to timelines previously discussed, and when your reassessment is due you will have options to choose from regarding how your star level is earned. When more information becomes available about the new QRIS standards, I may assist you in determining which option is best for your program. Please note any Infant Toddler Environment Rating Scales (ITERS) or Early Childhood Environment Rating Scales (ECERS) assessments conducted after February 1, 2025, will be the third editions, or the “3s.” You may find more information regarding the third editions including training materials and how to purchase at https://ncrlap.org/Resources/pages/get-ready-for-3s/. Regarding education standards, when new QRIS rules are implemented, education requirements will be different, but it is still critical that all staff in key positions have complete WORKS evaluations to assist with the rated license reassessment process. I’m planning a meeting and training related to the rated license for April. Additional information will be forthcoming. Criminal Background Check (ABCMS) Provider Portal – In the G.S. 110-90.2 & child care rule .2703(r), child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility (household members in a Family Child Care Home) within five business days. Previously, written notification such as the “Change of Information” form was used, however the process of notifying the Division has changed and is now captured in ABCMS. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have already completed the training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance with the portal or the training, please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist. At the end of this visit, documentation was completed electronically. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance, please feel free to contact me at 910-824-0470 or kim.sherry@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
NC GS 110-90 · Violation
Name of Operation: SNEADS FERRY QUALITY CHILDCARE & PRESCHOOL Facility ID: 67001150 Consultant: KIM SHERRY Operation Type: Center Case Number: Visit Date: 1/30/2025 Number Present: 108 Completed Date: 1/30/2025 Age: From 0 To 5 Total Minutes: 265 Time In: 09:40 AM Time Out: 02:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an Annual Compliance visit. The program currently operates with a 4 Star License, issued March 8, 2024. The restrictions on the permit include a capacity of 165 with an age range of 0- 12, first shift only. The center's compliance history was reviewed with the operator. The program’s compliance history was 91% percent as of January 30, 2025. The NC Secretary of State website was reviewed on and was listed as current- active. The center completed the last Fire Inspection on November 15, 2024. The center was approved for daytime care only. The last Sanitation inspection was completed on October 30, 2024 with a Superior Classification. The license was posted, and the restrictions were in compliance. You, Rubi Ventura, Staff Coach and Shannon Pope, Owner/ Director was present and assisted with the visit. Ten classrooms are operating with one hundred and thirty-two children enrolled and one hundred and fifteen children present. The center has replaced all the flooring throughout the facility. During the observation period, children were actively engaged in free play activities that were suitable for their age and developmental stage and all children were appropriately supervised. Indoor spaces provided opportunities for exploration and enjoyment. Infants were observed receiving personalized care, including being held, bottle-fed, crawling, and engaging in exploratory play on the floor, demonstrating responsiveness to individual needs. There were two groups of one-year olds. One group of one-year-olds were engaged in outdoor free play activities such as rocking on a rocking horse, catching bubbles, and playing with the activity cube. The second group was outdoors climbing through the play tunnels or indoors playing with puzzles. The two-year-olds were looking at letters and numbers, playing with horses and pretending to play doctor and the other groups with painting with blue paint. The five other groups were all of preschool age. They were either engaged in free play indoors or outdoors. Activities observed indoors included painting penguins using white paint and forks, painting their hands to make prints or painting with many colors to make rainbows. Outdoors, they were building with large blue foam blocks, climbing, sliding, playing in a castle, and/or drinking water. Lunch included corn dogs, corn, baked beans, and milk. The Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violations was observed today and must be corrected immediately: Violation Number Comment Rule 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff member completed Maltreatment training on January 21, 2020. .1103(b) A compliance letter including detailed information about how the violation has been corrected must be received by February 10, 2025. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that violation has been corrected, and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited: Health and safety training, specifically Maltreatment training, must be completed within five years of completing the previous topics. One staff member completed Maltreatment training on January 21, 2020. One other staff member must completed the maltreatment training by February 1, 2025. Other Information: Encourage you to define the reading/library area in space 5A, as this space should be protected and quiet. Children are constantly walking through the area to wash hands which interrupts the center. Rated License Information- the “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System (QRIS) standards are put in place. This means that you will not be required to have a reassessment according to timelines previously discussed, and when your reassessment is due you will have options to choose from regarding how your star level is earned. When more information becomes available about the new QRIS standards, I may assist you in determining which option is best for your program. Please note any Infant Toddler Environment Rating Scales (ITERS) or Early Childhood Environment Rating Scales (ECERS) assessments conducted after February 1, 2025, will be the third editions, or the “3s.” You may find more information regarding the third editions including training materials and how to purchase at https://ncrlap.org/Resources/pages/get-ready-for-3s/. Regarding education standards, when new QRIS rules are implemented, education requirements will be different, but it is still critical that all staff in key positions have complete WORKS evaluations to assist with the rated license reassessment process. I’m planning a meeting and training related to the rated license for April. Additional information will be forthcoming. Criminal Background Check (ABCMS) Provider Portal – In the G.S. 110-90.2 & child care rule .2703(r), child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility (household members in a Family Child Care Home) within five business days. Previously, written notification such as the “Change of Information” form was used, however the process of notifying the Division has changed and is now captured in ABCMS. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have already completed the training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance with the portal or the training, please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist. At the end of this visit, documentation was completed electronically. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance, please feel free to contact me at 910-824-0470 or kim.sherry@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
NC GS 110-90 · Violation
Name of Operation: SNEADS FERRY QUALITY CHILDCARE & PRESCHOOL Facility ID: 67001150 Consultant: KIM SHERRY Operation Type: Center Case Number: 1024-339L Visit Date: 11/5/2024 Number Present: 121 Completed Date: 11/5/2024 Age: From 0 To 5 Total Minutes: 90 Time In: 09:30 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to follow-up on a violation documented on Tuesday, October 22, 2024. It was confirmed that a three-year-old child was left in his classroom (Space #4) for approximately 3 minutes while half his classmates transitioned outdoors for free play and the other half transitioned across the hall in classroom (space #6) for indoor free play. The program currently operates with a 4 Star License, issued March 8, 2024. The restrictions on the permit include a capacity of 165 with an age range of 0- 12, first shift only. The center's compliance history was reviewed with the operator. The program’s compliance history was 90% percent as of October 31, 2024. The NC Secretary of State website was reviewed on November 5, 2024, and Murf’s Munchkinland Land was listed as current- active. Rubi Ventura, Staff Coach was present and assisted with today’s visit. There were nine (9) classrooms operating today. There are 121 children present ranging from infants to five-year-olds. Children were engaged in play; five of the nine classrooms were engaged in outdoor free play in activities such sliding, running, playing in the tree house, riding push/pull toys, pretending to drive a school bus, climbing, and other activities. Indoors, the staff member for the older preschoolers was reading a book, the infants were lying in bouncy seats located in the cribs or exploring around the classroom. The other two groups were engaged in free play activities such as building with blocks playing a cash register, putting together puzzles, looking at books and other activities. Follow-Up- The following violation was documented related to supervisor. On Tuesday, October 22, 2024, at approximately 2:53pm, a three-year-old child was left in his classroom (Space #4) for approximately 3 minutes while half his classmates transitioned outdoors for free play and the other half transitioned across the hall in classroom (space #6) for indoor free play. Violation of a requirement in .1801(a)(1-5). A walk through and observations were conducted. Today, children were visually supervised. Staff were engaged in play and/or supervising the space/group. Based on a substantiated complaint, an Administrative Action may be issued. If an action is issued, I will notify you immediately. Violation Number Comment Rule 892 Safe sleep policy specifies that infants aged 12 months or younger are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cots. In classroom space #2, two infants were lying in bouncy seats which were located inside the crib. The crib mattress was inside, upright, and at the end of the the crib. Staff members indicated one of the infants had been napping. .0606(b) Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A violation was documented today but corrected during the visit. The concern was immediately addressed with staff. The children were immediately moved from their bouncy seat and crib. A violation was documented related to safe sleep requirements. Safe sleep policy specifies that infants aged 12 months or younger are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cots. In classroom space #2, two infants were lying in bouncy seats which were located inside the crib. The crib mattress was inside, upright, and at the end of the the crib. Staff members indicated one of the infants had been napping. We discussed the seriousness of children not being placed in a sleeping apparatus for napping. In addition, the dangers of lifting a bouncy seat up and above to place inside the crib. We also discussed arranging the room so mobile infants can be kept separate from the non-mobile infants. During the visit, I assisted staff with arranging cribs so there is 18” between cribs or a solid barrier. Ensure staff have side access to the cribs. Reminders: It is critical to ensure staff are supervising children at all times. Appropriate supervision can prevent dangerous situations before they occur. Train staff to always position themselves so their backs are facing the nearest classroom wall or playground fence to ensure children in the remaining spaces are visually supervised at all times. They should also be trained to continually scan the classroom or playground, even when interacting with individual or small groups of children. Make sure to spend time each day monitoring teachers as they interact with children n in and out of the classroom and provide feedback on positioning for supervision as it is merited. At the end of this visit, documentation was completed electronically, reviewed, and a copy was provided to you. Please remember it is your responsibility to comply with all child care rules at all times. Please contact me (910)824-0470 any time. 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: SNEADS FERRY QUALITY CHILDCARE & PRESCHOOL Facility ID: 67001150 Consultant: KIM SHERRY Operation Type: Center Case Number: 1024-339L Visit Date: 10/31/2024 Number Present: 119 Completed Date: 10/31/2024 Age: From 0 To 5 Total Minutes: 260 Time In: 09:10 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violation of child care requirements. The allegation is as follows: There is a concern that a child was left unsupervised in the classroom. The program currently operates with a 4 Star License, issued March 8, 2024. The restrictions on the permit include a capacity of 165 with an age range of 0- 12, first shift only. The center's compliance history was reviewed with the operator. The program’s compliance history was 91% percent as of October 31, 2024. The NC Secretary of State website was reviewed on October 31, 2024, and Murf’s Munchkinland Land was listed as current- active. Rubi Ventura, Staff Coach was present and assisted with today’s There were nine (9) classrooms operating today. There are 119 children present ranging from infants to five-year-olds. Afterwards, children were engaged indoor and outdoor free play. Later, children were served pizza, fresh fruit and vegetables. Staff were engaged with the children and staff child ratios were maintained. Investigation: I discussed the allegation with one administrative staff member and three staff members. Video footage from the day of the incident was reviewed. In addition, video footage today, from approximately 9:50am-11:30am was observed as well. All staff were given the opportunity to state their perception of the allegations. Findings- Allegation- There is a concern that a child was left unsupervised in the classroom. You explained on Tuesday, October 22, 2024, at approximately 2:53pm, a three-year-old child was left in his classroom (Space #4) for approximately 3 minutes while half his classmates transitioned outdoors for free play and the other half transitioned across the hall in classroom (space #6). You explained, on the day of the incident, there were 15 children present; one staff member transitioned 8 of the 15 children to the playground. Since another group of children from classroom (Space #6), were transitioning outdoors as well, and the capacity of the playground is 20, the other 7 children from classroom (Space 4) remained in classroom (space #6). You explained you rotate the children every other day or weekly, so all the children get an opportunity for afternoon play. It was determined that a staff member (C Graham) lined children up at the door, walked the children across the hall, but failed to count the children upon arrival into the classroom (Space #6). One child did not transition with the group. You explained a staff member located the child standing near the door in his classroom (Space #4) and brought the child to you. The child was upset and had tears in his eyes. He had shut down, appeared to be scared, as he was not responding to you. After being in classroom (space #6) for approximately 5 minutes, Ms. Graham counted her children and realized she was missing one of her children. She went across the hall to look for the child and saw you, another staff member, and the child walking down the hall toward her. Afterwards, another staff member walked the child to his classroom to play with Legos and later was transitioned outdoors for free play. Staff members all concurred with your statements. They stated they use a dry erase board to keep count of the children/names and the number of children. They use indoors for tracking attendance, outdoors for ratios, and all other times when children are transition from one space to another. A walk through and observations were conducted. Today, children were visually supervised. In celebration of fall, children dressed up and participated in a center wide parade. Children walked around the playgrounds through classrooms. Staff were engaged with the children and staff child ratios were maintained. One teacher led their group, and a second teacher followed their group during the parade. Administrative staff also assisted with the activity. Based on the reporters’ information, your information, staff member’s information, and our investigation, this allegation is Substantiated. Violation Number Comment Rule 303 Children were not adequately supervised at all times. On Tuesday, October 22, 2024, at approximately 2:53pm, a three-year-old child was left in his classroom (Space #4) for approximately 3 minutes while half his classmates transitioned outdoors for free play and the other half transitioned across the hall in classroom (space #6) for indoor free play. .1801(a)(1-5) Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violation(s) documented will impact the compliance history score. A violation was documented and must be corrected immediately. On or before November 10, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violation was corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Kim Sherry, Child Care Consultant, Kim.Sherry@dhhs.nc.gov. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. A return visit will be conducted. Due to a substantiated complaint, an Administrative Action may be issued. Technical Assistance: Caregivers should repeatedly count children, record the count, ensure accuracy, and be able to verbally state how many children are in care at all times. Caregivers should record the count on an attendance sheet or on a pocket card, along with notations of any children joining or leaving the group. An accurate count is required at all times. Caregivers should participate in a counting routine that encourages duplicate counts to verify the attendance record to ensure constant supervision and safety of all children in care. This is especially important during transitions and something, you, as the Administrator, should insist upon at your facility. Again, this kind of practice should be reviewed and explained during all staff meetings. In addition, we discussed the center’s method to track children and if the boards are an effective method to ensure children are always accounted for. At the end of this visit, documentation was completed electronically, reviewed with you and emailed to you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. Email me at Kim.Sherry@dhhs.nc.gov or call me at (910) 824-0470 with questions or concerns. 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: SNEADS FERRY QUALITY CHILDCARE & PRESCHOOL Facility ID: 67001150 Consultant: KIM SHERRY Operation Type: Center Case Number: 1024-062L Visit Date: 10/10/2024 Number Present: 108 Completed Date: 10/10/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 09:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegation is as follows: There is a concern that children are not adequately supervised. The program currently operates with a 4 Star License, issued March 8, 2024. The restrictions on the permit include a capacity of 165 with an age range of 0- 12, first shift only. The center's compliance history was reviewed with the operator. The program’s compliance history was 91% percent as of June 19, 2024. The NC Secretary of State website was reviewed, and Murf’s Munchkinland Land was listed as current- active. You, Shannon Pope, Owner and Brenda, Sullivan, administrator assisted me with the visit. I conducted a walk through and observations. There were 108 children present, ranging in age from infants to five-year-olds. Children were learning about ‘Community Helpers’; therefore, three of the classrooms participated in an on-site fire truck visit and tour. The ones were engaged in outdoor free play and then transitioned indoors riding in wagons. The infants were engaged in typical classrooms routines, napping, diaper changing, free play, tummy time, etc. The three-year-olds were engaged in outdoor free play as they were running around, sliding, building with large blue foam blocks, playing in the castle, and other age-appropriate activities. The two-year-olds were engaged in indoor free play using a variety of small manipulatives toys. Staff were near by and engaged in the activities. Investigation: The allegation was reviewed with you and four other staff members. All were given an opportunity to provide information and give their perceptions of the allegation. The facility has a camera system but was unable to access due to a Spectrum service outage. Findings: Allegation: There is a concern that children are not adequately supervised. You stated all children are visually supervised. You provide monthly training on supervision during each staff meeting. You are over staffed to ensure there is enough staff to ensure adequate supervision. If there is a concern in a classroom; typically, you add a third person to assist. Other staff members stated children are visually supervised. Staff may not respond as quickly as possible, but children are always supervised. Recently, a child arrived with a bandage on her chin from an accident that occurred at home. During a center yoga activity, at approximately 9am, the child’s hair got stuck in the bandage causing a scab to be torn away and bleed. The staff member cleaned up the blood and applied another band aid over the original bandage. I observed a picture of the scratch marks on the child neck. Staff shared the class engaged in morning yoga activity and the marks may be from the child scratching her neck. The staff did not observe any marks until the parent shared the picture with you. You explained you watched the video on the day of the incident, specifically during the outdoor play and other play times throughout the day. You did not observe this child engage in any conflict with another child. I conducted a walk through and observations, children were visually supervised. Today, staff were engaged in play, assisted with handwashing routines, or supervised while children played. Based on the reporters’ information, your statements, staff members information, and my investigation, this allegation is unsubstantiated. Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. A 3-year-old child arrived with a bandage on her chin. At approximately 10am, her hair got stuck in the bandage causing a scab to be torn away and the area to bleed. .0802 (e) Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A violation was documented during the complaint investigation. During the visit, the violation was corrected during the visit. The incident report was completed during the visit, and shortly afterwards, the parent arrived at the center to discuss the concern. You shared the report form with the parent but the parent refused to sign the report. The parent disenrolled the child effective today, October 10, 2024. Mail or email the information to: Kim Sherry, Child Care Consultant, Kim.Sherry@dhhs.nc.gov. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance for Violation Cited: A violation was documented related to incident reports in child care rule .0802. Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. A 3-year-old child arrived with a bandage on her chin. At approximately 10am, her hair got stuck in the bandage causing a scab to be torn away and the area to bleed. Due to the area beginnings to bleed, an incident report should be been completed. Incident Reports-General-As we discussed, an incident report should be completed and logged each time a child is injured, regardless of whether medical care is needed. It is helpful to remember the “three B’s”: bumps, bruises and blood, as a reminder of when to complete incident reports. You may access and use the incident report form by visiting the DCDEE website ncchildcare.ncdhhs.gov, looking under the Provider tab for Provider Documents and Forms, and then selecting Incident Report. Ensure staff continue to supervise children at all times. Supervision is paramount to quality child care as it is basic to the safety of children and the prevention of injury while maintaining quality child care. Parents have a contract with the facility and its staff to supervise their children. The importance of supervision is not only to protect children from physical injury, but from harm that can occur from teasing/bullying/inappropriate topics discussed, or inappropriate behavior. It is the responsibility of staff to regularly count children (name to face recognition) on a routine basis, at every transition, and whenever leaving one area and arriving at another. At the completion of the visit, this visit summary was reviewed with the administrator. You may contact me, Kim Sherry, Child Care Consultant, at 910-824-1143 or Kim.Sherry@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
NC GS 110-90 · Violation
Name of Operation: SNEADS FERRY QUALITY CHILDCARE & PRESCHOOL Facility ID: 67001150 Consultant: KIM SHERRY Operation Type: Center Case Number: Visit Date: 9/24/2024 Number Present: 120 Completed Date: 9/24/2024 Age: From 0 To 5 Total Minutes: 215 Time In: 09:05 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced Sneads Ferry The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a Routine Unannounced visit. The program currently operates with a 4 Star License, issued March 8, 2024. The restrictions on the permit include a capacity of 165 with an age range of 0- 12, first shift only. The center's compliance history was reviewed with the operator. The program’s compliance history was 94% percent as of June 19, 2024. The NC Secretary of State website was reviewed on September 23, 2024 and Murf’s Munchkinland Land was listed as current- active. The center completed the last Fire Inspection on November 13, 2023. The center was approved for daytime care only. The last Sanitation inspection was completed on March 25, 2024 with a Superior Classification. The license was posted, and the restrictions were in compliance. You, Shannon Pope, Owner/ Director was present and assisted with the visits. Ten classrooms are operating with one hundred and thirty-three children enrolled and one hundred and twenty children present. All children were appropriately supervised. All approved indoor and outdoor spaces were monitored today. During today’s visit, space 1 was chaotic. There were two infant’s crying, one was crying in their crib and one was crying on the floor. One infant was in his crib, calm and trying to nap. One was sitting in a highchair eating a waffle, six were exploring the environment on the floor with soft books and manipulatives. Spaces 2,5b, 9 and 10 were outdoors engaged with balls, push toys, slides, climbing, riding small vehicles, etc. Two-year-old children in Spaces 3 and 9 were engaged in drawing on coffee filters with crayons and several children built with blocks. Children in Spaces 4,5a, and 6 were engaged in activity areas drawing with crayons, markers, building with blocks, playing bingo, and other age-appropriate activities. Breakfast for today consisted of waffles, craisins, and milk. Staff and children’s files were observed today. There are a total of thirty-six staff members on staff with five that are new. New staff information and qualifications letters and critical trainings were reviewed for previous employed staff. There are concerns or potential licensing violations that can be documented during a visit; although, technical assistance was provided today. The list is below: Language materials and blocks are needed for classroom spaces 4, 5b, 6. An inventory is needed of each classroom as they are not meeting minimum requirements. Paper is needed and should be accessible in all spaces- today- classroom space 4. Lesson plans should always be current. Activity plans are detailed plans which outline activities that will encourage children’s growth and development. The activities outlined on the activity plan will typically occur during the “Activity Center” times indicated on the daily schedule. They must be current and posted for easy reference by caregivers and parents. The floors in the classroom shall be constructed of nonabsorbent material and shall be kept clean and in good repair. A new administrator has been hired. Today, you submitted the Preservice Administration form. This information will be keyed in Regulatory. Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid had expired on September 14, 2024 for two staff members. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR training expired September 14, 2024 for two staff members. .1102(d) Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Two violations were documented and must be corrected immediately. On or before October 5, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Kim Sherry, Child Care Consultant, Kim.Sherry@dhhs.nc.gov. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: Two violations were documented related to safety training in child care rule 1102. First Aid had expired on September 14, 2024 for two staff members. CPR training expired September 14, 2024 for two staff members. For the health and safety of the children, all staff members are required to obtain CPR and First Aid certification and keep it current. Renewing this certification is crucial for staff to be refreshed in first aid and other lifesaving techniques as well as receive the most up to date information. I suggest you set a reminder on your calendar to keep track of expiration dates and/or seek out training from additional approved agencies when staff is not able to attend courses offered locally or at the facility. The the 3s (ECERS-3, ITERS-3, FCCERS-3) are coming. DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the ECERS-3, ITERS-3, and FCCERS-3 that starts February 1, 2025. Don't worry! Visit the Get ready for the 3s webpage to learn what's different and what you can do now to prepare. New resources have just been added. You'll find updated FAQs, factsheets, credit hour trainings, outreach assessment opportunities and more to help you become familiar with these tools. At the completion of the visit, this visit summary was reviewed, emailed, signed and a copy was left with you. Contact me at Kim Sherry, Child Care Consultant, 910-824-1143, or Kim.Sherry@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .1102 · Violation
Name of Operation: SNEADS FERRY QUALITY CHILDCARE & PRESCHOOL Facility ID: 67001150 Consultant: KIM SHERRY Operation Type: Center Case Number: Visit Date: 6/20/2024 Number Present: 115 Completed Date: 6/20/2024 Age: From 0 To 5 Total Minutes: 140 Time In: 09:15 AM Time Out: 11:35 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a Routine Unannounced visit. The program currently operates with a 4 Star License, issued March 8, 2024. The restrictions on the permit include a capacity of 165 with an age range of 0- 12, first shift only. The center's compliance history was reviewed with the operator. The program’s compliance history was 94% percent as of June 19, 2024. The NC Secretary of State website was reviewed and Murf’s Munchkinland Land was listed as current- active. The center completed the last Fire Inspection on November 13, 2023. The center was approved for daytime care only. The last Sanitation inspection was completed on March 25, 2024 with a Superior Classification. The license was posted, and the restrictions were in compliance. April Bosse, Child Care Consultant assisted and conducted the walk-through and observations. You, Rubi Ventura, Staff Coach, assisted me with the licensing paperwork. In addition, Shannon Pope, Owner/ Director was present and conducted the walk through and observations with Ms. Bosse. Ten classrooms are operating with one hundred and forty-nine children enrolled and one hundred and fifteen children present. All children were appropriately supervised. All approved indoor and outdoor spaces were monitored today. Daily schedules were available for each group of children. Infants received care based on their individual needs. Infant feeding charts are current and up to date and safe sleep charts are being maintained. During today’s visit, infants in Space 1 were observed exploring the environment on the floor with soft books and manipulatives or sitting in jumpers with caregivers sitting close by. Toddlers in Spaces 2 and 10 were outdoors engaged with balls, push toys, slides, and manipulative toys. Two-year-old children in Spaces 3 and 9 were engaged in activity areas with playdoh, doll houses, building with blocks, and drawing with crayons. Three-year-old children in Spaces 4, 7, and 8 were engaged in activity areas drawing with colored pencils, completing puzzles, stacking rocks, and lining up dominos. Preschool children in Spaces 5a were engaged in activity areas playing matching games, building with Legos, coloring, and cutting, and lining up dinosaurs in the windows. Preschool children in Space 5b were outside in the play area running in the sprinklers for their water day. Lunch for today consisted of chili with kidney beans, corn, tortilla chips, and milk. Since the last visit, a vinyl fence has been installed around the exterior of the property. The fence prevents children from have access to the holding pond. Since the last visit, Michelle Norman, administrator, is no longer employed. Brenda Sullivan has replaced Ms. Norman. A Pre-Service admin form was emailed to you today. Complete and submit to me. New staff files were reviewed for applicable requirements. The new staff members are working on their Health and Safety training. All staff members have one year to complete the Health and Safety training as outlined in Child Care Rule 10A NCAC 09 .1102. Violation Number Comment Rule 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff member employed on 5/15/24 completed her TB test on 1/21/23. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Four out of the nine new staff members have not completed the 16 hours of orientation with the first 6 weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One of the nine new staff members have not completed the first two weeks of orientation within the first two weeks of employment. .1101(a)(b) Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violation(s) documented will impact the compliance history score. Two violations were documented and must be corrected immediately. On or before June 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Kim Sherry, Child Care Consultant, Kim.Sherry@dhhs.nc.gov. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: A violation was cited today for employees not obtaining the correct number of hours of orientation within the required two week and six-week time frame. Each employee who is expected to have contact with children shall receive six clock hours of training in required topic areas within the first two weeks of employment and 16 hours of on-site orientation within the first six weeks of employment. A list of approved orientation topics and a documentation log along with required timelines can be found on the division’s website at https://ncchildcare.ncdhhs.gov/ under the provider documents tab. A part of responsibility for administration is to ensure that every employee attend the orientation and that they are documented when they are completed as this will be your proof that the orientation has occurred. The following employees will need to complete their orientations as soon as possible and those trainings will need to be recorded on the documentation page for each employee: C.M, V.V, M.W, B.S ,A. V. Locks- Child locks were seen in many spaces to prevent children from accessing what was inside the lower cabinets. Today extra toys, supplies, and extra clothing were observed behind the child safety locks. Child safety locks do not count as locked storage. I encourage you to remind staff that any items that need to be locked and out of reach of children cannot be stored in a cabinet with a child safety lock. Qualification Letters- Today we discussed that qualifying letters must always be on file and available for review. I suggested that once people are issued a provisional letter, you mark that date so that you can ensure the qualifying letter does come to their account. We also discussed that the CBC has launched a provider portal so that you are able to track letters for employees. This access will allow providers to: • See applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff members, run a printable report of the staff roster to assist with compliance visits. To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. Access will then be granted within 2 business days. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. REQUIRED- Water Test- It’s time to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test for lead in drinking water, lead paint, and asbestos. Testing is required by 1/1/2025, but enrollment was required by 5/1/2024. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. (Lead paint was not used in homes built after 1978. Asbestos was not used in homes after 1988.) Water testing will only be required once for family child care homes. For more information go to https://www.cleanwaterforuskids.org/en/carolina/. I encourage you to registered to get the testing process started. I reviewed information about the following with you an • Required Water, Lead Paint, and Asbestos Testing – Enroll by 5/1/24. • Moodle Back Up and Running and Moodle Support Contacts • Love Them Through It: Understanding Trauma in Young Children Training • Rule Changes Effective January 1, 2024 • Free On-line Professional Development Memberships • Health and Safety Resources. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Kim Sherry, Child Care Consultant, 910-824-1143, or Kim.Sherry@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
NC GS 110-90 · Violation
Name of Operation: SNEADS FERRY QUALITY CHILDCARE & PRESCHOOL Facility ID: 67001150 Consultant: KIM SHERRY Operation Type: Center Case Number: Visit Date: 6/20/2024 Number Present: 115 Completed Date: 6/20/2024 Age: From 0 To 5 Total Minutes: 140 Time In: 09:15 AM Time Out: 11:35 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a Routine Unannounced visit. The program currently operates with a 4 Star License, issued March 8, 2024. The restrictions on the permit include a capacity of 165 with an age range of 0- 12, first shift only. The center's compliance history was reviewed with the operator. The program’s compliance history was 94% percent as of June 19, 2024. The NC Secretary of State website was reviewed and Murf’s Munchkinland Land was listed as current- active. The center completed the last Fire Inspection on November 13, 2023. The center was approved for daytime care only. The last Sanitation inspection was completed on March 25, 2024 with a Superior Classification. The license was posted, and the restrictions were in compliance. April Bosse, Child Care Consultant assisted and conducted the walk-through and observations. You, Rubi Ventura, Staff Coach, assisted me with the licensing paperwork. In addition, Shannon Pope, Owner/ Director was present and conducted the walk through and observations with Ms. Bosse. Ten classrooms are operating with one hundred and forty-nine children enrolled and one hundred and fifteen children present. All children were appropriately supervised. All approved indoor and outdoor spaces were monitored today. Daily schedules were available for each group of children. Infants received care based on their individual needs. Infant feeding charts are current and up to date and safe sleep charts are being maintained. During today’s visit, infants in Space 1 were observed exploring the environment on the floor with soft books and manipulatives or sitting in jumpers with caregivers sitting close by. Toddlers in Spaces 2 and 10 were outdoors engaged with balls, push toys, slides, and manipulative toys. Two-year-old children in Spaces 3 and 9 were engaged in activity areas with playdoh, doll houses, building with blocks, and drawing with crayons. Three-year-old children in Spaces 4, 7, and 8 were engaged in activity areas drawing with colored pencils, completing puzzles, stacking rocks, and lining up dominos. Preschool children in Spaces 5a were engaged in activity areas playing matching games, building with Legos, coloring, and cutting, and lining up dinosaurs in the windows. Preschool children in Space 5b were outside in the play area running in the sprinklers for their water day. Lunch for today consisted of chili with kidney beans, corn, tortilla chips, and milk. Since the last visit, a vinyl fence has been installed around the exterior of the property. The fence prevents children from have access to the holding pond. Since the last visit, Michelle Norman, administrator, is no longer employed. Brenda Sullivan has replaced Ms. Norman. A Pre-Service admin form was emailed to you today. Complete and submit to me. New staff files were reviewed for applicable requirements. The new staff members are working on their Health and Safety training. All staff members have one year to complete the Health and Safety training as outlined in Child Care Rule 10A NCAC 09 .1102. Violation Number Comment Rule 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff member employed on 5/15/24 completed her TB test on 1/21/23. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Four out of the nine new staff members have not completed the 16 hours of orientation with the first 6 weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One of the nine new staff members have not completed the first two weeks of orientation within the first two weeks of employment. .1101(a)(b) Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violation(s) documented will impact the compliance history score. Two violations were documented and must be corrected immediately. On or before June 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Kim Sherry, Child Care Consultant, Kim.Sherry@dhhs.nc.gov. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: A violation was cited today for employees not obtaining the correct number of hours of orientation within the required two week and six-week time frame. Each employee who is expected to have contact with children shall receive six clock hours of training in required topic areas within the first two weeks of employment and 16 hours of on-site orientation within the first six weeks of employment. A list of approved orientation topics and a documentation log along with required timelines can be found on the division’s website at https://ncchildcare.ncdhhs.gov/ under the provider documents tab. A part of responsibility for administration is to ensure that every employee attend the orientation and that they are documented when they are completed as this will be your proof that the orientation has occurred. The following employees will need to complete their orientations as soon as possible and those trainings will need to be recorded on the documentation page for each employee: C.M, V.V, M.W, B.S ,A. V. Locks- Child locks were seen in many spaces to prevent children from accessing what was inside the lower cabinets. Today extra toys, supplies, and extra clothing were observed behind the child safety locks. Child safety locks do not count as locked storage. I encourage you to remind staff that any items that need to be locked and out of reach of children cannot be stored in a cabinet with a child safety lock. Qualification Letters- Today we discussed that qualifying letters must always be on file and available for review. I suggested that once people are issued a provisional letter, you mark that date so that you can ensure the qualifying letter does come to their account. We also discussed that the CBC has launched a provider portal so that you are able to track letters for employees. This access will allow providers to: • See applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff members, run a printable report of the staff roster to assist with compliance visits. To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. Access will then be granted within 2 business days. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. REQUIRED- Water Test- It’s time to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test for lead in drinking water, lead paint, and asbestos. Testing is required by 1/1/2025, but enrollment was required by 5/1/2024. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. (Lead paint was not used in homes built after 1978. Asbestos was not used in homes after 1988.) Water testing will only be required once for family child care homes. For more information go to https://www.cleanwaterforuskids.org/en/carolina/. I encourage you to registered to get the testing process started. I reviewed information about the following with you an • Required Water, Lead Paint, and Asbestos Testing – Enroll by 5/1/24. • Moodle Back Up and Running and Moodle Support Contacts • Love Them Through It: Understanding Trauma in Young Children Training • Rule Changes Effective January 1, 2024 • Free On-line Professional Development Memberships • Health and Safety Resources. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Kim Sherry, Child Care Consultant, 910-824-1143, or Kim.Sherry@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0803 · Violation
Name of Operation: SNEADS FERRY QUALITY CHILDCARE & PRESCHOOL Facility ID: 67001150 Consultant: KIM SHERRY Operation Type: Center Case Number: Visit Date: 2/12/2024 Number Present: 135 Completed Date: 2/12/2024 Age: From 0 To 6 Total Minutes: 270 Time In: 09:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a annual compliance visit with a rated license assessment. The program currently operates with a 3 Star License, issued December 18, 2018. The restrictions on the permit include a capacity of 165 with an age range of 0- 12, first shift only. The center's compliance history was reviewed with the operator. The program’s compliance history was 100% percent as of February 12, 2024. The NC Secretary of State website was reviewed on February 12, 2024, and Murf’s Munchkinland Land was listed as current- active. The center completed the last Fire Inspection on November 13, 2023. The center was approved for daytime care only. The last Sanitation inspection was completed on December 20, 2023 with a Superior Classification. The license was posted, and the restrictions were in compliance. You, Rubi Ventura, Staff Coach, assisted me with the licensing paperwork. In addition, Shannon Pope, Owner/ Director was present and assisted with today’s visit. April Bosse, Child Care Consultant assisted and conducted the walk-through and observations. Ten classrooms are operating with one hundred and fifty-nine children enrolled and one hundred and thirty-five children present. All children were appropriately supervised. All approved indoor and outdoor spaces were monitored today. Daily schedules were available for each group of children. Infants received care based on their individual needs. Infant feeding charts are current and up to date and safe sleep charts are being maintained. During today’s visit, infants in Space 1 were observed sleeping in appropriate cribs, playing with materials on the floor, crawling around exploring their environment or engaged in routine care. Toddlers in Spaces 2 and 10 were engaged in free choice activities such as balls, books, pretend phones, and blocks. Two-year-old children in Spaces 3, 7, and 9 were engaged in activity areas with books, puzzles, drawing with markers, and singing songs in group time. Three-year-old children in Spaces 4 and 8 were engaged in activity areas with kinetic sand sensory boxes, markers, baby dolls, and puzzles. Preschool children in Spaces 5 and 6 were engaged in group time reading “The Day it Rained Hearts”, making valentines with scissors and markers, and building with blocks. Lunch for today consisted of hot dogs, peas, baked beans, and milk. Files for new staff and a percentage of veteran staff were reviewed today. Criminal background checks, SIDS, CPR/FA (if applicable), along with other applicable requirements were monitored. Thirty-six staff members are employed and twenty-two have completed Health and Safety training. There are fourteen staff that have ben employed less than one year. All staff members employed more than one year have completed the Health and Safety trainings as outlined in Child Care Rule 10A NCAC 09 .1102. Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violations were observed today and must be corrected immediately: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An epi-pen in Space 9 was not in the original pharmacy labeled container. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A diaper cream in Space 2 and a diaper cream in Space 8 were expired and not returned to the parent within 72 hours. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed on October 23, 2023 has not completed a First Aid course within 90 days of hire. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed on October 23, 2023 has not completed a CPR course within 90 days of hire. .1102(d) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. An epi-pen in Space 9 had an action plan that was not signed by the child's parent or a health care professional. An inhaler in Space 4 had an action plan that expired in June 2023 and was not updated on an annual basis. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Permission to administer medication form giving the caregiver standing authorization was not completed for the epi-pen in Space 9. The permission to administer form for the inhaler in Space 4 expired in June 2023. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Violations were documented today. On or before February 22, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Kim Sherry, Child Care Consultant, Kim.Sherry@dhhs.nc.gov. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: Violations were documented related to CPR and First Aid in child care rules .1102 - One staff member (A Williamson) employed on October 23, 2023 has not completed a First Aid course within 90 days of hire. For the health and safety of the children, all staff members are required to obtain CPR and First Aid certification and keep it current. Renewing this certification is crucial for staff to be refreshed in first aid and other lifesaving techniques as well as receive the most up to date information. I suggest you set a reminder on your calendar to keep track of expiration dates and/or seek out training from additional approved agencies when staff is not able to attend courses offered locally or at the facility. A violation was documented related to medications/action plans in child care rules .0801 and .0803. In classroom space 9, the Epi-Pen did not have a completed Action Plan with signatures, a Permission to Administer Medication Form was not present for this medication and the Epi-Pen was not stored in its original container with a prescription label. An inhaler in Space 4 had an action plan and permission to administer form that expired in June 2023. The inhaler in the space expired in September 2023. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical care plan is required. The medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. This plan is only needed for those children with the previously listed conditions. Child Care rule 10A NCAC 09 .0803 (6) states a parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Today I suggested using the form from the DCDEE website to ensure all information needed is obtained and present on the permission form. Regarding medication authorizations such as Action Plans and Permission to Administer Medication forms, I encouraged you today to make lists of medications brought in by parents which include children’s names, types of medications, expiration dates of medications and expiration dates of authorization forms. This will allow staff members to easily see when medications or authorization forms are about to expire so they can return them to parents or get new authorization forms within 72 hours as required. In classroom spaces 2 and 4, there were expired diaper creams. The permission forms were still in date; however, the diaper cream expiration date stamped on the diaper cream had passed. When diaper cream forms are filled out by parents, you should check that the correct expiration date is noted on the topical ointment permission form and that it matches the expiration date on the medication. If a parent brings in a diaper cream to replace another diaper cream, a new form must be filled out for that diaper cream. Rated License: The ITERS and ECERS were completed on September 8, 2022, and September 9, 2022. The assessment report was reviewed during a rated license visit on September 27, 2022. The license was not processed at that time due to staff member’s education not being evaluated and a question regarding the assessments. Program Standards: The scores were as follows: ITERS- 4.68 and ECERS – 4.73, 4.34. Average score is 4.58 earning this facility 4 points. The facility must meet enhanced ratios. Ensure each classroom are meeting this requirement at all times. The center has approved policies and procedures. Since there have been staff changes, I will verify these scores can be used. Education – Points are earned based on the lowest level of education for any one position. The Administrator has the North Carolina Early Childhood Administration Credential (NCECAC) Level 3 and + 4 years’ experience. The facility has ten required lead teachers. You stated you need to make a change to the rated license worksheet. Once received, I will determine the point level for each position. Quality Point – You have chosen to meet Programmatic Option: The program is offering a Staff Benefits package and Parent Involvement; therefore, your program earned 1 Quality Point. I will contact you this week with an update to the point level. Additional Information: Meeting- The Winter 2024 Center Director Meeting on February 20, 2024, at 930am. The meeting will be held virtually via Zoom. A link will be sent to you via email this week. Outdoor Play- Keep in mind, child care rules require us to take children outdoors each day even in the winter. Parents often object, fearing their children will catch colds or become too chilly. How can we reassure parents? In North Carolina’s moderate climate children are able to go outside nearly every day. Sometimes it’s difficult to judge when weather conditions are safe, especially with young children, whose small bodies lose heat quickly in cold weather. Wind chill factors can make a chilly day even colder. How do you decide when it’s safe to take children outside in winter? The Child Care Weather Watch, located at www.idph.state.ia.us/hcci/products/weatherwatch.pdf provides guidelines for child care providers regarding temperature that may be dangerous for outdoor play. Reassure parents about the benefits of fresh air. Getting outside each day helps keep infants healthy. Infectious disease organisms are less concentrated outdoors so children are less likely to re-breathe the groups’ germs. Light exposure to the skin helps provide the child’s body with vitamin D. Take precautions to make sure infants stay warm. • Bundle children in warm layered clothing. • Make sure clothing is dry. • Check children’s hands and feet every 15 minutes in cold weather for color and warmth. Even a short period outdoors will benefit babies and providers, providing a chance to breathe fresh air, feel the cool wind on their faces and get a bit of sunlight on their skin. At the end of this visit, documentation was completed electronically, reviewed with you and emailed to you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. Email me at Kim.Sherry@dhhs.nc.gov or call me at (910) 824-0470 with questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .1102 · Violation
Name of Operation: SNEADS FERRY QUALITY CHILDCARE & PRESCHOOL Facility ID: 67001150 Consultant: KIM SHERRY Operation Type: Center Case Number: Visit Date: 2/12/2024 Number Present: 135 Completed Date: 2/12/2024 Age: From 0 To 6 Total Minutes: 270 Time In: 09:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a annual compliance visit with a rated license assessment. The program currently operates with a 3 Star License, issued December 18, 2018. The restrictions on the permit include a capacity of 165 with an age range of 0- 12, first shift only. The center's compliance history was reviewed with the operator. The program’s compliance history was 100% percent as of February 12, 2024. The NC Secretary of State website was reviewed on February 12, 2024, and Murf’s Munchkinland Land was listed as current- active. The center completed the last Fire Inspection on November 13, 2023. The center was approved for daytime care only. The last Sanitation inspection was completed on December 20, 2023 with a Superior Classification. The license was posted, and the restrictions were in compliance. You, Rubi Ventura, Staff Coach, assisted me with the licensing paperwork. In addition, Shannon Pope, Owner/ Director was present and assisted with today’s visit. April Bosse, Child Care Consultant assisted and conducted the walk-through and observations. Ten classrooms are operating with one hundred and fifty-nine children enrolled and one hundred and thirty-five children present. All children were appropriately supervised. All approved indoor and outdoor spaces were monitored today. Daily schedules were available for each group of children. Infants received care based on their individual needs. Infant feeding charts are current and up to date and safe sleep charts are being maintained. During today’s visit, infants in Space 1 were observed sleeping in appropriate cribs, playing with materials on the floor, crawling around exploring their environment or engaged in routine care. Toddlers in Spaces 2 and 10 were engaged in free choice activities such as balls, books, pretend phones, and blocks. Two-year-old children in Spaces 3, 7, and 9 were engaged in activity areas with books, puzzles, drawing with markers, and singing songs in group time. Three-year-old children in Spaces 4 and 8 were engaged in activity areas with kinetic sand sensory boxes, markers, baby dolls, and puzzles. Preschool children in Spaces 5 and 6 were engaged in group time reading “The Day it Rained Hearts”, making valentines with scissors and markers, and building with blocks. Lunch for today consisted of hot dogs, peas, baked beans, and milk. Files for new staff and a percentage of veteran staff were reviewed today. Criminal background checks, SIDS, CPR/FA (if applicable), along with other applicable requirements were monitored. Thirty-six staff members are employed and twenty-two have completed Health and Safety training. There are fourteen staff that have ben employed less than one year. All staff members employed more than one year have completed the Health and Safety trainings as outlined in Child Care Rule 10A NCAC 09 .1102. Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violations were observed today and must be corrected immediately: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An epi-pen in Space 9 was not in the original pharmacy labeled container. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A diaper cream in Space 2 and a diaper cream in Space 8 were expired and not returned to the parent within 72 hours. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed on October 23, 2023 has not completed a First Aid course within 90 days of hire. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed on October 23, 2023 has not completed a CPR course within 90 days of hire. .1102(d) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. An epi-pen in Space 9 had an action plan that was not signed by the child's parent or a health care professional. An inhaler in Space 4 had an action plan that expired in June 2023 and was not updated on an annual basis. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Permission to administer medication form giving the caregiver standing authorization was not completed for the epi-pen in Space 9. The permission to administer form for the inhaler in Space 4 expired in June 2023. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Violations were documented today. On or before February 22, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Kim Sherry, Child Care Consultant, Kim.Sherry@dhhs.nc.gov. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: Violations were documented related to CPR and First Aid in child care rules .1102 - One staff member (A Williamson) employed on October 23, 2023 has not completed a First Aid course within 90 days of hire. For the health and safety of the children, all staff members are required to obtain CPR and First Aid certification and keep it current. Renewing this certification is crucial for staff to be refreshed in first aid and other lifesaving techniques as well as receive the most up to date information. I suggest you set a reminder on your calendar to keep track of expiration dates and/or seek out training from additional approved agencies when staff is not able to attend courses offered locally or at the facility. A violation was documented related to medications/action plans in child care rules .0801 and .0803. In classroom space 9, the Epi-Pen did not have a completed Action Plan with signatures, a Permission to Administer Medication Form was not present for this medication and the Epi-Pen was not stored in its original container with a prescription label. An inhaler in Space 4 had an action plan and permission to administer form that expired in June 2023. The inhaler in the space expired in September 2023. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical care plan is required. The medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. This plan is only needed for those children with the previously listed conditions. Child Care rule 10A NCAC 09 .0803 (6) states a parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Today I suggested using the form from the DCDEE website to ensure all information needed is obtained and present on the permission form. Regarding medication authorizations such as Action Plans and Permission to Administer Medication forms, I encouraged you today to make lists of medications brought in by parents which include children’s names, types of medications, expiration dates of medications and expiration dates of authorization forms. This will allow staff members to easily see when medications or authorization forms are about to expire so they can return them to parents or get new authorization forms within 72 hours as required. In classroom spaces 2 and 4, there were expired diaper creams. The permission forms were still in date; however, the diaper cream expiration date stamped on the diaper cream had passed. When diaper cream forms are filled out by parents, you should check that the correct expiration date is noted on the topical ointment permission form and that it matches the expiration date on the medication. If a parent brings in a diaper cream to replace another diaper cream, a new form must be filled out for that diaper cream. Rated License: The ITERS and ECERS were completed on September 8, 2022, and September 9, 2022. The assessment report was reviewed during a rated license visit on September 27, 2022. The license was not processed at that time due to staff member’s education not being evaluated and a question regarding the assessments. Program Standards: The scores were as follows: ITERS- 4.68 and ECERS – 4.73, 4.34. Average score is 4.58 earning this facility 4 points. The facility must meet enhanced ratios. Ensure each classroom are meeting this requirement at all times. The center has approved policies and procedures. Since there have been staff changes, I will verify these scores can be used. Education – Points are earned based on the lowest level of education for any one position. The Administrator has the North Carolina Early Childhood Administration Credential (NCECAC) Level 3 and + 4 years’ experience. The facility has ten required lead teachers. You stated you need to make a change to the rated license worksheet. Once received, I will determine the point level for each position. Quality Point – You have chosen to meet Programmatic Option: The program is offering a Staff Benefits package and Parent Involvement; therefore, your program earned 1 Quality Point. I will contact you this week with an update to the point level. Additional Information: Meeting- The Winter 2024 Center Director Meeting on February 20, 2024, at 930am. The meeting will be held virtually via Zoom. A link will be sent to you via email this week. Outdoor Play- Keep in mind, child care rules require us to take children outdoors each day even in the winter. Parents often object, fearing their children will catch colds or become too chilly. How can we reassure parents? In North Carolina’s moderate climate children are able to go outside nearly every day. Sometimes it’s difficult to judge when weather conditions are safe, especially with young children, whose small bodies lose heat quickly in cold weather. Wind chill factors can make a chilly day even colder. How do you decide when it’s safe to take children outside in winter? The Child Care Weather Watch, located at www.idph.state.ia.us/hcci/products/weatherwatch.pdf provides guidelines for child care providers regarding temperature that may be dangerous for outdoor play. Reassure parents about the benefits of fresh air. Getting outside each day helps keep infants healthy. Infectious disease organisms are less concentrated outdoors so children are less likely to re-breathe the groups’ germs. Light exposure to the skin helps provide the child’s body with vitamin D. Take precautions to make sure infants stay warm. • Bundle children in warm layered clothing. • Make sure clothing is dry. • Check children’s hands and feet every 15 minutes in cold weather for color and warmth. Even a short period outdoors will benefit babies and providers, providing a chance to breathe fresh air, feel the cool wind on their faces and get a bit of sunlight on their skin. At the end of this visit, documentation was completed electronically, reviewed with you and emailed to you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. Email me at Kim.Sherry@dhhs.nc.gov or call me at (910) 824-0470 with questions or concerns. 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: SNEADS FERRY QUALITY CHILDCARE & PRESCHOOL Facility ID: 67001150 Consultant: KIM SHERRY Operation Type: Center Case Number: Visit Date: 2/12/2024 Number Present: 135 Completed Date: 2/12/2024 Age: From 0 To 6 Total Minutes: 270 Time In: 09:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a annual compliance visit with a rated license assessment. The program currently operates with a 3 Star License, issued December 18, 2018. The restrictions on the permit include a capacity of 165 with an age range of 0- 12, first shift only. The center's compliance history was reviewed with the operator. The program’s compliance history was 100% percent as of February 12, 2024. The NC Secretary of State website was reviewed on February 12, 2024, and Murf’s Munchkinland Land was listed as current- active. The center completed the last Fire Inspection on November 13, 2023. The center was approved for daytime care only. The last Sanitation inspection was completed on December 20, 2023 with a Superior Classification. The license was posted, and the restrictions were in compliance. You, Rubi Ventura, Staff Coach, assisted me with the licensing paperwork. In addition, Shannon Pope, Owner/ Director was present and assisted with today’s visit. April Bosse, Child Care Consultant assisted and conducted the walk-through and observations. Ten classrooms are operating with one hundred and fifty-nine children enrolled and one hundred and thirty-five children present. All children were appropriately supervised. All approved indoor and outdoor spaces were monitored today. Daily schedules were available for each group of children. Infants received care based on their individual needs. Infant feeding charts are current and up to date and safe sleep charts are being maintained. During today’s visit, infants in Space 1 were observed sleeping in appropriate cribs, playing with materials on the floor, crawling around exploring their environment or engaged in routine care. Toddlers in Spaces 2 and 10 were engaged in free choice activities such as balls, books, pretend phones, and blocks. Two-year-old children in Spaces 3, 7, and 9 were engaged in activity areas with books, puzzles, drawing with markers, and singing songs in group time. Three-year-old children in Spaces 4 and 8 were engaged in activity areas with kinetic sand sensory boxes, markers, baby dolls, and puzzles. Preschool children in Spaces 5 and 6 were engaged in group time reading “The Day it Rained Hearts”, making valentines with scissors and markers, and building with blocks. Lunch for today consisted of hot dogs, peas, baked beans, and milk. Files for new staff and a percentage of veteran staff were reviewed today. Criminal background checks, SIDS, CPR/FA (if applicable), along with other applicable requirements were monitored. Thirty-six staff members are employed and twenty-two have completed Health and Safety training. There are fourteen staff that have ben employed less than one year. All staff members employed more than one year have completed the Health and Safety trainings as outlined in Child Care Rule 10A NCAC 09 .1102. Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violations were observed today and must be corrected immediately: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An epi-pen in Space 9 was not in the original pharmacy labeled container. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A diaper cream in Space 2 and a diaper cream in Space 8 were expired and not returned to the parent within 72 hours. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed on October 23, 2023 has not completed a First Aid course within 90 days of hire. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed on October 23, 2023 has not completed a CPR course within 90 days of hire. .1102(d) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. An epi-pen in Space 9 had an action plan that was not signed by the child's parent or a health care professional. An inhaler in Space 4 had an action plan that expired in June 2023 and was not updated on an annual basis. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Permission to administer medication form giving the caregiver standing authorization was not completed for the epi-pen in Space 9. The permission to administer form for the inhaler in Space 4 expired in June 2023. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Violations were documented today. On or before February 22, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Kim Sherry, Child Care Consultant, Kim.Sherry@dhhs.nc.gov. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: Violations were documented related to CPR and First Aid in child care rules .1102 - One staff member (A Williamson) employed on October 23, 2023 has not completed a First Aid course within 90 days of hire. For the health and safety of the children, all staff members are required to obtain CPR and First Aid certification and keep it current. Renewing this certification is crucial for staff to be refreshed in first aid and other lifesaving techniques as well as receive the most up to date information. I suggest you set a reminder on your calendar to keep track of expiration dates and/or seek out training from additional approved agencies when staff is not able to attend courses offered locally or at the facility. A violation was documented related to medications/action plans in child care rules .0801 and .0803. In classroom space 9, the Epi-Pen did not have a completed Action Plan with signatures, a Permission to Administer Medication Form was not present for this medication and the Epi-Pen was not stored in its original container with a prescription label. An inhaler in Space 4 had an action plan and permission to administer form that expired in June 2023. The inhaler in the space expired in September 2023. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical care plan is required. The medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. This plan is only needed for those children with the previously listed conditions. Child Care rule 10A NCAC 09 .0803 (6) states a parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Today I suggested using the form from the DCDEE website to ensure all information needed is obtained and present on the permission form. Regarding medication authorizations such as Action Plans and Permission to Administer Medication forms, I encouraged you today to make lists of medications brought in by parents which include children’s names, types of medications, expiration dates of medications and expiration dates of authorization forms. This will allow staff members to easily see when medications or authorization forms are about to expire so they can return them to parents or get new authorization forms within 72 hours as required. In classroom spaces 2 and 4, there were expired diaper creams. The permission forms were still in date; however, the diaper cream expiration date stamped on the diaper cream had passed. When diaper cream forms are filled out by parents, you should check that the correct expiration date is noted on the topical ointment permission form and that it matches the expiration date on the medication. If a parent brings in a diaper cream to replace another diaper cream, a new form must be filled out for that diaper cream. Rated License: The ITERS and ECERS were completed on September 8, 2022, and September 9, 2022. The assessment report was reviewed during a rated license visit on September 27, 2022. The license was not processed at that time due to staff member’s education not being evaluated and a question regarding the assessments. Program Standards: The scores were as follows: ITERS- 4.68 and ECERS – 4.73, 4.34. Average score is 4.58 earning this facility 4 points. The facility must meet enhanced ratios. Ensure each classroom are meeting this requirement at all times. The center has approved policies and procedures. Since there have been staff changes, I will verify these scores can be used. Education – Points are earned based on the lowest level of education for any one position. The Administrator has the North Carolina Early Childhood Administration Credential (NCECAC) Level 3 and + 4 years’ experience. The facility has ten required lead teachers. You stated you need to make a change to the rated license worksheet. Once received, I will determine the point level for each position. Quality Point – You have chosen to meet Programmatic Option: The program is offering a Staff Benefits package and Parent Involvement; therefore, your program earned 1 Quality Point. I will contact you this week with an update to the point level. Additional Information: Meeting- The Winter 2024 Center Director Meeting on February 20, 2024, at 930am. The meeting will be held virtually via Zoom. A link will be sent to you via email this week. Outdoor Play- Keep in mind, child care rules require us to take children outdoors each day even in the winter. Parents often object, fearing their children will catch colds or become too chilly. How can we reassure parents? In North Carolina’s moderate climate children are able to go outside nearly every day. Sometimes it’s difficult to judge when weather conditions are safe, especially with young children, whose small bodies lose heat quickly in cold weather. Wind chill factors can make a chilly day even colder. How do you decide when it’s safe to take children outside in winter? The Child Care Weather Watch, located at www.idph.state.ia.us/hcci/products/weatherwatch.pdf provides guidelines for child care providers regarding temperature that may be dangerous for outdoor play. Reassure parents about the benefits of fresh air. Getting outside each day helps keep infants healthy. Infectious disease organisms are less concentrated outdoors so children are less likely to re-breathe the groups’ germs. Light exposure to the skin helps provide the child’s body with vitamin D. Take precautions to make sure infants stay warm. • Bundle children in warm layered clothing. • Make sure clothing is dry. • Check children’s hands and feet every 15 minutes in cold weather for color and warmth. Even a short period outdoors will benefit babies and providers, providing a chance to breathe fresh air, feel the cool wind on their faces and get a bit of sunlight on their skin. At the end of this visit, documentation was completed electronically, reviewed with you and emailed to you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. Email me at Kim.Sherry@dhhs.nc.gov or call me at (910) 824-0470 with questions or concerns. 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
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